| Blake Isernhagen, MD | |
|
120 N Eagle Creek Dr, Ste 500, Lexington, KY 40509 | |
| (859) 263-3900 | |
| (859) 263-3757 |
| Full Name | Blake Isernhagen |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 15 Years |
| Location | 120 N Eagle Creek Dr, 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 |
|---|---|---|---|
| 1336469444 | NPI | - | NPPES |
| 1336469444 | Medicaid | WV | |
| 0163986 | Medicaid | OH | |
| 200312510A | Medicaid | OK | |
| 300015774 | Medicaid | IN | |
| 7100400550 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 48761 (Kentucky) | Secondary |
| 207WX0107X | Ophthalmology - Retina Specialist | 48761 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters' Medical Center | Ashland, KY | Hospital |
| Saint Joseph East | Lexington, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Retina And Vitreous Associates Of Kentucky Pllc | 0749183648 | 13 |
| Entity Name | Retina And Vitreous Associates Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619949971 PECOS PAC ID: 0749183648 Enrollment ID: O20040128001145 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Isernhagen, MD 120 N Eagle Creek Dr, Ste 500, Lexington, KY 40509-1827 Ph: (859) 263-3900 | Blake Isernhagen, MD 120 N Eagle Creek Dr, Ste 500, Lexington, KY 40509 Ph: (859) 263-3900 |
David R. Kielar, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 100 N Eagle Creek Dr, Lexington, KY 40509 Phone: 859-258-5310 Fax: 859-258-5328 | |
Dr. Jon David Hammer, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 120 N Eagle Creek Dr Ste 211, Lexington, KY 40509 Phone: 859-263-3030 Fax: 859-263-2491 | |
Shaden Hamdy Fathy Yassin, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 110 Conn Ter Ste 550, Lexington, KY 40508 Phone: 859-323-5867 Fax: 859-323-8510 | |
Dr. Peter John Timoney, MBBCH Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 110 Conn Ter Ste 550, Lexington, KY 40508 Phone: 859-323-5867 Fax: 859-323-1122 | |
John C. Sparrow, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 100 N Eagle Creek Dr, Lexington, KY 40509 Phone: 859-258-5310 Fax: 859-258-5328 | |
Dr. Jitander Singh Dudee, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2351 Huguenard Drive, Suite 100, Lexington, KY 40503 Phone: 859-278-9486 Fax: 888-500-3329 | |
Alexander James Cherry, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 849-323-5867 |