| Dr Trevecca Kerry Shaw, DPM | |
|
2406 W Broadway, Louisville, KY 40211-1008 | |
| (502) 775-1711 | |
| (502) 443-0369 |
| Full Name | Dr Trevecca Kerry Shaw |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 2406 W Broadway, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497917165 | NPI | - | NPPES |
| 000000614278 | Other | ANTHEM | |
| 2919864 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 00338 (Kentucky) | Primary |
| Provider Name | Jencare Neighborhood Medical Valley Station, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295091999 PECOS PAC ID: 9234394859 Enrollment ID: O20120705000596 |
| Provider Name | Primehealth Of Kentucky Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922551308 PECOS PAC ID: 6901184688 Enrollment ID: O20161101000192 |
| Provider Name | Pmr Ky Holding Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740737709 PECOS PAC ID: 4789076688 Enrollment ID: O20220127000649 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Trevecca Kerry Shaw, DPM 1320 Belmont Ave, #1, Youngstown, OH 44504-1130 Ph: (330) 747-3910 | Dr Trevecca Kerry Shaw, DPM 2406 W Broadway, Louisville, KY 40211-1008 Ph: (502) 775-1711 |
Dr. Thomas Wayne Childress Jr., D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3 Audubon Plaza Dr, Suite 320, Louisville, KY 40217 Phone: 502-893-1844 | |
Mrs. Melissa Ann Dorsett, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3430 Newburg Rd, Ste 153, Louisville, KY 40218 Phone: 502-459-8127 Fax: 502-459-8620 | |
Andrew R Bouwkamp, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3901 Dutchmans Ln Ste 104, Louisville, KY 40207 Phone: 502-496-4914 Fax: 502-459-7509 | |
Podiatric Physicians Of Kentucky, Psc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9110 Leesgate Road, Louisville, KY 40222 Phone: 502-426-7222 Fax: 502-425-8226 | |
Makenzie Lynn Kerns, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7397 Jefferson Blvd, Louisville, KY 40219 Phone: 502-968-2233 Fax: 502-968-2283 | |
Dr. Joshua Coger, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6641 Dixie Hwy, Louisville, KY 40258 Phone: 502-364-0902 | |
Dr. Rhonda A Eichenberger, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9900 Shelbyville Rd Ste 11a, Louisville, KY 40223 Phone: 502-899-9771 Fax: 502-899-9772 |