| Dr Kenneth Dwayne Fulks, MD | |
|
1601 Hatcher Ln, Columbia, TN 38401-4826 | |
| (931) 381-2802 | |
| (931) 388-0719 |
| Full Name | Dr Kenneth Dwayne Fulks |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 40 Years |
| Location | 1601 Hatcher Ln, Columbia, Tennessee |
| 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 |
|---|---|---|---|
| 1144237751 | NPI | - | NPPES |
| 3059467 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | MD019595 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maury Regional Hospital | Columbia, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maury Regional Medical Group, Inc | 7911810742 | 101 |
| Entity Name | Maury Regional Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205886264 PECOS PAC ID: 7911810742 Enrollment ID: O20040227000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Dwayne Fulks, MD 1601 Hatcher Ln, Columbia, TN 38401-4826 Ph: (931) 381-2802 | Dr Kenneth Dwayne Fulks, MD 1601 Hatcher Ln, Columbia, TN 38401-4826 Ph: (931) 381-2802 |
Carly Beth Young, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 1708 Alpine Dr, Columbia, TN 38401 Phone: 931-283-6629 | |
Ariel Christine O'neil, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1708 Alpine Dr, Columbia, TN 38401 Phone: 931-283-6629 Fax: 605-309-8035 | |
Dr. John P Brown, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1222 Trotwood Ave, Suite 603, Columbia, TN 38401 Phone: 931-381-9338 Fax: 931-381-9266 | |
Dr. Amy Elizabeth Vertrees, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1708 Alpine Dr, Columbia, TN 38401 Phone: 931-283-6629 | |
Daniel Davidson Oxley, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 832 Westover Dr Ste 200, Columbia, TN 38401 Phone: 931-380-3033 | |
Dr. John Brian Kendrick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 832 Westover Dr Ste 200, Columbia, TN 38401 Phone: 931-380-3033 |