Robert J Wasson, MD | |
250 Park St, Bowling Green, KY 42101-1760 | |
(270) 745-1626 | |
(270) 842-8722 |
Full Name | Robert J Wasson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 250 Park St, Bowling Green, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457325524 | NPI | - | NPPES |
64341167 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34116 (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 |
---|---|
Robert J Wasson, MD Po Box 9577, Bowling Green, KY 42102-9577 Ph: (270) 745-1467 | Robert J Wasson, MD 250 Park St, Bowling Green, KY 42101-1760 Ph: (270) 745-1626 |
Gary M. Howerton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-745-1626 Fax: 270-842-8722 | |
Dr. Joseph Turner Stevens, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1801 Ashley Cir, Bowling Green, KY 42104 Phone: 270-793-1000 | |
John P. Strode, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-745-1626 Fax: 270-842-8722 | |
Phillip M Keeley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Triple Crown Ct, Bowling Green, KY 42104 Phone: 270-495-1755 | |
Randall P. Davidson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Ashley Cir, Bowling Green, KY 42104 Phone: 270-793-2165 | |
Lisa Reynolds Edge, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Park St, Bowling Green, KY 42101 Phone: 270-781-5111 |