Thomas D Cervoni, MD | |
789 Eastern Byp, Suite 5, Richmond, KY 40475-2415 | |
(859) 624-4110 | |
(859) 624-1968 |
Full Name | Thomas D Cervoni |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 33 Years |
Location | 789 Eastern Byp, Richmond, 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 |
---|---|---|---|
1407946403 | NPI | - | NPPES |
200312945 | Other | KY | FEDERAL TAX ID |
64035546 | Medicaid | KY | |
5623185 | Other | AETNA PROVIDER ID | |
P00111547 | Other | KY | TRAVELERS MEDICARE NUMBER |
000000311405 | Other | KY | ANTHEM BLUECROSS & BLUESH |
5245840001 | Other | KY | DMEPOS ADMINISTAR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 34845 (Kentucky) | Primary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 34845 (Kentucky) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Home Care Lexington | Lexington, KY | Home health agency |
Baptist Health Richmond | Richmond, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kentucky Orthopedic Rehabilitation Llc | 0345157293 | 731 |
Baptist Health Medical Group Inc | 5597867184 | 1934 |
H2 Rehabilitation Services Of Kentucky, Llc | 5799682688 | 67 |
Entity Name | Baptist Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518360296 PECOS PAC ID: 5597867184 Enrollment ID: O20150206000249 |
Mailing Address | Practice Location Address |
---|---|
Thomas D Cervoni, MD 789 Eastern Byp, Suite 5, Richmond, KY 40475-2415 Ph: (859) 624-4110 | Thomas D Cervoni, MD 789 Eastern Byp, Suite 5, Richmond, KY 40475-2415 Ph: (859) 624-4110 |
Tyrone Gregory Dozier Jr., ATC Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 171 N Keeneland Dr, Richmond, KY 40475 Phone: 859-575-1888 | |
Robert William Nolan, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 789 Eastern Byp, Suite 5, Richmond, KY 40475 Phone: 859-624-4110 Fax: 859-624-1968 | |
Michael R Heilig, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 318 Highland Park Dr, Richmond, KY 40475 Phone: 859-353-4180 |