Liesel C Grentz, DO | |
124 Dowell Rd, Russell Springs, KY 42642-4278 | |
(270) 866-2440 | |
(270) 866-2442 |
Full Name | Liesel C Grentz |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 18 Years |
Location | 124 Dowell Rd, Russell Springs, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821276130 | NPI | - | NPPES |
7100046590 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 03238 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Russell County Hospital | Russell springs, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Russell County Hospital | 6204887243 | 22 |
Entity Name | Russell County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437245842 PECOS PAC ID: 6204887243 Enrollment ID: O20050217000172 |
Mailing Address | Practice Location Address |
---|---|
Liesel C Grentz, DO 124 Dowell Rd, Russell Springs, KY 42642-4278 Ph: (270) 866-2440 | Liesel C Grentz, DO 124 Dowell Rd, Russell Springs, KY 42642-4278 Ph: (270) 866-2440 |
Alyssa L Kozacek, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 404 Steve Drive, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Dr. Richard Stayton Miles, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-2440 Fax: 270-866-2442 | |
Dr. Miles Kenton Gibson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 92 Joe T Petty Dr, Suite 300, Russell Springs, KY 42642 Phone: 270-866-7066 Fax: 270-866-7068 | |
Dr. Macon Samuel Bradley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 153 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-4141 | |
Leann Dalton Cooper, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-2440 Fax: 270-866-2442 |