Brenden M Wetherton, MD | |
727 Hospital Dr, Shelbyville, KY 40065-1660 | |
(502) 647-4347 | |
Not Available |
Full Name | Brenden M Wetherton |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 727 Hospital Dr, Shelbyville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528062189 | NPI | - | NPPES |
64035520 | Medicaid | KY | |
000000060164 | Other | KY | BCBS GROUP # |
000000275811 | Other | KY | BCBS GROUP # SAME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35884 (Kentucky) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
Mailing Address | Practice Location Address |
---|---|
Brenden M Wetherton, MD Po Box 8, Louisville, KY 40201-0008 Ph: (800) 476-8646 | Brenden M Wetherton, MD 727 Hospital Dr, Shelbyville, KY 40065-1660 Ph: (502) 647-4347 |
Dr. Ray C Kennedy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4347 | |
Dr. Yolanda Shields, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4347 | |
Dr. Maida E Colon, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4347 | |
Justina Marie Ellis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 515 Hospital Dr Ste 1, Shelbyville, KY 40065 Phone: 502-633-3525 | |
Frank J Martin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 800-476-8646 Fax: 919-382-3210 | |
Dr. Donald W Payne, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4347 | |
Dr. Tyler Mason Corey, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-405-1033 |