Josie L Kennicutt, in North Platte, NE - Medicare Physician Assistant

Josie L Kennicutt, is a medicare enrolled "Physician Assistant" in North Platte, Nebraska. Her current practice location is 625 W William Ave, North Platte, Nebraska. You can reach out to her office (for appointments etc.) via phone at (308) 289-3574.

Josie L Kennicutt is licensed to practice in * (Not Available) (license number ) 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 1366176414.

Contact Information

	Josie L Kennicutt,
	625 W William Ave, North Platte, NE 69101-0026
	(308) 289-3574
	Not Available

Map and Direction

Provider's Profile

Full Name	Josie L Kennicutt
Gender	Female
Speciality	Physician Assistant
Location	625 W William Ave, North Platte, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366176414
Provider Enumeration Date: 07/14/2022
Last Update Date: 01/12/2024

Medicare PECOS Information:

PECOS PAC ID: 2365888260
Enrollment ID: I20240314000800

Medical Identifiers

Medical identifiers for Josie L Kennicutt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366176414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

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. Josie L Kennicutt 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
Josie L Kennicutt, 810 Cobbler Ln, Sutherland, NE 69165-7278 Ph: (308) 289-3574	Josie L Kennicutt, 625 W William Ave, North Platte, NE 69101-0026 Ph: (308) 289-3574

Reviews and Comments

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Casey E Fowler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 215 Mcneel Ln, North Platte, NE 69101 Phone: 308-534-6655 Fax: 308-534-6662
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Mrs. Brooke K Luenenborg, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 106 E C St, North Platte, NE 69101 Phone: 308-532-6165 Fax: 308-532-7464

Josie L Kennicutt, - Medicare Physician Assistant in North Platte, NE