- Medicare in Louisville, KY

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is a medicare enrolled "Nurse Practitioner" provider in Louisville, Kentucky. Their current practice location is 3012 Eastpoint Pkwy, Louisville, Kentucky. You can reach out to their office (for appointments etc.) via phone at (502) 365-4545.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1265723399.

Contact Information

3012 Eastpoint Pkwy,
Louisville, KY 40223-4185
(502) 365-4545
(502) 365-4546

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityNurse Practitioner
Location3012 Eastpoint Pkwy, Louisville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265723399
  • Provider Enumeration Date: 04/24/2011
  • Last Update Date: 03/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3577733518
  • Enrollment ID: O20110830000212

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265723399NPI-NPPES
7100583490MedicaidKY
7100574590MedicaidKY
7100584250MedicaidKY
7100568740MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
261QH0100XClinic/center - Health Service 3004876 (Kentucky)Secondary
332B00000XDurable Medical Equipment & Medical Supplies (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameRobert A Hobbs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891701835
PECOS PAC ID: 3476558248
Enrollment ID: I20060929000112
Provider NameJinjerita C Lucas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659694081
PECOS PAC ID: 6305097668
Enrollment ID: I20130627000854
Provider NameWhitney Fallon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306380019
PECOS PAC ID: 1759668395
Enrollment ID: I20170508001952
Provider NameJustin Rzepka
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922463108
PECOS PAC ID: 2567891484
Enrollment ID: I20200409001470

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

3012 Eastpoint Pkwy,
Louisville, KY 40223-4185

Ph: (502) 365-4545
3012 Eastpoint Pkwy,
Louisville, KY 40223-4185

Ph: (502) 365-4545

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.