Masroor Alam, MD | |
1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017-3403 | |
(859) 341-7246 | |
(859) 341-7867 |
Full Name | Masroor Alam |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 35 Years |
Location | 1 Medical Village Dr, Edgewood, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720069388 | NPI | - | NPPES |
0982843 | Medicaid | OH | |
200320150 | Medicaid | IN | |
611077369 | Other | TAX ID | |
64028475 | Medicaid | KY | |
311585770 1720069388 | Other | HEALTHNET | |
000000192691 | Other | ANTHEM BLUE SHIELD | |
000000642262 | Other | ANTHEM | |
11179782 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 36170 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Edgewood | Edgewood, KY | Hospital |
Dearborn County Hospital | Lawrenceburg, IN | Hospital |
St Elizabeth Florence | Florence, KY | Hospital |
St Elizabeth Ft Thomas | Fort thomas, KY | Hospital |
Mercy Health - West Hospital | Cincinnati, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Group Practice Inc | 1254245137 | 368 |
Anesthesia Group Practice Inc | 1254245137 | 368 |
Anesthesia Group Practice Inc | 1254245137 | 368 |
Entity Name | Anesthesia Group Practice Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20031114000492 |
Mailing Address | Practice Location Address |
---|---|
Masroor Alam, MD 20 Medical Village Dr, Ste 258, Edgewood, KY 41017-5401 Ph: (859) 341-7246 | Masroor Alam, MD 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017-3403 Ph: (859) 341-7246 |
Raymond James Sullivan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Independent Anesthesiologists. Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 | |
David Zangrando, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 849-341-7246 Fax: 859-341-7867 | |
Timothy Dale Dickinson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 | |
Marian Jeanne Gorham, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 | |
Richard Gerard Oliver, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-641-7867 | |
Steven Peter Noll, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 | |
Dr. Oren Costantini, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-341-7867 |