| Mark Chariker, M.d., Psc | |
|
222 S 1st St Suite 100 Louisville KY 40202-5404 | |
| (502) 568-4800 | |
| (502) 589-6882 |
| Full Name | Mark Chariker, M.d., Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 222 S 1st St, Louisville, Kentucky |
| Authorized Official Name and Position | Karen Mosgrove (OFFICE MANAGER) |
| Authorized Official Contact | 5025684800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Chariker, M.d., Psc 222 S 1st St Suite 100 Louisville KY 40202-5404 Ph: (502) 568-4800 | Mark Chariker, M.d., Psc 222 S 1st St Suite 100 Louisville KY 40202-5404 Ph: (502) 568-4800 |
| NPI Number | 1780853846 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 08/18/2011 |
| Medicare PECOS PAC ID | 5395880900 |
|---|---|
| Medicare Enrollment ID | O20100308000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780853846 | NPI | - | NPPES |
| 64006828 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mark E Chariker |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194724997 PECOS PAC ID: 2769447762 Enrollment ID: I20100302000253 |
| Provider Name | Scott Joseph Rapp |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346402948 PECOS PAC ID: 5395985113 Enrollment ID: I20150826001668 |
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