Dr Rebekah Elise Booth, MD | |
60 Bryan Blvd, Suite 200, Corbin, KY 40701-2779 | |
(606) 528-9700 | |
(606) 528-8423 |
Full Name | Dr Rebekah Elise Booth |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 60 Bryan Blvd, Corbin, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194997502 | NPI | - | NPPES |
7100155050 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 44547 (Kentucky) | Primary |
Entity Name | London Women's Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063454650 PECOS PAC ID: 6204721566 Enrollment ID: O20040316001110 |
Entity Name | Owensboro Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 |
Mailing Address | Practice Location Address |
---|---|
Dr Rebekah Elise Booth, MD 60 Bryan Blvd, Suite 200, Corbin, KY 40701-2779 Ph: (606) 528-9700 | Dr Rebekah Elise Booth, MD 60 Bryan Blvd, Suite 200, Corbin, KY 40701-2779 Ph: (606) 528-9700 |
Nischala Rajegowda, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-523-8620 Fax: 606-523-8706 | |
Dr. Kendra Rachelle Gray, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 57 Summit Dr, Corbin, KY 40701 Phone: 606-528-9700 | |
Goutham Hebbalmath, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 57 Summit Dr, Corbin, KY 40701 Phone: 606-528-9700 Fax: 606-528-8423 | |
Dr. Jimmye Shannon Perkins, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2 Trillium Way, Suite 306, Corbin, KY 40701 Phone: 606-526-4070 Fax: 606-526-4072 | |
Christina Marie Butler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 57 Summit Dr, Corbin, KY 40701 Phone: 606-528-9700 Fax: 606-528-8423 |