| |
185 Commercial Dr, Vanceburg, KY 41179-6181 | |
(606) 796-3295 | |
(606) 796-9285 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 185 Commercial Dr, Vanceburg, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902058126 | NPI | - | NPPES |
77010601 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1060DT (Kentucky) | Primary |
Provider Name | Louis M Bertram |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215044680 PECOS PAC ID: 4486604964 Enrollment ID: I20050124000608 |
Mailing Address | Practice Location Address |
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185 Commercial Dr, Vanceburg, KY 41179-6181 Ph: (606) 796-3295 | 185 Commercial Dr, Vanceburg, KY 41179-6181 Ph: (606) 796-3295 |
Dr. Louis Michael Bertram, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 185 Commercial Dr, Vanceburg, KY 41179 Phone: 606-796-3295 Fax: 606-796-9285 |