Timothy J Kennedy, MD - Medicare Urology in Green Bay, WI

Timothy J Kennedy, MD is a medicare enrolled "Urology" physician in Green Bay, Wisconsin. His current practice location is 2845 Greenbrier Rd Ste 240, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 288-8280.

Timothy J Kennedy is licensed to practice in Wisconsin (license number 29987) 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 1417985631.

Contact Information

Timothy J Kennedy, MD
2845 Greenbrier Rd Ste 240,
Green Bay, WI 54311-6519
(920) 288-8280
(920) 288-8285



Physician's Profile

Full NameTimothy J Kennedy
GenderMale
SpecialityUrology
Location2845 Greenbrier Rd Ste 240, Green Bay, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417985631
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 06/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4789596974
  • Enrollment ID: I20060302000418

Medical Identifiers

Medical identifiers for Timothy J Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417985631NPI-NPPES
3402100592OtherMIBCBS
104386126MedicaidMI
31501900MedicaidWI
340015995OtherWIRAILROAD
104386153MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 29987 (Wisconsin)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. Timothy J Kennedy allows following entities to bill medicare on his behalf.
Entity NameBaycare Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588609648
PECOS PAC ID: 4385554328
Enrollment ID: O20031105000087

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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. Timothy 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
Timothy J Kennedy, MD
2034 Shady Ln,
Green Bay, WI 54313-9313

Ph: (920) 621-1785
Timothy J Kennedy, MD
2845 Greenbrier Rd Ste 240,
Green Bay, WI 54311-6519

Ph: (920) 288-8280

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Urology Doctors in Green Bay, WI

Heather M Stefaniak, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311
Phone: 920-288-8280    Fax: 920-288-8285
Richard Windsor, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Suite 240, Green Bay, WI 54311
Phone: 920-288-8280    Fax: 920-288-8285
Dr. Hamayun Saeed Mian, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 720 S Van Buren St, Suite 301, Green Bay, WI 54301
Phone: 920-433-9400    Fax: 920-433-9409
Dr. Christopher J Keto, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-8280    
Bruce M Neal, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311
Phone: 920-288-8280    Fax: 920-288-8285
Dr. Vannhu Nguyen, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Ste 240, Green Bay, WI 54311
Phone: 920-288-8280    Fax: 920-288-8285

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