Mr Manoochehr Mazloomdoost, MD | |
715 Shaker Dr, Ste 101 Pain Management Medicine, Lexington, KY 40504 | |
(859) 275-4878 | |
(859) 276-5400 |
Full Name | Mr Manoochehr Mazloomdoost |
---|---|
Gender | Male |
Speciality | Pain Medicine - Pain Medicine |
Location | 715 Shaker Dr, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740252188 | NPI | - | NPPES |
64170830 | Medicaid | KY | |
000000069094 | Other | KY | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0000X | Pain Medicine - Pain Medicine | 17083 (Kentucky) | Primary |
Entity Name | Manoochehr Mazloomdoost P S C |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770555492 PECOS PAC ID: 8729983218 Enrollment ID: O20031208000172 |
Mailing Address | Practice Location Address |
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Mr Manoochehr Mazloomdoost, MD 715 Shaker Dr, Ste 101 Pain Management Medicine, Lexington, KY 40504 Ph: (859) 275-4878 | Mr Manoochehr Mazloomdoost, MD 715 Shaker Dr, Ste 101 Pain Management Medicine, Lexington, KY 40504 Ph: (859) 275-4878 |
Frederick H Coates Jr., M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2416 Regency Rd, Ste. 300, Lexington, KY 40503 Phone: 859-278-1316 Fax: 859-276-1574 | |
Dr. Lauren K Larson, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2416 Regency Rd, Lexington, KY 40503 Phone: 859-278-1316 Fax: 859-276-1574 | |
Dr. Peter D Wright, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2416 Regency Rd, Ste 30, Lexington, KY 40503 Phone: 859-278-1316 Fax: 859-276-1574 | |
Mrs. Terra Brooke Wadley, APRN Pain Medicine Medicare: May Accept Medicare Assignments Practice Location: 828 Lane Allen Rd Ste 219, Lexington, KY 40504 Phone: 443-383-9300 Fax: 855-866-8710 | |
Katherine E. Ballard, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2416 Regency Road, Lexington, KY 40503 Phone: 859-278-1316 Fax: 859-260-2470 | |
Dr. Ballard D Wright, M.D. Pain Medicine Medicare: Medicare Enrolled Practice Location: 2416 Regency Rd, Ste 30, Lexington, KY 40503 Phone: 859-278-1316 Fax: 859-276-1574 |