David M Reilly, MD | |
350 Hospital Way, Suite 100, Somerset, KY 42503-2872 | |
(606) 451-2601 | |
(606) 451-2641 |
Full Name | David M Reilly |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 350 Hospital Way, Somerset, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053385443 | NPI | - | NPPES |
5635067 | Other | AETNA | |
C92456 | Other | CUMBERLAND HEALTHCARE | |
64314065 | Medicaid | KY | |
000000226630 | Other | ANTHEM | |
1165848 | Other | CHA | |
5225606 | Other | CCN | |
023209000 | Medicaid | FL | |
080145046 | Other | KY | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 31406 (Kentucky) | Secondary |
207Q00000X | Family Medicine | ME134181 (Florida) | Primary |
Entity Name | Lake Cumberland Regional Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861078685 PECOS PAC ID: 7214909456 Enrollment ID: O20040809001229 |
Mailing Address | Practice Location Address |
---|---|
David M Reilly, MD 3655 Kent Dr, Naples, FL 34112-3753 Ph: (606) 875-1369 | David M Reilly, MD 350 Hospital Way, Suite 100, Somerset, KY 42503-2872 Ph: (606) 451-2601 |
Dr. Michael Shane Randolph, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 104 Hardin Ln, Somerset, KY 42503 Phone: 606-676-0786 | |
Dr. Brittany Paige Pittman Hardcorn, DNP, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2441 S Highway 27, Somerset, KY 42501 Phone: 606-451-0231 | |
Travis Massengale, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Somerset, KY 42503 Phone: 606-451-2624 Fax: 606-451-5506 | |
Jeffery W Golden, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Suite 100, Somerset, KY 42503 Phone: 606-451-2650 Fax: 606-451-2641 | |
Susan J Petrosky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Parkway Dr, Somerset, KY 42503 Phone: 606-679-4389 | |
James David Wilson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Suite 100, Somerset, KY 42503 Phone: 606-451-2662 Fax: 606-451-2641 |