Donald J Kennedy, MD - Medicare Internal Medicine in St Louis, MO

Donald J Kennedy, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in St Louis, Missouri. His current practice location is 3660 Vista, St Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 577-8648.

Donald J Kennedy is licensed to practice in Missouri (license number R9005) 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 1063526978.

Contact Information

Donald J Kennedy, MD
3660 Vista,
St Louis, MO 63110
(314) 577-8648
(314) 771-3816



Physician's Profile

Full NameDonald J Kennedy
GenderMale
SpecialityInternal Medicine - Infectious Disease
Location3660 Vista, St Louis, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063526978
  • Provider Enumeration Date: 08/18/2006
  • Last Update Date: 03/18/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9739139536
  • Enrollment ID: I20050129000027

Medical Identifiers

Medical identifiers for Donald J Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063526978NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease R9005 (Missouri)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. Donald J Kennedy allows following entities to bill medicare on his behalf.
Entity NameSlh Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881668051
PECOS PAC ID: 9830132653
Enrollment ID: O20050602000941

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Entity NameSsm Health Care Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306589544
PECOS PAC ID: 0143608372
Enrollment ID: O20220531002655

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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. Donald J 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
Donald J Kennedy, MD
3691 Rutger Ave, Provider Enrollment,
St Louis, MO 63110

Ph: (314) 977-4440
Donald J Kennedy, MD
3660 Vista,
St Louis, MO 63110

Ph: (314) 577-8648

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Internal Medicine Doctors in St Louis, MO

Chantri Trinh, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3660 Vista, St Louis, MO 63110
Phone: 314-977-8462    Fax: 314-771-8575
Patrick H Durbin, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 6901 Chippewa St, St Louis, MO 63109
Phone: 314-644-7000    Fax: 314-644-7101
Syed H Tariq, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3660 Vista, St Louis, MO 63110
Phone: 314-977-8462    Fax: 314-771-8575
Naga Neelima Nallapaneni, M.D
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4414 North Florissant, St Louis, MO 63107
Phone: 314-898-1700    Fax: 314-814-8542
Dr. Jennifer A Delaney, MD
Infectious Disease
Medicare: Not Enrolled in Medicare
Practice Location: 11709 Old Ballas Rd, St Louis, MO 63141
Phone: 314-993-1200    Fax: 314-993-1240
Mr. Basanta Subedi, MD
Infectious Disease
Medicare: Medicare Enrolled
Practice Location: 6420 Clayton Road, St Louis, MO 63117
Phone: 314-768-8000    

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