| Dr Boonsong Kiang Kitiwan, MD | |
|
200 Medical Center Dr, Suite 1j, Hazard, KY 41701-9466 | |
| (606) 487-7991 | |
| (606) 439-6685 |
| Full Name | Dr Boonsong Kiang Kitiwan |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 25 Years |
| Location | 200 Medical Center Dr, Hazard, 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 |
|---|---|---|---|
| 1265619456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | P20819 (Maryland) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 44085 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc - Hazard | Hazard, KY | Dialysis facility |
| Fmc - Jackson | Jackson, KY | Dialysis facility |
| Hazard Arh Regional Medical Center | Hazard, KY | Hospital |
| Mary Breckinridge Arh Hospital | Hyden, KY | Hospital |
| Whitesburg Arh Hospital | Whitesburg, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Appalachian Regional Healthcare Inc | 0840107835 | 230 |
| Entity Name | Appalachian Regional Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871189019 PECOS PAC ID: 0840107835 Enrollment ID: O20031125000520 |
| Entity Name | Arh Mary Breckinridge Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184156036 PECOS PAC ID: 8123293818 Enrollment ID: O20170728001694 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Boonsong Kiang Kitiwan, MD 200 Medical Center Dr, Suite 1j, Hazard, KY 41701-9466 Ph: (606) 487-7991 | Dr Boonsong Kiang Kitiwan, MD 200 Medical Center Dr, Suite 1j, Hazard, KY 41701-9466 Ph: (606) 487-7991 |
Dr. Raymond Elsoueidi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-6600 | |
Dr. Thomas E. Karelis Jr., MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 311 Roy Campbell Dr, Hazard, KY 41701 Phone: 606-487-0776 Fax: 606-487-0777 | |
Vidya B Yalamanchi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Center Dr, Hazard, KY 41701 Phone: 606-487-7510 Fax: 606-439-6793 | |
Dr. Jeffery Prater, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 271 E Main St, Hazard, KY 41701 Phone: 606-439-1316 Fax: 606-439-3922 | |
Dr. Samuel Dean Bailey, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Center Dr, Hazard, KY 41701 Phone: 606-487-7902 | |
Mr. Ionut Stefanescu Sturz, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 311 Roy Campbell Drive, Hazard, KY 41701 Phone: 606-487-0776 Fax: 606-487-0777 | |
Maneesh Gaddam, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Dr, Hazard, KY 41701 Phone: 606-487-7510 |