Kenneth S Marvin, MD | |
101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8852 | |
(912) 535-3500 | |
Not Available |
Full Name | Kenneth S Marvin |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 38 Years |
Location | 101 Harris Industrial Blvd, Vidalia, 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 |
---|---|---|---|
1417035221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 075321 (Georgia) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 171074 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kingman Regional Medical Center | Kingman, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kingman Healthcare Inc | 6901791367 | 170 |
Entity Name | Kingman Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265423917 PECOS PAC ID: 6901791367 Enrollment ID: O20040216001173 |
Mailing Address | Practice Location Address |
---|---|
Kenneth S Marvin, MD Po Box 407, Vidalia, GA 30475-0407 Ph: (912) 535-3500 | Kenneth S Marvin, MD 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474-8852 Ph: (912) 535-3500 |
Brick Acosta, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 Fax: 912-535-5830 | |
Misty Denise Poole, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 210 Mose Coleman Dr, Vidalia, GA 30474 Phone: 912-537-2200 Fax: 912-537-2260 | |
Dr. Charles A Gordon, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 Fax: 912-535-8930 | |
Dr. Martha Smith, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 101 Harris Industrial Blvd Ste A, Vidalia, GA 30474 Phone: 912-535-3500 Fax: 912-535-4498 | |
Mark Hoerman, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1811 Edwina Dr, Vidalia, GA 30474 Phone: 912-538-8105 Fax: 912-538-8109 | |
Sreekanth Reddy, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy Ste B, Vidalia, GA 30474 Phone: 912-454-7012 Fax: 866-871-8565 |