Jeanetta Lee Bosley, MD | |
534 Hillcrest Dr, Brandenburg, KY 40108-1222 | |
(270) 422-5000 | |
(270) 422-5052 |
Full Name | Jeanetta Lee Bosley |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 534 Hillcrest Dr, Brandenburg, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679632939 | NPI | - | NPPES |
64252687 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25268 (Kentucky) | Primary |
Entity Name | Baptist Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
Mailing Address | Practice Location Address |
---|---|
Jeanetta Lee Bosley, MD 6801 Dixie Hwy, Suite 130, Louisville, KY 40258-3913 Ph: (270) 422-5000 | Jeanetta Lee Bosley, MD 534 Hillcrest Dr, Brandenburg, KY 40108-1222 Ph: (270) 422-5000 |
Mariah Haylee Tiller-baker, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 534 Hillcrest Dr, Brandenburg, KY 40108 Phone: 270-422-5000 Fax: 270-422-5052 | |
Dr. Raymond Lewis Mathis, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 65 Cedar Vista Dr, Brandenburg, KY 40108 Phone: 270-422-5470 Fax: 270-422-2567 | |
Dr. Bryan M Honaker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 815 Hillcrest Dr, Brandenburg, KY 40108 Phone: 270-422-4111 Fax: 270-422-3629 | |
Dr. Robert Eugene Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 534 Hillcrest Drive, Brandenburg, KY 40108 Phone: 270-422-5000 Fax: 270-422-5052 | |
Rebecca Ohanian-samarin, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 664 Bypass Rd, Brandenburg, KY 40108 Phone: 270-422-4000 Fax: 270-422-4002 | |
Mrs. Teri Lynn Pierce, ARNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 815 Hilcrest Drive, Brandenburg, KY 40108 Phone: 270-422-4111 Fax: 270-422-3629 |