Dr Max Calvin Kinnaman Jr, DO | |
380 Suwannee Trail St, Bowling Green, KY 42103-7956 | |
(270) 901-5000 | |
(270) 842-5268 |
Full Name | Dr Max Calvin Kinnaman Jr |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 40 Years |
Location | 380 Suwannee Trail St, Bowling Green, Kentucky |
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 |
---|---|---|---|
1376693176 | NPI | - | NPPES |
30604011 | Medicaid | KY | |
0257 | Other | KY | MEDICARE GROUP |
64023062 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 02306 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Abs Lincs Ky, Llc. | 6608833520 | 9 |
Uhs Of Bowling Green Llc | 7810987336 | 6 |
Entity Name | Abs Lincs Ky, Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720353501 PECOS PAC ID: 6608833520 Enrollment ID: O20041213000659 |
Entity Name | Uhs Of Bowling Green Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396715967 PECOS PAC ID: 7810987336 Enrollment ID: O20131004000238 |
Entity Name | Kentucky Psychiatry Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104358597 PECOS PAC ID: 6002184389 Enrollment ID: O20170608002297 |
Mailing Address | Practice Location Address |
---|---|
Dr Max Calvin Kinnaman Jr, DO 380 Suwannee Trail St, Bowling Green, KY 42103-7956 Ph: (270) 901-5000 | Dr Max Calvin Kinnaman Jr, DO 380 Suwannee Trail St, Bowling Green, KY 42103-7956 Ph: (270) 901-5000 |
Dr. David Tamayo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 707 E Main St, Bowling Green, KY 42101 Phone: 270-901-5000 Fax: 270-842-6553 | |
Dr. Jose Elavath Paul, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 380 Suwannee Trail Street, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-6553 | |
Dr. Jianhua Zhu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 201 Park St, Bowling Green, KY 42101 Phone: 270-781-5111 Fax: 270-780-0483 | |
Hareem Arif, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-780-2693 Fax: 270-780-2691 | |
Mrinal Mullick, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 350 Park St, Suite 204, Bowling Green, KY 42101 Phone: 270-843-5103 Fax: 270-843-5104 | |
Jae Eun Lee, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 201 Park St, Bowling Green, KY 42101 Phone: 270-783-3315 Fax: 270-783-3774 |