Dr Brian A Krakover, MD | |
650 Joel Dr, Fort Campbell, KY 42223-5318 | |
(270) 461-4904 | |
Not Available |
Full Name | Dr Brian A Krakover |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 650 Joel Dr, Fort Campbell, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144206319 | NPI | - | NPPES |
165540904 | Medicaid | TX | |
165540901 | Medicaid | TX | |
8J1753 | Other | TX | BCBS |
8R3171 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | L6089 (Texas) | Secondary |
207P00000X | Emergency Medicine | 2009-02018 (North Carolina) | Primary |
Entity Name | Cumberland County Hospital System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
Entity Name | Cfvhs Ed Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215931589 PECOS PAC ID: 2961316237 Enrollment ID: O20031119000605 |
Entity Name | Cfv Express Care Billing Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396842514 PECOS PAC ID: 1456353960 Enrollment ID: O20070213000650 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian A Krakover, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 461-4904 | Dr Brian A Krakover, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 461-4904 |
Dr. Gary Lee Eberly, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8500 | |
Frances Gill, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-461-0127 | |
Ned Zagajac, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 646-827-9781 | |
Steven Tanksley, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-956-4498 | |
Dr. Derek Mikel Carlson, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7277 Nightstalker Way, Fort Campbell, KY 42223 Phone: 270-798-9416 | |
Dr. Anthony Wade Jones, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Credentialing Office, Fort Campbell, KY 42223 Phone: 210-916-2460 | |
Dr. Joseph Jude, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8727 |