Ian Andres Boggero, PHD | |
740 S Limestone, Lexington, KY 40536-7001 | |
(859) 323-3368 | |
Not Available |
Full Name | Ian Andres Boggero |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 740 S Limestone, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619599362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 265758 (Kentucky) | Primary |
Entity Name | University Of Kentucky |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770771974 PECOS PAC ID: 3072425289 Enrollment ID: O20031105000072 |
Mailing Address | Practice Location Address |
---|---|
Ian Andres Boggero, PHD 800 Rose St, Lexington, KY 40536-7001 Ph: (859) 323-3368 | Ian Andres Boggero, PHD 740 S Limestone, Lexington, KY 40536-7001 Ph: (859) 323-3368 |
Mark A Etscheidt, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 740 S Limestone, Lexington, KY 40536 Phone: 859-323-5956 | |
Mr. James M Moughan, CPSYAF Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 Fax: 859-254-2743 | |
Mary Beth Morgan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Monarch St, #250, Lexington, KY 40513 Phone: 859-296-3141 Fax: 859-296-3144 | |
Dr. Stephanie T. Judge, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2220 Young Dr, Lexington, KY 40505 Phone: 859-277-1008 Fax: 859-277-1083 | |
Steven Joseph Mangine, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 261 Regency Cir, Suite 3, Lexington, KY 40503 Phone: 859-277-2844 | |
Amanda L Crabtree, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 | |
Mrs. Kari Hall Jones, PSY. D. Psychologist Medicare: Medicare Enrolled Practice Location: 1030 Monarch St, Ste 100, Lexington, KY 40513 Phone: 859-296-3141 Fax: 859-554-5200 |