Bethany Joy Kennedy (NPI# 1003301136, PAC ID# 1052660545) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003301136 |
| PAC ID by PECOS | 1052660545 |
| Professional Enrollment ID | I20180816000810 |
| Full Name | Bethany Joy Kennedy |
| Organization Legal Name | WILLIAM W BACKUS HOSPITAL |
| Address |
326 Washington St Norwich CT 06360-2740 |
| Phone Number | 8608898331 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749170645 |
| Number of Group Practice Members | 104 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070021 | WINDHAM COMMUNITY MEMORIAL HOSPITAL |
| 410008 | SOUTH COUNTY HOSPITAL INC |
| 070024 | WILLIAM W BACKUS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 326 Washington St, Norwich, CT 06360-2740 | 8608898331 | WILLIAM W BACKUS HOSPITAL |
| 100 Kenyon Ave, Wakefield, RI 02879-4216 | SILVER SPRING HEALTH CARE MANAGEMENT INC | |
| 70 Kenyon Ave, Unit 211, Wakefield, RI 02879-4241 | 4017898543 | SILVER SPRING HEALTH CARE MANAGEMENT INC |
| 112 Mansfield Ave, Willimantic, CT 06226-2045 | WINDHAM COMMUNITY MEMORIAL HOSPITAL |
| Organization Legal Name | WILLIAM W BACKUS HOSPITAL |
| Physicians | 111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Bakaysa | Obstetrics/gynecology | William W Backus Hospital | 111 Salem Tpke, Norwich, CT 06360-7403 |
| Altaf Rasool | Nephrology | William W Backus Hospital | 326 Washington St, Norwich, CT 06360-2740 |
| Crista C Prates | Nurse Practitioner | William W Backus Hospital | 326 Washington St, Norwich, CT 06360-2740 |
| Kabekode O Bhat | Internal Medicine | William W Backus Hospital | 326 Washington St, Norwich, CT 06360-2740 |
| Mohammed A Qureshi | Internal Medicine | William W Backus Hospital | 326 Washington St, Outpatient Medical, Norwich, CT 06360-2740 |
| Maria Goral | Internal Medicine | William W Backus Hospital | 326 Washington St, Outpatient Medical, Norwich, CT 06360-2740 |
| Aliaksandr Gringlaz | Hospitalist | William W Backus Hospital | 326 Washington St, Norwich, CT 06360-2740 |
| Rommel Roman Geronimo | Internal Medicine | William W Backus Hospital | 326 Washington St, Norwich, CT 06360-2740 |
| Priya Narwal | Neurology | William W Backus Hospital | 326 Washington St, Norwich, CT 06360-2740 |
| Deborah A Weidner | Psychiatry | William W Backus Hospital | 326 Washington St, Norwich, CT 06360-2740 |
| Street Address |
326 WASHINGTON ST |
| City | NORWICH |
| State | CT |
| Zip | 06360-2740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Altaf Rasool | Nephrology | William W Backus Hospital | 326 Washington St, Norwich, CT 06360-2740 |
| Ting Li | Cardiovascular Disease (cardiology) | Yale University | 326 Washington St, Norwich, CT 06360-2740 |
| Crista C Prates | Nurse Practitioner | William W Backus Hospital | 326 Washington St, Norwich, CT 06360-2740 |
| Kabekode O Bhat | Internal Medicine | William W Backus Hospital | 326 Washington St, Norwich, CT 06360-2740 |
| Mohammed A Qureshi | Internal Medicine | William W Backus Hospital | 326 Washington St, Outpatient Medical, Norwich, CT 06360-2740 |
| Maria Goral | Internal Medicine | William W Backus Hospital | 326 Washington St, Outpatient Medical, Norwich, CT 06360-2740 |
| Aliaksandr Gringlaz | Hospitalist | William W Backus Hospital | 326 Washington St, Norwich, CT 06360-2740 |
| Rommel Roman Geronimo | Internal Medicine | William W Backus Hospital | 326 Washington St, Norwich, CT 06360-2740 |
| Priya Narwal | Neurology | William W Backus Hospital | 326 Washington St, Norwich, CT 06360-2740 |
| Stephen H Hauser | Radiation Oncology | Radiation Oncology Physicians of Connecticut LLC | 326 Washington St, Norwich, CT 06360-2740 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jai Chakrabarti | Cardiovascular Disease (cardiology) | Norwich Cardiac Medicine LLC | 130 New London Turnpike, Norwich, CT 06360 |
| Amarillys Rodriguez | Family Practice | American Current Care Pa | 10 Connecticut Ave, Norwich, CT 06360-1502 |
| Edward S Lim | Ophthalmology | 40 Connecticut Ave, Norwich, CT 06360-1502 | |
| Angela L. Allen-peck | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
| Michela Muggeo | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
| Caleb P Peck | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
| Amy Masse | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
| Carol M Lahan | Clinical Social Worker | 276 Scotland Rd, Norwich, CT 06360-1600 | |
| Clifford D Stirba | Internal Medicine | 7 Cuprak Rd, Norwich, CT 06360-2007 | |
| Mahmoud S Okasha | Psychiatry | Comprehensive Psychiatric Care PC | 200 W Town St, Norwich, CT 06360-2112 |
| Find all physicians in zip 06360 | |||
| City | NORWICH |
| Zip Code | 06360 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NORWICH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Bethany Joy Kennedy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.