Robert B Hendren, MD | |
1900 Bluegrass Ave, Suite 203, Louisville, KY 40215 | |
(502) 375-0009 | |
(502) 375-2150 |
Full Name | Robert B Hendren |
---|---|
Gender | Male |
Speciality | Urology |
Location | 1900 Bluegrass Ave, 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 |
---|---|---|---|
1720174758 | NPI | - | NPPES |
000000076257 | Other | ANTHEM | |
64880883 | Medicaid | KY | |
340017311 | Other | KY | RAILROAD MEDICARE |
65909285 | Medicaid | KY | |
1106100 | Other | KY | PASSPORT |
1106548 | Other | KY | PASSPORT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 34676 (Kentucky) | Primary |
Entity Name | Norton - Kings Daughters Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611 |
Entity Name | First Urology Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922099811 PECOS PAC ID: 3779572888 Enrollment ID: O20040602000501 |
Mailing Address | Practice Location Address |
---|---|
Robert B Hendren, MD 101 Hospital Blvd, Jeffersonville, IN 47130-3769 Ph: (812) 282-3899 | Robert B Hendren, MD 1900 Bluegrass Ave, Suite 203, Louisville, KY 40215 Ph: (502) 375-0009 |
Mr. Mohammed Adnan Said, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 520, Louisville, KY 40202 Phone: 502-588-4740 Fax: 502-588-9537 | |
Dr. Mohammad Amin, MD Urology Medicare: Medicare Enrolled Practice Location: 800 Zorn Ave, Veterans Affairs Medical Center, Louisville, KY 40206 Phone: 502-287-4000 Fax: 502-287-6825 | |
Angelena B. Edwards, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3999 Dutchmans Ln Ste 6f, Louisville, KY 40207 Phone: 502-559-1670 Fax: 502-349-1999 | |
Dr. Kellen Bo Yung Choi, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 480, Louisville, KY 40202 Phone: 502-588-4740 Fax: 502-588-9537 | |
Ross Micciche, Urology Medicare: Medicare Enrolled Practice Location: 501 E Broadway Ste 270, Louisville, KY 40202 Phone: 502-588-4740 | |
Anthony J. Casale, M.D. Urology Medicare: Medicare Enrolled Practice Location: 234 E Gray St, Suite 662, Louisville, KY 40202 Phone: 502-629-4220 | |
Rosa Park, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 401 E Chestnut St Unit 510, Louisville, KY 40202 Phone: 502-588-4740 |