Victoria Ivanukoff, DO | |
1532 Lone Oak Rd Ste 405, Paducah, KY 42003-7942 | |
(270) 441-4300 | |
(270) 441-4370 |
Full Name | Victoria Ivanukoff |
---|---|
Gender | Female |
Speciality | Vascular Surgery |
Experience | 16 Years |
Location | 1532 Lone Oak Rd Ste 405, Paducah, 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 |
---|---|---|---|
1598095929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 076643 (Georgia) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 04487 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lourdes Hospital | Paducah, KY | Hospital |
Jackson Purchase Medical Center | Mayfield, KY | Hospital |
Baptist Health Paducah | Paducah, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians Kentucky Specialty Care Llc | 1456777069 | 99 |
Entity Name | Mercy Health Physicians Kentucky Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700408093 PECOS PAC ID: 1456777069 Enrollment ID: O20200813001096 |
Mailing Address | Practice Location Address |
---|---|
Victoria Ivanukoff, DO 1035 Southcrest Dr, Ste 250, Stockbridge, GA 30281-6117 Ph: (770) 996-9945 | Victoria Ivanukoff, DO 1532 Lone Oak Rd Ste 405, Paducah, KY 42003-7942 Ph: (270) 441-4300 |
Clinton Joseph Kaufman, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 Phone: 270-442-9463 | |
Dr. Charles King Davis Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 755 Woodland Dr, Paducah, KY 42001 Phone: 270-442-1468 | |
Dr. Kristen Nicole Williams, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2601 Kentucky Ave Ste 201, Paducah, KY 42003 Phone: 270-538-9555 | |
David John Mauterer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Medical Center Drive, Suite 303, Paducah, KY 42003 Phone: 270-442-9463 Fax: 270-442-2241 | |
Alice A Higdon, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 Phone: 270-442-9463 Fax: 270-442-2241 | |
Daniel A. Howard, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1532 Lone Oak Rd, Suite 235, Paducah, KY 42003 Phone: 270-442-9463 Fax: 270-442-2241 | |
Dr. Jason David Banister, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Medical Center Dr, Ste 205, Paducah, KY 42003 Phone: 270-441-4462 Fax: 270-441-4461 |