| Bryan Jessop Eckerle, | |
|
3 Audubon Plaza Dr, Ll2, Louisville, KY 40217-1300 | |
| (502) 636-4940 | |
| (502) 636-4941 |
| Full Name | Bryan Jessop Eckerle |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 15 Years |
| Location | 3 Audubon Plaza Dr, 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 |
|---|---|---|---|
| 1023252558 | NPI | - | NPPES |
| 74003114 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | 46403 (Kentucky) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 46403 (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 | Kentucky Medical Services Foundation, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326091448 PECOS PAC ID: 5698689909 Enrollment ID: O20031119000300 |
| 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 |
|---|---|
| Bryan Jessop Eckerle, Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | Bryan Jessop Eckerle, 3 Audubon Plaza Dr, Ll2, Louisville, KY 40217-1300 Ph: (502) 636-4940 |
Dr. Christopher R. Shafer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St, Suite 510, Louisville, KY 40202 Phone: 502-588-4800 Fax: 502-588-4801 | |
David James Haustein, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 220 Abraham Flexner Way # 1200, Louisville, KY 40202 Phone: 502-584-3377 | |
Elizabeth B. Shelton, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir, Ste 312, Louisville, KY 40207 Phone: 812-282-1888 Fax: 812-285-8392 | |
Manoocher Mofidi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2225 W Broadway, Louisville, KY 40211 Phone: 502-589-8600 Fax: 502-589-8771 | |
Dr. Steven B Lippmann, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 550 S Jackson St, Louisville, KY 40202 Phone: 502-852-1759 Fax: 502-852-5098 | |
Tanya Wozniak, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4201 Springhurst Blvd Ste 203, Louisville, KY 40241 Phone: 502-425-6690 Fax: 502-890-2092 |