Kenneth Guy Fulp, DO | |
6900 North Durango Dr, Centennial Hills Hospital, Las Vegas, NV 89149-4409 | |
(702) 835-9700 | |
(702) 835-9700 |
Full Name | Kenneth Guy Fulp |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 27 Years |
Location | 6900 North Durango Dr, Las Vegas, Nevada |
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 |
---|---|---|---|
1083668800 | NPI | - | NPPES |
579328 | Other | AZ | ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM / MEDICAID |
1083668800 | Other | WA | MEDICAID |
P00990158 | Other | NV | RAILROAD CARRIER MEDICARE |
1770556037 | Medicaid | UT | |
1083668800 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | DO1370 (Nevada) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clinton J Baird Plc | 7911242961 | 9 |
Entity Name | Western Oklahoma Anesthesia Consultants Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881102614 PECOS PAC ID: 4587924865 Enrollment ID: O20180206000663 |
Entity Name | Clinton J Baird Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912474974 PECOS PAC ID: 7911242961 Enrollment ID: O20181219000689 |
Entity Name | Emergenchealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Guy Fulp, DO 8405 Mystic Night Ave, Las Vegas, NV 89143-1358 Ph: (702) 755-6709 | Kenneth Guy Fulp, DO 6900 North Durango Dr, Centennial Hills Hospital, Las Vegas, NV 89149-4409 Ph: (702) 835-9700 |
Mark Livingston, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9127 W Russell Rd Ste 110, Las Vegas, NV 89148 Phone: 702-878-0070 Fax: 702-209-2064 | |
Dr. Charles Minh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 Elder View Dr, Las Vegas, NV 89138 Phone: 702-907-6464 | |
Ryan Nimer, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7160 Rafael Rivera Way Ste 210, Las Vegas, NV 89113 Phone: 702-878-0070 Fax: 702-209-2064 | |
Liam Kelly Sullivan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 7160 Rafael Rivera Way Ste 210, Las Vegas, NV 89113 Phone: 702-878-0070 Fax: 702-805-0307 | |
James Murphy, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2635 Box Canyon Dr, Las Vegas, NV 89128 Phone: 702-386-4700 Fax: 702-386-4701 | |
Scott Young, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7250 Peak Dr Ste 100, Las Vegas, NV 89128 Phone: 702-386-4700 Fax: 702-386-4701 | |
Dr. Derek Michael Goffstein, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7160 Rafael Rivera Way Ste 210, Las Vegas, NV 89113 Phone: 702-878-0070 Fax: 702-805-0307 |