| Paul A Kennedy Iii, MD | |
|
4916 Overton Plz, Fort Worth, TX 76109-4415 | |
| (817) 334-0530 | |
| (817) 877-0350 |
| Full Name | Paul A Kennedy Iii |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 37 Years |
| Location | 4916 Overton Plz, Fort Worth, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386656882 | NPI | - | NPPES |
| 07349001 | Medicaid | HI | |
| 95513 | Other | HI | HMSA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 7932 (Hawaii) | Secondary |
| 207L00000X | Anesthesiology | H6336 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St. Lukes' Brazosport Hospital | Lake jackson, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergenchealth Pllc | 1355606641 | 666 |
| Austin Gastroenterology Anesthesia Associates Pllc | 6305138603 | 24 |
| Entity Name | Austin Gastroenterology Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427405810 PECOS PAC ID: 6305138603 Enrollment ID: O20160707000274 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200422002521 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul A Kennedy Iii, MD 1101 Paw Print, Leander, TX 78641-3649 Ph: (512) 800-3212 | Paul A Kennedy Iii, MD 4916 Overton Plz, Fort Worth, TX 76109-4415 Ph: (817) 334-0530 |
Dena L Cornelius, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4916 Overton Plz, Fort Worth, TX 76109 Phone: 800-480-1819 | |
Chandra N Reynolds, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-4054 Fax: 682-885-7499 | |
Dr. Kimble Franklin Horak, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Anesthesia Dept, 3rd Floor, Fort Worth, TX 76104 Phone: 817-702-6290 | |
Emily Megan Reynoso, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-926-2544 | |
Cristina Beatrice Bartis, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Lipscomb St Ste 110, Fort Worth, TX 76104 Phone: 817-348-8600 Fax: 817-348-8602 | |
Dr. Mike Martinez Ii, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 Saint Louis Ave Ste 100, Fort Worth, TX 76104 Phone: 682-285-1044 Fax: 682-285-1044 | |
Yasmin Sadat Fatemi, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 817 W Tucker St, Fort Worth, TX 76104 Phone: 469-444-7246 Fax: 469-440-2667 |