Mrs Kathleen Dacuk Rose Kennedy, CNP in Lynchburg, VA

Mrs Kathleen Dacuk Rose Kennedy, CNP is a medicare enrolled "Nurse Practitioner" in Lynchburg, Virginia. Her current practice location is 1701 Thomson Dr, Lynchburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 200-4010.

Mrs Kathleen Dacuk Rose Kennedy is licensed to practice in Virginia (license number 0024096751) 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 1396754362.

Contact Information

	Mrs Kathleen Dacuk Rose Kennedy, CNP
	1701 Thomson Dr, Lynchburg, VA 24501-1118
	(434) 200-4010
	(434) 200-7400

Map and Direction

Provider's Profile

Full Name	Mrs Kathleen Dacuk Rose Kennedy
Gender	Female
Speciality	Nurse Practitioner
Location	1701 Thomson Dr, Lynchburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396754362
Provider Enumeration Date: 08/07/2006
Last Update Date: 01/26/2016

Medicare PECOS Information:

PECOS PAC ID: 0143519728
Enrollment ID: I20160520001763

Medical Identifiers

Medical identifiers for Mrs Kathleen Dacuk Rose Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396754362	NPI	-	NPPES
7782951	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0001096751 (Virginia)	Secondary
363L00000X	Nurse Practitioner	0024096751 (Virginia)	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 Kathleen Dacuk Rose Kennedy allows following entities to bill medicare on her behalf.

Entity Name	Sapient Health Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962940189 PECOS PAC ID: 6709162027 Enrollment ID: O20170420001390

Entity Name	American Advanced Practice Network Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790244341 PECOS PAC ID: 0749517860 Enrollment ID: O20201019002965

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 Kathleen Dacuk Rose 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
Mrs Kathleen Dacuk Rose Kennedy, CNP Po Box 3017, Lynchburg, VA 24503-0017 Ph: (434) 200-4010	Mrs Kathleen Dacuk Rose Kennedy, CNP 1701 Thomson Dr, Lynchburg, VA 24501-1118 Ph: (434) 200-4010

Reviews and Comments

Nurse Practitioner Nurses in Lynchburg, VA

Carrie Gunn Turner, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Rivermont Ave, Intensive Care Nursery, Lynchburg, VA 24503 Phone: 434-200-5735 Fax: 434-200-4590
Magen Calland, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Rivermont Ave, Lynchburg, VA 24503 Phone: 434-200-4651
Dianne White, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 Archway Ct, Lynchburg, VA 24502 Phone: 434-237-3664
Amy Leigh Stowers, RN MSN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Nationwide Dr, Suite A, Lynchburg, VA 24502 Phone: 434-384-1862 Fax: 434-384-7704
Melissa Bond, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 Wiggington Rd Ste A, Lynchburg, VA 24502 Phone: 434-509-9595
Melody Beth Brown, F.N.P-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2215 Landover Pl, Lynchburg, VA 24501 Phone: 434-947-3944 Fax: 866-617-8273
Mrs. Natalie Olson Enoch, MSN, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Thomson Dr, Lynchburg, VA 24501 Phone: 434-200-5925

Mrs Kathleen Dacuk Rose Kennedy, CNP - Medicare Nurse Practitioner in Lynchburg, VA