| Dr Wentzelle Kim Kitchens, MD | |
|
501 Sparta Rd, Suite F, Sandersville, GA 31082-1371 | |
| (478) 552-0001 | |
| (478) 552-0048 |
| Full Name | Dr Wentzelle Kim Kitchens |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 501 Sparta Rd, Sandersville, 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 |
|---|---|---|---|
| 1275598468 | NPI | - | NPPES |
| 110083260 | Other | GA | RAILROAD MEDICARE |
| 00597605B | Medicaid | GA | |
| 476142 | Other | GA | BCBS |
| 00597605A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 038277 (Georgia) | Primary |
| 207RS0012X | Internal Medicine - Sleep Medicine | 038277 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Home Health | Waynesboro, GA | Home health agency |
| Affinis Hospice, Llc | Augusta, GA | Hospice |
| Washington County Regional Medical Center | Sandersville, GA | Hospital |
| University Hospital | Augusta, GA | Hospital |
| Heritage Inn Of Sandersville Health And Rehab | Sandersville, GA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Washington County Internal Medicine, P.c. | 5799671855 | 3 |
| Entity Name | Washington County Internal Medicine, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033145313 PECOS PAC ID: 5799671855 Enrollment ID: O20040225000620 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wentzelle Kim Kitchens, MD 501 Sparta Rd, Suite F, Sandersville, GA 31082-1371 Ph: (478) 552-0001 | Dr Wentzelle Kim Kitchens, MD 501 Sparta Rd, Suite F, Sandersville, GA 31082-1371 Ph: (478) 552-0001 |
Dr. Jean Sumner, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 Sparta Rd, Suite F, Sandersville, GA 31082 Phone: 478-552-0001 Fax: 478-552-0048 | |
Mark R Harvey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Medical Arts Place, Suite 3, Sandersville, GA 31082 Phone: 478-552-0967 Fax: 478-552-8541 | |
Dr. William Rawlings Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 501 Sparta Rd, Suite F, Sandersville, GA 31082 Phone: 478-552-0001 Fax: 478-552-0048 | |
Dr. Brandon Ainsley Roberts, M.D., M.S. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 Sparta Rd, Sandersville, GA 31082 Phone: 478-240-2286 | |
Linus Onyemaechi Ejim, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 516 Sparta Rd, Sandersville, GA 31082 Phone: 478-552-1200 Fax: 478-552-5600 |