| Dr Jeffrey M Parker, MD | |
|
1401 Madison Ave, Covington, KY 41011-3313 | |
| (859) 655-6100 | |
| Not Available |
| Full Name | Dr Jeffrey M Parker |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1401 Madison Ave, Covington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255303814 | NPI | - | NPPES |
| 64068067 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 37959 (Kentucky) | Primary |
| Entity Name | West Virginia University Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey M Parker, MD 215 E 11th St, Newport, KY 41071-2203 Ph: (859) 655-6100 | Dr Jeffrey M Parker, MD 1401 Madison Ave, Covington, KY 41011-3313 Ph: (859) 655-6100 |
Philip Lichtenstein, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1100 Pike St, Covington, KY 41011 Phone: 859-655-6100 Fax: 859-655-6179 | |
Michael William Crossman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 676 Strawberry Hill Ct, Covington, KY 41017 Phone: 513-702-3746 | |
Elmer Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 Madison Ave, Covington, KY 41011 Phone: 859-655-6100 Fax: 859-655-6179 |