Benjamin D Tanner, MD | |
1000 Dupont Rd, Louisville, KY 40207-4611 | |
(502) 889-6405 | |
(502) 899-6407 |
Full Name | Benjamin D Tanner |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 28 Years |
Location | 1000 Dupont Rd, Louisville, 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 |
---|---|---|---|
1649240649 | NPI | - | NPPES |
110964 | Other | KY | SIHO - NHWMS |
200518160 | Medicaid | IN | |
3945283 | Other | KY | CIGNA - NHWMS |
50027318 | Other | KY | PASSPORT - NHWMS |
64100811 | Medicaid | KY | |
000000642238 | Other | KY | ANTHEM - NHWMS |
000052153C | Other | KY | HUMANA - NHWMS |
3764333000 | Other | KY | PASSPORT ADVANTAGE - NHWMS |
50006995 | Other | KY | PASSPORT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 33097 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Norton Hospitals, Inc | Louisville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Medical Associates Inc | 7012811284 | 1179 |
Entity Name | Community Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
Mailing Address | Practice Location Address |
---|---|
Benjamin D Tanner, MD Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | Benjamin D Tanner, MD 1000 Dupont Rd, Louisville, KY 40207-4611 Ph: (502) 889-6405 |
Dr. Siddharth Pahwa, Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202 Phone: 502-588-7600 | |
Yousif El-gammal, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 225 Abraham Flexner Way Ste 850, Louisville, KY 40202 Phone: 502-562-0312 | |
Dr. Martha Trimble Mccoy, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 201 Abraham Flexner Way, Ste 902, Louisville, KY 40202 Phone: 502-583-5945 Fax: 502-583-1804 | |
Dr. Salem Michael George Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4003 Kresge Way, Suite 300, Louisville, KY 40207 Phone: 502-897-5139 Fax: 502-896-6218 | |
Dr. John N Olsofka, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4402 Churchman Ave, Ste 202, Louisville, KY 40215 Phone: 502-366-1090 Fax: 502-366-1564 | |
Jason Wayne Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St, Suite 710, Louisville, KY 40202 Phone: 502-583-8303 Fax: 502-584-0302 | |
Paula Reyes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 225 Abraham Flexner Way Ste 850, Louisville, KY 40202 Phone: 502-562-0312 |