| Primehealth Of Kentucky Llc | |
|
10200 Forest Green Blvd Ste 112 Louisville KY 40223-5167 | |
| (844) 882-3127 | |
| Not Available |
| Full Name | Primehealth Of Kentucky Llc |
|---|---|
| Speciality | Podiatrist |
| Location | 10200 Forest Green Blvd Ste 112, Louisville, Kentucky |
| Authorized Official Name and Position | Kenneth King (OWNER) |
| Authorized Official Contact | 8448823127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primehealth Of Kentucky Llc 2100 E Lake Cook Rd Ste 1000 Buffalo Grove IL 60089-1999 Ph: (844) 882-3127 | Primehealth Of Kentucky Llc 10200 Forest Green Blvd Ste 112 Louisville KY 40223-5167 Ph: (844) 882-3127 |
| NPI Number | 1922551308 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 05/10/2018 |
| Medicare PECOS PAC ID | 6901184688 |
|---|---|
| Medicare Enrollment ID | O20161101000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922551308 | NPI | - | NPPES |
| Provider Name | Michael J Grant |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306940408 PECOS PAC ID: 9739071283 Enrollment ID: I20040329000555 |
| Provider Name | Jessica S Jackson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912947631 PECOS PAC ID: 0244210235 Enrollment ID: I20050112000031 |
| Provider Name | Daryl Kinshasa Jenkins |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245215318 PECOS PAC ID: 0042280935 Enrollment ID: I20090327000386 |
| Provider Name | Michael W Hammer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013967181 PECOS PAC ID: 4486695160 Enrollment ID: I20090327000425 |
| Provider Name | Trevecca Shaw |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497917165 PECOS PAC ID: 4183784762 Enrollment ID: I20090330000022 |
| Provider Name | Marion K Martin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083976112 PECOS PAC ID: 4284883075 Enrollment ID: I20121011000706 |
| Provider Name | Lynn D Frazier |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801855093 PECOS PAC ID: 1557348901 Enrollment ID: I20121023000457 |
| Provider Name | Laura Galloway |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780085399 PECOS PAC ID: 7214259753 Enrollment ID: I20141211001064 |
| Provider Name | Amy Ruzicka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508368556 PECOS PAC ID: 8022372887 Enrollment ID: I20180502000415 |
| Provider Name | Madeline J Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275661837 PECOS PAC ID: 2769731900 Enrollment ID: I20180821001306 |
| Provider Name | Zachery Weinberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679096812 PECOS PAC ID: 5294075198 Enrollment ID: I20190416001441 |
| Provider Name | Elizabeth Hanks |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1275088866 PECOS PAC ID: 8628350220 Enrollment ID: I20191121001263 |
| Provider Name | Sheri Kaye Bellamy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073166799 PECOS PAC ID: 6608291604 Enrollment ID: I20200807002165 |
| Provider Name | Bennet Grad |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497781397 PECOS PAC ID: 3577451095 Enrollment ID: I20210111003021 |
Bardstown Road Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 Bardstown Rd, Louisville, KY 40291 Phone: 502-493-0302 | |
Mortenson Family Dental Center - Dixie At Rockford Lane, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4740 Dixie Hwy, Louisville, KY 40216 Phone: 502-447-8992 | |
Bbb - Fern Creek Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9360 Cedar Center Way, Louisville, KY 40291 Phone: 502-239-9070 Fax: 502-239-9078 | |
Tds Ky Five Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 Thierman Ln, Louisville, KY 40207 Phone: 502-896-2822 | |
Dental Health Professionals Of Kentucky, P.s.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7704 Bardstown Rd, Louisville, KY 40291 Phone: 502-200-5220 | |
Advanced Dental Center, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8517 Preston Hwy, Louisville, KY 40219 Phone: 502-966-4367 Fax: 502-966-4001 | |
Drs. Graham And Fortune, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9001 Galene Dr, Louisville, KY 40299 Phone: 502-267-8176 Fax: 502-267-8177 |