| Kenneth L Fox, MD | |
|
1140 S Knoxville Ave Ste A, Saint Marys, OH 45885-2609 | |
| (419) 394-9959 | |
| (419) 394-0255 |
| Full Name | Kenneth L Fox |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 1140 S Knoxville Ave Ste A, Saint Marys, Ohio |
| 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 |
|---|---|---|---|
| 1588600167 | NPI | - | NPPES |
| 2174918 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35077708 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 35.077708 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Lake Health System | Saint marys, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Joint Township District Memorial Hospital | 3870491590 | 40 |
| Entity Name | Joint Township District Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639133002 PECOS PAC ID: 3870491590 Enrollment ID: O20031219000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth L Fox, MD 200 Saint Clair Ave, Saint Marys, OH 45885-2400 Ph: (419) 300-1129 | Kenneth L Fox, MD 1140 S Knoxville Ave Ste A, Saint Marys, OH 45885-2609 Ph: (419) 394-9959 |
Padmaja Chalasani, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Grand Lake Primary Care At St Marys, 1140 S Knoxville Ave Ste A, Saint Marys, OH 45885 Phone: 419-394-9959 Fax: 419-394-0255 | |
Dawn P Mcnaughton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1140 S Knoxville Ave Ste A, Saint Marys, OH 45885 Phone: 419-394-9959 Fax: 419-394-0255 | |
Andrea Cristina Gonzalez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1140 S Knoxville Ave Ste A, Saint Marys, OH 45885 Phone: 419-394-9959 Fax: 419-394-0255 |