| Dr David P Bosomworth Ii, MD | |
|
2700 Old Rosebud Rd Ste 330, Lexington, KY 40509-8630 | |
| (859) 523-1776 | |
| (859) 788-7150 |
| Full Name | Dr David P Bosomworth Ii |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 33 Years |
| Location | 2700 Old Rosebud Rd Ste 330, Lexington, 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 |
|---|---|---|---|
| 1164518080 | NPI | - | NPPES |
| 64305469 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 30546 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Lexington | Lexington, KY | Hospital |
| Frankfort Regional Medical Center | Frankfort, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vitality Pain Management Llc | 0840638789 | 2 |
| Kentucky Orthopedic Rehabilitation Llc | 0345157293 | 680 |
| Kentucky Orthopedic Rehabilitation Llc | 0345157293 | 680 |
| Entity Name | Vitality Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780463653 PECOS PAC ID: 0840638789 Enrollment ID: O20240410003278 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David P Bosomworth Ii, MD 2700 Old Rosebud Rd Ste 330, Lexington, KY 40509-8630 Ph: (859) 523-1776 | Dr David P Bosomworth Ii, MD 2700 Old Rosebud Rd Ste 330, Lexington, KY 40509-8630 Ph: (859) 523-1776 |
Frederick H Coates Jr., M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2416 Regency Rd, Ste. 300, Lexington, KY 40503 Phone: 859-278-1316 Fax: 859-276-1574 | |
Daniel Bruce Keck Jr., M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Center Drive, Lexington, KY 40502 Phone: 859-233-4511 | |
Dr. Lauren K Larson, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2416 Regency Rd, Lexington, KY 40503 Phone: 859-278-1316 Fax: 859-276-1574 | |
Dr. Peter D Wright, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2416 Regency Rd, Ste 30, Lexington, KY 40503 Phone: 859-278-1316 Fax: 859-276-1574 | |
Mrs. Terra Brooke Wadley, APRN Pain Medicine Medicare: Medicare Enrolled Practice Location: 828 Lane Allen Rd Ste 219, Lexington, KY 40504 Phone: 443-383-9300 Fax: 855-866-8710 | |
Mr. Manoochehr Mazloomdoost, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 715 Shaker Dr, Ste 101 Pain Management Medicine, Lexington, KY 40504 Phone: 859-275-4878 Fax: 859-276-5400 |