| Kenny Dewayne Hefner, MD | |
|
1919 W Park Dr, N Wilkesboro, NC 28659-3564 | |
| (336) 651-2980 | |
| (336) 667-2047 |
| Full Name | Kenny Dewayne Hefner |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 1919 W Park Dr, N Wilkesboro, North Carolina |
| 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 |
|---|---|---|---|
| 1699747329 | NPI | - | NPPES |
| 891062A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 97-00276 (North Carolina) | Secondary |
| 207R00000X | Internal Medicine | 97-00276 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wilkes Regional Medical Center | North wilkesboro, NC | Hospital |
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenny Dewayne Hefner, MD Po Box 751803, Charlotte, NC 28275-1803 Ph: (336) 651-2980 | Kenny Dewayne Hefner, MD 1919 W Park Dr, N Wilkesboro, NC 28659-3564 Ph: (336) 651-2980 |
Dr. Thomas H Grote, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1913 W Park Dr, N Wilkesboro, NC 28659 Phone: 336-903-6362 Fax: 336-903-6354 | |
Dr. Mugurel Lucian Sorescu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 W Park Dr, N Wilkesboro, NC 28659 Phone: 336-667-1001 Fax: 336-667-1422 |