| Dr Edward Britt Brockman I, MD | |
|
519 State St, New Albany, IN 47150-3620 | |
| (812) 948-0616 | |
| (812) 949-3447 |
| Full Name | Dr Edward Britt Brockman I |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 39 Years |
| Location | 519 State St, New Albany, Indiana |
| 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 |
|---|---|---|---|
| 1861490146 | NPI | - | NPPES |
| 000000042632 | Other | KY | ANTHEM |
| 64251408 | Medicaid | KY | |
| 100076460 | Medicaid | IN | |
| 1066494 | Medicaid | KY | |
| 2434616000 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 25140 (Kentucky) | Secondary |
| 207W00000X | Ophthalmology | 01039106A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| John Kenyon American Eye Institute, Llc | 5496640351 | 8 |
| John Kenyon American Eye Institute, Llc | 5496640351 | 8 |
| Entity Name | John Kenyon American Eye Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447259510 PECOS PAC ID: 5496640351 Enrollment ID: O20040219000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward Britt Brockman I, MD 519 State St, New Albany, IN 47150-3620 Ph: (812) 948-0616 | Dr Edward Britt Brockman I, MD 519 State St, New Albany, IN 47150-3620 Ph: (812) 948-0616 |
Dr. Howard S. Lazarus, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 519 State St, New Albany, IN 47150 Phone: 812-948-0616 Fax: 812-949-3447 | |
Dr. Timothy E. Schmitt, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 519 State St, New Albany, IN 47150 Phone: 812-948-0616 Fax: 812-949-3447 | |
Shiraaz Ikram Rahman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 519 State St, New Albany, IN 47150 Phone: 812-948-0616 Fax: 812-949-3447 |