| Donald Wayne Brown, DO | |
|
25 Medpark Drive, Suite 3, Somerset, KY 42501 | |
| (270) 796-3330 | |
| (270) 796-3338 |
| Full Name | Donald Wayne Brown |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 30 Years |
| Location | 25 Medpark Drive, Somerset, 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 |
|---|---|---|---|
| 1891794277 | NPI | - | NPPES |
| 64051659 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 02750 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Cumberland Regional Hospital | Somerset, KY | Hospital |
| Russell County Hospital | Russell springs, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Kentucky Vascular Procedure Center, Pllc | 4284001579 | 2 |
| Southern Kentucky Vascular Clinic Pllc | 6901289628 | 5 |
| Entity Name | Southern Kentucky Vascular Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760111553 PECOS PAC ID: 6901289628 Enrollment ID: O20220812002530 |
| Entity Name | Southern Kentucky Vascular Procedure Center, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720713506 PECOS PAC ID: 4284001579 Enrollment ID: O20221028002003 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Wayne Brown, DO 25 Medpark Drive Ste 3, Somerset, KY 42501 Ph: (606) 531-4100 | Donald Wayne Brown, DO 25 Medpark Drive, Suite 3, Somerset, KY 42501 Ph: (270) 796-3330 |
Rachel Shelton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Suite 270, Somerset, KY 42503 Phone: 606-425-4298 Fax: 606-425-4299 | |
Dr. Joseph Eid, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-678-3315 Fax: 606-678-9919 | |
Dr. Michael Stephen Citak, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Suite 250, Somerset, KY 42503 Phone: 606-451-6005 Fax: 606-678-2087 | |
Dr. Keith G Sinclair, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 79 Imaging Dr, Somerset, KY 42503 Phone: 606-305-8022 Fax: 606-249-9994 | |
Tommy Warren Shelton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Suite 270, Somerset, KY 42503 Phone: 606-425-4298 Fax: 606-425-4299 |