| Dr Stefanie Dolen, DO | |
|
360 Keen Street, Burkesville, KY 42717-7915 | |
| (270) 864-2889 | |
| (270) 864-2229 |
| Full Name | Dr Stefanie Dolen |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 12 Years |
| Location | 360 Keen Street, Burkesville, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003229220 | NPI | - | NPPES |
| 7100480790 | Medicaid | KY | |
| 14102106 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 04010 (Kentucky) | Secondary |
| 207R00000X | Internal Medicine | 04010 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cumberland County Hospital | Burkesville, KY | Hospital |
| Russell County Hospital | Russell springs, KY | Hospital |
| T J Samson Community Hospital | Glasgow, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Champion Physical Therapy Kentucky, Llc | 3476818519 | 36 |
| Cumberland Family Medical Center, Inc.. | 6305947789 | 105 |
| 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 | Cumberland Family Medical Center, Inc.. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stefanie Dolen, DO Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Dr Stefanie Dolen, DO 360 Keen Street, Burkesville, KY 42717-7915 Ph: (270) 864-2889 |
Dr. Karan J Soni, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 299 Glasgow, Burkesville, KY 42717 Phone: 270-864-2511 |