Ken Maynard, MD | |
593 Eddy Street Apc 6, Providence, RI 02903 | |
(401) 793-9166 | |
Not Available |
Full Name | Ken Maynard |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 11 Years |
Location | 593 Eddy Street Apc 6, Providence, Rhode Island |
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 |
---|---|---|---|
1861812372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | MD18183 (Rhode Island) | Secondary |
207T00000X | Neurological Surgery | BP10052651 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Portsmouth Regional Hospital | Portsmouth, NH | Hospital |
Wentworth-douglass Hospital | Dover, NH | Hospital |
Exeter Hospital Inc | Exeter, NH | Hospital |
Frisbie Memorial Hospital | Rochester, NH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Appledore Medical Group Inc | 5698666154 | 92 |
Entity Name | Appledore Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720077167 PECOS PAC ID: 5698666154 Enrollment ID: O20040601000165 |
Mailing Address | Practice Location Address |
---|---|
Ken Maynard, MD 301 University Blvd, Galveston, TX 77555-0517 Ph: (409) 772-1500 | Ken Maynard, MD 593 Eddy Street Apc 6, Providence, RI 02903 Ph: (401) 793-9166 |
Dr. Elias Shaaya, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-793-9135 | |
Dr. Ki-eun Chang, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street Apc 6, Providence, RI 02903 Phone: 401-793-9166 Fax: 401-444-2788 | |
Dr. Belinda Shao, MD, MPH Neurological Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-793-9135 Fax: 401-444-2788 | |
Dr. Petra Margarete Klinge, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Claverick Street, Providence, RI 02903 Phone: 401-455-1749 Fax: 401-455-1292 | |
Sohail Syed, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Apc 6, Providence, RI 02903 Phone: 401-444-4146 Fax: 401-444-2781 | |
Albert Edward Telfeian, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Apc 6, Providence, RI 02903 Phone: 401-793-9153 Fax: 401-444-2024 | |
Dr. Beverly Claire Walters, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 128 N Main St, Providence, RI 02903 Phone: 401-351-1369 Fax: 401-251-0079 |