| Douglas J Delafield, MD | |
|
6400 Dutchmans Pkwy, Suite 300, Louisville, KY 40205-3340 | |
| (502) 894-2444 | |
| (502) 894-2445 |
| Full Name | Douglas J Delafield |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 6400 Dutchmans Pkwy, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710929377 | NPI | - | NPPES |
| 005717 | Other | KY | SIHO |
| 7100026500 | Medicaid | KY | |
| 000000520323 | Other | KY | ANTHEM |
| 3436186000 | Other | KY | PASSPORT ADVANTAGE |
| 100194360 | Medicaid | IN | |
| 50017532 | Other | KY | PASSPORT |
| P00415237 | Other | KY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01039459 (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 28936 (Kentucky) | Primary |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306983762 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas J Delafield, MD Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | Douglas J Delafield, MD 6400 Dutchmans Pkwy, Suite 300, Louisville, KY 40205-3340 Ph: (502) 894-2444 |
Jaivanti Lohano, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 Portland Ave, Louisville, KY 40212 Phone: 502-774-8631 Fax: 502-778-3499 | |
John L Markert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1169 Eastern Pkwy Ste 2265, Louisville, KY 40217 Phone: 502-635-7455 Fax: 502-634-9296 | |
Dr. Jerry Randolph Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3015 Wilson Ave, Park Duvalle Cnc, Louisville, KY 40211 Phone: 502-774-4401 Fax: 502-772-4783 | |
Dr. Jill Marie Jacobs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8019 Dixie Hwy Ste 101, Louisville, KY 40258 Phone: 502-254-3898 | |
Dr. Paul Clint Bricker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6200 Dutchmans Ln, Louisville, KY 40205 Phone: 502-456-6200 Fax: 502-688-6024 | |
Michael James Gaffney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3532 Ephraim Mcdowell Drive, Louisville, KY 40205 Phone: 502-456-6200 Fax: 502-456-6655 | |
Veronica Anne Kavorkian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 Chamberlain Ln, Louisville, KY 40245 Phone: 502-243-9044 Fax: 502-243-8482 |