David Eric Kissel, MD PH D | |
2020 Newburg Rd, Psychiatry Department, Louisville, KY 40205-1803 | |
(502) 451-3330 | |
(502) 451-5949 |
Full Name | David Eric Kissel |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2020 Newburg Rd, 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 |
---|---|---|---|
1609883354 | NPI | - | NPPES |
64258940 | Medicaid | KY | |
201062670A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | KY25894 (Kentucky) | Primary |
Entity Name | Mandala House, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659829760 PECOS PAC ID: 4789957135 Enrollment ID: O20170906002088 |
Mailing Address | Practice Location Address |
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David Eric Kissel, MD PH D 6801 Dixie Hwy, Suite 130, Louisville, KY 40258-3913 Ph: (502) 479-4433 | David Eric Kissel, MD PH D 2020 Newburg Rd, Psychiatry Department, Louisville, KY 40205-1803 Ph: (502) 451-3330 |
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 | |
Bryan Jessop Eckerle, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3 Audubon Plaza Dr, Ll2, Louisville, KY 40217 Phone: 502-636-4940 Fax: 502-636-4941 |