| Amanda Beth Chism, | |
|
75 Nature Trl Ste 3, Radcliff, KY 40160-9111 | |
| (270) 351-2323 | |
| (270) 351-8031 |
| Full Name | Amanda Beth Chism |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 15 Years |
| Location | 75 Nature Trl Ste 3, Radcliff, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295050672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 46978 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health | Owensboro, KY | Home health agency |
| Hardin Memorial Hospital | Elizabethtown, KY | Hospital |
| Baptist Health Louisville | Louisville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Health Medical Group Inc | 5597867184 | 2132 |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306983762 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Beth Chism, 75 Nature Trl Ste 3, Radcliff, KY 40160-9111 Ph: (270) 351-2323 | Amanda Beth Chism, 75 Nature Trl Ste 3, Radcliff, KY 40160-9111 Ph: (270) 351-2323 |
Saadia Qureshi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 800w Lincoln Trail Blvd 102, Radcliff, KY 40160 Phone: 270-351-3515 Fax: 270-351-7506 | |
Dr. Jared Young, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 75 Nature Trl Ste 3, Radcliff, KY 40160 Phone: 270-351-2323 | |
Mr. Jawed M Movania, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Lincoln Trail Blvd, Radcliff, KY 40160 Phone: 270-351-3192 Fax: 270-351-5499 | |
Rose Archemetre, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 75 Nature Trl Ste 3, Radcliff, KY 40160 Phone: 270-351-2323 Fax: 270-351-8031 |