| Dr Bryan M Blair, MD | |
|
6400 Westwind Way, Crestwood, KY 40014-6773 | |
| (502) 243-2227 | |
| (502) 243-2237 |
| Full Name | Dr Bryan M Blair |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 27 Years |
| Location | 6400 Westwind Way, Crestwood, 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 |
|---|---|---|---|
| 1417945478 | NPI | - | NPPES |
| P00041810 | Other | KY | MEDICARE RAILROAD |
| 1177630003 | Other | KY | MEDICARE DME MAC |
| 300050706 | Medicaid | IN | |
| 64066624 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 35792 (Kentucky) | Primary |
| 207W00000X | Ophthalmology | BB6817196 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Lagrange | La grange, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eye Centers Of Louisville,psc | 4789584921 | 28 |
| Entity Name | Eye Centers Of Louisville,psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659385508 PECOS PAC ID: 4789584921 Enrollment ID: O20040113000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryan M Blair, MD 6400 Westwind Way, Crestwood, KY 40014-6773 Ph: (502) 243-2227 | Dr Bryan M Blair, MD 6400 Westwind Way, Crestwood, KY 40014-6773 Ph: (502) 243-2227 |
Dr. John A. Distler, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6400 Westwind Way, Crestwood, KY 40014 Phone: 502-243-2227 Fax: 502-243-2237 | |
Dr. Anne Chadburn Huntington, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6400 Westwind Way, Crestwood, KY 40014 Phone: 502-243-2227 Fax: 502-343-2237 |