Nathan Timothy Kenyon, MD | |
2505 Mission Dr Ste 200, Jefferson City, MO 65109-9508 | |
(573) 681-3759 | |
(573) 681-3659 |
Full Name | Nathan Timothy Kenyon |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 12 Years |
Location | 2505 Mission Dr Ste 200, Jefferson City, Missouri |
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 |
---|---|---|---|
1851651657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 2013018167 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Mary's Hospital Jefferson City | Jefferson city, MO | Hospital |
Putnam County Memorial Hospital | Unionville, MO | Hospital |
Lake Regional Health System | Osage beach, MO | Hospital |
Boone Hospital Center | Columbia, MO | Hospital |
University Of Missouri Health Care | Columbia, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Regional Health Services | 8921917352 | 58 |
Entity Name | Ssm Regional Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336555275 PECOS PAC ID: 8921917352 Enrollment ID: O20040107000402 |
Entity Name | Ssm Regional Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588601777 PECOS PAC ID: 8921917352 Enrollment ID: O20041105000902 |
Entity Name | Putnam County Memorial Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1609870195 PECOS PAC ID: 7911915327 Enrollment ID: O20100205000711 |
Mailing Address | Practice Location Address |
---|---|
Nathan Timothy Kenyon, MD 2505 Mission Dr Ste 200, Jefferson City, MO 65109-9508 Ph: (573) 681-3759 | Nathan Timothy Kenyon, MD 2505 Mission Dr Ste 200, Jefferson City, MO 65109-9508 Ph: (573) 681-3759 |
Dr. David George Lancaster, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1432 Southwest Blvd, Jefferson City, MO 65109 Phone: 573-632-5660 Fax: 573-632-5859 | |
Rebecca Lynn Hogg, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1511 Christy Dr, Jefferson City, MO 65101 Phone: 573-632-2777 Fax: 573-634-7423 | |
William Brady Shaw, D.O. Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5660 Fax: 573-632-5859 | |
Dr. Thomas J. Folz, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1225 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7725 Fax: 573-761-3596 | |
Osvaldo Acosta-rodriguez, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1500 Southwest Blvd, Ste C, Jefferson City, MO 65109 Phone: 573-632-5786 Fax: 573-632-5833 | |
Joann Mace, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1432 Southwest Blvd, Jefferson City, MO 65109 Phone: 573-632-5660 Fax: 573-632-5859 |