Andrew L Fozzard, MD | |
1401 Harrodsburg Rd Ste C405, Lexington, KY 40504-1748 | |
(859) 276-4429 | |
(859) 313-1095 |
Full Name | Andrew L Fozzard |
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Gender | Male |
Speciality | Internal Medicine - Hospice And Palliative Medicine |
Location | 1401 Harrodsburg Rd Ste C405, 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 |
---|---|---|---|
1821591926 | NPI | - | NPPES |
7100612700 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 55472 (Kentucky) | Secondary |
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 55472 (Kentucky) | Primary |
Entity Name | Centracare Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Mailing Address | Practice Location Address |
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Andrew L Fozzard, MD Po Box 936, London, KY 40743-0936 Ph: (606) 330-7835 | Andrew L Fozzard, MD 1401 Harrodsburg Rd Ste C405, Lexington, KY 40504-1748 Ph: (859) 276-4429 |
Mr. Fabrizio Canepa Escaro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Uk Division Of Hospital Medicine 800 Rose, Lexington, KY 40536 Phone: 859-323-6047 Fax: 859-257-3873 | |
Dr. Moneera Nur Haque, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 125 E Maxwell St Ste 200, Lexington, KY 40508 Phone: 859-323-3231 Fax: 859-257-9461 | |
Armaghan Yunis Soomro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Harrodsburg Rd, Lexington, KY 40504 Phone: 859-276-4429 Fax: 859-276-5902 | |
Deepali Pandey, MBBS Internal Medicine Medicare: Medicare Enrolled Practice Location: 800 Rose St # Cc-402, Lexington, KY 40536 Phone: 650-804-3111 | |
Dr. Dorothy Mccord Maes, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 S Limestone, Lexington, KY 40536 Phone: 859-323-9057 Fax: 859-323-9502 | |
Omar Osman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-1691 Fax: 859-323-1700 | |
Dr. Stephen M Mooney, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 Nicholasville Rd Ste 304, Lexington, KY 40503 Phone: 859-277-5771 Fax: 859-276-4622 |