| Drs. Schreiber, Hornaday, Costel, Bryant & Aboud, Pllc | |
|
4002 Kresge Way Suite 100 Louisville KY 40207-4605 | |
| (502) 897-1121 | |
| (502) 897-1189 |
| Full Name | Drs. Schreiber, Hornaday, Costel, Bryant & Aboud, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4002 Kresge Way, Louisville, Kentucky |
| Authorized Official Name and Position | Pamela Diane Evans (PRACTICE MANAGER) |
| Authorized Official Contact | 5028971121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Schreiber, Hornaday, Costel, Bryant & Aboud, Pllc 4002 Kresge Way Suite 100 Louisville KY 40207-4605 Ph: (502) 897-1121 | Drs. Schreiber, Hornaday, Costel, Bryant & Aboud, Pllc 4002 Kresge Way Suite 100 Louisville KY 40207-4605 Ph: (502) 897-1121 |
| NPI Number | 1770602252 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 04/16/2019 |
| Medicare PECOS PAC ID | 4688604010 |
|---|---|
| Medicare Enrollment ID | O20050816000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770602252 | NPI | - | NPPES |
| 000000061250 | Other | KY | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles E Hornaday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083628705 PECOS PAC ID: 3173668696 Enrollment ID: I20100308000551 |
| Provider Name | Esther E Costel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790799427 PECOS PAC ID: 4789729203 Enrollment ID: I20100308000579 |
| Provider Name | Mary Meadows Bryant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962419663 PECOS PAC ID: 5395880819 Enrollment ID: I20100308000608 |
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