Adrian A Acosta, | |
1 Medical Village Dr, Edgewood, KY 41017-3403 | |
(859) 301-8074 | |
(859) 301-4945 |
Full Name | Adrian A Acosta |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 1 Medical Village Dr, Edgewood, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609436070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 56364 (Kentucky) | Secondary |
208M00000X | Hospitalist | 56364 (Kentucky) | Primary |
Entity Name | Summit Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20040403000151 |
Mailing Address | Practice Location Address |
---|---|
Adrian A Acosta, Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 344-5555 | Adrian A Acosta, 1 Medical Village Dr, Edgewood, KY 41017-3403 Ph: (859) 301-8074 |
Dr. Jeffrey Yates, M.D., PH.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945 | |
Dr. Cody Alexander Van Linge, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 413 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-3800 | |
Ranbir Singh Dhaliwal, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945 |