Patrick Kennedy, - Medicare Nurse Practitioner in Warren, MI

Patrick Kennedy, is a medicare enrolled "Nurse Practitioner - Acute Care" in Warren, Michigan. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 11800 E 12 Mile Rd, Warren, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 573-5000.

Patrick Kennedy is licensed to practice in Michigan (license number 4704301492) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1720646375.

Contact Information

Patrick Kennedy,
11800 E 12 Mile Rd,
Warren, MI 48093-3472
(586) 573-5000
Not Available

Map and Direction




Provider's Profile

Full NamePatrick Kennedy
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location11800 E 12 Mile Rd, Warren, Michigan
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Patrick Kennedy graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1720646375
  • Provider Enumeration Date: 05/30/2019
  • Last Update Date: 07/27/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7113409608
  • Enrollment ID: I20260304001769

Medical Identifiers

Medical identifiers for Patrick Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720646375NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 4704301492 (Michigan)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. Patrick Kennedy allows following entities to bill medicare on his behalf.
Entity NameHenry Ford Health Macomb Oakland Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134176472
PECOS PAC ID: 7315859725
Enrollment ID: O20031107000047

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. Patrick 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 AddressPractice Location Address
Patrick Kennedy,
1 Ford Pl Ste 3a,
Detroit, MI 48202-3450

Ph: (313) 874-4806
Patrick Kennedy,
11800 E 12 Mile Rd,
Warren, MI 48093-3472

Ph: (586) 573-5000

Reviews and Comments


Nurse Practitioner Nurses in Warren, MI

Sara Elliott, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8150 Old 13 Mile Rd, Warren, MI 48093
Phone: 800-395-3223    Fax: 248-620-6405
Rowena Callo Teodoro, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 27560 Hoover Rd., Warren, MI 48093
Phone: 586-757-6400    Fax: 586-757-8400
Mrs. Lauren Ashley Zipay, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093
Phone: 586-573-5000    
Olga Dmitryuk,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11480 E 13 Mile Rd, Warren, MI 48093
Phone: 586-216-9253    
Melanie A Rogus, FNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 30713 Schoenherr Rd, Warren, MI 48088
Phone: 586-284-2643    Fax: 586-265-2170
Shawn Hillis, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 30589 Saint Onge Cir, Warren, MI 48088
Phone: 586-439-8799    
Alexander Cole-selvaggio, ANP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 27101 Schoenherr Rd, Warren, MI 48088
Phone: 586-758-5800    Fax: 586-758-5841

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.