| Bullitt County Family Practitioners Psc | |
|
170 Dr Arla Way Ste 1 Louisville KY 40229-5427 | |
| (502) 955-4889 | |
| (502) 957-1201 |
| Full Name | Bullitt County Family Practitioners Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 170 Dr Arla Way Ste 1, Louisville, Kentucky |
| Authorized Official Name and Position | Mohana R Arla (PRESIDENT) |
| Authorized Official Contact | 5029554889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bullitt County Family Practitioners Psc 170 Dr Arla Way Ste 1 Louisville KY 40229-5427 Ph: (502) 955-4889 | Bullitt County Family Practitioners Psc 170 Dr Arla Way Ste 1 Louisville KY 40229-5427 Ph: (502) 955-4889 |
| NPI Number | 1558459917 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 04/21/2023 |
| Medicare PECOS PAC ID | 2466422654 |
|---|---|
| Medicare Enrollment ID | O20040727000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558459917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Mohana R Arla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710085600 PECOS PAC ID: 1759351034 Enrollment ID: I20041111000400 |
| Provider Name | Christodulos Stavens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659457232 PECOS PAC ID: 2365332913 Enrollment ID: I20070412000608 |
| Provider Name | Mary E Pawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598939852 PECOS PAC ID: 3274691811 Enrollment ID: I20081025000010 |
| Provider Name | Ajit Nanda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942286620 PECOS PAC ID: 7416019153 Enrollment ID: I20081215000477 |
| Provider Name | Praveen V Arla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790931830 PECOS PAC ID: 0648317818 Enrollment ID: I20091020000504 |
| Provider Name | Deepa Arla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144478231 PECOS PAC ID: 1759574247 Enrollment ID: I20101015000968 |
| Provider Name | Allison D Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790044774 PECOS PAC ID: 5991961591 Enrollment ID: I20120726000316 |
| Provider Name | Barbara Ann Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316351208 PECOS PAC ID: 3678899168 Enrollment ID: I20150227000419 |
| Provider Name | Kristie L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073981270 PECOS PAC ID: 1951609767 Enrollment ID: I20160412001162 |
| Provider Name | Jessica A Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134664949 PECOS PAC ID: 3678837812 Enrollment ID: I20180516000342 |
| Provider Name | Nadezda Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346743515 PECOS PAC ID: 8921436254 Enrollment ID: I20200609003106 |
| Provider Name | Dilli R Rizal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114674074 PECOS PAC ID: 1658756333 Enrollment ID: I20220915003207 |
| Provider Name | Annie S Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457034167 PECOS PAC ID: 0446604870 Enrollment ID: I20231003003143 |
Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15103 Chestnut Ridge Cir, Louisville, KY 40245 Phone: 502-742-9149 Fax: 502-896-7292 | |
Veloz Medical Services Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6911 Shepherdsville Rd, Louisville, KY 40219 Phone: 502-644-3076 | |
Kentucky Joint Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir Ste 310, Louisville, KY 40207 Phone: 502-771-5432 Fax: 502-771-5430 | |
Mobile Md Holdings Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9510 Ormsby Station Road, Suite 100b, Louisville, KY 40223 Phone: 502-253-4140 | |
Edina Torlak Md, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3950 Kresge Way Ste 302, Louisville, KY 40207 Phone: 502-893-7372 | |
Shirley J Meredith, Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4000 Kresge Way, Baptist East Wound Care Center, Louisville, KY 40207 Phone: 502-259-4470 Fax: 502-259-4471 | |
Infectious Disease Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Locust Creek Blvd, Louisville, KY 40245 Phone: 502-916-3130 Fax: 502-916-3230 |