Mr Eric Alan Kennedy, PA-C is a medicare enrolled "Physician Assistant" in Mattawan, Michigan. His current practice location is
52375 N Main St, Mattawan, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 668-3348.
Mr Eric Alan Kennedy is licensed to practice in Michigan (license number 5601002670) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841288701.
Provider's Profile
Full Name | Mr Eric Alan Kennedy |
---|
Gender | Male |
---|
Speciality | Physician Assistant |
---|
Location | 52375 N Main St, Mattawan, Michigan |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841288701
- Provider Enumeration Date: 10/13/2005
- Last Update Date: 01/11/2013
Medicare PECOS Information:
- PECOS PAC ID: 8628039963
- Enrollment ID: I20250114001363
Medical Identifiers
Medical identifiers for Mr Eric Alan Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841288701 | NPI | - | NPPES |
1841288701 | Medicaid | MI | |
700H060020 | Other | MI | BCBSM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5601002670 (Michigan) | 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. Mr Eric Alan 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 |
Mr Eric Alan Kennedy, PA-C 601 John St, Box 42, Kalamazoo, MI 49007-5341 Ph: (269) 341-7806 | Mr Eric Alan Kennedy, PA-C 52375 N Main St, Mattawan, MI 49071-9332 Ph: (269) 668-3348 |
Reviews and Comments