Alexander Woodward Kennon, MD | |
727 Us Highway 27 S, Sebring, FL 33870-2169 | |
(863) 385-7183 | |
Not Available |
Full Name | Alexander Woodward Kennon |
---|---|
Gender | Male |
Speciality | Undefined Physician Type (specify) |
Experience | 12 Years |
Location | 727 Us Highway 27 S, Sebring, Florida |
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 |
---|---|---|---|
1053675868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | ME136268 (Florida) | Primary |
207N00000X | Dermatology | ME136268 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Fusion Healthcare | Tampa, FL | Home health agency |
Adventhealth Sebring | Sebring, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeside Dermatology Llc | 9537595194 | 4 |
Entity Name | Michael J Rogers |
---|---|
Entity Type | Practitioner - Dermatology |
Entity Identifiers | NPI Number: 1003876053 PECOS PAC ID: 7012967102 Enrollment ID: I20050127000228 |
Entity Name | Lakeside Dermatology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922257260 PECOS PAC ID: 9537595194 Enrollment ID: O20200130002421 |
Mailing Address | Practice Location Address |
---|---|
Alexander Woodward Kennon, MD 727 Us Highway 27 S, Sebring, FL 33870-2169 Ph: (863) 385-7183 | Alexander Woodward Kennon, MD 727 Us Highway 27 S, Sebring, FL 33870-2169 Ph: (863) 385-7183 |
Michael J Rogers, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 727 Us 27 South, Sebring, FL 33870 Phone: 863-385-7183 Fax: 863-385-0088 | |
Darrin A Rotman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3109 Medical Way, Sebring, FL 33870 Phone: 863-386-0786 Fax: 863-386-1848 |