| Douglas A Kaffenberger, MD | |
|
1218 South Broadway, Ste 310, Lexington, KY 40504-2759 | |
| (859) 219-0542 | |
| (859) 219-9433 |
| Full Name | Douglas A Kaffenberger |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1218 South Broadway, Lexington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457382608 | NPI | - | NPPES |
| 64283054 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 28305 (Kentucky) | Primary |
| Entity Name | Blue Ridge Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881687689 PECOS PAC ID: 7416860473 Enrollment ID: O20211109001755 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas A Kaffenberger, MD 1218 South Broadway, Ste 310, Lexington, KY 40504-2759 Ph: (859) 219-0542 | Douglas A Kaffenberger, MD 1218 South Broadway, Ste 310, Lexington, KY 40504-2759 Ph: (859) 219-0542 |
Dr. Jeremy Wayne Thacker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Hx-302 Ukmc, Lexington, KY 40536 Phone: 859-257-4457 | |
Dr. Gilroy Lane Daley Sr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3111 Maria Drive, Lexington, KY 40516 Phone: 859-293-2429 Fax: 859-293-2429 | |
Janalyn Prows, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1401 Harrodsburg Rd, Suite A-100, Lexington, KY 40504 Phone: 859-258-6505 Fax: 859-258-6509 | |
Shailendra Chopra, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1221 S Broadway, Lexington, KY 40504 Phone: 859-258-4181 Fax: 859-258-4058 | |
Dr. Benedek Joseph Bognar, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 421 Bristol Rd, Lexington, KY 40502 Phone: 859-619-1042 | |
Barry D Haney, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1218 S Broadway, Suite 310, Lexington, KY 40504 Phone: 859-219-0542 Fax: 859-219-9433 | |
Dr. Robert Counts Pope, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1218 S Broadway Ste 310, Lexington, KY 40504 Phone: 859-219-0542 Fax: 859-219-9433 |