| Dr Brian Robert Kennedy, DNP | |
|
4102 Pinion Dr, Usaf Academy, CO 80840-2502 | |
| (719) 524-2273 | |
| Not Available |
| Full Name | Dr Brian Robert Kennedy |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 4102 Pinion Dr, Usaf Academy, Colorado |
| 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 |
|---|---|---|---|
| 1982053112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209011099 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anderson Hospital | Maryville, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Washington County Hospital | Nashville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anderson Medical Group Llc | 5193792018 | 136 |
| Midwest Inpatient Anderson Health Inc | 3072908474 | 46 |
| Meds Inpatient Services Associates, Inc | 1557865250 | 14 |
| Midwest Emergency Centralia Campus Associates, Inc. | 2163672650 | 15 |
| Cep America Llc | 6608056171 | 995 |
| Midwest Emergency Anderson Health Inc | 8022401256 | 33 |
| Midwest Emergency Good Samaritan, Inc | 1658529342 | 28 |
| Entity Name | Anderson Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137 |
| Entity Name | County of Clay |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184655136 PECOS PAC ID: 0042101982 Enrollment ID: O20071220000378 |
| Entity Name | Midwest Emergency Good Samaritan, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629367578 PECOS PAC ID: 1658529342 Enrollment ID: O20120921000645 |
| Entity Name | Midwest Emergency Centralia Campus Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396034245 PECOS PAC ID: 2163672650 Enrollment ID: O20121018000074 |
| Entity Name | County of Clay |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1184655136 PECOS PAC ID: 0042101982 Enrollment ID: O20180801002178 |
| Entity Name | Midwest Emergency Anderson Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710647615 PECOS PAC ID: 8022401256 Enrollment ID: O20220210000357 |
| Entity Name | Midwest Inpatient Anderson Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821758608 PECOS PAC ID: 3072908474 Enrollment ID: O20220322002045 |
| Entity Name | Meds Inpatient Services Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154215895 PECOS PAC ID: 1557865250 Enrollment ID: O20250916004178 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Robert Kennedy, DNP 21 W Southcrest Cir, Edwardsville, IL 62025-3158 Ph: (314) 346-5204 | Dr Brian Robert Kennedy, DNP 4102 Pinion Dr, Usaf Academy, CO 80840-2502 Ph: (719) 524-2273 |
Dawn Michele Szarke, CPNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4102 Pinion Dr, 10th Medical Group, Usaf Academy, CO 80840 Phone: 719-333-5111 |
Justine Roberta Lee Sherman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Usaf 4102 Pinion Drive, Usaf Academy, CO 80840 Phone: 719-439-9661 |
Bethany Allison Casper, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840 Phone: 719-684-5962 |
Nina Marie Willert, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840 Phone: 719-333-5192 |
Wendy Cole, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4102 Pinion Dr. 10 Mdg, Usaf Academy, CO 80840 Phone: 719-333-5177 |
Monica Moody, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840 Phone: 719-524-2273 |
Leslie Michelle Mudge, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10th Medical Group, 4102 Pinon Drive, Usaf Academy, CO 80840 Phone: 719-333-5186 |