Mr Jerome P Lacy, MD | |
6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 | |
(502) 891-8300 | |
(502) 891-8338 |
Full Name | Mr Jerome P Lacy |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 6420 Dutchmans Pkwy, 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 |
---|---|---|---|
1649225020 | NPI | - | NPPES |
100388580A | Medicaid | IN | |
50032166 | Other | KY | PASSPORT- CTS |
000000044915 | Other | KY | ANTHEM PIN |
100388580F | Medicaid | IN | |
1056116 | Other | KY | PASSPORT |
2433840000 | Other | KY | PASSPORT ADVANTAGE PIN |
64158983 | Medicaid | KY | |
4012633 | Other | KY | AETNA- CTS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 15898 (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 |
Mailing Address | Practice Location Address |
---|---|
Mr Jerome P Lacy, MD Po Box 950232, Louisville, KY 40295-0232 Ph: (502) 891-8300 | Mr Jerome P Lacy, MD 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 Ph: (502) 891-8300 |
Cindy J Code, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3950 Kresge Way, Suite 303, Louisville, KY 40207 Phone: 502-896-1880 Fax: 502-896-1887 | |
Dr. Uchenna Loretta Ozor, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St Bldg Suite303, Louisville, KY 40202 Phone: 502-629-5552 Fax: 502-629-3132 | |
Mohamed Hegazi, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 529 S Jackson St, Louisville, KY 40202 Phone: 502-562-4270 | |
Dr. Michael Patrick Krease, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1169 Eastern Pkwy Ste G58, Louisville, KY 40217 Phone: 502-452-9567 | |
Dr. Ramsey Nasri Nassar, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6400 Dutchmans Pkwy, Ste 250, Louisville, KY 40205 Phone: 502-587-9660 Fax: 502-540-5615 | |
Jeanne M Thompson, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3 Audubon Plaza Dr, Ll2, Louisville, KY 40217 Phone: 502-636-8095 Fax: 502-636-8097 | |
Terrence P Donohue, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3101 Poplar Level Rd Ste 101, Louisville, KY 40213 Phone: 502-636-7444 Fax: 502-636-7112 |