| Kenneth R Parker, MD | |
|
1116 Millis Ave, Boonville, IN 47601-2204 | |
| (812) 473-0181 | |
| (812) 473-5822 |
| Full Name | Kenneth R Parker |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 40 Years |
| Location | 1116 Millis Ave, Boonville, Indiana |
| 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 |
|---|---|---|---|
| 1457302564 | NPI | - | NPPES |
| 100334280 | Medicaid | IN | |
| 64872856 | Medicaid | KY | |
| 000000042725 | Other | IN | BLUE SHIELD |
| 050052833 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 01037962A (Indiana) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 01037962A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent Warrick | Boonville, IN | Hospital |
| Ascension St Vincent Evansville | Evansville, IN | Hospital |
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Entity Name | Deaconess Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427097443 PECOS PAC ID: 9032021431 Enrollment ID: O20040115000129 |
| Entity Name | Anesthesiology Group Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194761262 PECOS PAC ID: 0547233959 Enrollment ID: O20040814000039 |
| Entity Name | Gibson General Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588143275 PECOS PAC ID: 5991788069 Enrollment ID: O20050131000887 |
| Entity Name | Kenneth R Parker Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659317725 PECOS PAC ID: 5698671378 Enrollment ID: O20100719000528 |
| Entity Name | Apollo Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396179461 PECOS PAC ID: 3072741370 Enrollment ID: O20140113001443 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R Parker, MD Po Box 3276, Evansville, IN 47731-3276 Ph: (812) 491-1307 | Kenneth R Parker, MD 1116 Millis Ave, Boonville, IN 47601-2204 Ph: (812) 473-0181 |