Mamie Kennedy, CRNP in Brewton, AL - Medicare Nurse Practitioner

Mamie Kennedy, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Brewton, Alabama. Her current practice location is 1121 Belleville Ave, Brewton, Alabama. You can reach out to her office (for appointments etc.) via phone at (251) 809-3208.

Mamie Kennedy is licensed to practice in Alabama (license number 1-116711) 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 1003299074.

Contact Information

	Mamie Kennedy, CRNP
	1121 Belleville Ave, Brewton, AL 36426-1500
	(251) 809-3208
	(251) 867-5999

Map and Direction

Provider's Profile

Full Name	Mamie Kennedy
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1121 Belleville Ave, Brewton, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003299074
Provider Enumeration Date: 07/08/2015
Last Update Date: 07/08/2015

Medicare PECOS Information:

PECOS PAC ID: 9638484439
Enrollment ID: I20150821013730

Medical Identifiers

Medical identifiers for Mamie Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003299074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-116711 (Alabama)	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. Mamie Kennedy allows following entities to bill medicare on her behalf.

Entity Name	Rural Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932586476 PECOS PAC ID: 8820305600 Enrollment ID: O20150910001722

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. Mamie 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
Mamie Kennedy, CRNP 1121 Belleville Ave, Brewton, AL 36426-1500 Ph: (251) 809-3208	Mamie Kennedy, CRNP 1121 Belleville Ave, Brewton, AL 36426-1500 Ph: (251) 809-3208

Reviews and Comments

Nurse Practitioner Nurses in Brewton, AL

Martha Dawn Singleton, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 Belleville Ave, Brewton, AL 36426 Phone: 251-809-8388 Fax: 251-809-8459
Amy White, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 711 Douglas Ave, Brewton, AL 36426 Phone: 251-868-2090 Fax: 251-868-2091
Brittni Lynn Klugh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2134 Douglas Ave, Brewton, AL 36426 Phone: 251-236-4026
Aleigh Taylor, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1121 Belleville Ave, Brewton, AL 36426 Phone: 251-809-3160 Fax: 251-809-3165
Donna Conway, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2134 Douglas Ave, Brewton, AL 36426 Phone: 251-236-4026
Natalie Young, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1121 Belleville Ave, Brewton, AL 36426 Phone: 251-809-3160 Fax: 251-809-3165

Mamie Kennedy, CRNP - Medicare Nurse Practitioner in Brewton, AL