Kenneth Lance Bryant, DO is a medicare enrolled "Surgery" physician in Saint Marys, Ohio. He went to West Virginia School Of Osteopathic Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Jtdm Family Practice Llc and his current practice location is
1140 S Knoxville Ave Ste C, Saint Marys, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 394-9595.
Kenneth Lance Bryant is licensed to practice in Ohio (license number 34-005959) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821007949.
Physician's Profile
| Full Name | Kenneth Lance Bryant |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 31 Years |
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| Location | 1140 S Knoxville Ave Ste C, Saint Marys, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kenneth Lance Bryant attended and graduated from West Virginia School Of Osteopathic Medicine in 1993
NPI Data:
- NPI Number: 1821007949
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 04/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 1254433907
- Enrollment ID: I20110301000414
Medical Identifiers
Medical identifiers for Kenneth Lance Bryant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821007949 | NPI | - | NPPES |
| 1184652539 | Other | OH | GROUP NPI - JTDM FAMILY PRACTICE, LLC |
| 0989097 | Medicaid | OH | |
| 34-1689161 | Other | OH | TAX ID |
| H039441 | Other | OH | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 34-005959 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jtdm Family Practice Llc | 2163415837 | 42 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kenneth Lance Bryant allows following entities to bill medicare on his behalf.
| Entity Name | Joint Township District Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639133002
PECOS PAC ID: 3870491590
Enrollment ID: O20031219000416 |
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| Entity Name | Jtdm Family Practice Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184652539
PECOS PAC ID: 2163415837
Enrollment ID: O20040407000863 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Lance Bryant is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kenneth Lance Bryant, DO
200 Saint Clair Ave,
Saint Marys, OH 45885-2400
Ph: (419) 300-1129 | Kenneth Lance Bryant, DO
1140 S Knoxville Ave Ste C,
Saint Marys, OH 45885-2609
Ph: (419) 394-9595 |
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