Dr Kenneth Dwayne Fulks, MD | |
1601 Hatcher Ln, Columbia, TN 38401-4826 | |
(931) 381-2802 | |
(931) 388-0719 |
Full Name | Dr Kenneth Dwayne Fulks |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 40 Years |
Location | 1601 Hatcher Ln, Columbia, 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 |
---|---|---|---|
1144237751 | NPI | - | NPPES |
3059467 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | MD019595 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Maury Regional Hospital | Columbia, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Maury Regional Medical Group, Inc | 7911810742 | 96 |
Entity Name | Maury Regional Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205886264 PECOS PAC ID: 7911810742 Enrollment ID: O20040227000252 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Dwayne Fulks, MD 1601 Hatcher Ln, Columbia, TN 38401-4826 Ph: (931) 381-2802 | Dr Kenneth Dwayne Fulks, MD 1601 Hatcher Ln, Columbia, TN 38401-4826 Ph: (931) 381-2802 |
Ariel Christine O'neil, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1708 Alpine Dr, Columbia, TN 38401 Phone: 931-283-6629 Fax: 605-309-8035 | |
Dr. John P Brown, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1222 Trotwood Ave, Suite 603, Columbia, TN 38401 Phone: 931-381-9338 Fax: 931-381-9266 | |
Dr. Amy Elizabeth Vertrees, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1708 Alpine Dr, Columbia, TN 38401 Phone: 931-283-6629 | |
Daniel Davidson Oxley, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1222 Trotwood Ave Ste 305, Columbia, TN 38401 Phone: 931-381-9338 Fax: 931-381-9266 | |
Dr. John Brian Kendrick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 832 Westover Dr Ste 200, Columbia, TN 38401 Phone: 931-380-3033 | |
Dr. Courtney E Barrows, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1708 Alpine Dr, Columbia, TN 38401 Phone: 931-283-6629 |