Louisville Podiatry Psc | |
309 11th St, Carrollton, KY 41008-1435 | |
(502) 458-8989 | |
(502) 451-5439 |
Full Name | Louisville Podiatry Psc |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 309 11th St, Carrollton, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225307309 | NPI | - | NPPES |
201047510A | Medicaid | IN | |
000000753169 | Other | KY | ANTHEM |
50036964 | Other | KY | PASSPORT HEALTH PLAN |
7100242120 | Medicaid | KY | |
DT2470 | Other | KY | RAILROAD MEDICARE |
DS6209 | Other | IN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 00176 (Kentucky) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Provider Name | Alan Mauser |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1649250010 PECOS PAC ID: 7719882398 Enrollment ID: I20060207000591 |
Provider Name | Larry K Ketcherside |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1083907471 PECOS PAC ID: 3678741717 Enrollment ID: I20110715000645 |
Provider Name | Joshua Lee Hill |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1093025504 PECOS PAC ID: 8123266806 Enrollment ID: I20130608000109 |
Provider Name | Nicholas E Vogelsang |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1184939035 PECOS PAC ID: 8729227657 Enrollment ID: I20210615003034 |
Mailing Address | Practice Location Address |
---|---|
Louisville Podiatry Psc 2525 Bardstown Rd, Louisville, KY 40205-2665 Ph: (502) 458-8989 | Louisville Podiatry Psc 309 11th St, Carrollton, KY 41008-1435 Ph: (502) 458-8989 |
Dr. Russell Barre Baker, Podiatrist Medicare: Medicare Enrolled Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-3280 Fax: 502-732-3284 | |
Ccmh Corporation Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-3204 Fax: 502-732-3213 |