| 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 | 18 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) | Secondary |
| 207R00000X | Internal Medicine | 04033 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flaget Memorial Hospital | Bardstown, KY | Hospital |
| Saint Joseph London | London, KY | Hospital |
| Saint Joseph Hospital | Lexington, KY | Hospital |
| T J Samson Community Hospital | Glasgow, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Physician Services Pc | 0042307852 | 608 |
| Cogent Healthcare Of Kentucky, Psc | 0648294157 | 93 |
| 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. William Jerome Welch, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 289 Ireland Avenue, Ireland Army Community Hospital, Fort Knox, KY 40121 Phone: 502-624-9007 Fax: 502-624-0252 | |
Dr. Jill Lauran Byers, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 289 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121 Phone: 502-624-0460 Fax: 502-624-0261 | |
Dr. Travis Arron Dugan, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 289 Ireland Ave, Fort Knox, KY 40121 Phone: 502-624-9192 | |
Dr. James Clay Stephens, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 Brule St Bldg Ireland, Fort Knox, KY 40121 Phone: 502-624-3149 Fax: 502-624-0252 | |
Pragna R Jadav, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 289 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121 Phone: 502-624-9396 Fax: 502-624-0241 | |
Dr. Bankole O Botu, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 289 Ireland Ave, Bldg. 851 Wtc Unit, Fort Knox, KY 40121 Phone: 502-624-9844 Fax: 502-624-9578 | |
Nicholas Joseph Burkholder, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 Brule St, Fort Knox, KY 40121 Phone: 502-626-6096 Fax: 502-414-0088 |