| Brian Clarke, MD | |
|
20 Medical Village Dr, Edgewood, KY 41017-5401 | |
| (859) 578-5880 | |
| (859) 578-5881 |
| Full Name | Brian Clarke |
|---|---|
| Gender | Male |
| Speciality | Surgery - Surgical Critical Care |
| Location | 20 Medical Village Dr, Edgewood, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366804536 | NPI | - | NPPES |
| 21718 | Other | HI | MEDICAL LICENSE |
| 57309 | Other | KY | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | 57309 (Kentucky) | Primary |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Clarke, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 578-5880 | Brian Clarke, MD 20 Medical Village Dr, Edgewood, KY 41017-5401 Ph: (859) 578-5880 |
Dr. Kelly Ann Mackessy, DO Surgery Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-578-5880 Fax: 859-578-5881 | |
Dr. Steve Chausse, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Leonardo Anthony Geraci, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-578-5880 Fax: 859-578-5881 | |
Dr. Sidney Donald Trogdon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Dr. Edward H Caldwell, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 580 S Loop Rd, Suite 201, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Douglas Allen Rodgers, MD Surgery Medicare: Medicare Enrolled Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Anthony England, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-785-5880 Fax: 859-578-5881 |