| Kenyon M Meadows, MD | |
|
4247 W. Main Street, Dothan, AL 36305-1062 | |
| (334) 793-3212 | |
| (334) 671-0484 |
| Full Name | Kenyon M Meadows |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 24 Years |
| Location | 4247 W. Main Street, Dothan, Alabama |
| 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 |
|---|---|---|---|
| 1891726451 | NPI | - | NPPES |
| 1831385632 | Other | AL | MEDICAID GROUP AL |
| 1891726451 | Medicaid | AL | |
| 276328100 | Medicaid | FL | |
| 510-10021 | Other | AL | BCBS OF AL |
| 400647716A | Medicaid | GA | |
| P00348790 | Other | AL | RAILROAD MEDICARE PIN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 61801 (Georgia) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 00027449 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
| Southeast Georgia Health System -- Camden Campus | Saint marys, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Oncology Partners Pa | 0042569758 | 278 |
| Cooperative Healthcare Services, Inc. | 9830093640 | 199 |
| Entity Name | Cooperative Healthcare Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
| Entity Name | Mayo Clinic Health System In Waycross, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154745982 PECOS PAC ID: 0042124919 Enrollment ID: O20040308000639 |
| Entity Name | American Oncology Partners Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265929723 PECOS PAC ID: 0042569758 Enrollment ID: O20200615003208 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenyon M Meadows, MD 2234 Colonial Blvd, Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Kenyon M Meadows, MD 4247 W. Main Street, Dothan, AL 36305-1062 Ph: (334) 793-3212 |
Eric C Lund, MD Radiology Medicare: Medicare Enrolled Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-0721 | |
Sibley N Turner, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-6412 | |
Elizabeth Parker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 | |
George W Veale, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-0721 | |
Dr. Darrel Alexander Ceballos, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-6412 | |
Julia A Alexander, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-0721 | |
Ricardo Syklawer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Fairview Ave, Dothan, AL 36301 Phone: 334-793-9511 Fax: 334-794-0721 |