Kenneth Lance Bryant, DO is a medicare enrolled "Surgery" physician in Saint Marys, Ohio. His current practice location is
1140 S Knoxville Ave Ste C, Saint Marys, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 394-9595.
Kenneth Lance Bryant is licensed to practice in Ohio (license number 34-005959) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821007949.
Physician's Profile
| Full Name | Kenneth Lance Bryant |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1140 S Knoxville Ave Ste C, Saint Marys, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kenneth Lance Bryant attended and graduated from in
NPI Data:
- NPI Number: 1821007949
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 04/19/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kenneth Lance Bryant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821007949 | NPI | - | NPPES |
| 1184652539 | Other | OH | GROUP NPI - JTDM FAMILY PRACTICE, LLC |
| 0989097 | Medicaid | OH | |
| 34-1689161 | Other | OH | TAX ID |
| H039441 | Other | OH | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 34-005959 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Lance Bryant is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth Lance Bryant, DO
200 Saint Clair Ave,
Saint Marys, OH 45885-2400
Ph: (419) 300-1129 | Kenneth Lance Bryant, DO
1140 S Knoxville Ave Ste C,
Saint Marys, OH 45885-2609
Ph: (419) 394-9595 |
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