| Dr Michael Stephen Citak, MD | |
|
350 Hospital Way, Suite 250, Somerset, KY 42503-2872 | |
| (606) 451-6005 | |
| (606) 678-2087 |
| Full Name | Dr Michael Stephen Citak |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 40 Years |
| Location | 350 Hospital Way, Somerset, 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 |
|---|---|---|---|
| 1538275557 | NPI | - | NPPES |
| 000000487349 | Other | KY | ANTHEM |
| 64252224 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 25222 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Cumberland Regional Hospital | Somerset, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Cumberland Regional Hospital Llc | 7214909456 | 34 |
| Entity Name | Lake Cumberland Regional Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861078685 PECOS PAC ID: 7214909456 Enrollment ID: O20040809001229 |
| Entity Name | Russell County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437245842 PECOS PAC ID: 6204887243 Enrollment ID: O20050217000172 |
| Entity Name | Meadowview Physician Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760893275 PECOS PAC ID: 9032276274 Enrollment ID: O20090316000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Stephen Citak, MD 350 Hospital Way, Suite 250, Somerset, KY 42503-2872 Ph: (606) 451-6005 | Dr Michael Stephen Citak, MD 350 Hospital Way, Suite 250, Somerset, KY 42503-2872 Ph: (606) 451-6005 |
Rachel Shelton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Suite 270, Somerset, KY 42503 Phone: 606-425-4298 Fax: 606-425-4299 | |
Dr. Joseph Eid, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-678-3315 Fax: 606-678-9919 | |
Dr. Keith G Sinclair, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 79 Imaging Dr, Somerset, KY 42503 Phone: 606-305-8022 Fax: 606-249-9994 | |
Tommy Warren Shelton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Suite 270, Somerset, KY 42503 Phone: 606-425-4298 Fax: 606-425-4299 | |
Donald Wayne Brown, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 25 Medpark Drive, Suite 3, Somerset, KY 42501 Phone: 270-796-3330 Fax: 270-796-3338 |