| David L Allen, DO | |
| 85 N Grand Ave, Fort Thomas, KY 41075-1793 | |
| (859) 572-3617 | |
| (859) 572-2366 | 
| Full Name | David L Allen | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 85 N Grand Ave, Fort Thomas, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366460602 | NPI | - | NPPES | 
| 64024730 | Medicaid | KY | |
| 000000535507 | Other | OH | BCBS FOR MIDDLETOWN | 
| 200058460 | Medicaid | IN | |
| 2126765 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 02001495A (Indiana) | Secondary | 
| 207P00000X | Emergency Medicine | 02473 (Kentucky) | Primary | 
| Entity Name | Cep America Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 | 
| Mailing Address | Practice Location Address | 
|---|---|
| David L Allen, DO 85 N Grand Ave, Fort Thomas, KY 41075-1793 Ph: (859) 572-3617 | David L Allen, DO 85 N Grand Ave, Fort Thomas, KY 41075-1793 Ph: (859) 572-3617 | 
| Dr. Richard Stewart, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-572-3617 | |
| Dr. Trevor Joseph Skrobut, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-572-3618 Fax: 859-572-2326 | |
| Dr. Thomas E Richardson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-572-3617 Fax: 859-572-2366 | |
| Dr. J'mir Cousar, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-572-3618 Fax: 859-572-2326 | |
| Dr. Alexandra Rawlings Hunt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-572-3350 | |
| Dr. Kevin Michael Ziegler, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-572-3617 Fax: 859-572-2366 | |
| Dr. Daryl Leon Emery, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-572-3618 Fax: 859-572-2366 |