| Bryan A Shouse, MD | |
|
1 Physicians Park, Frankfort, KY 40601-4107 | |
| (502) 223-7629 | |
| (502) 223-9829 |
| Full Name | Bryan A Shouse |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 35 Years |
| Location | 1 Physicians Park, Frankfort, 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 |
|---|---|---|---|
| 1043265069 | NPI | - | NPPES |
| 17-00426 | Other | KY | UNITED HEALTHCARE |
| H19838 | Other | KY | BLUEGRASS FAMILY HEALTH |
| 64017320 | Medicaid | KY | |
| 000000109039 | Other | KY | ANTHEM PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 39886 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Frankfort Regional Medical Center | Frankfort, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Specialists Of Kentucky Llc | 2466519673 | 6 |
| Entity Name | Commonwealth Specialists Of Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770741498 PECOS PAC ID: 2466519673 Enrollment ID: O20090314000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan A Shouse, MD 1 Physicians Park, Frankfort, KY 40601-4107 Ph: (502) 223-7629 | Bryan A Shouse, MD 1 Physicians Park, Frankfort, KY 40601-4107 Ph: (502) 223-7629 |
Dr. Michael Anthony Harkabus, MD Surgery Medicare: Medicare Enrolled Practice Location: Capital Surgical Clinic, One Physicians Park, Frankfort, KY 40601 Phone: 502-223-7629 | |
Willis P. Mckee, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Physicians Park, Frankfort, KY 40601 Phone: 502-223-7629 Fax: 502-223-9829 | |
Dr. Jason Timothy Bowling, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Physicians Park, Frankfort, KY 40601 Phone: 502-223-7629 | |
Steven R. Vallance, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Physicians Park, Frankfort, KY 40601 Phone: 502-223-7629 Fax: 502-223-7620 | |
James Edward Armstrong, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Physicians Park, Frankfort, KY 40601 Phone: 502-223-7629 Fax: 502-223-7620 |