Mrs Kennedy Poole Chapman, PA-C is a medicare enrolled "Physician Assistant - Medical" in Ferriday, Louisiana. Her current practice location is
6569 Highway 84, Ferriday, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 757-6559.
Mrs Kennedy Poole Chapman is licensed to practice in Louisiana (license number 324530) 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 1053928622.
Provider's Profile
| Full Name | Mrs Kennedy Poole Chapman |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 6569 Highway 84, Ferriday, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053928622
- Provider Enumeration Date: 09/28/2020
- Last Update Date: 11/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951716729
- Enrollment ID: I20220302002908
Medical Identifiers
Medical identifiers for Mrs Kennedy Poole Chapman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053928622 | NPI | - | NPPES |
| 2543890 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 324530 (Louisiana) | 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. Mrs Kennedy Poole Chapman allows following entities to bill medicare on her behalf.
| Entity Name | Concordia Parish Hospital Service District Number One |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952565335 PECOS PAC ID: 4587559935 Enrollment ID: O20041012000111 |
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| Entity Name | Concordia Parish Hospital Service District Number One |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1144227935 PECOS PAC ID: 4587559935 Enrollment ID: O20220125001021 |
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| Entity Name | Keystone Medical Services of Ferriday, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215704754 PECOS PAC ID: 5991140600 Enrollment ID: O20240304001066 |
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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. Mrs Kennedy Poole Chapman 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 |
Mrs Kennedy Poole Chapman, PA-C 6569 Hwy 84, Ferriday, LA 71334-4551 Ph: (318) 757-6559 | Mrs Kennedy Poole Chapman, PA-C 6569 Highway 84, Ferriday, LA 71334-4573 Ph: (318) 757-6559 |
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