Oak Street Health Physicians Group Of Kentucky, Pllc - Medicare Mental Health Clinic in Louisville, KY

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Oak Street Health Physicians Group Of Kentucky, Pllc is a medicare enrolled mental health clinic (Clinic/center - Primary Care) in Louisville, Kentucky. The current practice location for Oak Street Health Physicians Group Of Kentucky, Pllc is 5743 Preston Hwy, Louisville, Kentucky. For appointments, you can reach them via phone at (502) 444-6008. The mailing address for Oak Street Health Physicians Group Of Kentucky, Pllc is 30 W Monroe St Ste 1200, Chicago, Illinois and phone number is (312) 733-9730.

Oak Street Health Physicians Group Of Kentucky, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1467031997. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (502) 444-6008.

Contact Information

Oak Street Health Physicians Group Of Kentucky, Pllc
5743 Preston Hwy
Louisville
KY 40219-1305
(502) 444-6008
(502) 586-7173

Map and Direction


Mental Health Clinic Profile

Full NameOak Street Health Physicians Group Of Kentucky, Pllc
SpecialityClinic/Center
Location5743 Preston Hwy, Louisville, Kentucky
Authorized Official Name and PositionGriffin Myers (CMO)
Authorized Official Contact3072642085
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Oak Street Health Physicians Group Of Kentucky, Pllc
30 W Monroe St Ste 1200
Chicago
IL 60603-2420

Ph: (312) 733-9730		Oak Street Health Physicians Group Of Kentucky, Pllc
5743 Preston Hwy
Louisville
KY 40219-1305

Ph: (502) 444-6008

NPI Details:

NPI Number1467031997
Provider Enumeration Date04/02/2021
Last Update Date06/29/2023
Certification Date06/29/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5991105330
Medicare Enrollment IDO20210607002390

Medical Identifiers

Medical identifiers for Oak Street Health Physicians Group Of Kentucky, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467031997NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Oak Street Health Physicians Group Of Kentucky, Pllc acts as a billing entity for following providers:
Provider NameEdward P Isaacs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497700124
PECOS PAC ID: 1850283698
Enrollment ID: I20040326000930
Provider NameMary E Pawley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598939852
PECOS PAC ID: 3274691811
Enrollment ID: I20081025000010
Provider NameCarol L Mitchell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710986310
PECOS PAC ID: 3173687589
Enrollment ID: I20090130000075
Provider NameAlina Rizea
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710092424
PECOS PAC ID: 5597790394
Enrollment ID: I20120121000083
Provider NameShavon T Prentice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962782128
PECOS PAC ID: 0446419253
Enrollment ID: I20120323000276
Provider NameTraci R Welker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497001408
PECOS PAC ID: 6709034598
Enrollment ID: I20120920000311
Provider NameKelly Mike
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073939468
PECOS PAC ID: 9638301419
Enrollment ID: I20140409001229
Provider NamePhyllis Milburn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164776563
PECOS PAC ID: 1850664897
Enrollment ID: I20170913001851
Provider NameKalpana Rangaswamy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346756228
PECOS PAC ID: 0941563894
Enrollment ID: I20180406001156
Provider NameGlenda Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013417435
PECOS PAC ID: 1153675772
Enrollment ID: I20181119001477
Provider NameGlee D Christ
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851494934
PECOS PAC ID: 8123127560
Enrollment ID: I20200318001678
Provider NameLiudmila Padron Rodriguez Mena
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942898333
PECOS PAC ID: 4284042953
Enrollment ID: I20210416002185
Provider NameTravis Schamber
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891061990
PECOS PAC ID: 1557674074
Enrollment ID: I20210615001127
Provider NameMaria F Wilson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699978114
PECOS PAC ID: 1951402098
Enrollment ID: I20210702001073
Provider NameCora Marie Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639586399
PECOS PAC ID: 2163644055
Enrollment ID: I20211105000544
Provider NameJustin Hunt
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1326138074
PECOS PAC ID: 6901842228
Enrollment ID: I20220405003041
Provider NameVivian Gaines-thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790197283
PECOS PAC ID: 9335364538
Enrollment ID: I20220406001044
Provider NameRachel Hildebrand
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528531258
PECOS PAC ID: 7416299748
Enrollment ID: I20220808001614
Provider NameRachel Sabb
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629321096
PECOS PAC ID: 0547412371
Enrollment ID: I20220808002287
Provider NameTimanika Dansby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083016547
PECOS PAC ID: 5698061299
Enrollment ID: I20220817000897
Provider NameMira Desai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538559190
PECOS PAC ID: 6800104787
Enrollment ID: I20220930001784
Provider NameTuwanda Williamson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629018528
PECOS PAC ID: 6608817630
Enrollment ID: I20230302001971

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.