Jacqueline Granese, MD | |
1065 Ashley St Ste 200, Bowling Green, KY 42103-3401 | |
(270) 843-3376 | |
(270) 780-0496 |
Full Name | Jacqueline Granese |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 25 Years |
Location | 1065 Ashley St Ste 200, Bowling Green, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649479460 | NPI | - | NPPES |
7100072860 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0900X | Dermatology - Dermatopathology | 42560 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gilbert Barbee Moore And Mcilvoy Psc | 4082511167 | 228 |
Entity Name | Gilbert Barbee Moore & Mcilvoy Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114948288 PECOS PAC ID: 4082511167 Enrollment ID: O20031217000136 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Granese, MD 201 Park St, Bowling Green, KY 42101-1759 Ph: (270) 781-5111 | Jacqueline Granese, MD 1065 Ashley St Ste 200, Bowling Green, KY 42103-3401 Ph: (270) 843-3376 |
Dr. Jo Ann Jones, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1065 Ashley St, Suite 200, Bowling Green, KY 42103 Phone: 270-781-5111 Fax: 270-780-0478 | |
Dr. Wilfred Amiscua Lumbang, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1065 Ashley St, Bowling Green, KY 42103 Phone: 270-843-3376 Fax: 270-780-0496 | |
Dr. Robert Louis Skaggs Ii, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 Phone: 270-842-1919 | |
John David Cowan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1106 Fairway St, Bowling Green, KY 42103 Phone: 270-783-8003 Fax: 270-783-8005 | |
Dr. Shannon Watkins, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1065 Ashley St, Suite 200, Bowling Green, KY 42103 Phone: 270-781-5111 Fax: 270-780-0478 |