| Dr Kenneth Neal, PSYD | |
|
8321 Troubadour Way, Ooltewah, TN 37363-7026 | |
| (706) 455-5725 | |
| (706) 632-3585 |
| Full Name | Dr Kenneth Neal |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 15 Years |
| Location | 8321 Troubadour Way, Ooltewah, Tennessee |
| 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 |
|---|---|---|---|
| 1053596742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4010 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brownsville Medical Clinic, P.a. | 0547339772 | 68 |
| Bh Services Southeast 1 Pc | 7012457054 | 68 |
| Entity Name | Ipc Pac Healthcare Services Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210903001263 |
| Entity Name | Cs Pacs 3 Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20231206003761 |
| Entity Name | Bh Services Southeast 1 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164251526 PECOS PAC ID: 7012457054 Enrollment ID: O20241023003002 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Neal, PSYD 8321 Troubadour Way, Ooltewah, TN 37363-7026 Ph: (706) 455-5725 | Dr Kenneth Neal, PSYD 8321 Troubadour Way, Ooltewah, TN 37363-7026 Ph: (706) 455-5725 |
Stephen Clark Rutledge, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9123 Pleasant Ln, Ooltewah, TN 37363 Phone: 731-377-0088 | |
Lynn C Petras, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5701 Riley Rd, Ooltewah, TN 37363 Phone: 423-326-1258 |