Amy L Heisel, MD | |
7300 Turfway Rd, Florence, KY 41042-1375 | |
(859) 212-5025 | |
(859) 212-4432 |
Full Name | Amy L Heisel |
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Gender | Female |
Speciality | Pediatrics |
Location | 7300 Turfway Rd, Florence, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437122371 | NPI | - | NPPES |
64982580 | Medicaid | KY | |
0052796 | Medicaid | OH | |
50024406 | Other | KY | PASSPORT MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35067119 (Ohio) | Secondary |
208000000X | Pediatrics | 30844 (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: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Amy L Heisel, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 212-5025 | Amy L Heisel, MD 7300 Turfway Rd, Florence, KY 41042-1375 Ph: (859) 212-5025 |
Michael A Fiedler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 59 Cavalier Blvd, Suite 330, Florence, KY 41042 Phone: 859-371-3232 Fax: 859-371-6943 | |
Tara Monday, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7370 Turfway Rd, Suite 280, Florence, KY 41042 Phone: 859-212-4567 | |
Amanda Jo Dropic, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 59 Cavalier Blvd, # 330, Florence, KY 41042 Phone: 859-371-3232 Fax: 859-371-6943 | |
Dr. Frederick Adolphus Stine Vi, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 7300 Turfway Road, Florence, KY 41042 Phone: 859-212-5025 | |
Dr. Ann Reed Macke, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7309 Us Highway 42, Florence, KY 41042 Phone: 859-525-8181 Fax: 859-525-8289 | |
Dr. Rama Chandrashekaran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7607 Dixie Hwy, Florence, KY 41042 Phone: 859-655-6100 Fax: 859-282-8611 | |
Catherine A Hughes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7300 Turfway Rd, Florence, KY 41042 Phone: 859-212-5025 Fax: 859-212-4432 |