| Dr Roger Lea Humphrey, MD | |
| 2801 New Hartford Rd, Owensboro, KY 42303-1320 | |
| (270) 683-3720 | |
| (270) 686-7331 | 
| Full Name | Dr Roger Lea Humphrey | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 2801 New Hartford Rd, Owensboro, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245239292 | NPI | - | NPPES | 
| 200132180 | Other | IN | MOLINA | 
| 200132180 | Medicaid | IN | |
| 611059472 | Other | KY | DART | 
| 64197619 | Medicaid | KY | |
| 6110594722109 | Other | IN | CARESOURCE | 
| 000000048413 | Other | KY | ANTHEM | 
| 611059472 | Other | UMWA | |
| 020038275 | Other | RAILROAD MEDICARE | 
| Entity Name | Owensboro Health Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Roger Lea Humphrey, MD 2801 New Hartford Rd, Owensboro, KY 42303-1320 Ph: (270) 683-3720 | Dr Roger Lea Humphrey, MD 2801 New Hartford Rd, Owensboro, KY 42303-1320 Ph: (270) 683-3720 | 
| Dr. Suzanne Marie Vass Rashidian, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3821 Vincent Station Dr, Owensboro, KY 42303 Phone: 270-478-5334 Fax: 270-216-6920 | |
| Dr. Christopher C Glaser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2801 New Hartford Rd, Owensboro, KY 42303 Phone: 270-683-3720 Fax: 270-686-7331 | |
| Dr. Thomas Christopher Nebel, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2801 New Hartford Rd, Owensboro, KY 42303 Phone: 270-683-3720 Fax: 270-686-7331 | |
| Kristofer Edward Charles Nava, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 2235 Mayfair Dr, Owensboro, KY 42301 Phone: 270-688-1500 Fax: 270-688-1501 | |
| Dr. Jeffrey S Danetz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 Triplett St, Owensboro, KY 42303 Phone: 270-688-4325 Fax: 270-687-4322 | |
| Mr. Philip Anthony Decker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2801 New Hartford Rd, Owensboro, KY 42303 Phone: 270-683-3720 Fax: 270-686-7331 |