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4612 Outer Loop, Louisville, KY 40219-3971 | |
| (502) 968-2233 | |
| (502) 968-2283 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 4612 Outer Loop, Louisville, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093876021 | NPI | - | NPPES |
| 2433706000 | Other | KY | PASSPORT ADVANTAGE |
| CC9003 | Other | KY | RAILROAD MEDICARE |
| 90004722 | Medicaid | KY | |
| 1157245 | Other | KY | DME PASSPORT |
| 80903735 | Medicaid | KY | |
| 80903495 | Medicaid | KY | |
| 1054674 | Other | KY | PASSPORT |
| Mailing Address | Practice Location Address |
|---|---|
4612 Outer Loop, Louisville, KY 40219-3971 Ph: (502) 968-2233 | 4612 Outer Loop, Louisville, KY 40219-3971 Ph: (502) 968-2233 |
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: Medicare Enrolled 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: 9407 Westport Rd Ste 110, Louisville, KY 40241 Phone: 502-797-3338 Fax: 502-957-1731 |