| Dr Kenneth Anderson Taylor, MD | |
|
120 E Beauregard Ave, San Angelo, TX 76903-5919 | |
| (325) 658-1511 | |
| (325) 481-2165 |
| Full Name | Dr Kenneth Anderson Taylor |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 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 |
|---|---|---|---|
| 1114934452 | NPI | - | NPPES |
| 8EX216 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | L4751 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shannon Medical Center | San angelo, TX | Hospital |
| Heart Of Texas Memorial Hospital | Brady, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shannon Clinic | 0840103727 | 465 |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Entity Name | South Texas Radiology Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851368039 PECOS PAC ID: 2567365083 Enrollment ID: O20040130000694 |
| Entity Name | South Texas Radiology Imaging Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396718334 PECOS PAC ID: 0547153512 Enrollment ID: O20040204000215 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Anderson Taylor, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Dr Kenneth Anderson Taylor, MD 120 E Beauregard Ave, San Angelo, TX 76903-5919 Ph: (325) 658-1511 |
Dr. James L Studt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 102 N Magdalen St, Suite 120, San Angelo, TX 76903 Phone: 325-653-2010 Fax: 325-658-8583 | |
Eddie G Shell Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Michael G Sickels, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
John E Alexander, MD Radiology Medicare: Medicare Enrolled Practice Location: 3308 Foster St, San Angelo, TX 76903 Phone: 325-658-3576 Fax: 325-658-7737 | |
Dr. Liem Thanh Mansfield, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-747-1511 | |
Victor H Gil, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 |