| Kenneth E Rose, MD | |
|
2410 Avalon Ave, Muscle Shoals, AL 35661-3283 | |
| (256) 386-0808 | |
| (256) 389-8904 |
| Full Name | Kenneth E Rose |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 2410 Avalon Ave, Muscle Shoals, Alabama |
| 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 |
|---|---|---|---|
| 1215921978 | NPI | - | NPPES |
| 58815 | Other | AL | MEDICARE |
| 116304002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K8461 (Texas) | Secondary |
| 207R00000X | Internal Medicine | 21078 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shannon Home Health Services | San angelo, TX | Home health agency |
| San Angelo Home Health | San angelo, TX | Home health agency |
| Angels Care Home Health Of San Angelo | San angelo, TX | Home health agency |
| Country Home Health | Mason, TX | Home health agency |
| Kindred At Home | Eastland, TX | Home health agency |
| Shannon Medical Center | San angelo, TX | Hospital |
| Sagecrest Alzheimers Care Center | San angelo, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shannon Clinic | 0840103727 | 465 |
| The West Texas Rehabilitation Center | 2860301215 | 376 |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth E Rose, MD 2410 Avalon Ave Ste B, Muscle Shoals, AL 35661-3284 Ph: (256) 386-0809 | Kenneth E Rose, MD 2410 Avalon Ave, Muscle Shoals, AL 35661-3283 Ph: (256) 386-0808 |
Roy Barco, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Physicians Dr Ste A, Muscle Shoals, AL 35661 Phone: 256-286-4026 Fax: 256-381-4783 | |
Dr. Shannon Christian Heinrich, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 John Aldridge Dr, Muscle Shoals, AL 35661 Phone: 256-383-4541 Fax: 888-960-5113 | |
Dr. Bradford James Felker Montane, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 203 Avalon Ave Ste 100, Muscle Shoals, AL 35661 Phone: 256-386-4940 Fax: 256-386-4944 | |
Dr. Loren E Mccoy, MD FACP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2410 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-386-0808 Fax: 256-389-8904 | |
Adam Dwight Isbell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2410 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-386-0808 Fax: 256-381-6229 | |
Hemant K. Patel, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Dr W H Blake Jr Dr, Muscle Shoals, AL 35661 Phone: 256-381-1001 Fax: 256-381-3604 |