Dr Stanley Lawrence Block Jr, MD | |
201 S 5th St, Bardstown, KY 40004-1142 | |
(502) 348-6309 | |
(502) 348-2793 |
Full Name | Dr Stanley Lawrence Block Jr |
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Gender | Male |
Speciality | Pediatrics |
Location | 201 S 5th St, Bardstown, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619974821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 22184 (Kentucky) | Primary |
Entity Name | Bardstown Primary Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053305524 PECOS PAC ID: 4880687862 Enrollment ID: O20040406000449 |
Mailing Address | Practice Location Address |
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Dr Stanley Lawrence Block Jr, MD 201 S 5th St, Bardstown, KY 40004-1142 Ph: (502) 348-6309 | Dr Stanley Lawrence Block Jr, MD 201 S 5th St, Bardstown, KY 40004-1142 Ph: (502) 348-6309 |
Dr. Kaitlyn Cassady, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 S 5th St, Bardstown, KY 40004 Phone: 502-348-6309 Fax: 502-348-2793 | |
Daniel John Finn, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 201 S 5th St, Bardstown, KY 40004 Phone: 502-348-6309 Fax: 502-348-2793 | |
Robert Alan Smith, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 201 S 5th St, Bardstown, KY 40004 Phone: 502-348-6309 Fax: 502-348-2793 | |
Dr. Habib Michael Khoury, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 107 Manor Ave Ste 205, Bardstown, KY 40004 Phone: 502-349-6641 Fax: 502-349-6642 | |
Rebecca Renee Findlay, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 S 5th St, Bardstown, KY 40004 Phone: 502-348-6309 Fax: 502-348-2793 | |
Ronald Doyle Tyler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 S 5th St, Bardstown, KY 40004 Phone: 502-348-6309 Fax: 502-348-2793 | |
Dr. Thomas Wagoner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 S 5th St, Bardstown, KY 40004 Phone: 502-348-6309 Fax: 502-348-2793 |