| Edward Dail Tillett, MD | |
|
201 Abraham Flexner Way, Suite 100, Louisville, KY 40202 | |
| (502) 587-8222 | |
| (502) 587-0860 |
| Full Name | Edward Dail Tillett |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 38 Years |
| Location | 201 Abraham Flexner Way, Louisville, 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 |
|---|---|---|---|
| 1700838703 | NPI | - | NPPES |
| 0773853 | Other | KY | MEDICARE-UNSPECIFIED |
| 64222284 | Medicaid | KY | |
| 000000049351 | Other | KY | ANTHEM/UNIV ORTHO ASSOC |
| 100374040 | Medicaid | KY | |
| 1049630 | Other | KY | PASSPORT/UNIV ORTHO ASSOC |
| 1071560 | Other | KY | PASSPORT / R G SHEA |
| 4043364 | Other | KY | AETNA / R G SHEA |
| 200013351 | Other | KY | RAILROAD MEDICARE / R G SHEA |
| 2434923000 | Other | KY | PASSPORT ADVANTAGE / R G SHEA |
| 000000048044 | Other | KY | ANTHEM / R G SHEA |
| 2432607000 | Other | KY | PASSPORT ADV/UNIV ORTHO A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 22228 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jewish Hospital & St Mary's Healthcare | Louisville, KY | Hospital |
| University Of Louisville Hospital | Louisville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pt Pros, Inc | 0143139337 | 218 |
| Kentucky Orthopedic Rehabilitation Llc | 0345157293 | 680 |
| University Of Louisville Physicians Inc | 3476725599 | 1264 |
| Entity Name | University Of Louisville Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Dail Tillett, MD 6801 Dixie Hwy, Ste 130, Louisville, KY 40258-3913 Ph: (502) 587-7222 | Edward Dail Tillett, MD 201 Abraham Flexner Way, Suite 100, Louisville, KY 40202 Ph: (502) 587-8222 |
Kayo Augusto De Almeida Medeiros, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 225 Abraham Flexner Way Ste 850, Louisville, KY 40202 Phone: 502-562-0312 Fax: 502-562-0326 | |
Cyna Khalily, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 E Gray St, Suite 604, Louisville, KY 40202 Phone: 502-629-5633 Fax: 502-629-5580 | |
Dr. Philip O Dripchak, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8033 Dixie Hwy, Ste B, Louisville, KY 40258 Phone: 502-449-6448 Fax: 502-449-6455 | |
Dr. Thomas Matthew Gabriel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6400 Dutchmans Pkwy, Ste 215, Louisville, KY 40205 Phone: 502-721-8288 Fax: 502-721-8792 | |
Dr. Shari Rosenberg Gabriel, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6400 Dutchmans Pkwy, Ste 215, Louisville, KY 40205 Phone: 502-721-8288 Fax: 502-721-8792 | |
Michael Salamon, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13151 Magisterial Dr, Suite 200, Louisville, KY 40223 Phone: 502-587-1236 Fax: 502-587-0318 | |
Frank S. Wood, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 250 E Liberty St, Suite 1005, Louisville, KY 40202 Phone: 502-589-4448 Fax: 502-589-1209 |