Dr Timothy Wayne Carroll, MD | |
150 N Eagle Creek Dr, Lexington, KY 40509-1805 | |
(865) 967-5000 | |
Not Available |
Full Name | Dr Timothy Wayne Carroll |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 150 N Eagle Creek Dr, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437189396 | NPI | - | NPPES |
4329758 | Medicaid | KY | |
P00233172 | Other | KY | RAILROAD MEDICARE |
64329758 | Medicaid | KY | |
000000258128 | Other | KY | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 32975 (Kentucky) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
Entity Name | Acs Primary Care Physicians-midwest |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609811413 PECOS PAC ID: 3173435229 Enrollment ID: O20050816000693 |
Entity Name | Baptist Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
Entity Name | Ich-epg Alliance Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679005557 PECOS PAC ID: 5092092577 Enrollment ID: O20170510002374 |
Entity Name | Empact Midwest Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841801784 PECOS PAC ID: 9436577517 Enrollment ID: O20200922002897 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy Wayne Carroll, MD Po Box 633815, Cincinnati, OH 45263-0001 Ph: () - | Dr Timothy Wayne Carroll, MD 150 N Eagle Creek Dr, Lexington, KY 40509-1805 Ph: (865) 967-5000 |
Allison Woodall, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: University Of Kentucky And Affiliates, 800 Rose St., Lexington, KY 40536 Phone: 859-323-5871 | |
Traci Westerfield, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2416 Regency Road, Lexington, KY 40503 Phone: 859-278-1316 Fax: 859-276-1574 | |
Dr. Hollis R Hilty, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1740 Nicholasville Road, Lexington, KY 40503 Phone: 859-260-6180 Fax: 859-260-6693 | |
James Byron Moore Ii, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3205 Summit Square Pl Ste 100, Lexington, KY 40509 Phone: 859-335-9041 Fax: 859-335-9072 | |
Dr. Matthew Stewart Dawson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 230 W Main St, Lexington, KY 40507 Phone: 859-309-4839 | |
Dr. Jeremiah Phelps, MD PHD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: University Of Kentucky, 800 Rose St, Lexington, KY 40536 Phone: 859-323-6762 | |
Rebecca C Bowers, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-5901 |