Raymond Depa, DO | |
1140 Lexington Rd, Georgetown, KY 40324-9330 | |
(502) 868-1100 | |
Not Available |
Full Name | Raymond Depa |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 28 Years |
Location | 1140 Lexington Rd, Georgetown, 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 |
---|---|---|---|
1255323911 | NPI | - | NPPES |
64079395 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 02820 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Georgetown Community Hospital | Georgetown, KY | Hospital |
Baptist Health Corbin | Corbin, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kentucky Anesthesia Group Psc | 4082527890 | 35 |
Bluegrass Anesthesia Services, Psc | 6305750209 | 12 |
Kentucky Anesthesia Group Psc | 4082527890 | 35 |
Entity Name | Kentucky Anesthesia Group Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073608634 PECOS PAC ID: 4082527890 Enrollment ID: O20031107000511 |
Entity Name | Bluegrass Anesthesia Services, Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548355100 PECOS PAC ID: 6305750209 Enrollment ID: O20031114000601 |
Mailing Address | Practice Location Address |
---|---|
Raymond Depa, DO 425 Lewis Hargett Cir, Lexington, KY 40503-3590 Ph: (859) 268-1030 | Raymond Depa, DO 1140 Lexington Rd, Georgetown, KY 40324-9330 Ph: (502) 868-1100 |
Michael Goodwin, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100 | |
Anthony Jay Lopez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100 | |
Edward J Ziembroski, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1140 Lexington Road, Georgetown, KY 40324 Phone: 502-868-1100 | |
Nadia Rasheed, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100 | |
Paul Skinner, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100 |