Raul Hernandez, MD | |
900 Hospital Dr, Madisonville, KY 42431-1644 | |
(954) 232-3643 | |
Not Available |
Full Name | Raul Hernandez |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 900 Hospital Dr, Madisonville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093708331 | NPI | - | NPPES |
040691100 | Medicaid | FL | |
96707 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 017968 (Maine) | Secondary |
207P00000X | Emergency Medicine | ME0043960 (Florida) | Secondary |
207P00000X | Emergency Medicine | 44108 (Kentucky) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
Mailing Address | Practice Location Address |
---|---|
Raul Hernandez, MD 1301 Bristol Ave, Davie, FL 33325-6510 Ph: (954) 232-3643 | Raul Hernandez, MD 900 Hospital Dr, Madisonville, KY 42431-1644 Ph: (954) 232-3643 |
Dr. Karoly John Dobay Iii, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 Hospital Drive, Madisonville, KY 42431 Phone: 270-825-5100 | |
Dr. Peter E Clemens, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5100 | |
Lohita Nulu, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-6690 Fax: 270-825-7266 | |
Alan J Thorner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-7224 Fax: 270-825-7475 | |
Sean M Denton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-326-4520 Fax: 270-875-5538 | |
Dr. Andrea Renee Williams, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5101 |