Dr Jason E Mattingly, MD | |
1 Audubon Plaza Dr, Louisville, KY 40217-1318 | |
(502) 634-6767 | |
(502) 634-6775 |
Full Name | Dr Jason E Mattingly |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1 Audubon Plaza 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 |
---|---|---|---|
1497857494 | NPI | - | NPPES |
000000786858 | Other | KY | ANTHEM BC/BS |
200266300 | Medicaid | IN | |
50042930 | Other | KY | PASSPORT |
34956 | Other | KY | KY MEDICAID |
64004922 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34956 (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 | Southern Emergency Medical Specialists, P.s.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194704866 PECOS PAC ID: 6608779244 Enrollment ID: O20040130000137 |
Mailing Address | Practice Location Address |
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Dr Jason E Mattingly, MD Po Box 776351, Chicago, IL 60677-6218 Ph: (502) 588-9494 | Dr Jason E Mattingly, MD 1 Audubon Plaza Dr, Louisville, KY 40217-1318 Ph: (502) 634-6767 |
Corey Warf, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Audubon Plaza Dr, Louisville, KY 40217 Phone: 502-636-7225 | |
Anne Hayes, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4001 Dutchmans Ln, Louisville, KY 40207 Phone: 502-893-1000 | |
Mrs. Melissa Sue Puffenbarger, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000 Fax: 502-852-8556 | |
Tyler Loche, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 530 S Jackson St # C1h17, Louisville, KY 40202 Phone: 502-852-1273 | |
Dr. Jared Stuart Bass, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4001 Dutchmans Ln, Louisville, KY 40207 Phone: 502-893-1000 | |
Terry G Hensley, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7926 Preston Hwy Ste 106, Louisville, KY 40219 Phone: 502-964-4357 | |
Dr. Brett Allen Miller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr, Louisville, KY 40217 Phone: 502-634-6767 Fax: 502-634-6775 |