| Manoochehr Mazloomdoost Psc | |
|
101 N Eagle Creek Dr # 120 Lexington KY 40509-1806 | |
| (859) 275-4878 | |
| (859) 276-5400 |
| Full Name | Manoochehr Mazloomdoost Psc |
|---|---|
| Speciality | Anesthesiology |
| Location | 101 N Eagle Creek Dr # 120, Lexington, Kentucky |
| Authorized Official Name and Position | Danesh Mazloomdoost (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8592754878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manoochehr Mazloomdoost Psc 101 N Eagle Creek Dr # 120 Lexington KY 40509-1806 Ph: (859) 275-4878 | Manoochehr Mazloomdoost Psc 101 N Eagle Creek Dr # 120 Lexington KY 40509-1806 Ph: (859) 275-4878 |
| NPI Number | 1770555492 |
|---|---|
| Provider Enumeration Date | 02/06/2006 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Medicare PECOS PAC ID | 8729983218 |
|---|---|
| Medicare Enrollment ID | O20031208000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770555492 | NPI | - | NPPES |
| 65941387 | Medicaid | KY |
| Provider Name | Manoochehr Mazloomdoost |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740252188 PECOS PAC ID: 6305742891 Enrollment ID: I20050117000162 |
| Provider Name | Danesh Mazloomdoost |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851447072 PECOS PAC ID: 3072645258 Enrollment ID: I20100723000493 |
| Provider Name | Camellia S Mazloomdoost |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952372419 PECOS PAC ID: 8123924610 Enrollment ID: I20101202001172 |
| Provider Name | James E Escaloni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467643064 PECOS PAC ID: 1254509631 Enrollment ID: I20110801000139 |
| Provider Name | Megan B Begley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124312780 PECOS PAC ID: 4082974118 Enrollment ID: I20180208002649 |
| Provider Name | Travis Bridges |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508392044 PECOS PAC ID: 1759799877 Enrollment ID: I20210409000354 |
| Provider Name | Jeannie Leigh Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104340132 PECOS PAC ID: 0941565931 Enrollment ID: I20230201000299 |
Alexander J. Tikhtman, M.d., P.s.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 Nicholasville Rd, Suite 403, Lexington, KY 40503 Phone: 859-276-6168 Fax: 859-276-0850 | |
Verbal Behavior Consulting, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 Strader Dr Ste 150, Lexington, KY 40505 Phone: 859-899-9200 Fax: 859-899-9202 | |
Thomas-peeples & Associates, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Dennis Dr, Lexington, KY 40503 Phone: 859-278-4775 Fax: 859-373-0018 | |
Kvc Behavorial Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Beasley St, Lexington, KY 40509 Phone: 859-254-1035 | |
Momo Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Glenn Pl, Lexington, KY 40505 Phone: 502-509-9436 | |
Andre N. Fernandez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Darby Creek Rd, Suite 21, Lexington, KY 40509 Phone: 859-263-9305 Fax: 859-264-1169 | |
Mended Counseling & Trauma Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Euclid Ave Ste A102, Lexington, KY 40502 Phone: 859-338-0006 |