Brian Clarke, MD | |
20 Medical Village Dr, Edgewood, KY 41017-5401 | |
(859) 578-5880 | |
(859) 578-5881 |
Full Name | Brian Clarke |
---|---|
Gender | Male |
Speciality | Surgery - Surgical Critical Care |
Location | 20 Medical Village Dr, Edgewood, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366804536 | NPI | - | NPPES |
21718 | Other | HI | MEDICAL LICENSE |
57309 | Other | KY | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | 57309 (Kentucky) | Primary |
Entity Name | Summit Medical Group Inc |
---|---|
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 |
---|---|
Brian Clarke, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 578-5880 | Brian Clarke, MD 20 Medical Village Dr, Edgewood, KY 41017-5401 Ph: (859) 578-5880 |
Dr. Steve Chausse, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Leonardo Anthony Geraci, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-578-5880 Fax: 859-578-5881 | |
Dr. Sidney Donald Trogdon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Dr. Edward H Caldwell, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 580 S Loop Rd, Suite 201, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Douglas Allen Rodgers, MD Surgery Medicare: Medicare Enrolled Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Anthony England, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-785-5880 Fax: 859-578-5881 | |
Dr. Barry L Dick, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 580 S Loop Rd, Suite 201, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 |