Dr Colin D Kennedy, MD - Medicare Orthopaedic Surgery in Nellis Afb, NV

Dr Colin D Kennedy, MD is a medicare enrolled "Orthopaedic Surgery - Hand Surgery" physician in Nellis Afb, Nevada. His current practice location is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 653-3040.

Dr Colin D Kennedy is licensed to practice in Washington (license number MD60567463) 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 1447593504.

Contact Information

Dr Colin D Kennedy, MD
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600
(702) 653-3040
Not Available



Physician's Profile

Full NameDr Colin D Kennedy
GenderMale
SpecialityOrthopaedic Surgery - Hand Surgery
Location4700 Las Vegas Blvd N, Nellis Afb, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447593504
  • Provider Enumeration Date: 03/27/2013
  • Last Update Date: 08/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163746900
  • Enrollment ID: I20220824001331

Medical Identifiers

Medical identifiers for Dr Colin D Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447593504NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery MD60567463 (Washington)Secondary
207XS0106XOrthopaedic Surgery - Hand Surgery MD60567463 (Washington)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. Dr Colin D Kennedy allows following entities to bill medicare on his behalf.
Entity NameLas Vegas Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447656988
PECOS PAC ID: 6800118522
Enrollment ID: O20141209001376

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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. Dr Colin D 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
Dr Colin D Kennedy, MD
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600

Ph: (702) 653-2273
Dr Colin D Kennedy, MD
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600

Ph: (702) 653-3040

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Orthopaedic Surgery Doctors in Nellis Afb, NV

Kartik Shenoy, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-3040    
Andrew Haus,
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
Fortune Egbulefu, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-3040    
Mark A Erickson, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-3040    Fax: 702-653-2115
Brandon Mckinney, D.O.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    

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