| Kentuckiana Geriatric And Palliative Services Pllc | |
|
1877 Farnsley Rd Louisville KY 40216-4701 | |
| (502) 544-8293 | |
| Not Available |
| Full Name | Kentuckiana Geriatric And Palliative Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1877 Farnsley Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Muhammad Babar (MEMBER) |
| Authorized Official Contact | 5025448293 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentuckiana Geriatric And Palliative Services Pllc Po Box 8133 Louisville KY 40257-8133 Ph: (502) 544-8293 | Kentuckiana Geriatric And Palliative Services Pllc 1877 Farnsley Rd Louisville KY 40216-4701 Ph: (502) 544-8293 |
| NPI Number | 1902036825 |
|---|---|
| Provider Enumeration Date | 07/27/2009 |
| Last Update Date | 09/10/2024 |
| Medicare PECOS PAC ID | 1254470479 |
|---|---|
| Medicare Enrollment ID | O20091201000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902036825 | NPI | - | NPPES |
| 7100255800 | Medicaid | KY | |
| 201003780A | Medicaid | IN | |
| 7100265630 | Medicaid | KY |
| Provider Name | Muhammad Babar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891749305 PECOS PAC ID: 2860387503 Enrollment ID: I20050301000209 |
| Provider Name | Amy M Nalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184675217 PECOS PAC ID: 7315991338 Enrollment ID: I20050311000338 |
| Provider Name | Kaelin Jansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003272261 PECOS PAC ID: 8426198151 Enrollment ID: I20160201002036 |
| Provider Name | Mandy Vittitow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700392404 PECOS PAC ID: 9830458108 Enrollment ID: I20180111002148 |
| Provider Name | Susan Scuffle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457839102 PECOS PAC ID: 9032461280 Enrollment ID: I20181016003130 |
| Provider Name | Katherine Redmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619359387 PECOS PAC ID: 6608186739 Enrollment ID: I20181022001110 |
| Provider Name | Dana Erwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003389560 PECOS PAC ID: 9133467467 Enrollment ID: I20190212003016 |
| Provider Name | Deborah Ann Zinsius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164922688 PECOS PAC ID: 6002143377 Enrollment ID: I20190808002556 |
| Provider Name | Carla Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033771399 PECOS PAC ID: 6002148152 Enrollment ID: I20191023001160 |
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