Michael J Kennedy D.c., P.a. - Medicare Primary Care in Eden Prairie, MN

Michael J Kennedy D.c., P.a. is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Eden Prairie, Minnesota. The current practice location for Michael J Kennedy D.c., P.a. is 6409 City West Parkway, Suite 105, Eden Prairie, Minnesota. For appointments, you can reach them via phone at (952) 833-3038. The mailing address for Michael J Kennedy D.c., P.a. is 12105 41st Ave North, Apt 118, Plymouth, Minnesota and phone number is (612) 387-5864.

Michael J Kennedy D.c., P.a. is licensed to practice in Minnesota (license number 4999). The clinic also participates in the medicare program and its NPI number is 1518141027. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (952) 833-3038.

Contact Information

Michael J Kennedy D.c., P.a.
6409 City West Parkway
Suite 105
Eden Prairie
MN 55344
(952) 833-3038
Not Available

Primary Care Clinic Profile

Full NameMichael J Kennedy D.c., P.a.
SpecialityClinic/Center
Location6409 City West Parkway, Eden Prairie, Minnesota
Authorized Official Name and PositionMichael John Kennedy (PRESIDENT/VICE-PRESIDENT/TREASURER)
Authorized Official Contact6123875864
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael J Kennedy D.c., P.a.
12105 41st Ave North
Apt 118
Plymouth
MN 55441

Ph: (612) 387-5864
Michael J Kennedy D.c., P.a.
6409 City West Parkway
Suite 105
Eden Prairie
MN 55344

Ph: (952) 833-3038

NPI Details:

NPI Number1518141027
Provider Enumeration Date12/19/2007
Last Update Date12/19/2007

Medicare PECOS Information:

Medicare PECOS PAC ID6507943099
Medicare Enrollment IDO20080408000688

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Medical Identifiers

Medical identifiers for Michael J Kennedy D.c., P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518141027NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 4999 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Michael J Kennedy D.c., P.a. acts as a billing entity for following providers:
Provider NameMichael J Kennedy
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1639358088
PECOS PAC ID: 9739266222
Enrollment ID: I20080408000654

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