Dr Olan Baxter Kemp, MD | |
4275 Western Blvd, Jacksonville, NC 28546-1100 | |
(910) 938-3099 | |
(910) 938-3243 |
Full Name | Dr Olan Baxter Kemp |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 38 Years |
Location | 4275 Western Blvd, Jacksonville, North Carolina |
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 |
---|---|---|---|
1538265749 | NPI | - | NPPES |
1511077 | Medicaid | TN | |
TN0106 | Other | TN | AMERICHOICE |
4139154 | Other | TN | BLUE CROSS |
3096800 | Medicaid | TN | |
3096807 | Medicaid | TN | |
4184953 | Other | TN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD23535 (Tennessee) | Secondary |
207Q00000X | Family Medicine | 2021-01888 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Pollocksville, NC | Home health agency |
Assistedcare Home Health Inc | Leland, NC | Home health agency |
Onslow Memorial Hospital | Jacksonville, NC | Hospital |
Carolina East Medical Center | New bern, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carolinaeast Physicians | 0143378117 | 182 |
Entity Name | Carolinaeast Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104066794 PECOS PAC ID: 0143378117 Enrollment ID: O20090430000303 |
Mailing Address | Practice Location Address |
---|---|
Dr Olan Baxter Kemp, MD Po Box 68, Pollocksville, NC 28573-0068 Ph: (910) 938-3099 | Dr Olan Baxter Kemp, MD 4275 Western Blvd, Jacksonville, NC 28546-1100 Ph: (910) 938-3099 |
Mr. Troy Justin Ehrhart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1899 N Marine Blvd, Jacksonville, NC 28546 Phone: 910-937-2570 Fax: 910-251-8824 | |
Kelly Gardner Rich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Brabham Ave, Jacksonville, NC 28546 Phone: 910-341-3300 | |
Ashley Laura Malara, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 114c Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-9688 Fax: 910-353-7498 | |
Dr. Sean Patrick Leonard, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Brabham Ave, Jacksonville, NC 28546 Phone: 910-937-2570 Fax: 910-219-1270 | |
Dr. Randy M Sloan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1899 N Marine Blvd, Jacksonville, NC 28546 Phone: 910-341-3300 Fax: 910-251-8824 | |
Lucille A Buglisi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 Hargett St, Jacksonville, NC 28540 Phone: 910-238-2485 Fax: 910-238-2495 | |
Dr. Swetang M Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2587 Henderson Dr, Jacksonville, NC 28546 Phone: 910-938-3200 Fax: 910-938-3043 |