Chad A Wiesenauer, MD | |
234 E Gray St, Louisville, KY 40202-1900 | |
(502) 588-0390 | |
(502) 584-5437 |
Full Name | Chad A Wiesenauer |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 234 E Gray St, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861616732 | NPI | - | NPPES |
01053500A | Other | IN | STATE LICENSE NUMBER |
7100008600 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 01053500A (Indiana) | Primary |
Entity Name | University Of Louisville Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
Mailing Address | Practice Location Address |
---|---|
Chad A Wiesenauer, MD 234 E Gray St, Louisville, KY 40202-1900 Ph: (502) 588-0390 | Chad A Wiesenauer, MD 234 E Gray St, Louisville, KY 40202-1900 Ph: (502) 588-0390 |
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 |