| St. Elizabeth Physicians | |
|
1360 Dolwick Drive Erlanger KY 41018-3127 | |
| (859) 344-5555 | |
| (859) 344-5552 |
| Full Name | St. Elizabeth Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 1360 Dolwick Drive, Erlanger, Kentucky |
| Authorized Official Name and Position | Maria Rankin (AVP-REVENUE CYCLE) |
| Authorized Official Contact | 8593445555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Elizabeth Physicians 1360 Dolwick Drive Erlanger KY 41018-3127 Ph: (859) 344-5555 | St. Elizabeth Physicians 1360 Dolwick Drive Erlanger KY 41018-3127 Ph: (859) 344-5555 |
| NPI Number | 1750343216 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 09/08/2020 |
| Certification Date | 09/08/2020 |
| Medicare PECOS PAC ID | 2163326240 |
|---|---|
| Medicare Enrollment ID | O20240416003305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750343216 | NPI | - | NPPES |
| 2355115 | Medicaid | OH | |
| 2501152300 | Medicaid | IN | |
| 200993310 | Medicaid | IN | |
| 201157570 | Medicaid | IN | |
| 7100235410 | Medicaid | KY | |
| 78003852 | Medicaid | KY | |
| CC3684 | Other | KY | RAILROAD |
| 201152300 | Medicaid | IN | |
| 7100018930 | Medicaid | KY | |
| DQ9133 | Other | OH | RAILROAD |
| 65926743 | Medicaid | KY | |
| 7100235400 | Medicaid | KY | |
| 7100271890 | Medicaid | KY | |
| 7100311260 | Medicaid | KY | |
| DR8623 | Other | IN | RAILROAD |
| 78902020 | Medicaid | KY |
| Provider Name | Donald T Hudak |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1396709234 PECOS PAC ID: 1557337730 Enrollment ID: I20060913000191 |
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