| Kenneth J Hager, MD | |
|
3400 Highway 78 E, Jasper, AL 35501-8950 | |
| (205) 221-3523 | |
| (205) 221-3560 |
| Full Name | Kenneth J Hager |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 3400 Highway 78 E, Jasper, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477538163 | NPI | - | NPPES |
| 166634 | Medicaid | AL | |
| 511-52186 | Other | AL | BLUE CROSS |
| P01409686 | Other | AL | RRMC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 000022796 (Alabama) | Primary |
| Entity Name | Marion Regional Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932160082 PECOS PAC ID: 1658282322 Enrollment ID: O20031124000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J Hager, MD 2000a Southbridge Pkwy, Ste 300, Birmingham, AL 35209-7718 Ph: (205) 871-4274 | Kenneth J Hager, MD 3400 Highway 78 E, Jasper, AL 35501-8950 Ph: (205) 221-3523 |
Scott Alan Grumley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1450 Jones Dairy Rd, Jasper, AL 35501 Phone: 205-295-4110 Fax: 205-952-4101 | |
James L Bradley, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3400 Highway 78 E, Jasper, AL 35501 Phone: 205-221-3523 Fax: 205-221-3560 | |
Mark D Roberts, MD Radiology Medicare: Medicare Enrolled Practice Location: 3400 Highway 78 E, Jasper, AL 35501 Phone: 205-221-3523 Fax: 205-221-3560 | |
Donald Bryant Williams, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1810 3rd Ave S Ste 101, Jasper, AL 35501 Phone: 205-775-0300 |