Christina Marie Butler, MD | |
57 Summit Dr, Corbin, KY 40701-2746 | |
(606) 528-9700 | |
(606) 528-8423 |
Full Name | Christina Marie Butler |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 57 Summit Dr, Corbin, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972775559 | NPI | - | NPPES |
7100043410 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 41670 (Kentucky) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Christina Marie Butler, MD 57 Summit Dr, Corbin, KY 40701-2746 Ph: (606) 528-9700 | Christina Marie Butler, MD 57 Summit Dr, Corbin, KY 40701-2746 Ph: (606) 528-9700 |
Dr. Rebekah Elise Booth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 60 Bryan Blvd, Suite 200, Corbin, KY 40701 Phone: 606-528-9700 Fax: 606-528-8423 | |
Nischala Rajegowda, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-523-8620 Fax: 606-523-8706 | |
Dr. Kendra Rachelle Gray, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 57 Summit Dr, Corbin, KY 40701 Phone: 606-528-9700 | |
Goutham Hebbalmath, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 57 Summit Dr, Corbin, KY 40701 Phone: 606-528-9700 Fax: 606-528-8423 | |
Dr. Jimmye Shannon Perkins, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2 Trillium Way, Suite 306, Corbin, KY 40701 Phone: 606-526-4070 Fax: 606-526-4072 |