| Billie Jean Galyen, MD | |
|
504 Hopkinsville St, Greenville, KY 42345-1104 | |
| (270) 338-6488 | |
| (270) 338-7868 |
| Full Name | Billie Jean Galyen |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 504 Hopkinsville St, Greenville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972699502 | NPI | - | NPPES |
| 000000512713 | Other | KY | BCBS |
| 31000458 | Medicaid | KY | |
| 611268014 | Other | FEDERAL TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 34833 (Kentucky) | Primary |
| Entity Name | Community Health Centers Of Western Kentucky, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306848650 PECOS PAC ID: 5193769370 Enrollment ID: O20050617000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Billie Jean Galyen, MD 480 Hopkinsville St, Greenville, KY 42345-1124 Ph: (270) 338-5777 | Billie Jean Galyen, MD 504 Hopkinsville St, Greenville, KY 42345-1104 Ph: (270) 338-6488 |
De' Andra Destheenia Davis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 504 Hopkinsville St, Greenville, KY 42345 Phone: 270-338-6488 Fax: 270-338-7868 | |
Susan C Hawkins, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 504 Hopkinsville St, Greenville, KY 42345 Phone: 270-338-6488 Fax: 270-338-7868 |