| Dr Paul Edward Kudelko Ii, DO | |
|
353 New Shackle Island Rd, Suite 300c, Hendersonville, TN 37075-2379 | |
| (615) 824-0043 | |
| (615) 822-1690 |
| Full Name | Dr Paul Edward Kudelko Ii |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 32 Years |
| Location | 353 New Shackle Island Rd, Hendersonville, Tennessee |
| 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 |
|---|---|---|---|
| 1225027014 | NPI | - | NPPES |
| 1530417 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | DO 2430 (Tennessee) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | DO 2430 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tristar Hendersonville Medical Center | Hendersonville, TN | Hospital |
| Tristar Skyline Medical Center | Nashville, TN | Hospital |
| Northcrest Medical Center | Springfield, TN | Hospital |
| Tristar Centennial Medical Center | Nashville, TN | Hospital |
| Sumner Regional Medical Center | Gallatin, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tristar Tennessee Heart And Vascular Llc | 2567811474 | 22 |
| Entity Name | Sumner Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720572209 PECOS PAC ID: 8820283260 Enrollment ID: O20101112000475 |
| Entity Name | Tristar Tennessee Heart And Vascular Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114708906 PECOS PAC ID: 2567811474 Enrollment ID: O20231218000395 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul Edward Kudelko Ii, DO 353 New Shackle Island Rd, Suite 300c, Hendersonville, TN 37075-2379 Ph: (615) 824-0043 | Dr Paul Edward Kudelko Ii, DO 353 New Shackle Island Rd, Suite 300c, Hendersonville, TN 37075-2379 Ph: (615) 824-0043 |
Mosunmola Adebowale Ademosu, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 355 New Shackle Island Rd, Hendersonville, TN 37075 Phone: 615-338-1000 | |
Hailu T Kabtimer, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 919 W Main St M3, Hendersonville, TN 37075 Phone: 615-826-2102 Fax: 615-826-2743 | |
Mr. Scott Alan Hande, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 107 Glen Oak Blvd, Suite 202, Hendersonville, TN 37075 Phone: 615-826-0710 Fax: 615-826-0910 | |
Jung H. Lee, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 353 New Shackle Island Rd, #300c, Hendersonville, TN 37075 Phone: 615-338-3337 Fax: 615-338-3329 | |
Dr. Arslan Shaukat, M.B.B.S Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 353 New Shackle Island Rd Ste 300c, Hendersonville, TN 37075 Phone: 615-824-0043 Fax: 615-822-1690 | |
Dr. Marshall R Johnson Jr., MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 355 New Shackle Island Rd, Hendersonville, TN 37075 Phone: 615-338-1000 Fax: 615-338-1101 | |
Paul S Daugherty, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 107 Imperial Blvd, Suite 5, Hendersonville, TN 37075 Phone: 615-826-3111 Fax: 615-826-3112 |