Dr Ronnie Pridemore, MD | |
9212 Glover Ln, Louisville, KY 40242-3318 | |
(502) 767-2060 | |
Not Available |
Full Name | Dr Ronnie Pridemore |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 16 Years |
Location | 9212 Glover Ln, Louisville, 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 |
---|---|---|---|
1285895334 | NPI | - | NPPES |
7100136250 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 48816 (Kentucky) | Secondary |
207P00000X | Emergency Medicine | 01067848A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hardin Memorial Hospital | Elizabethtown, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elizabethtown Emergency Physicians, Llc | 9537067525 | 13 |
Entity Name | Elizabethtown Emergency Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528003316 PECOS PAC ID: 9537067525 Enrollment ID: O20031229000839 |
Entity Name | T J Samson Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477609865 PECOS PAC ID: 0648182600 Enrollment ID: O20040318001777 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
Mailing Address | Practice Location Address |
---|---|
Dr Ronnie Pridemore, MD 1220 Missouri Ave, Jeffersonville, IN 47130-3725 Ph: (812) 283-2521 | Dr Ronnie Pridemore, MD 9212 Glover Ln, Louisville, KY 40242-3318 Ph: (502) 767-2060 |
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 |