| Kenneth Dean Phillips Jr, MD | |
|
8 Doctors Park, Cape Girardeau, MO 63703-4928 | |
| (573) 651-1333 | |
| (573) 651-1324 |
| Full Name | Kenneth Dean Phillips Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 8 Doctors Park, Cape Girardeau, Missouri |
| 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 |
|---|---|---|---|
| 1053383281 | NPI | - | NPPES |
| 207656638 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 106690 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeasthealth | Cape girardeau, MO | Hospital |
| Life Care Center Of Cape Girardeau | Cape girardeau, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ch Specialty Services Mo Llc | 0345614459 | 106 |
| Curana Health Of Missouri-kansas Llc | 4789716531 | 149 |
| Entity Name | Premier Family Physicians, Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316918949 PECOS PAC ID: 4486820107 Enrollment ID: O20111230000358 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Dean Phillips Jr, MD 8 Doctors Park, Cape Girardeau, MO 63703-4928 Ph: (573) 651-1333 | Kenneth Dean Phillips Jr, MD 8 Doctors Park, Cape Girardeau, MO 63703-4928 Ph: (573) 651-1333 |
Lori A Moyers, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3129 Blattner Dr, Cape Girardeau, MO 63703 Phone: 573-335-0166 Fax: 573-335-7942 | |
Dr. Roderic Clayton Crist, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3095 Lexington Ave, Suite 200, Cape Girardeau, MO 63701 Phone: 573-339-0004 | |
John Van Earnhart, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 N Mount Auburn Rd, Cape Girardeau, MO 63701 Phone: 573-332-6000 | |
John V. Mackel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 310 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-9637 Fax: 573-335-0147 | |
Dr. Jehan Pascal Murugaser, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 817 S Mount Auburn Rd, Cape Girardeau, MO 63703 Phone: 573-519-4500 Fax: 573-519-4530 | |
Dr. James E Palen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3129 Blattner Dr, Cape Girardeau, MO 63703 Phone: 573-335-0166 Fax: 573-335-7942 |