Dr Carl D Gandola, MD | |
1500 James Simpson Jr Way, Suite 201, Covington, KY 41011-0801 | |
(859) 655-8980 | |
(859) 655-8981 |
Full Name | Dr Carl D Gandola |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 48 Years |
Location | 1500 James Simpson Jr Way, Covington, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376529461 | NPI | - | NPPES |
64785306 | Medicaid | KY | |
401578 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | TP405 (Kentucky) | Secondary |
207R00000X | Internal Medicine | 35043698 (Ohio) | Secondary |
207R00000X | Internal Medicine | 45251 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Edgewood | Edgewood, KY | Hospital |
St Elizabeth Ft Thomas | Fort thomas, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Medical Group, Inc | 2163326240 | 712 |
Entity Name | Summit Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Dr Carl D Gandola, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 655-8980 | Dr Carl D Gandola, MD 1500 James Simpson Jr Way, Suite 201, Covington, KY 41011-0801 Ph: (859) 655-8980 |
Liah Jeane Laureno-alvarez, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1132 Greenup St, Covington, KY 41011 Phone: 859-655-6100 | |
Dr. Ned Mehlman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-9500 Fax: 859-655-3077 | |
Irina Korableva, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-8910 Fax: 859-655-8911 | |
Jaspreet Kaur Chahal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Suite 200, Covington, KY 41011 Phone: 859-655-8910 Fax: 859-655-8911 | |
Erin Renee Tischner, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-8980 Fax: 859-655-8981 | |
Dr. Allen Joseph Zobay, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-1100 Fax: 859-655-1102 |