Sergei Veniaminovich Dmitruk, MD | |
4010 Dupont Cir Ste 380, Louisville, KY 40207-4881 | |
(502) 895-0040 | |
(502) 214-3429 |
Full Name | Sergei Veniaminovich Dmitruk |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 7 Years |
Location | 4010 Dupont Cir Ste 380, 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 |
---|---|---|---|
1184158602 | NPI | - | NPPES |
7100740700 | Medicaid | KY | |
300050894 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 01085592A (Indiana) | Secondary |
207W00000X | Ophthalmology | 54890 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carroll County Memorial Hospital | Carrollton, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eye Centers Of Louisville,psc | 4789584921 | 20 |
Eye Centers Of Louisville,psc | 4789584921 | 20 |
Entity Name | Eye Centers Of Louisville,psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659385508 PECOS PAC ID: 4789584921 Enrollment ID: O20090925000224 |
Mailing Address | Practice Location Address |
---|---|
Sergei Veniaminovich Dmitruk, MD 1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 Ph: (502) 364-0033 | Sergei Veniaminovich Dmitruk, MD 4010 Dupont Cir Ste 380, Louisville, KY 40207-4881 Ph: (502) 895-0040 |
Dr. Brennan P Greene, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1536 Story Ave, The Eye Care Institute Building, Louisville, KY 40206 Phone: 502-589-1500 Fax: 502-589-1556 | |
Theodore M Wandzilak, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1348 Poplar Level Rd, Louisville, KY 40217 Phone: 502-634-8100 Fax: 502-637-6396 | |
Donald Walter Bennett, OD MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215 Phone: 502-895-0040 Fax: 502-361-4488 | |
Dr. Mark Cassol, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 800 Zorn Ave, Louisville, KY 40206 Phone: 502-287-4000 | |
Lawrence Tenkman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215 Phone: 502-895-0040 Fax: 502-361-4488 | |
Dr. Jacob Jones Yunker, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3810 Springhurst Blvd, Suite 100, Louisville, KY 40241 Phone: 502-897-9881 Fax: 502-897-9824 | |
Christopher J Compton, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 301 E Muhammad Ali Blvd, Louisville, KY 40202 Phone: 502-852-1665 |