Kenneth E Dorsey, MD | |
560 Meyerland Plaza Mall, Houston, TX 77096-1615 | |
(713) 442-1615 | |
Not Available |
Full Name | Kenneth E Dorsey |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 560 Meyerland Plaza Mall, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477649754 | NPI | - | NPPES |
102504106 | Medicaid | TX | |
102504101 | Medicaid | TX | |
102504104 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207NS0135X | Dermatology - Procedural Dermatology | K1811 (Texas) | Secondary |
207N00000X | Dermatology | K1811 (Texas) | Primary |
Entity Name | Kelsey-seybold Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204 |
Mailing Address | Practice Location Address |
---|---|
Kenneth E Dorsey, MD 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-0000 | Kenneth E Dorsey, MD 560 Meyerland Plaza Mall, Houston, TX 77096-1615 Ph: (713) 442-1615 |
Stephanie Jacks, Dermatology Medicare: Medicare Enrolled Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Dr. Ida Francesca Orengo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1977 Butler Blvd Ste E6.200, Houston, TX 77030 Phone: 713-798-7620 Fax: 713-798-3252 | |
Madeleine Duvic, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 6655 Travis St, 600, Houston, TX 77030 Phone: 713-500-8260 | |
Jimmy D Schmidt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 819 Peakwood Dr, Houston, TX 77090 Phone: 281-444-1288 Fax: 281-444-9177 | |
Robert Lin, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2222 Greenhouse Rd Ste 1000, Houston, TX 77084 Phone: 832-437-1763 Fax: 855-751-8050 | |
Neda Nosrati, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 7575 San Felipe St Ste 300, Houston, TX 77063 Phone: 713-952-8400 Fax: 713-952-9448 | |
Dr. Erik Thomas Petersen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 915 Gessner Rd Ste 640, Houston, TX 77024 Phone: 713-984-0010 Fax: 713-984-0067 |