| Stacy D Kennedy, MD | |
|
611 Mocksville Ave., Salisbury, NC 28144-2705 | |
| (704) 633-7220 | |
| (704) 647-0515 |
| Full Name | Stacy D Kennedy |
|---|---|
| Gender | Female |
| Speciality | Rheumatology |
| Experience | 21 Years |
| Location | 611 Mocksville Ave., Salisbury, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063556496 | NPI | - | NPPES |
| 5912324 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2009-00173 (North Carolina) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | 2009-00173 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Rowan Medical Center | Salisbury, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rowan Diagnostic Clinic Pa | 9335037944 | 26 |
| Entity Name | Rowan Diagnostic Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477582120 PECOS PAC ID: 9335037944 Enrollment ID: O20040305000907 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy D Kennedy, MD 611 Mocksville Ave, Salisbury, NC 28144-2705 Ph: (704) 633-7220 | Stacy D Kennedy, MD 611 Mocksville Ave., Salisbury, NC 28144-2705 Ph: (704) 633-7220 |
Dr. Khalid Altaf Mian, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 Fax: 704-638-3428 | |
Dr. Brent W Seifert, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 611 Mocksville Ave, Salisbury, NC 28144 Phone: 704-633-7220 Fax: 704-647-0515 | |
Haritha Machavarapu, M.B.B.S Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5260 Fax: 704-210-5265 | |
Dr. James E Bristol, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 | |
Dr. Nilesh V Patel, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1809 Brenner Ave Ste 202, Salisbury, NC 28144 Phone: 704-216-7040 Fax: 704-647-0515 | |
Dr. David J Bearss, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 825 W Henderson St, Salisbury, NC 28144 Phone: 704-637-1123 Fax: 704-637-1214 | |
Mr. Hitesh P. Rabara, M.D. Rheumatology Medicare: Medicare Enrolled Practice Location: 1601 Brenner Ave, Va Medical Center, Salisbury, NC 28144 Phone: 704-638-9000 Fax: 704-638-3847 |