Dr Kenneth P Depersio, MD in Douglas, GA

Dr Kenneth P Depersio, MD is a Orthopaedic Surgery physician based in Douglas, Georgia. Dr Kenneth P Depersio is licensed to practice in Georgia (license number 053329) and his current practice location is 100 Doctors Dr Ste F, Douglas, Georgia. He can be reached at his office (for appointments etc.) via phone at (912) 383-6575.

NPI number for Dr Kenneth P Depersio is 1437125812 and his current mailing address is 100 Doctors Dr Ste I, Douglas, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437125812.

Contact Information

	Dr Kenneth P Depersio, MD
	100 Doctors Dr Ste F, Douglas, GA 31533-2211
	(912) 383-6575
	(912) 383-6476

Map and Direction

Physician's Profile

Full Name	Dr Kenneth P Depersio
Gender	Male
Speciality	Orthopaedic Surgery
Location	100 Doctors Dr Ste F, Douglas, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1437125812
Provider Enumeration Date: 02/27/2006
Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for Dr Kenneth P Depersio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437125812	NPI	-	NPPES
341176	Other	GA	WELLCARE OF GEORGIA
904817618C	Medicaid	GA
904817618D	Medicaid	GA
956500	Other	GA	BCBS
205778734002	Other		TRICARE
GRP7930	Other	GA	MEDICARE GROUP # EFFECTIVE 02/01/2008
P00127268	Other	GA	RAILROAD MEDICARE
053329	Other	GA	MEDICAL LICENSE
053329	Other	GA	GA LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	053329 (Georgia)	Primary

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. Dr Kenneth P Depersio is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kenneth P Depersio, MD 100 Doctors Dr Ste I, Douglas, GA 31533-2211 Ph: () -	Dr Kenneth P Depersio, MD 100 Doctors Dr Ste F, Douglas, GA 31533-2211 Ph: (912) 383-6575

Reviews and Comments

Orthopaedic Surgery Doctors in Douglas, GA

Dr. Hewatt M Sims, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Doctors Dr Ste F, Douglas, GA 31533 Phone: 912-383-6575 Fax: 912-383-6476
Dr. Laura L Tharp, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Doctors Dr, Suite 204, Douglas, GA 31533 Phone: 912-383-6575 Fax: 912-383-6476
Dr. Stephen John Augustine, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Doctors Dr Ste I, Douglas, GA 31533 Phone: 912-383-6575 Fax: 912-383-6476
Joshua Landon Vickers, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Doctors Dr Ste I, Douglas, GA 31533 Phone: 912-383-6575 Fax: 912-383-6476
Dr. W Eric Macleod, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Doctors Drive, Suite 101, Douglas, GA 31533 Phone: 912-383-6575 Fax: 912-383-6476
Dr. James William Barber, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Shirley Avenue, Douglas, GA 31533 Phone: 912-383-9789 Fax: 912-383-9435

Dr Kenneth P Depersio, MD - Orthopaedic Surgery in Douglas, GA