Ricky Stanley Collis, MD | |
315 E Broadway, Suite 250, Louisville, KY 40202-3700 | |
(502) 589-4765 | |
(502) 589-4799 |
Full Name | Ricky Stanley Collis |
---|---|
Gender | Male |
Speciality | Pain Management |
Experience | 28 Years |
Location | 315 E Broadway, Louisville, 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 |
---|---|---|---|
1144231291 | NPI | - | NPPES |
0005382490 | Other | AETNA | |
000000043722 | Other | ANTHEM | |
200137520A | Medicaid | IN | |
64298144 | Medicaid | KY | |
1058769 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0000X | Pain Medicine - Pain Medicine | 29814 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Norton Hospitals, Inc | Louisville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Interventional Rehabilitation Of Kentucky Psc | 6103850482 | 2 |
Interventional Rehabilitation Of Kentucky Psc | 6103850482 | 2 |
Entity Name | Interventional Rehabilitation Of Kentucky Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275549842 PECOS PAC ID: 6103850482 Enrollment ID: O20070314000029 |
Mailing Address | Practice Location Address |
---|---|
Ricky Stanley Collis, MD 315 E Broadway, Suite 250, Louisville, KY 40202-3700 Ph: (502) 589-4765 | Ricky Stanley Collis, MD 315 E Broadway, Suite 250, Louisville, KY 40202-3700 Ph: (502) 589-4765 |
Dr. Kevin Carter Andres, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 6801 Dixie Hwy Ste 135, Louisville, KY 40258 Phone: 502-791-8700 | |
Amy Lee Delk, APRN Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 312 S 4th St Ste 700, Louisville, KY 40202 Phone: 502-804-5495 Fax: 833-563-1715 | |
Lady Christine Lim Ong Sio, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 1900 Bluegrass Ave Ste 300, Louisville, KY 40215 Phone: 502-815-7336 Fax: 502-815-7337 | |
Brigid M Buckman, ARNP Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Eastpoint Pkwy, Suite 410, Louisville, KY 40223 Phone: 502-253-6625 Fax: 502-253-6629 | |
Konrad Kijewski, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4130 Dutchmans Ln Ste 200, Louisville, KY 40207 Phone: 502-897-1794 Fax: 502-897-3852 | |
Mr. Bill Walker Haney, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205 Phone: 502-708-9880 Fax: 502-708-6911 |