Dr Kenyon Mala Chavis, MD is a medicare enrolled "Family Medicine" physician in Erwin, North Carolina. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice House Calls Of The District Of Columbia Inc and his current practice location is
901 Denim Dr, Erwin, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 897-5521.
Dr Kenyon Mala Chavis is licensed to practice in North Carolina (license number 200801349) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578710141.
Physician's Profile
| Full Name | Dr Kenyon Mala Chavis |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 20 Years |
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| Location | 901 Denim Dr, Erwin, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kenyon Mala Chavis attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2004
NPI Data:
- NPI Number: 1578710141
- Provider Enumeration Date: 08/26/2008
- Last Update Date: 08/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426124553
- Enrollment ID: I20200708003137
Medical Identifiers
Medical identifiers for Dr Kenyon Mala Chavis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578710141 | NPI | - | NPPES |
| 5910124 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 2008-01349 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 200801349 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| House Calls Of The District Of Columbia Inc | 5991092900 | 3 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenyon Mala Chavis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kenyon Mala Chavis, MD
901 Denim Dr,
Erwin, NC 28339-2307
Ph: (910) 897-5521 | Dr Kenyon Mala Chavis, MD
901 Denim Dr,
Erwin, NC 28339-2307
Ph: (910) 897-5521 |
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