Kenneth A Glavan, MD PHD | |
20 Medical Village Dr, Ste 132, Edgewood, KY 41017 | |
(859) 578-5880 | |
(859) 578-5881 |
Full Name | Kenneth A Glavan |
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Gender | Male |
Speciality | Surgery |
Location | 20 Medical Village Dr, Edgewood, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831155167 | NPI | - | NPPES |
64283344 | Medicaid | KY | |
2548256 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35079176G (Ohio) | Secondary |
208600000X | Surgery | 28334 (Kentucky) | Primary |
Entity Name | Summit Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Kenneth A Glavan, MD PHD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 578-5880 | Kenneth A Glavan, MD PHD 20 Medical Village Dr, Ste 132, Edgewood, KY 41017 Ph: (859) 578-5880 |
Dr. Steve Chausse, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Leonardo Anthony Geraci, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-578-5880 Fax: 859-578-5881 | |
Dr. Sidney Donald Trogdon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Dr. Edward H Caldwell, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 580 S Loop Rd, Suite 201, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Douglas Allen Rodgers, MD Surgery Medicare: Medicare Enrolled Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Anthony England, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-785-5880 Fax: 859-578-5881 | |
Dr. Barry L Dick, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 580 S Loop Rd, Suite 201, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 |