Freeman Tichatonga Changamire, MD, SCD, MBA | |
7926 Preston Hwy Ste 106, Louisville, KY 40219-3848 | |
(502) 964-4357 | |
(502) 966-5948 |
Full Name | Freeman Tichatonga Changamire |
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Gender | Male |
Speciality | Family Medicine |
Location | 7926 Preston Hwy Ste 106, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639377963 | NPI | - | NPPES |
110086725/A | Medicaid | MA | |
234001 | Other | KY | SIHO |
386790 | Medicaid | SC | |
000001121829 | Other | KY | ANTHEM-KY |
K231120 | Other | KY | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 244111 (Massachusetts) | Secondary |
207Q00000X | Family Medicine | 38679 (South Carolina) | Secondary |
207Q00000X | Family Medicine | 50191 (Kentucky) | Primary |
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Mailing Address | Practice Location Address |
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Freeman Tichatonga Changamire, MD, SCD, MBA Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | Freeman Tichatonga Changamire, MD, SCD, MBA 7926 Preston Hwy Ste 106, Louisville, KY 40219-3848 Ph: (502) 964-4357 |
Jaivanti Lohano, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 Portland Ave, Louisville, KY 40212 Phone: 502-774-8631 Fax: 502-778-3499 | |
John L Markert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1169 Eastern Pkwy Ste 2265, Louisville, KY 40217 Phone: 502-635-7455 Fax: 502-634-9296 | |
Dr. Jerry Randolph Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3015 Wilson Ave, Park Duvalle Cnc, Louisville, KY 40211 Phone: 502-774-4401 Fax: 502-772-4783 | |
Dr. Jill Marie Jacobs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8019 Dixie Hwy Ste 101, Louisville, KY 40258 Phone: 502-254-3898 | |
Chassidy Weatherford, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4950 Norton Healthcare Blvd, Louisville, KY 40241 Phone: 502-394-6350 | |
Michael James Gaffney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3532 Ephraim Mcdowell Drive, Louisville, KY 40205 Phone: 502-456-6200 Fax: 502-456-6655 | |
Veronica Anne Kavorkian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 Chamberlain Ln, Louisville, KY 40245 Phone: 502-243-9044 Fax: 502-243-8482 |