| Dr Yasir Saifullah, MD | |
|
103 Financial Pl Ste 100, Elizabethtown, KY 42701-4471 | |
| (270) 769-0110 | |
| (270) 765-6953 |
| Full Name | Dr Yasir Saifullah |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 103 Financial Pl Ste 100, Elizabethtown, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023056959 | NPI | - | NPPES |
| 64329329 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32932 (Kentucky) | Secondary |
| 208000000X | Pediatrics | 32932 (Kentucky) | Primary |
| Entity Name | Yasir, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952929689 PECOS PAC ID: 2163840117 Enrollment ID: O20200908003074 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Yasir Saifullah, MD 103 Financial Pl Ste 100, Elizabethtown, KY 42701-4471 Ph: (270) 769-0110 | Dr Yasir Saifullah, MD 103 Financial Pl Ste 100, Elizabethtown, KY 42701-4471 Ph: (270) 769-0110 |
Kristina L Knisely, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 270-769-9642 | |
Linnea L Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 270-769-9642 | |
Vijay Menon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 913 N Dixie Ave, Elizabethtown, KY 42701 Phone: 270-737-1212 | |
Dr. Veronica Hurst Cammack, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Helmwood Plaza Dr, Elizabethtown, KY 42701 Phone: 270-737-4808 Fax: 270-737-4939 | |
Melissa Bland Flynn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Helmwood Plaza Dr, Elizabethtown, KY 42701 Phone: 270-737-4808 Fax: 270-737-4939 | |
Dr. Hilary Anderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 270-769-9642 | |
Alexis Cole, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 502-769-9642 |