Kevin Francis Mcenaney, MD | |
500 Gateway Dr, Clayton, NC 27520-2158 | |
(919) 585-9001 | |
(919) 488-1719 |
Full Name | Kevin Francis Mcenaney |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 500 Gateway Dr, Clayton, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093716482 | NPI | - | NPPES |
5913630 | Medicaid | NC | |
01408951 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 225335 (New York) | Secondary |
208000000X | Pediatrics | 2009-00440 (North Carolina) | Primary |
Entity Name | Private Diagnostic Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
Entity Name | Duke Health Integrated Practice Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
Mailing Address | Practice Location Address |
---|---|
Kevin Francis Mcenaney, MD 260 Horizon Dr, Raleigh, NC 27615-4922 Ph: (919) 488-0015 | Kevin Francis Mcenaney, MD 500 Gateway Dr, Clayton, NC 27520-2158 Ph: (919) 585-9001 |
Dr. Ihab Abdel-aziz Abdel-khalek, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11708 Hwy 70 West, Clayton, NC 27520 Phone: 919-550-2770 Fax: 919-553-7926 | |
Alyssa Ann Jenkins Schuett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 104 Medspring Dr Ste 100, Clayton, NC 27520 Phone: 919-359-3500 Fax: 919-359-3501 | |
Matthew Munschauer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 104 Medspring Dr, Clayton, NC 27520 Phone: 414-266-6800 | |
Kristin Kushwaha, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 104 Medspring Dr Ste 100, Clayton, NC 27520 Phone: 919-359-3500 Fax: 919-359-3501 | |
Jessica Christine Kuhn Owens, NP Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Gateway Dr, Clayton, NC 27520 Phone: 919-585-9001 | |
Dr. Laura Beth Mann Dosier, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 104 Medspring Dr, Clayton, NC 27520 Phone: 919-235-6535 |