Katherine Medina, APRN | |
3900 Kresge Way Ste 51, Louisville, KY 40207-4683 | |
(502) 259-5955 | |
Not Available |
Full Name | Katherine Medina |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 3900 Kresge Way Ste 51, Louisville, 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 |
---|---|---|---|
1346719804 | NPI | - | NPPES |
PENDING | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3013167 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3013167 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Louisville | Louisville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Health Medical Group Inc | 5597867184 | 1934 |
Baptist Health Medical Group Inc | 5597867184 | 1934 |
Entity Name | Baptist Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
Entity Name | Louisville Hospitalist Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962531731 PECOS PAC ID: 1456451715 Enrollment ID: O20070716000457 |
Mailing Address | Practice Location Address |
---|---|
Katherine Medina, APRN 5200 Commerce Crossings Dr Fl 3, Louisville, KY 40229-2182 Ph: (502) 253-4924 | Katherine Medina, APRN 3900 Kresge Way Ste 51, Louisville, KY 40207-4683 Ph: (502) 259-5955 |
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Harold Dean O'brien, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461 | |
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