| Dr Gary P Nakasato, MD | |
|
95 Kingswood Dr, Campbellsville, KY 42718-9604 | |
| (270) 465-3812 | |
| (270) 465-8352 |
| Full Name | Dr Gary P Nakasato |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 95 Kingswood Dr, Campbellsville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205828050 | NPI | - | NPPES |
| 64007727 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34799 (Kentucky) | Secondary |
| 207R00000X | Internal Medicine | 34799 (Kentucky) | Secondary |
| 207P00000X | Emergency Medicine | 01082773A (Indiana) | Primary |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary P Nakasato, MD 95 Kingswood Dr, Campbellsville, KY 42718-9604 Ph: (270) 465-3812 | Dr Gary P Nakasato, MD 95 Kingswood Dr, Campbellsville, KY 42718-9604 Ph: (270) 465-3812 |
William Smith, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-789-6175 | |
Dr. Jennifer L Friend, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1700 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-384-9491 | |
Dr. Spiro Polyhronopoulos, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-692-6355 | |
Dr. Karen Nakasato, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-465-3561 |