| Dr Jena Thomas Ruxer, MD | |
|
727 Hospital Dr, Shelbyville, KY 40065-1660 | |
| (502) 647-4000 | |
| Not Available |
| Full Name | Dr Jena Thomas Ruxer |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 727 Hospital Dr, Shelbyville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538470224 | NPI | - | NPPES |
| 201217910 | Medicaid | IN | |
| 7100167070 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 46199 (Kentucky) | Primary |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jena Thomas Ruxer, MD 6801 Dixie Highway, Ste 130, Louisville, KY 40258-3954 Ph: (502) 451-5855 | Dr Jena Thomas Ruxer, MD 727 Hospital Dr, Shelbyville, KY 40065-1660 Ph: (502) 647-4000 |
Dr. Ron E Creque Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Stonecrest Road, Suite 3, Shelbyville, KY 40065 Phone: 502-633-5565 Fax: 502-633-5154 | |
Dr. Ronald E Waldridge Sr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 60 Mack Walters Rd, Shelbyville, KY 40065 Phone: 502-633-4622 Fax: 502-633-6925 | |
David W Wallace, MD MBA Family Medicine Medicare: Medicare Enrolled Practice Location: 515 Hospital Dr, Suite 1, Shelbyville, KY 40065 Phone: 502-633-3525 Fax: 502-633-8075 | |
Leticia Kathryn Allen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 60 Mack Walters Rd, Shelbyville, KY 40065 Phone: 502-633-4622 Fax: 502-633-6925 | |
Dr. William J Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 148 Midland Blvd, Shelbyville, KY 40065 Phone: 502-647-1958 Fax: 502-647-1940 | |
James R Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 515 Hospital Dr, Ste 1, Shelbyville, KY 40065 Phone: 502-633-3525 Fax: 502-633-8075 |