Kenneth Wayne Waddell Jr, NP in Forsyth, GA - Medicare Nurse Practitioner

Kenneth Wayne Waddell Jr, NP is a medicare enrolled "Nurse Practitioner" in Forsyth, Georgia. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice The Medical Center Of Central Georgia Inc., Health Services Of Central Georgia and his current practice location is 120 N Lee St Ste A, Forsyth, Georgia. You can reach out to his office (for appointments etc.) via phone at (478) 994-0437.

Kenneth Wayne Waddell Jr is licensed to practice in Georgia (license number RN249530) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124504782.

Contact Information

	Kenneth Wayne Waddell Jr, NP
	120 N Lee St Ste A, Forsyth, GA 31029
	(478) 994-0437
	Not Available

Map and Direction

Provider's Profile

Full Name	Kenneth Wayne Waddell Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	120 N Lee St Ste A, Forsyth, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenneth Wayne Waddell Jr graduated from nursing school in 2018

NPI Data:

NPI Number: 1124504782
Provider Enumeration Date: 07/17/2018
Last Update Date: 07/18/2018

Medicare PECOS Information:

PECOS PAC ID: 1850644592
Enrollment ID: I20181027000090

Medical Identifiers

Medical identifiers for Kenneth Wayne Waddell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124504782	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN249530 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medical Center, Navicent Health (the)	Macon, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Medical Center Of Central Georgia Inc.	3678477445	25
Health Services Of Central Georgia	9638076730	235

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 Waddell Jr allows following entities to bill medicare on his behalf.

Entity Name	Health Services Of Central Georgia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184679482 PECOS PAC ID: 9638076730 Enrollment ID: O20031217000270

Entity Name	The Medical Center Of Central Georgia Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831287655 PECOS PAC ID: 3678477445 Enrollment ID: O20040812000902

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 Waddell 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 Waddell Jr, NP 120 N Lee St Ste A, Forsyth, GA 31029-2122 Ph: (478) 994-0437	Kenneth Wayne Waddell Jr, NP 120 N Lee St Ste A, Forsyth, GA 31029 Ph: (478) 994-0437

Reviews and Comments

Nurse Practitioner Nurses in Forsyth, GA

Mrs. Rebecca Jenkins Sherwood, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 97 Martin Luther King Jr Dr, Forsyth, GA 31029 Phone: 478-957-9139
Elizabeth Goodwin, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 97 Martin Luther King Jr Dr, Forsyth, GA 31029 Phone: 478-994-1010 Fax: 478-994-1080
Latoya Nicole Henry-morrison, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 91 Timber Dr, Forsyth, GA 31029 Phone: 954-740-3890
Ms. Tracy Tarvers, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 N Lee St, Forsyth, GA 31029 Phone: 478-974-6080 Fax: 478-974-9002
Dr. Angela Paige Queen, NPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1248 Flint Rd, Forsyth, GA 31029 Phone: 478-960-2887
Amanda Lynn Merchant, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 266 Presidents Way, Forsyth, GA 31029 Phone: 315-350-9695

Kenneth Wayne Waddell Jr, NP - Medicare Nurse Practitioner in Forsyth, GA