| Kenneth C Lao, MD | |
|
2401 S 31st St, Temple, TX 76508-0001 | |
| (254) 724-3937 | |
| (254) 724-7791 |
| Full Name | Kenneth C Lao |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 24 Years |
| Location | 2401 S 31st St, Temple, Texas |
| 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 |
|---|---|---|---|
| 1861463093 | NPI | - | NPPES |
| 102I186286 | Other | GA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22968 (Oklahoma) | Secondary |
| 207W00000X | Ophthalmology | 63914 (Georgia) | Secondary |
| 207W00000X | Ophthalmology | P3752 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
| Baylor Scott & White Medical Center - Round Rock | Round rock, TX | Hospital |
| Baylor Scott & White Medical Center- College Stati | College station, TX | Hospital |
| Adventhealth Central Texas | Killeen, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2276 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth C Lao, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Kenneth C Lao, MD 2401 S 31st St, Temple, TX 76508-0001 Ph: (254) 724-3937 |
Dr. Mark F. Hollingsworth, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2287 | |
Dr. Derrick S. Fung, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 Fax: 254-724-7791 | |
Dr. Austin Wei Chang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1905 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 254-773-7785 Fax: 254-778-7197 | |
Kendall Bicknell, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1901 Veterans Memorial Dr, Temple, TX 76504 Phone: 254-743-0728 | |
Dr. J Paul Dieckert, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Corey Breland Parish, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. Todd Bradley Gorden, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1618 Canyon Creek Dr, Suite 120, Temple, TX 76502 Phone: 254-791-2020 Fax: 254-791-2025 |