Dr Jeremy Scott Kennedy, DO - Medicare Dermatology in Sun City West, AZ

Dr Jeremy Scott Kennedy, DO is a medicare enrolled "Dermatology" physician in Sun City West, Arizona. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2002 and has 22 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Southwest Skin Specialists Llc and his current practice location is 14506 W Granite Valley Dr, #124, Sun City West, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 584-2127.

Dr Jeremy Scott Kennedy is licensed to practice in Arizona (license number 5839) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528022779.

Contact Information

Dr Jeremy Scott Kennedy, DO
14506 W Granite Valley Dr, #124,
Sun City West, AZ 85375-6010
(623) 584-2127
(623) 854-1257



Physician's Profile

Full NameDr Jeremy Scott Kennedy
GenderMale
SpecialityDermatology
Experience22 Years
Location14506 W Granite Valley Dr, Sun City West, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jeremy Scott Kennedy attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2002
  NPI Data:
  • NPI Number: 1528022779
  • Provider Enumeration Date: 04/14/2006
  • Last Update Date: 01/26/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8022278589
  • Enrollment ID: I20120321000416

Medical Identifiers

Medical identifiers for Dr Jeremy Scott Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528022779NPI-NPPES
4Z8735OtherHEALTH NET
3437670OtherAZUNITED HEALTHCARE
9558781OtherAZAETNA
1528022779OtherAZBLUE CROSS BLUE SHIELD
707257OtherAZAHCCCS
707257MedicaidAZ
P01043135OtherAZRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 5839 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest Skin Specialists Llc973907986447

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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 Jeremy Scott Kennedy allows following entities to bill medicare on his behalf.
Entity NameSouthwest Skin Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174521926
PECOS PAC ID: 9739079864
Enrollment ID: O20040319001063

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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 Jeremy Scott 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 Jeremy Scott Kennedy, DO
13943 N 91 Avenue, C-101,
Peoria, AZ 85381-3629

Ph: (623) 760-9449
Dr Jeremy Scott Kennedy, DO
14506 W Granite Valley Dr, #124,
Sun City West, AZ 85375-6010

Ph: (623) 584-2127

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Dermatology Doctors in Sun City West, AZ

Anthony D Santos, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 14416 W Meeker Blvd, Bldg C, Sun City West, AZ 85375
Phone: 623-583-5180    Fax: 623-583-5304
James W Groff, DO
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 14506 W Granite Valley Dr, 124, Sun City West, AZ 85375
Phone: 623-584-2127    Fax: 623-584-1257
Katharine M Bermingham Cordova, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 14506 W Granite Valley Dr, #206, Sun City West, AZ 85375
Phone: 623-584-2127    Fax: 623-584-1257
Elizabeth A Owen, DO
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 14506 W Granite Valley Dr, 124, Sun City West, AZ 85375
Phone: 623-584-2127    Fax: 623-584-1257
Susan Whitmore, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 14506 W Granite Valley Dr, #124, Sun City West, AZ 85375
Phone: 623-584-2127    Fax: 623-584-1257
John E Schlicher, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 14506 W Granite Valley Dr, 124, Sun City West, AZ 85375
Phone: 623-584-2127    Fax: 623-584-1257

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