| Kennedy Tiner, | |
|
2945 Walton Way, Augusta, GA 30909-3827 | |
| (706) 434-0421 | |
| Not Available |
| Full Name | Kennedy Tiner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 2945 Walton Way, Augusta, 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 |
|---|---|---|---|
| 1639065956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WH1000X | Registered Nurse - Hospice | RN295362 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ultra Health Providers Ii Llc | 5395284616 | 39 |
| Entity Name | Ultra Health Providers II LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033956057 PECOS PAC ID: 5395284616 Enrollment ID: O20240829003110 |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Tiner, 2945 Walton Way, Augusta, GA 30909-3827 Ph: Not Available | Kennedy Tiner, 2945 Walton Way, Augusta, GA 30909-3827 Ph: (706) 434-0421 |
Elizabeth Syms, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1727 Wrightsboro Rd, Suite B, Augusta, GA 30904 Phone: 706-736-8170 Fax: 706-736-8184 |
Ms. Lisa Mixon Jones, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, # 31, Augusta, GA 30904 Phone: 706-733-0188 Fax: 706-823-1788 |
Heather Elise Beattie, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1916 N Leg Rd, Augusta, GA 30909 Phone: 706-466-2793 Fax: 706-667-4607 |
Linda B. Graves, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 950 Laney Walker Blvd, Augusta, GA 30901 Phone: 706-721-5846 Fax: 706-721-5845 |
Daniell S Ruth, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 950 15th St, Augusta, GA 30901 Phone: 706-733-0188 |
Harrison Lamp, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1465 Laney Walker Blvd # 1040, Augusta, GA 30912 Phone: 706-721-3448 Fax: 706-721-7468 |
James R Rubow, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 950 15th St, Augusta, GA 30901 Phone: 706-733-0188 |