Cecile Del Mundo, MD | |
101 Town And Country Ln Ste 100, Hazard, KY 41701-9524 | |
(606) 439-1300 | |
(606) 439-1400 |
Full Name | Cecile Del Mundo |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 101 Town And Country Ln Ste 100, Hazard, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669553749 | NPI | - | NPPES |
6499456900 | Medicaid | KY | |
4046372 | Medicaid | TN | |
64994569 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD0000035243 (Tennessee) | Secondary |
208000000X | Pediatrics | 35193 (Kentucky) | Primary |
Entity Name | Primary Care Centers Of Eastern Kentucky Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891841961 PECOS PAC ID: 3971415993 Enrollment ID: O20031218000752 |
Entity Name | Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831150119 PECOS PAC ID: 4486616141 Enrollment ID: O20041103001183 |
Entity Name | Grace Community Health Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568625648 PECOS PAC ID: 3870654064 Enrollment ID: O20081211000571 |
Entity Name | Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255471827 PECOS PAC ID: 4486616141 Enrollment ID: O20141210002155 |
Mailing Address | Practice Location Address |
---|---|
Cecile Del Mundo, MD Po Box 1988, Hazard, KY 41702-1988 Ph: (606) 439-1300 | Cecile Del Mundo, MD 101 Town And Country Ln Ste 100, Hazard, KY 41701-9524 Ph: (606) 439-1300 |
Dr. Ghiath Al Kassar, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1908 N Main St, Hazard, KY 41701 Phone: 606-439-2662 | |
Dr. Molly Marie O'rourke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Town And Country Ln Ste 100, Hazard, KY 41701 Phone: 606-439-1300 Fax: 606-439-1400 | |
Dr. Richard Charles Adler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 210 Black Gold Blvd, Hazard, KY 41701 Phone: 606-436-0711 Fax: 606-436-0848 | |
Ms. Kanta Arya, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Center Drive, Suite 3l, Hazard, KY 41701 Phone: 606-439-1815 Fax: 606-436-5021 |