| Dr Kenya Sekoni Etim, MD | |
|
203 Nacogdoches St Ste 280, Jacksonville, TX 75766-2444 | |
| (903) 541-5396 | |
| Not Available |
| Full Name | Dr Kenya Sekoni Etim |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 203 Nacogdoches St Ste 280, Jacksonville, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124061817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 4301076863 (Michigan) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | T0200 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ut Health East Texas Jacksonville Hospital | Jacksonville, TX | Hospital |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Christus Mother Frances Hospital- Jacksonville | Jacksonville, TX | Hospital |
| Ut Health East Texas Henderson Hospital | Henderson, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Etmc Physician Group, Inc. | 4486915600 | 309 |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenya Sekoni Etim, MD 203 Nacogdoches St Ste 280, Jacksonville, TX 75766-2444 Ph: (903) 541-5396 | Dr Kenya Sekoni Etim, MD 203 Nacogdoches St Ste 280, Jacksonville, TX 75766-2444 Ph: (903) 541-5396 |
Dr. Matthew Todd Proctor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Richard M Viken, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Craig C Weaver, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2026 S Jackson, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Zachary Taylor Page, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 203 Nacogdoches St Ste 280, Jacksonville, TX 75766 Phone: 903-541-5380 Fax: 903-541-5393 | |
William Milawski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Jasmine Dominique Douglas, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 501 S Ragsdale St, Jacksonville, TX 75766 Phone: 903-541-5396 Fax: 903-541-5393 |