Marc V Kennedy, MD - Medicare Gastroenterology in Kenosha, WI

Marc V Kennedy, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Kenosha, Wisconsin. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1994 and has 30 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 10400 75th St, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 948-7000.

Marc V Kennedy is licensed to practice in Wisconsin (license number 42142-020) 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 1710900667.

Contact Information

Marc V Kennedy, MD
10400 75th St,
Kenosha, WI 53142-7884
(262) 948-7000
Not Available



Physician's Profile

Full NameMarc V Kennedy
GenderMale
SpecialityGastroenterology
Experience30 Years
Location10400 75th St, Kenosha, Wisconsin
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:
  • Marc V Kennedy attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1994
  NPI Data:
  • NPI Number: 1710900667
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 11/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799773487
  • Enrollment ID: I20070319000425

Medical Identifiers

Medical identifiers for Marc V Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710900667NPI-NPPES
33342300MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 42142-020 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Medical Center KenoshaKenosha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Medical Group, Inc.67097942583207

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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. Marc V Kennedy allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421

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Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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Entity NameLakeshore Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481

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Entity NameAurora Advanced Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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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. Marc V 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
Marc V Kennedy, MD
Po Box 735044,
Chicago, IL 60673-5044

Ph: () -
Marc V Kennedy, MD
10400 75th St,
Kenosha, WI 53142-7884

Ph: (262) 948-7000

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Internal Medicine Doctors in Kenosha, WI

Hanna Mariani, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 6308 8th Ave, Ste 3070, Kenosha, WI 53143
Phone: 262-656-3710    Fax: 262-656-3715
Leilane U Sta Romana, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 6127 Green Bay Rd, #200, Kenosha, WI 53142
Phone: 262-658-3706    Fax: 262-658-1751
Raymond W Knight, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 6308 8th Ave, Ste 2000, Kenosha, WI 53143
Phone: 262-653-5300    Fax: 262-653-5412
Dr. Rodrigo Buencamino Mata Iii, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142
Phone: 262-652-2710    
Michael H Zeihen, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 6308 8th Ave, Suite 2000, Kenosha, WI 53143
Phone: 262-653-5300    Fax: 262-653-5412
Zebi Fatima, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 10400 75th St, Kenosha, WI 53142
Phone: 262-942-5600    
Timothy A. Sanborn, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 6308 8th Ave, Kenosha, WI 53143
Phone: 262-653-3650    Fax: 262-656-3672

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