| Thomas Lynn Kennedy Jr, MD | |
|
403 W Oak St Ste 204, El Dorado, AR 71730-4574 | |
| (870) 881-9311 | |
| (870) 881-8588 |
| Full Name | Thomas Lynn Kennedy Jr |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 9 Years |
| Location | 403 W Oak St Ste 204, El Dorado, Arkansas |
| 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 |
|---|---|---|---|
| 1396273173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | E-15513 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center Of South Arkansas | El dorado, AR | Hospital |
| Ashley County Medical Center | Crossett, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Arkansas Physician Group Llc | 4486002151 | 6 |
| Entity Name | South Arkansas Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427018704 PECOS PAC ID: 0749273670 Enrollment ID: O20040406001623 |
| Entity Name | Healogics Specialty Physicians Of Arkansas, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538561436 PECOS PAC ID: 9739405408 Enrollment ID: O20150225000284 |
| Entity Name | South Arkansas Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285325969 PECOS PAC ID: 4486002151 Enrollment ID: O20231120001286 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Lynn Kennedy Jr, MD 403 W Oak St Ste 204, El Dorado, AR 71730-4574 Ph: (870) 881-9311 | Thomas Lynn Kennedy Jr, MD 403 W Oak St Ste 204, El Dorado, AR 71730-4574 Ph: (870) 881-9311 |
James B Morgan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 403 W Oak St Ste 204, El Dorado, AR 71730 Phone: 870-881-9311 Fax: 870-881-8588 | |
Dr. Roderick Rene Boyd, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 460 W Oak St Ste 601, El Dorado, AR 71730 Phone: 870-863-2515 | |
R C Tommey, MD Surgery Medicare: Medicare Enrolled Practice Location: 704 W Grove St, Suite 1, El Dorado, AR 71730 Phone: 870-875-5580 Fax: 870-875-5584 |