Leslie Marie Kennedy, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Central Falls, Rhode Island. Her current practice location is
1000 Broad St, Central Falls, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 722-0081.
Leslie Marie Kennedy is licensed to practice in Rhode Island (license number APRN04983) 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 1114400256.
Provider's Profile
| Full Name | Leslie Marie Kennedy |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1000 Broad St, Central Falls, Rhode Island |
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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: 1114400256
- Provider Enumeration Date: 09/14/2018
- Last Update Date: 04/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 3577804889
- Enrollment ID: I20250304000877
Medical Identifiers
Medical identifiers for Leslie Marie Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114400256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | APRN04983 (Rhode Island) | Primary |
| 363LF0000X | Nurse Practitioner - Family | APN0997082NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209018394 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704347248 (Michigan) | Secondary |
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. Leslie Marie Kennedy allows following entities to bill medicare on her behalf.
| Entity Name | Clinica Campesina Family Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225025406
PECOS PAC ID: 7315850484
Enrollment ID: O20031106000276 |
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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. Leslie Marie 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 |
|---|
Leslie Marie Kennedy, NP-C
39 East Ave,
Pawtucket, RI 02860-4003
Ph: (401) 312-5247 | Leslie Marie Kennedy, NP-C
1000 Broad St,
Central Falls, RI 02863-1507
Ph: (401) 722-0081 |
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