| Dr Nova Luna White, DO | |
|
150 Mount Vernon Dr, Georgetown, KY 40324-1410 | |
| (502) 218-1710 | |
| (502) 218-1711 |
| Full Name | Dr Nova Luna White |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 150 Mount Vernon Dr, Georgetown, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073141032 | NPI | - | NPPES |
| 7100760350 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05479 (Kentucky) | Primary |
| Entity Name | Kentuckyone Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104875970 PECOS PAC ID: 8820993702 Enrollment ID: O20031204000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nova Luna White, DO Po Box 936, London, KY 40743-0936 Ph: (606) 330-7835 | Dr Nova Luna White, DO 150 Mount Vernon Dr, Georgetown, KY 40324-1410 Ph: (502) 218-1710 |
Dr. Gus A Bynum, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1154a Lexington Rd, Georgetown, KY 40324 Phone: 502-868-0008 | |
Makayla Ann Kiser, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Bevins Ln, Suite C, Georgetown, KY 40324 Phone: 502-868-0622 Fax: 502-868-9097 | |
Mrs. Megan Elise Disponett-lee, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 106 Magnolia Dr Ste 200, Georgetown, KY 40324 Phone: 502-868-0806 | |
Raymond Wechman Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1138 Lexington Rd, Ste 130, Georgetown, KY 40324 Phone: 502-867-0222 Fax: 502-867-0420 | |
Dr. Ivan David Morrin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Bevins Ln, Ste C, Georgetown, KY 40324 Phone: 502-868-0622 Fax: 502-868-9097 | |
Henry R Preston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1138 Lexington Road Suite 130, Georgetown, KY 40324 Phone: 502-867-0222 Fax: 502-867-0420 |