Sathyendra R Mysore, MD | |
1001 Saint Joseph Ln, London, KY 40741-8345 | |
(606) 330-6000 | |
(606) 330-7825 |
Full Name | Sathyendra R Mysore |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1001 Saint Joseph Ln, London, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962476200 | NPI | - | NPPES |
61-1427889 | Other | KY | CHA |
61-1427889 | Other | KY | TRICARE |
61-1427889 | Other | KY | BLUEGRASS FAMILY HEALTH |
61-1427889 | Other | KY | UHC |
61-1427889 | Other | KY | HUMANA |
030670000 | Other | KY | BLACK LUNG |
50005320 | Other | KY | PASSPORT HEALTH PLAN |
64060783 | Medicaid | KY | |
000000378002 | Other | KY | ANTHEM PROVIDER # |
C20852 | Other | KY | CUMBERLAND HEALTHCARE INC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 36943 (Kentucky) | Primary |
Entity Name | Commonwealth Anesthesia, Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437196300 PECOS PAC ID: 5092627521 Enrollment ID: O20031104000115 |
Entity Name | Cumberland Anesthesia Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124134192 PECOS PAC ID: 8426957218 Enrollment ID: O20031231000063 |
Entity Name | Triangle Anesthesia Group, Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124079314 PECOS PAC ID: 9436161585 Enrollment ID: O20060608000180 |
Entity Name | Professional Anesthesia Services Of Kentucky Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992212807 PECOS PAC ID: 0244590305 Enrollment ID: O20180209000936 |
Mailing Address | Practice Location Address |
---|---|
Sathyendra R Mysore, MD 740 E Laurel Rd, London, KY 40741-8601 Ph: (606) 877-3931 | Sathyendra R Mysore, MD 1001 Saint Joseph Ln, London, KY 40741-8345 Ph: (606) 330-6000 |
Dr. Deepak Srivastava, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1001 Saint Joseph Ln, Anesthesia Program, London, KY 40741 Phone: 606-330-6906 Fax: 606-330-6536 | |
Shailesh Y Bhopatkar, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1001 Saint Joseph Ln, London, KY 40741 Phone: 606-330-6000 Fax: 606-330-7825 | |
Colin C Bryant, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 310 E 9th St, London, KY 40741 Phone: 606-878-6520 Fax: 606-877-3978 | |
Munawar Siddiqi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 106 Fortress Properties St, Suite 2, London, KY 40741 Phone: 859-224-9989 Fax: 606-877-4560 | |
Srihari Chitturi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 310 E 9th St, London, KY 40741 Phone: 606-224-3993 | |
Nagy W Nashed, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 310 E 9th St, London, KY 40741 Phone: 606-878-6520 Fax: 606-877-3978 |