Lisa B Stephens, MD | |
150 Frankfort Rd Ste 101, Shelbyville, KY 40065-7401 | |
(502) 647-5468 | |
(502) 647-7134 |
Full Name | Lisa B Stephens |
---|---|
Gender | Female |
Speciality | Pediatrics - Adolescent Medicine |
Location | 150 Frankfort Rd Ste 101, Shelbyville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982793956 | NPI | - | NPPES |
300058644 | Medicaid | IN | |
64124647 | Medicaid | KY | |
K140371 | Other | KY | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 40028 (Kentucky) | Primary |
Entity Name | Community Medical Associates Inc |
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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 |
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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 |
---|---|
Lisa B Stephens, MD Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490 | Lisa B Stephens, MD 150 Frankfort Rd Ste 101, Shelbyville, KY 40065-7401 Ph: (502) 647-5468 |
Kelsea Lea Creason, PA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 231 Midland Park, Shelbyville, KY 40065 Phone: 502-633-6411 | |
Arlyn E. Lua-canby, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 150 Frankfort Rd, Suite 101, Shelbyville, KY 40065 Phone: 502-647-5468 Fax: 502-647-7134 | |
Edward L Sames, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 515 Hospital Dr, Suite 1, Shelbyville, KY 40065 Phone: 502-633-3525 Fax: 502-633-8075 | |
Laura P White, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 140 Stonecrest Rd, Ste 101, Shelbyville, KY 40065 Phone: 502-633-6411 Fax: 502-633-6657 | |
Dr. Jessica N B Easterling, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 Phone: 502-647-5468 Fax: 502-732-7136 | |
Paulina Maida, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 Phone: 502-647-5468 | |
Sarah Hawkins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 Phone: 502-647-5468 Fax: 502-647-7134 |