Dr Kevin Earl Kramer, MD | |
4077 Jefferson Ave, Texarkana, AR 71854-1509 | |
(870) 330-9200 | |
(870) 330-9439 |
Full Name | Dr Kevin Earl Kramer |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4077 Jefferson Ave, Texarkana, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487617031 | NPI | - | NPPES |
8DW441 | Other | TX | BCBS |
00234087 | Medicaid | NM | |
193536103 | Other | TX | FIRSTCARE |
E-12079 | Other | AR | AR MEDICAL BOARD |
208509404 | Medicaid | TX | |
311545YKT8 | Other | TX | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2006005746 (Missouri) | Secondary |
208000000X | Pediatrics | N0905 (Texas) | Primary |
Entity Name | Covenant Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376598904 PECOS PAC ID: 6901889393 Enrollment ID: O20040608000563 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Earl Kramer, MD Po Box 1326, Marshall, TX 75671-1326 Ph: (903) 927-3282 | Dr Kevin Earl Kramer, MD 4077 Jefferson Ave, Texarkana, AR 71854-1509 Ph: (870) 330-9200 |
Alyson L Denson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 E 6th St, Texarkana, AR 71854 Phone: 870-779-6000 Fax: 903-779-6125 | |
Belinda A. Hutcheson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 E 6th St, Texarkana, AR 71854 Phone: 870-779-6000 Fax: 870-779-6125 |