| Dr Amy Marie Stafford, MD | |
|
200 Abraham Flexner Way, Louisville, KY 40202-2877 | |
| (502) 587-4404 | |
| (502) 587-4156 |
| Full Name | Dr Amy Marie Stafford |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 17 Years |
| Location | 200 Abraham Flexner Way, Louisville, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902067515 | NPI | - | NPPES |
| P2537 | Other | TX | STATE LICENSE |
| 7100873470 | Medicaid | KY | |
| 8DF559 | Other | TX | BCBS |
| 300073132 | Medicaid | IN | |
| 29337 | Other | OK | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | P2537 (Texas) | Secondary |
| 207L00000X | Anesthesiology | 29337 (Oklahoma) | Secondary |
| 207L00000X | Anesthesiology | 57445 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integris Southwest Medical Center | Oklahoma city, OK | Hospital |
| Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Medical Professionals Pllc | 5991970279 | 98 |
| Entity Name | St. John Anesthesia Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265446579 PECOS PAC ID: 4789607938 Enrollment ID: O20060113000295 |
| Entity Name | Anesthesia Medical Professionals Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962785931 PECOS PAC ID: 5991970279 Enrollment ID: O20111215000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amy Marie Stafford, MD 1611 S Utica Ave, Ste 217, Tulsa, OK 74104-4909 Ph: (918) 744-3664 | Dr Amy Marie Stafford, MD 200 Abraham Flexner Way, Louisville, KY 40202-2877 Ph: (502) 587-4404 |
Kari Beth Christie, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-5851 | |
Blake Evans, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 Executive Park, Louisville, KY 40207 Phone: 502-855-7200 Fax: 502-855-7201 | |
Peter S Lansing, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4000 Kresge Way, Louisville, KY 40207 Phone: 502-259-5391 Fax: 502-259-9733 | |
Dr. Mahesh Agrawal, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 332 W Broadway, Suite 810, Louisville, KY 40202 Phone: 502-583-0909 | |
Dr. Kavita Mehta, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 233 E Gray St, Louisville, KY 40202 Phone: 502-629-2880 | |
Richard Booth Harris, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1850 Bluegrass Ave, Louisville, KY 40215 Phone: 502-361-6617 Fax: 502-361-6637 | |
Dr. Randall Joshua Campbell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr, Attn: Ruby Poltner, Louisville, KY 40217 Phone: 502-636-7160 |