Dr Kevin Ray Waddell, MD - Medicare Obstetrics & Gynecology in Beaumont, TX

Dr Kevin Ray Waddell, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Beaumont, Texas. His current practice location is 740 Hospital Dr, Suite 250, Beaumont, Texas. You can reach out to his office (for appointments etc.) via phone at (409) 212-1000.

Dr Kevin Ray Waddell is licensed to practice in Texas (license number M4976) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679569594.

Contact Information

Dr Kevin Ray Waddell, MD
740 Hospital Dr, Suite 250,
Beaumont, TX 77701-4664
(409) 212-1000
(409) 813-3302



Physician's Profile

Full NameDr Kevin Ray Waddell
GenderMale
SpecialityObstetrics & Gynecology
Location740 Hospital Dr, Beaumont, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679569594
  • Provider Enumeration Date: 09/26/2005
  • Last Update Date: 11/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5294755286
  • Enrollment ID: I20070222000225

Medical Identifiers

Medical identifiers for Dr Kevin Ray Waddell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679569594NPI-NPPES
184821001MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology M4976 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kevin Ray Waddell allows following entities to bill medicare on his behalf.
Entity NameKevin R. Waddell, M.d., P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639251051
PECOS PAC ID: 5294830030
Enrollment ID: O20070423000531

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kevin Ray Waddell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kevin Ray Waddell, MD
740 Hospital Dr, Suite 250,
Beaumont, TX 77701-4664

Ph: (409) 212-1000
Dr Kevin Ray Waddell, MD
740 Hospital Dr, Suite 250,
Beaumont, TX 77701-4664

Ph: (409) 212-1000

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Obstetrics & Gynecology Doctors in Beaumont, TX

Dr. Pamela Ann St Amand, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 450 N 11th St, Beaumont, TX 77702
Phone: 832-548-5000    
David B Smith, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 755 N 11th St, Suite P4200, Beaumont, TX 77702
Phone: 409-899-1499    Fax: 409-899-1354
Deborah C Sherman, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 755 N 11th St, Ste P4200, Beaumont, TX 77702
Phone: 409-899-1499    Fax: 409-899-1354
Dr. Gene Norman Barry, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 2900 North St Ste 310, Beaumont, TX 77702
Phone: 409-896-5400    Fax: 409-896-5383
Dr. Sharae Johnson, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 755 N 11th St Ste P4200, Beaumont, TX 77702
Phone: 409-899-1499    
Maxie C Sprott Ii, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2627 Calder St, Beaumont, TX 77702
Phone: 409-838-4472    Fax: 409-838-0496
Dr. Christopher P. Dowdy, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3070 College St, Suite 207, Beaumont, TX 77701
Phone: 409-833-5790    Fax: 409-833-5899

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