Dr Kevin Ray Waddell, MD | |
740 Hospital Dr, Suite 250, Beaumont, TX 77701-4664 | |
(409) 212-1000 | |
(409) 813-3302 |
Full Name | Dr Kevin Ray Waddell |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 740 Hospital Dr, Beaumont, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679569594 | NPI | - | NPPES |
184821001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | M4976 (Texas) | Primary |
Entity Name | Kevin R. Waddell, M.d., P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639251051 PECOS PAC ID: 5294830030 Enrollment ID: O20070423000531 |
Mailing Address | Practice Location Address |
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Dr Kevin Ray Waddell, MD 740 Hospital Dr, Suite 250, Beaumont, TX 77701-4664 Ph: (409) 212-1000 | Dr Kevin Ray Waddell, MD 740 Hospital Dr, Suite 250, Beaumont, TX 77701-4664 Ph: (409) 212-1000 |
Dr. Pamela Ann St Amand, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 450 N 11th St, Beaumont, TX 77702 Phone: 832-548-5000 | |
David B Smith, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 755 N 11th St, Suite P4200, Beaumont, TX 77702 Phone: 409-899-1499 Fax: 409-899-1354 | |
Deborah C Sherman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 755 N 11th St, Ste P4200, Beaumont, TX 77702 Phone: 409-899-1499 Fax: 409-899-1354 | |
Dr. Gene Norman Barry, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2900 North St Ste 310, Beaumont, TX 77702 Phone: 409-896-5400 Fax: 409-896-5383 | |
Dr. Sharae Johnson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 755 N 11th St Ste P4200, Beaumont, TX 77702 Phone: 409-899-1499 | |
Maxie C Sprott Ii, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2627 Calder St, Beaumont, TX 77702 Phone: 409-838-4472 Fax: 409-838-0496 | |
Dr. Christopher P. Dowdy, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3070 College St, Suite 207, Beaumont, TX 77701 Phone: 409-833-5790 Fax: 409-833-5899 |