Evalyn S Kennedy, is a medicare enrolled "Nurse Practitioner - Family" in Loysburg, Pennsylvania. She went to Pennsylvania State University College Of Medicine and graduated in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Duane P Dilling, Procare Pt Lp and her current practice location is
2230 Woodbury Pike Ste 2, Loysburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 766-3485.
Evalyn S Kennedy is licensed to practice in Pennsylvania (license number SP017807) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275059461.
Provider's Profile
| Full Name | Evalyn S Kennedy |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 2230 Woodbury Pike Ste 2, Loysburg, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Evalyn S Kennedy attended and graduated from Pennsylvania State University College Of Medicine in 2017
NPI Data:
- NPI Number: 1275059461
- Provider Enumeration Date: 08/18/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143596031
- Enrollment ID: I20171020000427
Medical Identifiers
Medical identifiers for Evalyn S Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275059461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | SP017807 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Duane P Dilling | 7012954845 | 5 |
| Procare Pt Lp | 3476790767 | 68 |
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. Evalyn S Kennedy allows following entities to bill medicare on her behalf.
| Entity Name | Duane P Dilling |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194767426
PECOS PAC ID: 7012954845
Enrollment ID: O20050413000893 |
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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. Evalyn S Kennedy 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 |
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Evalyn S Kennedy,
2230 Woodbury Pike Ste 2,
Loysburg, PA 16659-9506
Ph: (814) 766-3485 | Evalyn S Kennedy,
2230 Woodbury Pike Ste 2,
Loysburg, PA 16659-9506
Ph: (814) 766-3485 |
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