| Sean Michael Kennedy, DO | |
|
14 Hudson Avenue, Adirondack Ent, Glens Falls, NY 12801-4363 | |
| (518) 926-1380 | |
| (518) 926-1385 |
| Full Name | Sean Michael Kennedy |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 24 Years |
| Location | 14 Hudson Avenue, Glens Falls, New York |
| 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 |
|---|---|---|---|
| 1417001025 | NPI | - | NPPES |
| P00471826 | Other | NY | RR MEDICARE |
| 02879821 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 242492 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Glens Falls Hospital | Glens falls, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Glens Falls Hospital Inc | 8325955974 | 147 |
| Entity Name | Glens Falls Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336198217 PECOS PAC ID: 8325955974 Enrollment ID: O20031103000498 |
| Entity Name | Hudson Headwaters Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194738344 PECOS PAC ID: 7416861208 Enrollment ID: O20031117000239 |
| Entity Name | Glens Falls Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831607951 PECOS PAC ID: 7214290907 Enrollment ID: O20180411000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Michael Kennedy, DO 100 Park Street, Glens Falls Hospital - Credentialing, Glens Falls, NY 12801-4413 Ph: (518) 926-5924 | Sean Michael Kennedy, DO 14 Hudson Avenue, Adirondack Ent, Glens Falls, NY 12801-4363 Ph: (518) 926-1380 |
Richard A Hughes Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2 Broad Street Plz, Adirondack Ent, Glens Falls, NY 12801 Phone: 518-926-1380 Fax: 518-926-1385 | |
Dr. Matthew Jordan Dickson, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 14 Hudson Avenue, Adirondack Ent, Glens Falls, NY 12801 Phone: 518-926-1380 Fax: 518-926-1385 |