| J Lex Kenerly Iii, MD | |
|
110 Professional Ct, Jesup, GA 31545-0044 | |
| (912) 427-0800 | |
| (912) 427-6029 |
| Full Name | J Lex Kenerly Iii |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 110 Professional Ct, Jesup, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699772228 | NPI | - | NPPES |
| 10062286 | Other | GA | AMERIGROUP |
| 341213 | Other | GA | WELLCARE |
| 000374921A | Medicaid | GA | |
| 000374921H | Medicaid | GA | |
| 00374921F | Medicaid | GA | |
| 200004881 | Other | GA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 030633 (Georgia) | Primary |
| Entity Name | Bone And Joint Institute Of South Georgia, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528104510 PECOS PAC ID: 7719053651 Enrollment ID: O20080829000263 |
| Mailing Address | Practice Location Address |
|---|---|
| J Lex Kenerly Iii, MD Po Box 1334, Jesup, GA 31598-1334 Ph: (912) 427-0800 | J Lex Kenerly Iii, MD 110 Professional Ct, Jesup, GA 31545-0044 Ph: (912) 427-0800 |
Dr. Douglas P Hein, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 330 Peachtree St, Suite 2, Jesup, GA 31545 Phone: 912-427-6915 Fax: 912-427-4455 | |
Brian Thomas Grisez, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Professional Ct, Jesup, GA 31545 Phone: 912-427-0800 | |
Dr. Amber Bartlett Aragon, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 110 Professional Ct, Jesup, GA 31545 Phone: 912-427-0800 Fax: 912-427-6029 | |
William Scott Rowell, PAC Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Professional Ct, Jesup, GA 31545 Phone: 912-427-0800 Fax: 912-427-6029 | |
Dr. John Matthew Valosen, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Professional Ct, Jesup, GA 31545 Phone: 912-427-0800 Fax: 912-427-6029 | |
Taylor Jordan Polander, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Professional Ct, Jesup, GA 31545 Phone: 912-427-0800 | |
Dr. Thomas Patrick Loumeau, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Professional Ct, Jesup, GA 31545 Phone: 912-427-0800 |