Kenneth Glen Walton, M D | |
1296 Sims St, Suite B, Gainesville, GA 30501-3850 | |
(770) 534-1856 | |
Not Available |
Full Name | Kenneth Glen Walton |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 36 Years |
Location | 1296 Sims St, Gainesville, Georgia |
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 |
---|---|---|---|
1689783870 | NPI | - | NPPES |
00660646B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 034490 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Georgia Physicians Group Inc | 6901898386 | 651 |
Entity Name | Northeast Georgia Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
Entity Name | Northeast Georgia Plastic Surgery |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306028238 PECOS PAC ID: 0840261095 Enrollment ID: O20040803001269 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Glen Walton, M D Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Kenneth Glen Walton, M D 1296 Sims St, Suite B, Gainesville, GA 30501-3850 Ph: (770) 534-1856 |
Ed A. Abell, M. D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1296 Sims St Ste B, Gainesville, GA 30501 Phone: 770-534-1856 | |
Donald J Campbell, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1296 Sims St., Suite B, Gainesville, GA 30501 Phone: 770-534-1856 Fax: 770-531-0355 | |
Dr. Randy J. Buckspan, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 9115 Kate Ct, Gainesville, GA 30506 Phone: 512-924-8126 | |
Dr. Sam W Richwine Jr., M. D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1296 Sims St, Suite B, Gainesville, GA 30501 Phone: 770-534-1856 Fax: 770-531-0355 | |
Vikram Reddy, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1296 Sims St Ste B, Gainesville, GA 30501 Phone: 770-534-1856 |