| Kenneth Kyle White, MD | |
|
4005 24th St, Lubbock, TX 79410-1835 | |
| (806) 792-2767 | |
| (888) 861-8858 |
| Full Name | Kenneth Kyle White |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 4005 24th St, Lubbock, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649276072 | NPI | - | NPPES |
| 139559100 | Other | TX | FIRSTCARE |
| 155904905 | Medicaid | TX | |
| 8G1355 | Other | TX | BLUE CROSS |
| P00152700 | Other | RAILROAD MEDICARE | |
| 92382321 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | L5953 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Covenant Childrens Hospital | Lubbock, TX | Hospital |
| Covenant Medical Center | Lubbock, TX | Hospital |
| The University Of Texas Health Science Center At Tyler | Tyler, TX | Hospital |
| Grace Medical Center | Lubbock, TX | Hospital |
| Lea Regional Medical Center | Hobbs, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of North Texas Pa | 7911897301 | 325 |
| Entity Name | Lubbock Diagnostic Radiology, L.l.p. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215028501 PECOS PAC ID: 4183521859 Enrollment ID: O20031219000036 |
| Entity Name | Radiology Associates Of North Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053470179 PECOS PAC ID: 7911897301 Enrollment ID: O20040617000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Kyle White, MD 4005 24th St, Lubbock, TX 79410-1835 Ph: (806) 792-2767 | Kenneth Kyle White, MD 4005 24th St, Lubbock, TX 79410-1835 Ph: (806) 792-2767 |
Kulia Kini Kakarala, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8445 | |
Gregory Scott Poe, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 4005 24th St, Lubbock, TX 79410 Phone: 806-792-2767 Fax: 888-861-8858 | |
Thomas Richard Windisch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 21st St, Lubbock, TX 79410 Phone: 806-791-0399 Fax: 806-791-0373 | |
Brian James Bruening, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 3525 19th St, Lubbock, TX 79410 Phone: 806-687-8346 Fax: 888-856-2848 | |
Sinan Ali Qurban Ali Bana, MD Radiology Medicare: Medicare Enrolled Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 214-820-2361 | |
Scott Cranston Porter, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4005 24th St, Lubbock, TX 79410 Phone: 806-792-2767 Fax: 888-861-8858 | |
David Kirk Jenkins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4101 22nd Pl, Lubbock, TX 79410 Phone: 806-725-8000 |