Bandana Waikhom, MD | |
7370 Turfway Rd, Suite 300, Florence, KY 41042-4895 | |
(859) 746-1990 | |
(859) 746-3149 |
Full Name | Bandana Waikhom |
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Gender | Female |
Speciality | Ophthalmology |
Location | 7370 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 |
---|---|---|---|
1053576140 | NPI | - | NPPES |
2925937 | Medicaid | OH | |
7100136710 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 35.084676 (Ohio) | Secondary |
207W00000X | Ophthalmology | TP202 (Kentucky) | Secondary |
207W00000X | Ophthalmology | 48047 (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 |
---|---|
Bandana Waikhom, MD 2300 Chamber Center Dr, Lakeside Park, KY 41017-1686 Ph: (859) 746-1990 | Bandana Waikhom, MD 7370 Turfway Rd, Suite 300, Florence, KY 41042-4895 Ph: (859) 746-1990 |
Aparna Shah, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6905b Burlington Pike, Florence, KY 41042 Phone: 859-282-9999 Fax: 859-282-9666 | |
Dr. Zegary Allen Ii, M.D., PH.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7370 Turfway Rd, Florence, KY 41042 Phone: 859-746-1990 Fax: 859-746-3149 |