| Dr Kenneth O'neal, MD | |
|
1412 Milstead Ave Ne, Conyers, GA 30012-3877 | |
| (770) 918-3000 | |
| Not Available |
| Full Name | Dr Kenneth O'neal |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 1412 Milstead Ave Ne, Conyers, Georgia |
| 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 |
|---|---|---|---|
| 1538247879 | NPI | - | NPPES |
| 759558453A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 060951 (Georgia) | Primary |
| 207R00000X | Internal Medicine | 309691 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St Lukes Health Memorial Livingston | Livingston, TX | Hospital |
| Chi St Lukes Health Memorial Lufkin | Lufkin, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Medicine Physicians Of Texas Pllc | 3476688318 | 603 |
| Hospitalist Medicine Physicians Of Texas Pllc | 3476688318 | 603 |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Entity Name | Ambassador Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134237068 PECOS PAC ID: 7810099090 Enrollment ID: O20070219000160 |
| Entity Name | Opelousas Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437492717 PECOS PAC ID: 6305087032 Enrollment ID: O20130723000656 |
| Entity Name | Belle Chasse Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245653237 PECOS PAC ID: 9335379379 Enrollment ID: O20140313000496 |
| Entity Name | Main Street Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396150785 PECOS PAC ID: 8022331909 Enrollment ID: O20141229001749 |
| Entity Name | Hub City Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992180566 PECOS PAC ID: 3173831211 Enrollment ID: O20151009000080 |
| Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20151021000365 |
| Entity Name | Jefferson Davis Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942679352 PECOS PAC ID: 7517269152 Enrollment ID: O20160113001922 |
| Entity Name | St. Bernard Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114432341 PECOS PAC ID: 6901166982 Enrollment ID: O20180213000790 |
| Entity Name | Lc Hospital Medicine Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417654724 PECOS PAC ID: 9739546805 Enrollment ID: O20230605001940 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth O'neal, MD 1215 Tuscany Dr, Suite A, Braselton, GA 30517-3488 Ph: (770) 307-1880 | Dr Kenneth O'neal, MD 1412 Milstead Ave Ne, Conyers, GA 30012-3877 Ph: (770) 918-3000 |
Dr. Sitharam Chowdary Nandigam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1612 Milstead Rd Ne, Suite A, Conyers, GA 30012 Phone: 678-413-3261 Fax: 678-413-3580 | |
Marshall David Almand, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1301 Well Brook Circle, Conyers, GA 30012 Phone: 770-922-3023 Fax: 770-929-1016 | |
Dr. Ekundayo Adedapo Falase, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1612 Milstead Rd Ne, Suite A, Conyers, GA 30012 Phone: 678-413-3261 Fax: 678-413-3580 | |
Mr. Richard Carter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1498 Klondike Rd Sw, Suite 106, Conyers, GA 30094 Phone: 770-761-7260 Fax: 678-413-1818 | |
Osarenomase Egharevba, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 | |
Kawanjit Surapur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 404-350-0009 | |
Dr. Christin-lauren Tanksley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1380 Milstead Ave Ne Ste C, Conyers, GA 30012 Phone: 770-918-2310 |