Laura K Jacks, MD | |
2933 Breckenridge Ln Ste 103, Louisville, KY 40220-1408 | |
(502) 394-5678 | |
(502) 394-5600 |
Full Name | Laura K Jacks |
---|---|
Gender | Female |
Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
Location | 2933 Breckenridge Ln Ste 103, 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 |
---|---|---|---|
1922063312 | NPI | - | NPPES |
64052772 | Medicaid | KY | |
200397730 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 37525 (Kentucky) | Secondary |
207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | 37525 (Kentucky) | Primary |
Entity Name | Community Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
Entity Name | Norton Childrens Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
Mailing Address | Practice Location Address |
---|---|
Laura K Jacks, MD Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490 | Laura K Jacks, MD 2933 Breckenridge Ln Ste 103, Louisville, KY 40220-1408 Ph: (502) 394-5678 |
Cyna Khalily, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 E Gray St, Suite 604, Louisville, KY 40202 Phone: 502-629-5633 Fax: 502-629-5580 | |
Dr. Philip O Dripchak, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8033 Dixie Hwy, Ste B, Louisville, KY 40258 Phone: 502-449-6448 Fax: 502-449-6455 | |
Dr. Thomas Matthew Gabriel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6400 Dutchmans Pkwy, Ste 215, Louisville, KY 40205 Phone: 502-721-8288 Fax: 502-721-8792 | |
Dr. Shari Rosenberg Gabriel, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6400 Dutchmans Pkwy, Ste 215, Louisville, KY 40205 Phone: 502-721-8288 Fax: 502-721-8792 | |
Michael Salamon, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13151 Magisterial Dr, Suite 200, Louisville, KY 40223 Phone: 502-587-1236 Fax: 502-587-0318 | |
Rolando M Puno, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 E Gray St, Suite 900, Louisville, KY 40202 Phone: 502-584-7525 Fax: 502-589-0849 | |
Frank S. Wood, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 250 E Liberty St, Suite 1005, Louisville, KY 40202 Phone: 502-589-4448 Fax: 502-589-1209 |