| Dr Glenn R Proudfoot, MD | |
|
1221 S Broadway, Lexington, KY 40504-2701 | |
| (859) 258-4000 | |
| (859) 258-6203 |
| Full Name | Dr Glenn R Proudfoot |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 1221 S Broadway, 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 |
|---|---|---|---|
| 1225068109 | NPI | - | NPPES |
| 64244239 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24423 (Kentucky) | Secondary |
| 207P00000X | Emergency Medicine | 24423 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Corbin | Corbin, KY | Hospital |
| Wayne County Hospital | Monticello, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wayne County Hospital Inc | 7113814740 | 14 |
| Concord Medical Group Of Kentucky Pllc | 9133483894 | 62 |
| Entity Name | Wayne County Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871548016 PECOS PAC ID: 7113814740 Enrollment ID: O20040301000047 |
| 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 |
| Entity Name | Concord Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20180503002233 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn R Proudfoot, MD 1221 S Broadway, Lexington, KY 40504-2701 Ph: (859) 258-6200 | Dr Glenn R Proudfoot, MD 1221 S Broadway, Lexington, KY 40504-2701 Ph: (859) 258-4000 |
Allison Woodall, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: University Of Kentucky And Affiliates, 800 Rose St., Lexington, KY 40536 Phone: 859-323-5871 | |
Dr. Hollis R Hilty, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1740 Nicholasville Road, Lexington, KY 40503 Phone: 859-260-6180 Fax: 859-260-6693 | |
James Byron Moore Ii, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3205 Summit Square Pl Ste 100, Lexington, KY 40509 Phone: 859-335-9041 Fax: 859-335-9072 | |
Dr. Matthew Stewart Dawson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 230 W Main St, Lexington, KY 40507 Phone: 859-309-4839 | |
Dr. Jeremiah Phelps, MD PHD Emergency Medicine Medicare: Medicare Enrolled Practice Location: University Of Kentucky, 800 Rose St, Lexington, KY 40536 Phone: 859-323-6762 | |
Rebecca C Bowers, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-5901 | |
Stephen Zachary Harrett, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St Rm M-53, Lexington, KY 40536 Phone: 859-323-5083 |