Jessica Rene' Kennedy, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Perkins, Oklahoma. Her current practice location is
509 E Highway 33, Perkins, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 547-2473.
Jessica Rene' Kennedy is licensed to practice in Oklahoma (license number 87596) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952863078.
Provider's Profile
| Full Name | Jessica Rene' Kennedy |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 509 E Highway 33, Perkins, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952863078
- Provider Enumeration Date: 04/05/2019
- Last Update Date: 07/08/2026
Medicare PECOS Information:
- PECOS PAC ID: 2062889868
- Enrollment ID: I20221108002476
Medical Identifiers
Medical identifiers for Jessica Rene' Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952863078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0200X | Nurse Practitioner - Pediatrics | 87596 (Oklahoma) | Primary |
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. Jessica Rene' Kennedy allows following entities to bill medicare on her behalf.
| Entity Name | Stillwater Medical Center Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558377135
PECOS PAC ID: 2365353794
Enrollment ID: O20040525001304 |
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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. Jessica Rene' 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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Jessica Rene' Kennedy,
Po Box 460,
Perkins, OK 74059-0460
Ph: (405) 547-2473 | Jessica Rene' Kennedy,
509 E Highway 33,
Perkins, OK 74059-4129
Ph: (405) 547-2473 |
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