Paul Kennedy Perry, DO is a medicare enrolled "Hospitalist" physician in Trenton, Michigan. His current practice location is
5450 Fort St, Trenton, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 671-3800.
Paul Kennedy Perry is licensed to practice in Minnesota (license number 63822) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043448095.
Physician's Profile
| Full Name | Paul Kennedy Perry |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 5450 Fort St, Trenton, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043448095
- Provider Enumeration Date: 06/29/2009
- Last Update Date: 03/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284888462
- Enrollment ID: I20130218000355
Medical Identifiers
Medical identifiers for Paul Kennedy Perry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043448095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 5101018312 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | 20801 (Montana) | Secondary |
| 208M00000X | Hospitalist | O-1763 (Idaho) | Secondary |
| 208M00000X | Hospitalist | 63822 (Minnesota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Paul Kennedy Perry allows following entities to bill medicare on his behalf.
| Entity Name | St Peters Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205025145
PECOS PAC ID: 7911814926
Enrollment ID: O20031204001245 |
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| Entity Name | Cogent Healthcare Of Montana P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053569525
PECOS PAC ID: 4486712833
Enrollment ID: O20081029000254 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul Kennedy Perry is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Paul Kennedy Perry, DO
915 E 1st St,
Duluth, MN 55805-2107
Ph: (218) 249-5555 | Paul Kennedy Perry, DO
5450 Fort St,
Trenton, MI 48183-4601
Ph: (734) 671-3800 |
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