| Dr Brian Clayton Nickles, DO | |
|
30 S Ky Highway 15, Hazard, KY 41701-6029 | |
| (606) 629-5298 | |
| (606) 249-8333 |
| Full Name | Dr Brian Clayton Nickles |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 30 S Ky Highway 15, Hazard, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942992128 | NPI | - | NPPES |
| 7100999160 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 06164 (Kentucky) | Primary |
| Entity Name | Green Valley Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720755739 PECOS PAC ID: 4385035534 Enrollment ID: O20230926000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Clayton Nickles, DO 30 S Ky Highway 15, Hazard, KY 41701-6029 Ph: (606) 629-5299 | Dr Brian Clayton Nickles, DO 30 S Ky Highway 15, Hazard, KY 41701-6029 Ph: (606) 629-5298 |
Dr. Raymond Elsoueidi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-6600 |
Dr. Thomas E. Karelis Jr., MD Internal Medicine 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 Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Center Dr, Hazard, KY 41701 Phone: 606-487-7510 Fax: 606-439-6793 |
Dr. Samuel Dean Bailey, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Center Dr, Hazard, KY 41701 Phone: 606-487-7902 |
Mr. Ionut Stefanescu Sturz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 311 Roy Campbell Drive, Hazard, KY 41701 Phone: 606-487-0776 Fax: 606-487-0777 |
Dr. Boonsong Kiang Kitiwan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Center Dr, Hazard, KY 41701 Phone: 606-487-7991 Fax: 606-439-6685 |
Dr. Ashley Miranda Thompson, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Center Dr, Hazard, KY 41701 Phone: 606-487-7510 Fax: 606-439-6793 |