| Dr Kenneth Edward Locklear, MD | |
|
1002c E 4th Ave, Red Springs, NC 28377-1642 | |
| (910) 843-3311 | |
| (910) 843-3599 |
| Full Name | Dr Kenneth Edward Locklear |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 46 Years |
| Location | 1002c E 4th Ave, Red Springs, North Carolina |
| 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 |
|---|---|---|---|
| 1275530594 | NPI | - | NPPES |
| TAX ONOMY NUMBER | Other | NC | TAX ONOMY NUMBER |
| 8952453 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 000024605 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Liberty Home Care Llc | Wilmington, NC | Hospice |
| Southeastern Regional Medical Center | Lumberton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elitecare Of Fayetteville Pllc | 0749419893 | 3 |
| Cumberland County Hospital System Inc | 1850204041 | 532 |
| Entity Name | Cumberland County Hospital System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
| Entity Name | Robeson Family Practice Associates, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801922901 PECOS PAC ID: 1456378884 Enrollment ID: O20051025001022 |
| Entity Name | Elitecare Of Fayetteville Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508297003 PECOS PAC ID: 0749419893 Enrollment ID: O20140212001136 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Edward Locklear, MD 1002c E 4th Ave, Red Springs, NC 28377-1642 Ph: (910) 843-3311 | Dr Kenneth Edward Locklear, MD 1002c E 4th Ave, Red Springs, NC 28377-1642 Ph: (910) 843-3311 |
Dr. Herman Chavis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002c E 4th Ave, Red Springs, NC 28377 Phone: 910-843-3311 Fax: 910-843-3599 |