| Staci N Kenner, MD | |
|
95b-a, J.f. Harris Pkwy, Suite 102, Cartersville, GA 30120-2158 | |
| (770) 386-4824 | |
| (770) 386-4220 |
| Full Name | Staci N Kenner |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 18 Years |
| Location | 95b-a, J.f. Harris Pkwy, Cartersville, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104088061 | NPI | - | NPPES |
| 00312B113A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | BPI0030889 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cartersville Ob-gyn Assoc Pc | 1355332685 | 3 |
| Entity Name | Cartersville Ob-gyn Assoc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154378198 PECOS PAC ID: 1355332685 Enrollment ID: O20040524000994 |
| Mailing Address | Practice Location Address |
|---|---|
| Staci N Kenner, MD 95b-a, J.f. Harris Pkwy, Suite 102, Cartersville, GA 30120-2158 Ph: (770) 386-4824 | Staci N Kenner, MD 95b-a, J.f. Harris Pkwy, Suite 102, Cartersville, GA 30120-2158 Ph: (770) 386-4824 |
David Benjamin Warren, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7200 Fax: 770-276-7251 | |
Steven Allen Spivey, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7200 Fax: 770-276-7251 | |
Mr. Hugo D Ribot Jr., M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 958 Joe Frank Harris Pkwy Se Bldg A, Suite 102, Cartersville, GA 30120 Phone: 770-386-4824 Fax: 770-386-4220 |