| Dr Ron E Creque Jr, MD | |
|
101 Stonecrest Road, Suite 3, Shelbyville, KY 40065 | |
| (502) 633-5565 | |
| (502) 633-5154 |
| Full Name | Dr Ron E Creque Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 101 Stonecrest Road, Shelbyville, 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 |
|---|---|---|---|
| 1194717397 | NPI | - | NPPES |
| 000000200138 | Other | ANTHEM | |
| 64030653 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36516 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caretenders | Louisville, KY | Home health agency |
| Kindred At Home | Louisville, KY | Home health agency |
| Jewish Hospital - Shelbyville | Shelbyville, KY | Hospital |
| Baptist Health Louisville | Louisville, KY | Hospital |
| Baptist Health Lagrange | La grange, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stonecrest Family Medicine Pllc | 4284631193 | 5 |
| Entity Name | Stonecrest Family Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659322808 PECOS PAC ID: 4284631193 Enrollment ID: O20061106000478 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ron E Creque Jr, MD 101 Stonecrest Road, Suite 3, Shelbyville, KY 40065 Ph: (502) 633-5565 | Dr Ron E Creque Jr, MD 101 Stonecrest Road, Suite 3, Shelbyville, KY 40065 Ph: (502) 633-5565 |
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 | |
Dr. Jena Thomas Ruxer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 727 Hospital Dr, Shelbyville, KY 40065 Phone: 502-647-4000 |