Travis Allen Shutt, MD | |
401 E Chestnut St Unit 170, Louisville, KY 40202-5701 | |
(502) 583-3687 | |
Not Available |
Full Name | Travis Allen Shutt |
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Gender | Male |
Speciality | Otolaryngology |
Location | 401 E Chestnut St Unit 170, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669903795 | NPI | - | NPPES |
7100555610 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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207Y00000X | Otolaryngology | TP109 (Kentucky) | Primary |
Entity Name | University Of Louisville Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
Mailing Address | Practice Location Address |
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Travis Allen Shutt, MD Po Box 909, Louisville, KY 40201-0909 Ph: () - | Travis Allen Shutt, MD 401 E Chestnut St Unit 170, Louisville, KY 40202-5701 Ph: (502) 583-3687 |
Dr. Michael J Brown, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3999 Dutchmans Ln, Suite #3a, Suburban Plaza One, Louisville, KY 40207 Phone: 502-897-7300 Fax: 502-897-3332 | |
Dr. Carl D Coppola, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3950 Kresge Way Ste 402, Louisville, KY 40207 Phone: 502-893-3683 | |
Mr. Stanley S. Chmiel, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 4003 Kresge Way, Ste 227, Louisville, KY 40207 Phone: 502-893-3342 Fax: 502-893-9575 | |
Dr. Marion D Eyre, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205 Phone: 502-894-9753 Fax: 502-371-0929 | |
Dr. Sean Matthew Miller, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6420 Dutchmans Pkwy Ste 380, Louisville, KY 40205 Phone: 502-894-8441 Fax: 502-894-4453 | |
Ziad A Katrib, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 170, Louisville, KY 40202 Phone: 502-583-3687 Fax: 502-588-7840 | |
Mary Katherine Alexandra Spiker, PA-C Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241 Phone: 502-394-6390 Fax: 502-394-6388 |