| Kenneth Dale Beaty, MD | |
|
100 Old Jefferson, Celina, TN 38551-0217 | |
| (931) 243-6725 | |
| (931) 243-6727 |
| Full Name | Kenneth Dale Beaty |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 100 Old Jefferson, Celina, Tennessee |
| 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 |
|---|---|---|---|
| 1255364782 | NPI | - | NPPES |
| 3861533 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34968 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Livingston, TN | Home health agency |
| Quality Home Health | Jamestown, TN | Home health agency |
| Livingston Regional Hospital | Livingston, TN | Hospital |
| Cookeville Regional Medical Center | Cookeville, TN | Hospital |
| Celina Health And Rehabilitation Center | Celina, TN | Nursing home |
| Overton County Health And Rehab Center | Livingston, TN | Nursing home |
| Signature Healthcare Of Putnam County | Cookeville, TN | Nursing home |
| Pickett Care And Rehabilitation Center | Byrdstown, TN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Livingston Family Healthcare Llc | 9830261098 | 2 |
| Entity Name | Livingston Family Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912167115 PECOS PAC ID: 9830261098 Enrollment ID: O20080702000606 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Dale Beaty, MD Po Box 217, 100 Old Jefferson St, Celina, TN 38551-0217 Ph: (931) 243-6725 | Kenneth Dale Beaty, MD 100 Old Jefferson, Celina, TN 38551-0217 Ph: (931) 243-6725 |
Dr. Joyce Elaine Scott, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1456 Proctor Creek Rd, Celina, TN 38551 Phone: 931-243-4312 Fax: 931-243-4311 | |
Roberto S Mauricio, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 Old Jefferson St, Celina, TN 38551 Phone: 931-243-3576 Fax: 931-243-2751 |