George H Raque Jr, MD | |
210 E Gray St, Ste 1105, Louisville, KY 40202-3900 | |
(502) 583-1697 | |
(502) 583-2120 |
Full Name | George H Raque Jr |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 41 Years |
Location | 210 E Gray St, Louisville, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952394157 | NPI | - | NPPES |
00023035K | Other | HUMANA/NNIKY | |
000000604409 | Other | NORTONANTHEM | |
012947 | Other | NORTON-SIHO | |
64234107 | Other | KY MEDICAID/NIKY | |
012947 | Other | SIHO/NNIKY | |
100373960 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 23410 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Norton Hospitals, Inc | Louisville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sn Kentuckiana Rehab Llc | 1254671464 | 249 |
Community Medical Associates Inc | 7012811284 | 1179 |
Entity Name | Community Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
Mailing Address | Practice Location Address |
---|---|
George H Raque Jr, MD Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | George H Raque Jr, MD 210 E Gray St, Ste 1105, Louisville, KY 40202-3900 Ph: (502) 583-1697 |
Maxwell Boakye, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 Abraham Flexner Way Ste 1200, Louisville, KY 40202 Phone: 502-899-3623 | |
John Joseph Guarnaschelli, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 234 E Gray St, Suite 768, Louisville, KY 40202 Phone: 502-584-4121 Fax: 502-584-6626 | |
Abigail Justine Rao, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241 Phone: 502-394-6390 Fax: 502-394-6388 | |
Dr. Aurora Seaton Cruz, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 4003 Kresge Way Ste 400, Louisville, KY 40207 Phone: 502-259-5955 Fax: 502-259-5953 | |
Dr. Maria Koutourousiou, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Abraham Flexner Way, Se #1200, Louisville, KY 40202 Phone: 502-899-3623 Fax: 502-899-7970 | |
Nathaniel Todnem, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Kresge Way Ste 51, Louisville, KY 40207 Phone: 502-259-5955 | |
Norberto Omar Andaluz, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 Abraham Flexner Way Ste 1200, Louisville, KY 40202 Phone: 502-899-3623 Fax: 502-899-7970 |