Wayne C Pretila, MD | |
425 Lewis Hargett Cir, Lexington, KY 40503-3590 | |
(859) 268-1030 | |
(859) 269-4120 |
Full Name | Wayne C Pretila |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 54 Years |
Location | 425 Lewis Hargett Cir, Lexington, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790750230 | NPI | - | NPPES |
940540UU | Other | IN | LEGACY MEDICARE |
100221310 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 01026839A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Scott Memorial Health | Scottsburg, IN | Hospital |
Clark Memorial Hospital | Jeffersonville, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kentucky Anesthesia Group Psc | 4082527890 | 35 |
Entity Name | Kentucky Anesthesia Group Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073608634 PECOS PAC ID: 4082527890 Enrollment ID: O20160325000224 |
Mailing Address | Practice Location Address |
---|---|
Wayne C Pretila, MD 1451 N Gardner St, Scottsburg, IN 47170-7751 Ph: (812) 752-3456 | Wayne C Pretila, MD 425 Lewis Hargett Cir, Lexington, KY 40503-3590 Ph: (859) 268-1030 |
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