| Andrew Taylor Kingman, MD | |
|
120 E Beauregard Ave, San Angelo, TX 76903-5919 | |
| (325) 658-1511 | |
| (325) 481-2166 |
| Full Name | Andrew Taylor Kingman |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 17 Years |
| Location | 120 E Beauregard Ave, San Angelo, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306076138 | NPI | - | NPPES |
| 8EH869 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | Q0089 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shannon Medical Center | San angelo, TX | Hospital |
| Lillian M Hudspeth Memorial Hospital | Sonora, TX | Hospital |
| Val Verde Regional Medical Center | Del rio, TX | Hospital |
| Ballinger Memorial Hospital | Ballinger, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shannon Clinic | 0840103727 | 465 |
| The West Texas Rehabilitation Center | 2860301215 | 376 |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Taylor Kingman, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Andrew Taylor Kingman, MD 120 E Beauregard Ave, San Angelo, TX 76903-5919 Ph: (325) 658-1511 |
Riefford Gail Flood, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Bradley Mciver, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Dr. Brian A Bradley, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3605 Executive Dr, San Angelo, TX 76904 Phone: 325-949-9555 | |
Dr. John S Ballard, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 3605 Executive Dr, San Angelo, TX 76904 Phone: 325-224-5950 | |
Dr. Donald W Cook, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 3605 Executive Dr, San Angelo, TX 76904 Phone: 325-224-5259 |