Dr Ian Levi Stines, MD | |
825 2nd Ave Ste B1, Bowling Green, KY 42101-1790 | |
(270) 796-3330 | |
(270) 796-3338 |
Full Name | Dr Ian Levi Stines |
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Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 825 2nd Ave Ste B1, Bowling Green, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952711665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 125-065649 (Illinois) | Secondary |
208600000X | Surgery | 036.153047 (Illinois) | Secondary |
2086S0129X | Surgery - Vascular Surgery | TP992 (Kentucky) | Primary |
Entity Name | Commonwealth Health Corporation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881109304 PECOS PAC ID: 5496667628 Enrollment ID: O20040916000800 |
Mailing Address | Practice Location Address |
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Dr Ian Levi Stines, MD Po Box 2697, Bowling Green, KY 42102-7697 Ph: (270) 745-1100 | Dr Ian Levi Stines, MD 825 2nd Ave Ste B1, Bowling Green, KY 42101-1790 Ph: (270) 796-3330 |
Dr. Shane Damien O'keeffe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Park St, Suite 210, Bowling Green, KY 42101 Phone: 270-796-3330 Fax: 270-796-3338 | |
Salim C Saba, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 141 Mooreborough Ct, Bowling Green, KY 42103 Phone: 929-255-6856 | |
Dr. Mark D. Jessen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1326 Andrea St, Bowling Green, KY 42104 Phone: 270-781-1588 Fax: 270-781-1598 | |
Fouad Victor Atalla, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1048 Ashley St Ste 303, Bowling Green, KY 42103 Phone: 270-796-8960 Fax: 270-842-5683 | |
Dr. Chen Rubinstein, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: Cardiac Surgery Of South Central Ky, 350 Park St Suite 210, Bowling Green, KY 42101 Phone: 270-796-3330 Fax: 270-796-3338 | |
Dr. George Wayne Bush, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1325 Andrea St, Suite 209, Bowling Green, KY 42104 Phone: 270-842-1660 | |
Benjamin R. Sigmond, M.D., C.W.S. Surgery Medicare: Accepting Medicare Assignments Practice Location: 165 Natchez Trace Ave Ste 300, Bowling Green, KY 42103 Phone: 270-783-3306 Fax: 270-780-0491 |