| Dr Zewdu Lissanu, MD | |
|
125 Greenbriar Dr, Campbellsville, KY 42718-9616 | |
| (270) 789-0247 | |
| Not Available |
| Full Name | Dr Zewdu Lissanu |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 42 Years |
| Location | 125 Greenbriar Dr, Campbellsville, 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 |
|---|---|---|---|
| 1770556235 | NPI | - | NPPES |
| 64032188 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 36828 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Taylor Regional Hospital | Campbellsville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Taylor Regional Medical Group, Llc | 4880616622 | 63 |
| Entity Name | Taylor Regional Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174697601 PECOS PAC ID: 4880616622 Enrollment ID: O20051221000527 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Zewdu Lissanu, MD 1698 Old Lebanon Rd, Campbellsville, KY 42718-9662 Ph: (270) 789-0247 | Dr Zewdu Lissanu, MD 125 Greenbriar Dr, Campbellsville, KY 42718-9616 Ph: (270) 789-0247 |
Dr. Stephen S Hinton, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-465-3812 Fax: 270-465-8352 | |
William D. Feltner, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1866 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-465-3588 Fax: 270-465-2635 | |
Dr. Thomas L Rogers, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 67 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-465-3812 Fax: 270-465-8352 | |
Dr. David A Montgomery, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-465-3812 Fax: 270-465-8352 | |
Dr. Joel Dean Eade, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-465-3812 Fax: 270-465-8352 | |
Dr. James Brandon Frank, D.O Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1700 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-789-6082 Fax: 270-789-6080 |