| Dr Wayne Oliver Wolverton, DO | |
|
200 Brule St, Fort Knox, KY 40121-6100 | |
| (502) 626-9789 | |
| (502) 624-0482 |
| Full Name | Dr Wayne Oliver Wolverton |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 17 Years |
| Location | 200 Brule St, Fort Knox, 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 |
|---|---|---|---|
| 1790941334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207KA0200X | Allergy & Immunology - Allergy | 04033 (Kentucky) | Primary |
| 207R00000X | Internal Medicine | 04033 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Hospital | Lexington, KY | Hospital |
| Saint Joseph London | London, KY | Hospital |
| T J Samson Community Hospital | Glasgow, KY | Hospital |
| Saint Joseph Mount Sterling | Mount sterling, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Physician Services Pc | 0042307852 | 529 |
| Cogent Healthcare Of Kentucky, Psc | 0648294157 | 79 |
| Entity Name | Cogent Healthcare Of Kentucky, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053362293 PECOS PAC ID: 0648294157 Enrollment ID: O20060124000434 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150 |
| Entity Name | Hospitalist Medicine Physicians Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720416555 PECOS PAC ID: 7719119965 Enrollment ID: O20210719003483 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wayne Oliver Wolverton, DO 5410 Maryland Way Ste 300, Brentwood, TN 37027-5339 Ph: (615) 377-5602 | Dr Wayne Oliver Wolverton, DO 200 Brule St, Fort Knox, KY 40121-6100 Ph: (502) 626-9789 |
Dr. Arthur W. Loesevitz, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 851 Ireland Ave, Fort Knox, KY 40121 Phone: 502-624-9423 |