Gary Bodnarchuk, MD | |
1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7913 | |
(270) 443-0777 | |
(270) 443-0999 |
Full Name | Gary Bodnarchuk |
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Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 1532 Lone Oak Rd, Paducah, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033196084 | NPI | - | NPPES |
036075177 | Medicaid | IL | |
64282759 | Medicaid | KY | |
P00947881 | Other | KY | RAIL ROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 28275 (Kentucky) | Primary |
207RG0100X | Internal Medicine - Gastroenterology | 036.075177 (Illinois) | Secondary |
Entity Name | Mercy Health Physicians Kentucky Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700408093 PECOS PAC ID: 1456777069 Enrollment ID: O20200813001096 |
Mailing Address | Practice Location Address |
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Gary Bodnarchuk, MD Po Box 636961, Cincinnati, OH 45263-6961 Ph: (513) 981-5130 | Gary Bodnarchuk, MD 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7913 Ph: (270) 443-0777 |
Mr. Danny Neale Butler, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2603 Kentucky Avenue, Suite 303, Paducah, KY 42003 Phone: 270-443-2900 Fax: 270-443-7122 | |
Winston Chua, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2603 Kentucky Ave, Suite 403, Paducah, KY 42003 Phone: 270-444-3930 Fax: 270-442-5284 | |
Lingaiah Chandrashekar, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 225 Medical Center Dr Ste 308, Paducah, KY 42003 Phone: 270-443-0777 Fax: 270-443-0999 | |
Dr. Bradley B Mcelroy, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2601 Kentucky Ave, Suite 301, Paducah, KY 42003 Phone: 270-575-3113 Fax: 270-575-3135 | |
Benjamin Howard Thompson, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2501 Kentucky Ave, Paducah, KY 42003 Phone: 270-575-8472 | |
Joseph A Bassi Ii, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3131 Parisa Dr, Paducah, KY 42003 Phone: 270-444-8000 Fax: 270-444-8302 |