Dr Kenneth Gayle Lawlor, DO | |
3111 Clearwater Dr Ste A, Prescott, AZ 86305-7186 | |
(480) 443-8400 | |
(480) 443-8697 |
Full Name | Dr Kenneth Gayle Lawlor |
---|---|
Gender | Male |
Speciality | Rheumatology |
Experience | 19 Years |
Location | 3111 Clearwater Dr Ste A, Prescott, Arizona |
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 |
---|---|---|---|
1902917289 | NPI | - | NPPES |
1801100250 | Other | AZ | GROUP NATIONAL PROVIDER IDENTIFIER |
546714 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | 5487 (Arizona) | Primary |
207RR0500X | Internal Medicine - Rheumatology | 2007015085 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Yavapai Regional Medical Center | Prescott, AZ | Hospital |
Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
Verde Valley Medical Center | Cottonwood, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kenneth G. Lawlor, Do, Pllc | 5395931331 | 3 |
Entity Name | Kenneth G. Lawlor, Do, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801100250 PECOS PAC ID: 5395931331 Enrollment ID: O20101202000098 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Gayle Lawlor, DO 4550 E Bell Rd, Suite 172, Phoenix, AZ 85032-9306 Ph: (480) 443-8400 | Dr Kenneth Gayle Lawlor, DO 3111 Clearwater Dr Ste A, Prescott, AZ 86305-7186 Ph: (480) 443-8400 |
Dr. Jyotsana M Patel, M.D. Rheumatology Medicare: Medicare Enrolled Practice Location: 500 N Hwy 89, Northern Arizona Va Hcs, Prescott, AZ 86313 Phone: 928-445-4860 | |
Dr. Warren Reyes Ho, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3122 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-445-7632 Fax: 928-445-9283 | |
Karen L Yates, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3101 Clearwater Dr, Suite C, Prescott, AZ 86305 Phone: 928-771-0555 Fax: 928-771-0444 | |
Dr. Milton Murray Schild, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 811 Ainsworth Dr, Suite 103, Prescott, AZ 86301 Phone: 928-771-5548 Fax: 928-771-5549 | |
Dr. Ayyasamy P Selvam, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 500 N Us Highway 89, Va Medical Center, Prescott, AZ 86313 Phone: 928-776-6009 Fax: 928-776-6098 | |
Dr. Jerome C Robinson, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 802 Ainsworth Dr Ste A, Prescott, AZ 86301 Phone: 928-445-6025 Fax: 928-778-3026 | |
Dr. George Sein, M.D Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 919 12th Pl Ste 6, Prescott, AZ 86305 Phone: 928-445-4166 |