Dennis S Peppas, MD | |
4123 Dutchman's Lane, Suite 102, Louisville, KY 40207-5832 | |
(502) 559-1670 | |
(502) 559-1679 |
Full Name | Dennis S Peppas |
---|---|
Gender | Male |
Speciality | Urology |
Location | 4123 Dutchman's Lane, 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 |
---|---|---|---|
1619986973 | NPI | - | NPPES |
168822802 | Medicaid | TX | |
168822801 | Other | TX | CIDC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 48025 (Kentucky) | Primary |
Entity Name | Community Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
Entity Name | Norton Childrens Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
Mailing Address | Practice Location Address |
---|---|
Dennis S Peppas, MD Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490 | Dennis S Peppas, MD 4123 Dutchman's Lane, Suite 102, Louisville, KY 40207-5832 Ph: (502) 559-1670 |
Mr. Mohammed Adnan Said, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 520, Louisville, KY 40202 Phone: 502-588-4740 Fax: 502-588-9537 | |
Dr. Mohammad Amin, MD Urology Medicare: Medicare Enrolled Practice Location: 800 Zorn Ave, Veterans Affairs Medical Center, Louisville, KY 40206 Phone: 502-287-4000 Fax: 502-287-6825 | |
Angelena B. Edwards, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3999 Dutchmans Ln Ste 6f, Louisville, KY 40207 Phone: 502-559-1670 Fax: 502-349-1999 | |
Dr. Kellen Bo Yung Choi, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 480, Louisville, KY 40202 Phone: 502-588-4740 Fax: 502-588-9537 | |
Ross Micciche, Urology Medicare: Medicare Enrolled Practice Location: 501 E Broadway Ste 270, Louisville, KY 40202 Phone: 502-588-4740 | |
Anthony J. Casale, M.D. Urology Medicare: Medicare Enrolled Practice Location: 234 E Gray St, Suite 662, Louisville, KY 40202 Phone: 502-629-4220 | |
Rosa Park, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 401 E Chestnut St Unit 510, Louisville, KY 40202 Phone: 502-588-4740 |