Antolin Julian Perez, MD | |
727 Hospital Dr, Shelbyville, KY 40065-1660 | |
(502) 647-4085 | |
(502) 647-4098 |
Full Name | Antolin Julian Perez |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 34 Years |
Location | 727 Hospital Dr, Shelbyville, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417032202 | NPI | - | NPPES |
200902390A | Medicaid | IN | |
7100046920 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 28835 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kentucky Anesthesia Partners Pllc | 8820493919 | 11 |
Entity Name | Anesthesia Care Enterprises Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861450371 PECOS PAC ID: 0840104899 Enrollment ID: O20031114000300 |
Entity Name | Xenon Anesthesia Of Kentucky Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407292931 PECOS PAC ID: 9032345814 Enrollment ID: O20131127000296 |
Entity Name | Radius Anesthesia Of Kentucky Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679020689 PECOS PAC ID: 6002190758 Enrollment ID: O20170224002382 |
Entity Name | Kentucky Anesthesia Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750917357 PECOS PAC ID: 8820493919 Enrollment ID: O20210827001895 |
Mailing Address | Practice Location Address |
---|---|
Antolin Julian Perez, MD 308 Longview Park Pl, Louisville, KY 40245-6217 Ph: (502) 489-9472 | Antolin Julian Perez, MD 727 Hospital Dr, Shelbyville, KY 40065-1660 Ph: (502) 647-4085 |
Henry Edward Moeller, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4085 Fax: 502-647-4098 |