Jerry B Buchanan, MD | |
200 Abraham Flexner Way, Louisville, KY 40202-1818 | |
(502) 583-2731 | |
(502) 583-2733 |
Full Name | Jerry B Buchanan |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 200 Abraham Flexner Way, 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 |
---|---|---|---|
1558381830 | NPI | - | NPPES |
02734476 | Medicaid | NY | |
060793901 | Medicaid | TX | |
XPY200542 | Medicaid | CA | |
2126498 | Medicaid | OH | |
64141278 | Medicaid | KY | |
0160095000 | Medicaid | WV | |
100321580 | Other | KY | MANAGED HEALTH SERVICES |
1054568 | Medicaid | KY | |
100321580 | Medicaid | IN | |
9097732-00 | Medicaid | FL | |
000000062493 | Other | KY | ANTHEM BLUE FACET |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 14127 (Kentucky) | Primary |
Entity Name | Tyson Schwab Short & Weiss Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194774760 PECOS PAC ID: 0244125862 Enrollment ID: O20040220000791 |
Mailing Address | Practice Location Address |
---|---|
Jerry B Buchanan, MD 222 S 1st St, Suite 501, Louisville, KY 40202-5404 Ph: (502) 583-2731 | Jerry B Buchanan, MD 200 Abraham Flexner Way, Louisville, KY 40202-1818 Ph: (502) 583-2731 |
Dr. Sohail Contractor, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-5875 | |
Dr. Mark S Cornett, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway, Louisville, KY 40202 Phone: 502-629-2500 Fax: 502-629-3165 | |
Dr. Christopher Blair Cornell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr # 276, Louisville, KY 40217 Phone: 502-447-8786 Fax: 502-447-8623 | |
Dr. Andrew John Collins, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St # C07, Louisville, KY 40202 Phone: 502-852-5875 | |
Dr. Cynthia H Hart, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Abraham Flexner Way, Louisville, KY 40202 Phone: 502-587-4231 Fax: 502-583-2733 | |
Dr. Shannon Ogden Steed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4001 Dutchmans Ln # 276, Louisville, KY 40207 Phone: 502-447-8786 Fax: 502-447-8623 | |
Theodore Lee, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 502-629-7601 |