Kenneth Luckie Vandervoort, MD | |
731 Leighton Ave Ste 300, Anniston, AL 36207-5762 | |
(256) 236-4121 | |
(256) 237-5254 |
Full Name | Kenneth Luckie Vandervoort |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 42 Years |
Location | 731 Leighton Ave Ste 300, Anniston, Alabama |
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 |
---|---|---|---|
1912996158 | NPI | - | NPPES |
000017436 | Medicaid | AL | |
051017436 | Other | AL | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 00013298 (Alabama) | Secondary |
207X00000X | Orthopaedic Surgery | MD.13298 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeast Alabama Regional Medical Center | Anniston, AL | Hospital |
Clay County Hospital | Ashland, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Orthopaedic Alliance Pllc | 2365800604 | 91 |
Entity Name | Anniston Orthopedics Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366636706 PECOS PAC ID: 3870495294 Enrollment ID: O20040124000279 |
Entity Name | Southern Orthopaedic Alliance Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588364228 PECOS PAC ID: 2365800604 Enrollment ID: O20230620001264 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Luckie Vandervoort, MD 731 Leighton Ave Ste 300, Anniston, AL 36207-5762 Ph: (256) 236-4121 | Kenneth Luckie Vandervoort, MD 731 Leighton Ave Ste 300, Anniston, AL 36207-5762 Ph: (256) 236-4121 |
Duane Dickie Tippets, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 731 Leighton Ave, Suite 300, Anniston, AL 36207 Phone: 256-236-4121 Fax: 256-237-5254 | |
Dr. Duane Michael Tippets, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 731 Leighton Ave, Suite 300, Anniston, AL 36207 Phone: 256-236-4121 Fax: 256-237-5254 | |
John Richard Payne, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 731 Leighton Ave, Suite 300, Anniston, AL 36207 Phone: 256-236-4121 Fax: 256-237-5254 | |
Michael Roger Wiedmer, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 731 Leighton Ave, Suite 300, Anniston, AL 36207 Phone: 256-236-4121 Fax: 256-237-5254 | |
Gordon Townsend Hardy, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 731 Leighton Ave, Suite 300, Anniston, AL 36207 Phone: 256-236-4121 Fax: 256-237-5254 | |
Andrew Charles Morris, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 731 Leighton Ave Ste 300, Anniston, AL 36207 Phone: 850-916-3700 | |
Dr. Morton Sumner Rickless, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 716 E 10th St, Suite B, Anniston, AL 36207 Phone: 256-238-9500 Fax: 256-238-9524 |