Charles Alexander Kidd, MD | |
207 Elk Ave S, Fayetteville, TN 37334-3051 | |
(931) 433-2551 | |
(931) 438-0069 |
Full Name | Charles Alexander Kidd |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 9 Years |
Location | 207 Elk Ave S, Fayetteville, 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 |
---|---|---|---|
1396126165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 38504 (South Carolina) | Secondary |
208000000X | Pediatrics | 38504 (South Carolina) | Secondary |
207R00000X | Internal Medicine | 56894 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lincoln Medical Home Health And Hospice | Fayetteville, TN | Home health agency |
Lincoln Medical Center | Fayetteville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hh Physician Care-fayetteville Medical Associates | 1850662651 | 7 |
Entity Name | Hh Physician Care-fayetteville Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225574056 PECOS PAC ID: 1850662651 Enrollment ID: O20170811001033 |
Mailing Address | Practice Location Address |
---|---|
Charles Alexander Kidd, MD 1 Independence Pt Ste 212, Resident Enrollment, Greenville, SC 29615-4536 Ph: (864) 455-7844 | Charles Alexander Kidd, MD 207 Elk Ave S, Fayetteville, TN 37334-3051 Ph: (931) 433-2551 |
Dr. Samuel Michael Ashby, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 804 William D Jones Blvd, Fayetteville, TN 37334 Phone: 931-438-1435 | |
Yashwant P Patel, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 207 Elk Ave S, Fayetteville, TN 37334 Phone: 931-433-2551 Fax: 931-433-1142 |