Dr Zewdu Lissanu, MD | |
125 Greenbriar Dr, Campbellsville, KY 42718-9616 | |
(270) 789-0247 | |
Not Available |
Full Name | Dr Zewdu Lissanu |
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Gender | Male |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 125 Greenbriar Dr, Campbellsville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770556235 | NPI | - | NPPES |
64032188 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 36828 (Kentucky) | Primary |
Entity Name | Taylor Regional Medical Group,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174697601 PECOS PAC ID: 4880616622 Enrollment ID: O20051221000527 |
Mailing Address | Practice Location Address |
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Dr Zewdu Lissanu, MD 1698 Old Lebanon Rd, Campbellsville, KY 42718-9662 Ph: (270) 789-0247 | Dr Zewdu Lissanu, MD 125 Greenbriar Dr, Campbellsville, KY 42718-9616 Ph: (270) 789-0247 |
Dr. Stephen S Hinton, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-465-3812 Fax: 270-465-8352 | |
William D. Feltner, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1866 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-465-3588 Fax: 270-465-2635 | |
Dr. Thomas L Rogers, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 67 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-465-3812 Fax: 270-465-8352 | |
Dr. David A Montgomery, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-465-3812 Fax: 270-465-8352 | |
Dr. Tanya M Hayes, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1700 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-789-6082 Fax: 270-789-6080 | |
Dr. Joel Dean Eade, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-465-3812 Fax: 270-465-8352 | |
Dr. James Brandon Frank, D.O Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1700 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-789-6082 Fax: 270-789-6080 |