Stacey B Fazenbaker, M D | |
3333 Frederica St Ste 5, Owensboro, KY 42301-6085 | |
(270) 297-9075 | |
(270) 297-9077 |
Full Name | Stacey B Fazenbaker |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 25 Years |
Location | 3333 Frederica St Ste 5, Owensboro, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487615787 | NPI | - | NPPES |
6402415100 | Medicaid | KY | |
7570 | Other | KY | COMMONWEALTH BIOMEDICAL RESEARCH GROUP PTAN |
35999 | Other | KY | KY MEDICAL LICENSE NUMBER |
000000811728 | Other | KY | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35999 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
Madisonville Health And Rehabilitation, Llc | Madisonville, KY | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Owensboro Health Medical Group Inc | 0648255034 | 357 |
Entity Name | Owensboro Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 |
Entity Name | Summit Medical Specialists P.s.c |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861928228 PECOS PAC ID: 6507134012 Enrollment ID: O20170623001663 |
Mailing Address | Practice Location Address |
---|---|
Stacey B Fazenbaker, M D Po Box 3276, Evansville, IN 47731-3276 Ph: (812) 473-0181 | Stacey B Fazenbaker, M D 3333 Frederica St Ste 5, Owensboro, KY 42301-6085 Ph: (270) 297-9075 |
Dr. Fred Thomas Tuttle, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4106 Mason Woods Ln, Owensboro, KY 42303 Phone: 270-993-3999 | |
Dr. Namita R Gopal, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 415 Sutton Ln, Owensboro, KY 42301 Phone: 270-744-9600 Fax: 270-744-0834 | |
James Anthony Holder, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 920 Frederica St, Suite 104, Owensboro, KY 42301 Phone: 270-926-0234 Fax: 270-926-0257 | |
Rajendra P Mahajan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2060 E Parrish Ave, Owensboro, KY 42303 Phone: 270-684-5034 Fax: 270-685-1873 | |
William S Black, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1006 Ford Ave, Owensboro, KY 42301 Phone: 270-688-2110 Fax: 270-688-2111 | |
Jacqueline Merrill, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Industrial Dr, Owensboro, KY 42301 Phone: 270-689-6500 | |
Audry G Rhodes, M.D., M.S., FAAFP Family Medicine Medicare: Medicare Enrolled Practice Location: 2211 Mayfair Dr, Suite 101, Owensboro, KY 42301 Phone: 270-688-1352 Fax: 270-683-4313 |