Dr Ricky Lavaughn Kime, MD is a medicare enrolled "Internal Medicine" physician in Mount Venon, Missouri. His current practice location is
600 N Main St, Va Outpatient Clinic, Mount Venon, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 466-0137.
Dr Ricky Lavaughn Kime is licensed to practice in Missouri (license number R5E45) 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 1477567030.
Physician's Profile
| Full Name | Dr Ricky Lavaughn Kime |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 600 N Main St, Mount Venon, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477567030
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6800085168
- Enrollment ID: I20150505002388
Medical Identifiers
Medical identifiers for Dr Ricky Lavaughn Kime such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477567030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | R5E45 (Missouri) | 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 Ricky Lavaughn Kime 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 Address | Practice Location Address |
|---|
Dr Ricky Lavaughn Kime, MD
600 N Main St, Va Outpatient Clinic,
Mount Venon, MO 65712
Ph: (417) 466-0137 | Dr Ricky Lavaughn Kime, MD
600 N Main St, Va Outpatient Clinic,
Mount Venon, MO 65712
Ph: (417) 466-0137 |
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