Kenneth Wayne Jones Jr, MD is a medicare enrolled "Emergency Medicine" physician in Cedartown, Georgia. His current practice location is
424 N Main St, Cedartown, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 748-2500.
Kenneth Wayne Jones Jr is licensed to practice in Georgia (license number 31037) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174567168.
Physician's Profile
| Full Name | Kenneth Wayne Jones Jr |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 424 N Main St, Cedartown, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174567168
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 04/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 8224085378
- Enrollment ID: I20100430000297
Medical Identifiers
Medical identifiers for Kenneth Wayne Jones Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174567168 | NPI | - | NPPES |
| 000475307F | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 31037 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kenneth Wayne Jones Jr allows following entities to bill medicare on his behalf.
| Entity Name | Georgia Hospitalists Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033576376 PECOS PAC ID: 0840434866 Enrollment ID: O20130912000799 |
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| Entity Name | Etowah Emergency Physicians, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962944900 PECOS PAC ID: 1456635697 Enrollment ID: O20170307000640 |
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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 Wayne Jones Jr 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 Wayne Jones Jr, MD 7 Huntington Rd Sw, Rome, GA 30165-6660 Ph: (706) 234-4479 | Kenneth Wayne Jones Jr, MD 424 N Main St, Cedartown, GA 30125-2644 Ph: (770) 748-2500 |
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