| Douglas P Stevens, MD | |
| 800 Zorn Ave, Louisville, KY 40206-1433 | |
| (502) 287-5105 | |
| (502) 287-6964 | 
| Full Name | Douglas P Stevens | 
|---|---|
| Gender | Male | 
| Speciality | Physical Medicine & Rehabilitation | 
| Location | 800 Zorn Ave, 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 | 
|---|---|---|---|
| 1285608471 | NPI | - | NPPES | 
| 000000048654 | Other | KY | ANTHEM | 
| 50031672 | Other | KY | PASSPORT-NORTON REHAB | 
| 61-1086535 | Other | KY | TAX ID | 
| 64262017 | Medicaid | KY | |
| 200024170 | Medicaid | IN | |
| M400053478 | Other | IN | MEDICARE PTAN- NORTON REHAB. | 
| 004333 | Other | KY | SIHO-NORTON REHAB | 
| P400040042 | Other | KY | KY MEDICARE-NORTON REHAB | 
| 000057094L | Other | KY | HUMANA- NORTON REHAB | 
| P00912405 | Other | KY | RR MEDICARE PTAN-NORTON REHAB | 
| 000000694447 | Other | KY | ANTHEM-NORTON REHAB | 
| 1404235 | Other | KY | CIGNA-NORTON REHAB | 
| 2432934000 | Other | KY | PASSPORT ADVANTAGE | 
| 1050653 | Other | KY | PASSPORT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 26201 (Kentucky) | Primary | 
| Entity Name | Hawaii Permanente Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710945969 PECOS PAC ID: 7618880667 Enrollment ID: O20031106000625 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Douglas P Stevens, MD 800 Zorn Ave, Louisville, KY 40206-1433 Ph: (502) 287-5105 | Douglas P Stevens, MD 800 Zorn Ave, Louisville, KY 40206-1433 Ph: (502) 287-5105 | 
| Ms. Alisha Davis,  Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6000 Hunting Rd, Louisville, KY 40222 Phone: 812-599-6056 | |
| Rizwan N Khan, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2137 Dixie Hwy, Louisville, KY 40210 Phone: 502-712-1292 Fax: 502-901-9955 | |
| Dr. Kevin Carter Andres, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6801 Dixie Hwy Ste 135, Louisville, KY 40258 Phone: 502-791-8700 | |
| Dr. Warren Joseph Bilkey Jr., M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1227 Goss Ave, Louisville, KY 40217 Phone: 502-619-1771 Fax: 502-245-1380 | |
| James Jason Miller, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 300 Shelby Station Dr, Louisville, KY 40245 Phone: 502-254-0009 Fax: 502-753-6460 | |
| Karen K. Bloom, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 18 River Hill Rd, Louisville, KY 40207 Phone: 502-645-1043 Fax: 815-550-2223 | |
| Dr. Camilo Castillo, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 220 Abraham Flexner Way #1200, Louisville, KY 40202 Phone: 502-584-3377 Fax: 502-584-3480 |