Kevin Wayne Stephens, MD | |
1018 N Mound St Ste 101, Nacogdoches, TX 75961-4434 | |
(365) 604-4259 | |
(936) 560-4219 |
Full Name | Kevin Wayne Stephens |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 1018 N Mound St Ste 101, Nacogdoches, Texas |
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 |
---|---|---|---|
1821046244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD21691 (Maine) | Secondary |
207Q00000X | Family Medicine | P2539 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Maine Medical Center | Lewiston, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lion Star Nacogdoches Hospital, Llc | 3971992082 | 27 |
Central Maine Medical Center | 2567379563 | 346 |
Entity Name | Lion Star Nacogdoches Hospital, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316616550 PECOS PAC ID: 3971992082 Enrollment ID: O20211207001844 |
Mailing Address | Practice Location Address |
---|---|
Kevin Wayne Stephens, MD 1018 N Mound St Ste 101, Nacogdoches, TX 75961-4434 Ph: (365) 604-4259 | Kevin Wayne Stephens, MD 1018 N Mound St Ste 101, Nacogdoches, TX 75961-4434 Ph: (365) 604-4259 |
Rachel L Cline, Family Medicine Medicare: Medicare Enrolled Practice Location: 3900 Ne Stallings Dr Ste 101, Nacogdoches, TX 75965 Phone: 936-559-8770 Fax: 936-559-8773 | |
Dr. Laxman R Kalvakuntla, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 63 Waterford Dr, Nacogdoches, TX 75965 Phone: 936-645-1044 Fax: 936-205-1328 | |
Eric A Cline, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3900 Ne Stallings Dr Ste 101, Nacogdoches, TX 75965 Phone: 936-559-8770 Fax: 936-559-8773 | |
Dr. William Wayne Hairston, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1002 N Mound St, Nacogdoches, TX 75961 Phone: 936-560-3800 Fax: 936-560-0102 | |
Bryan W Davis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 129 Creekbend Blvd, Nacogdoches, TX 75965 Phone: 936-205-5949 Fax: 936-205-5953 | |
Dr. Carl Alexander Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 613 Russell Blvd, Nacogdoches, TX 75965 Phone: 936-305-4155 Fax: 936-305-4156 | |
Dr. Edwin Concerman Emborgo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 N Mound St, Suite A, Nacogdoches, TX 75961 Phone: 936-564-2691 Fax: 713-634-2636 |