Paul R Kennedy, OD - Medicare Optometrist in Lansing, MI

Paul R Kennedy, OD is a medicare enrolled "Optometrist" provider in Lansing, Michigan. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Bennett Optometry Llc and his current practice location is 2117 E Grand River Ave, Lansing, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 485-2213.

Paul R Kennedy is licensed to practice in Michigan (license number 4901003763) 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 1013063114.

Contact Information

Paul R Kennedy, OD
2117 E Grand River Ave,
Lansing, MI 48912-3231
(517) 485-2213
(517) 485-2220



Healthcare Provider's Profile

Full NamePaul R Kennedy
GenderMale
SpecialityOptometry
Experience29 Years
Location2117 E Grand River Ave, Lansing, Michigan
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:
  • Paul R Kennedy graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1013063114
  • Provider Enumeration Date: 01/25/2007
  • Last Update Date: 01/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5597817585
  • Enrollment ID: I20090722000626

Medical Identifiers

Medical identifiers for Paul R Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013063114NPI-NPPES
944801636MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901003763 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bennett Optometry Llc519371936721

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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. Paul R Kennedy allows following entities to bill medicare on his behalf.
Provider NameBennett Optometry Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1992792154
PECOS PAC ID: 5193719367
Enrollment ID: O20040419000779

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Provider NameBlue Sky Vision Eye Care Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1801977202
PECOS PAC ID: 8820065618
Enrollment ID: O20050225000498

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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. Paul R 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
Paul R Kennedy, OD
Po Box 208177,
Dallas, TX 75320-8177

Ph: (636) 200-4393
Paul R Kennedy, OD
2117 E Grand River Ave,
Lansing, MI 48912-3231

Ph: (517) 485-2213

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Optometrist in Lansing, MI

Jamie Marie Shay, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1515 Lake Lansing Rd Ste H, Lansing, MI 48912
Phone: 517-487-6511    Fax: 517-487-1331
Dr. David Blair Whitney, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 340 E Edgewood Blvd, Lansing, MI 48911
Phone: 517-887-0015    Fax: 517-887-0233
See Inc.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2945 Preyde Blvd, Lansing, MI 48912
Phone: 517-485-5566    Fax: 517-485-8934
Lo Eye Care
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1200 E Michigan Ave, Suite 110, Lansing, MI 48912
Phone: 517-364-5875    Fax: 517-364-5877
Dr. Douglas Jack Ekholm, OD DOCTOR OF OPTOMET
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 5417 W Saginaw Hwy, Care Of Wallace Opticians, Lansing, MI 48917
Phone: 517-323-4027    Fax: 517-323-1807
Rx Optical Laboratories, Inc.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 6001 W Saginaw Hwy, Lansing, MI 48917
Phone: 517-886-2888    

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