| Dr Bruce Robert Holladay, MD | |
|
560 S Loop Rd, Edgewood, KY 41017-3405 | |
| (859) 301-2663 | |
| (859) 301-0655 |
| Full Name | Dr Bruce Robert Holladay |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 38 Years |
| Location | 560 S Loop Rd, Edgewood, 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 |
|---|---|---|---|
| 1548262793 | NPI | - | NPPES |
| 000000249593 | Other | KY | ANTHEM |
| 64298565 | Medicaid | KY | |
| 90008962 | Other | KY | MEDICAID DME |
| 428850004 | Other | KY | MEDICARE DME |
| 200045151 | Other | KY | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 29856 (Kentucky) | Secondary |
| 207X00000X | Orthopaedic Surgery | 29856 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Edgewood | Edgewood, KY | Hospital |
| St Elizabeth Florence | Florence, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthocincy Orthopaedics And Sports Medicine Psc | 3173500196 | 155 |
| Orthocincy Orthopaedics And Sports Medicine Psc | 3173500196 | 155 |
| Entity Name | Orthocincy Orthopaedics & Sports Medicine Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598714560 PECOS PAC ID: 3173500196 Enrollment ID: O20040707000498 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce Robert Holladay, MD 560 S Loop Rd, Edgewood, KY 41017-3405 Ph: (859) 301-2663 | Dr Bruce Robert Holladay, MD 560 S Loop Rd, Edgewood, KY 41017-3405 Ph: (859) 301-2663 |
Adam Phillip Schumaier, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 560 S Loop Rd, Edgewood, KY 41017 Phone: 859-817-3599 | |
Dr. Richard Martin Hoblitzell, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 560 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-2663 Fax: 859-817-7848 | |
Dr. Robert Scott Jolson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 560 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-2663 | |
Dr. Saul W Fredrickson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 560 S Loop Rd, Edgewood, KY 41017 Phone: 859-817-7500 | |
Dr. Michael Dennis O'brien, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 560 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-2663 Fax: 859-301-0655 | |
Dr. Ryan Patrick Finnan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 560 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-2663 Fax: 859-817-7848 | |
Dr. Matthew Scott Grunkemeyer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 560 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-2663 Fax: 859-817-7848 |