Kyle Jamison Childers, MD | |
3085 Lakecrest Cir, Lexington, KY 40513-1707 | |
(859) 258-8660 | |
(859) 258-8610 |
Full Name | Kyle Jamison Childers |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3085 Lakecrest Cir, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992735559 | NPI | - | NPPES |
CC4966 | Other | GA | RR MEDICARE GROUP |
37903705 | Other | KY | MEDICAID LAB GROUP |
4000501 | Other | KY | MEDICARE LAB GROUP |
64066343 | Medicaid | KY | |
P00004985 | Other | GA | RR MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 37889 (Kentucky) | Primary |
Entity Name | New Lexington Clinic Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700803681 PECOS PAC ID: 3476457532 Enrollment ID: O20031121000103 |
Mailing Address | Practice Location Address |
---|---|
Kyle Jamison Childers, MD 3085 Lakecrest Cir, Lexington, KY 40513-1707 Ph: (859) 258-8660 | Kyle Jamison Childers, MD 3085 Lakecrest Cir, Lexington, KY 40513-1707 Ph: (859) 258-8660 |
Preeti Ramachandran, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St Fl Ha4, Lexington, KY 40536 Phone: 859-323-6754 Fax: 859-323-6754 | |
Robin L Feese, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1780 Nicholasville Rd, Ste 301, Lexington, KY 40503 Phone: 859-277-6636 Fax: 859-277-1455 | |
Dr. Mina Hazem Halim Hanna, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Rose St # Ms 471, Lexington, KY 40536 Phone: 248-854-3120 Fax: 859-323-8031 | |
Jacob A Bishop, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 245 Fountain Ct, Lexington, KY 40509 Phone: 859-323-6861 | |
Donna Glandon Grigsby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 740 S Limestone, Lexington, KY 40536 Phone: 859-323-5481 | |
Dr. John Charles Vance, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1760 Nicholasville Rd, Suite 406, Lexington, KY 40503 Phone: 859-276-1221 Fax: 859-278-0047 | |
Dr. Kimberly Renee Dennis Northrip, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 740 S Limestone, J426, Lexington, KY 40536 Phone: 859-323-6426 |