Dr James Anthony Tavelli, MD | |
5211 Commerce Crossings Dr, Louisville, KY 40229-2183 | |
(502) 966-3918 | |
(502) 969-3665 |
Full Name | Dr James Anthony Tavelli |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 5211 Commerce Crossings Dr, 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 |
---|---|---|---|
1487783510 | NPI | - | NPPES |
7100272550 | Medicaid | KY | |
000000845603 | Other | KY | ANTHEM-NCMA |
131041 | Other | KY | SIHO-NCMA |
201221770 | Medicaid | IN | |
K097431 | Other | KY | MEDICARE |
50061769 | Other | KY | PASSPORT-NCMA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | R1109 (Kentucky) | Secondary |
208000000X | Pediatrics | 41964 (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 |
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Dr James Anthony Tavelli, MD Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490 | Dr James Anthony Tavelli, MD 5211 Commerce Crossings Dr, Louisville, KY 40229-2183 Ph: (502) 966-3918 |
Dr. Kendra Stratton Cloyd, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3026 Poplar Level Rd, Louisville, KY 40217 Phone: 502-636-4929 | |
Meredith Kay Irwin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mallard Creek Rd Ste 395, Louisville, KY 40207 Phone: 502-895-9421 Fax: 502-899-5762 | |
Julia E Richerson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2215 Portland Ave, Louisville, KY 40212 Phone: 502-774-8631 Fax: 502-776-8912 | |
Pradip D Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9702 Stonestreet Rd, Ste 100, Louisville, KY 40272 Phone: 502-588-0610 Fax: 502-588-0611 | |
Patricia Gail Williams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 411 E Chestnut St, Louisville, KY 40202 Phone: 502-588-0850 Fax: 502-588-0861 | |
Teresa Crase, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9880 Angies Way, Ste. 400, Louisville, KY 40241 Phone: 502-394-6500 | |
Dr. Kenneth N Schikler, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 210 E Gray St, Ste 1000, Louisville, KY 40202 Phone: 502-629-7702 Fax: 502-629-3975 |