| Asad E Ismail, MD | |
|
645 S Roy Wilkins Ave Ste 200, Louisville, KY 40203-2072 | |
| (502) 561-0520 | |
| (502) 653-8181 |
| Full Name | Asad E Ismail |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 38 Years |
| Location | 645 S Roy Wilkins Ave Ste 200, Louisville, 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 |
|---|---|---|---|
| 1144227026 | NPI | - | NPPES |
| 100386460 | Other | IN | MEDICAID GROUP |
| 200244600A | Medicaid | IN | |
| 214446000 | Other | MAGELLAN MIS | |
| 130025311 | Other | KY | MEDICARE RAILROAD |
| 000000056294 | Other | ANTHEM GROUP | |
| 160860 | Other | IN | MEDICARE GROUP |
| 65927857 | Medicaid | KY | |
| 82900176 | Medicaid | KY | |
| CK2274 | Other | KY | RAILROAD MEDICARE GROUP |
| 64342744 | Medicaid | KY | |
| 000000328529 | Other | ANTHEM | |
| CG3623 | Other | IN | RAILROAD MEDICARE GROUP |
| 2444451000 | Other | KY | PASSPORT GROUP |
| 78903689 | Medicaid | KY | |
| 160780 | Other | IN | MEDICARE GROUP |
| 2699709000 | Other | KY | PASSPORT ADVANTAGE |
| 50704000 | Other | MAGELLAN MIS | |
| 6764 | Other | KY | MEDICARE GROUP |
| P00127309 | Other | IN | MEDICARE RAILROAD |
| 1063415297 | Other | GROUP NPI |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Behavioral Healthcare Management Llc. | 1557592474 | 3 |
| Cleanse Clinic, Pllc | 1759630320 | 3 |
| North Clark Medical Group Llc | 3971879354 | 19 |
| Cleanse Clinic, Pllc | 1759630320 | 3 |
| North Clark Medical Group Llc | 3971879354 | 19 |
| Entity Name | Lifespring Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851489942 PECOS PAC ID: 5294624508 Enrollment ID: O20040315000128 |
| Entity Name | Wellstone Regional Hospital Acquisition Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194864843 PECOS PAC ID: 3577585066 Enrollment ID: O20070608000026 |
| Entity Name | Total Care Family Practice Rick Bobay Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356674162 PECOS PAC ID: 5991844631 Enrollment ID: O20091209000326 |
| Entity Name | Behavioral Healthcare Management Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225451024 PECOS PAC ID: 1557592474 Enrollment ID: O20140319002325 |
| Entity Name | Norton Clark Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083098651 PECOS PAC ID: 0840504114 Enrollment ID: O20150730011797 |
| Entity Name | North Clark Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376095711 PECOS PAC ID: 3971879354 Enrollment ID: O20171031000657 |
| Entity Name | Cleanse Clinic Jeffersonville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942728472 PECOS PAC ID: 7315372430 Enrollment ID: O20200120000574 |
| Entity Name | Sunrise Recovery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780161067 PECOS PAC ID: 5193122182 Enrollment ID: O20210917000613 |
| Entity Name | Cleanse Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659726628 PECOS PAC ID: 1759630320 Enrollment ID: O20241011003387 |
| Mailing Address | Practice Location Address |
|---|---|
| Asad E Ismail, MD 720 W Broadway Ste 202, Louisville, KY 40202-3245 Ph: (502) 561-0943 | Asad E Ismail, MD 645 S Roy Wilkins Ave Ste 200, Louisville, KY 40203-2072 Ph: (502) 561-0520 |
Dr. Christopher R. Shafer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St, Suite 510, Louisville, KY 40202 Phone: 502-588-4800 Fax: 502-588-4801 | |
David James Haustein, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 220 Abraham Flexner Way # 1200, Louisville, KY 40202 Phone: 502-584-3377 | |
Elizabeth B. Shelton, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir, Ste 312, Louisville, KY 40207 Phone: 812-282-1888 Fax: 812-285-8392 | |
Manoocher Mofidi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2225 W Broadway, Louisville, KY 40211 Phone: 502-589-8600 Fax: 502-589-8771 | |
Dr. Steven B Lippmann, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 550 S Jackson St, Louisville, KY 40202 Phone: 502-852-1759 Fax: 502-852-5098 | |
Tanya Wozniak, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4201 Springhurst Blvd Ste 203, Louisville, KY 40241 Phone: 502-425-6690 Fax: 502-890-2092 | |
Bryan Jessop Eckerle, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3 Audubon Plaza Dr, Ll2, Louisville, KY 40217 Phone: 502-636-4940 Fax: 502-636-4941 |