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Kevin Bruce Jones

Family Medicine

Allopathic & Osteopathic Physicians

214 SW 26th Ave, Suite C, Mineral Wells, TX 76067-8249

PECOS Enrollment

This provider is enrolled in PECOS as KEVIN JONES.

Based on the most recent information from CMS, provider Kevin Bruce Jones is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1003913468
Provider Type
Individual
Full Name
Jones, Kevin Bruce
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/20/2006
Last Updated
7/9/2007

Contact Information

Practice Location

214 SW 26th Ave, Suite C, Mineral Wells, TX 76067-8249

(940) 325-4426

(940) 325-7727

Mailing Location

214 SW 26th Ave, Suite C, Mineral Wells, TX 76067-8249

(940) 325-4426

(940) 325-7727

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License G5231 Texas

Provider Identifiers

ID	Description	Issuer
ID 035423501	Description Medicaid	Issuer Unlisted Texas

Kevin Bruce Jones

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Arce, Luis Manuel

Palo Pinto County Hospital District

Buckley, Laura R

Alice L. Ramsey M.D.

Lindley, Katarina

David B. Ramsey, M.D., P.A.

Duesterheft, Ruth Marie

Ramsey, Alice L.

Evans, Edmond C

Gore, Ty L