| Live Well Orthopedic Care Llc | |
|
8442 Dixie Hwy Louisville KY 40258-1140 | |
| (502) 286-4644 | |
| (502) 257-7672 |
| Full Name | Live Well Orthopedic Care Llc |
|---|---|
| Speciality | Specialist/Technologist, Other |
| Location | 8442 Dixie Hwy, Louisville, Kentucky |
| Authorized Official Name and Position | Natalie Jeffries (PARTNER) |
| Authorized Official Contact | 5022864644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Orthopedic Care Llc Po Box 991521 Jeffersontown KY 40269-1521 Ph: () - | Live Well Orthopedic Care Llc 8442 Dixie Hwy Louisville KY 40258-1140 Ph: (502) 286-4644 |
| NPI Number | 1831754696 |
|---|---|
| Provider Enumeration Date | 05/07/2019 |
| Last Update Date | 12/06/2022 |
| Medicare PECOS PAC ID | 9739416611 |
|---|---|
| Medicare Enrollment ID | O20190815001038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831754696 | NPI | - | NPPES |
| 7100437600 | Medicaid | KY |
| Provider Name | Suresh Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629002787 PECOS PAC ID: 0749185288 Enrollment ID: I20031205000762 |
| Provider Name | Joyce Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912520040 PECOS PAC ID: 5890116792 Enrollment ID: I20200602000205 |
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