Robert David Vichich, MD | |
100 Mallard Creek Rd, Suite 406, Louisville, KY 40207-4194 | |
(502) 895-4607 | |
(502) 895-4586 |
Full Name | Robert David Vichich |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 13 Years |
Location | 100 Mallard Creek Rd, 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 |
---|---|---|---|
1780983569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01073793A (Indiana) | Secondary |
207Q00000X | Family Medicine | 1038 (Wisconsin) | Secondary |
207P00000X | Emergency Medicine | 46956 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Emory University Hospital Midtown | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Emory Clinic, Inc | 8820901408 | 2729 |
Tele911 Texas Emergency Medical Group Pllc | 6103217831 | 4 |
Tele911 Florida Emergency Medical Group, P.a. | 3274922992 | 4 |
Entity Name | The Emory Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | Emory Medical Care Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
Entity Name | Emory Specialty Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Entity Name | The Bortolazzo Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
Mailing Address | Practice Location Address |
---|---|
Robert David Vichich, MD 100 Mallard Creek Rd, Suite 406, Louisville, KY 40207-4194 Ph: (859) 492-0285 | Robert David Vichich, MD 100 Mallard Creek Rd, Suite 406, Louisville, KY 40207-4194 Ph: (502) 895-4607 |
Corey Warf, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Audubon Plaza Dr, Louisville, KY 40217 Phone: 502-636-7225 | |
Anne Hayes, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4001 Dutchmans Ln, Louisville, KY 40207 Phone: 502-893-1000 | |
Mrs. Melissa Sue Puffenbarger, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000 Fax: 502-852-8556 | |
Tyler Loche, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 530 S Jackson St # C1h17, Louisville, KY 40202 Phone: 502-852-1273 | |
Dr. Jared Stuart Bass, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4001 Dutchmans Ln, Louisville, KY 40207 Phone: 502-893-1000 | |
Terry G Hensley, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7926 Preston Hwy Ste 106, Louisville, KY 40219 Phone: 502-964-4357 | |
Dr. Brett Allen Miller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr, Louisville, KY 40217 Phone: 502-634-6767 Fax: 502-634-6775 |