Kenneth Mitchum Maynard, DO | |
1045 Wyatt Way, Lizton, IN 46149-9583 | |
(317) 994-6600 | |
(317) 994-6605 |
Full Name | Kenneth Mitchum Maynard |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 40 Years |
Location | 1045 Wyatt Way, Lizton, Indiana |
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 |
---|---|---|---|
1730103730 | NPI | - | NPPES |
200932990 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02000836A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hendricks Regional Health | Danville, IN | Hospital |
Ascension St Vincent Hospital | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hendricks County Hospital | 4880505528 | 270 |
Entity Name | Hendricks County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063411551 PECOS PAC ID: 4880505528 Enrollment ID: O20040811000309 |
Entity Name | Medexpress Urgent Care Pc Indiana |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609114578 PECOS PAC ID: 8325286834 Enrollment ID: O20130522000565 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Mitchum Maynard, DO 1100 Southfield Dr, Suite 1370, Plainfield, IN 46168-4498 Ph: (317) 837-5571 | Kenneth Mitchum Maynard, DO 1045 Wyatt Way, Lizton, IN 46149-9583 Ph: (317) 994-6600 |
Jennifer L Behrens, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 W Main St, Lizton, IN 46149 Phone: 317-520-2926 Fax: 585-312-6697 | |
David M Stopperich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1045 Wyatt Way, Lizton, IN 46149 Phone: 317-994-6600 Fax: 317-994-6605 |