Tannika Christensen, MD | |
1023 New Moody Ln, Suite 201, La Grange, KY 40031-9177 | |
(502) 225-4480 | |
(502) 225-9169 |
Full Name | Tannika Christensen |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 23 Years |
Location | 1023 New Moody Ln, La Grange, 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 |
---|---|---|---|
1053481820 | NPI | - | NPPES |
D5341 | Medicaid | UT | |
3754512000 | Other | KY | PASSPORT ADVANTAGE |
P00757041 | Other | KY | MEDICARE RR |
50026877 | Other | KY | PASSPORT HEALTH PLAN |
7100093970 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 41864 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Lagrange | La grange, KY | Hospital |
Baptist Health Louisville | Louisville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Health Medical Group Inc | 5597867184 | 1934 |
Entity Name | Baptist Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
Mailing Address | Practice Location Address |
---|---|
Tannika Christensen, MD 1023 New Moody Ln, Suite 201, La Grange, KY 40031-9177 Ph: (502) 225-4480 | Tannika Christensen, MD 1023 New Moody Ln, Suite 201, La Grange, KY 40031-9177 Ph: (502) 225-4480 |
Dr. Harold Douglass Crall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4000 Morgan Rd, Roederer Correctional Complex, La Grange, KY 40031 Phone: 502-222-0173 | |
Mary Catherine Rutherford, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1023 New Moody Ln, Suite 201, La Grange, KY 40031 Phone: 502-225-4480 Fax: 502-225-9169 | |
Marcia D Ebbs, MD PSC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1006 New Moody Ln, La Grange, KY 40031 Phone: 502-593-0083 Fax: 502-222-0029 | |
Plavakeerthi Kemparajurs, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Parker Pl Unit 200, La Grange, KY 40031 Phone: 502-222-7144 Fax: 502-222-6159 | |
Alex F. Argotte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1006 New Moody Ln, La Grange, KY 40031 Phone: 502-593-0083 |