| Edwin Thomas Brott, MD | |
|
2204 Lexington Avenue, Ashland, KY 41101 | |
| (513) 300-0149 | |
| Not Available |
| Full Name | Edwin Thomas Brott |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 36 Years |
| Location | 2204 Lexington Avenue, Ashland, 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 |
|---|---|---|---|
| 1063402287 | NPI | - | NPPES |
| 000000388319 | Other | ANTHEM BLUE SHIELD | |
| 64311442 | Medicaid | KY | |
| 200366710 | Medicaid | IN | |
| 5087130 | Other | AETNA | |
| 173664 | Other | PRIVATE HEALTH CARE | |
| 000000351385 | Other | ANTHEM BLUE SHIELD | |
| 0950047 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 31144 (Kentucky) | Primary |
| 207L00000X | Anesthesiology | 62695 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hazard Arh Regional Medical Center | Hazard, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Triangle Anesthesia Group, Psc | 9436161585 | 64 |
| Entity Name | Triangle Anesthesia Group, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124079314 PECOS PAC ID: 9436161585 Enrollment ID: O20060608000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin Thomas Brott, MD 2208 South Rd, Cincinnati, OH 45233-4267 Ph: (513) 300-0149 | Edwin Thomas Brott, MD 2204 Lexington Avenue, Ashland, KY 41101 Ph: (513) 300-0149 |
Dr. Brian Fisher, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 Fax: 606-408-5176 | |
Dr. Michael D Nestor, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1000 St. Christopher Drive, Ashland, KY 41101 Phone: 606-833-3791 | |
Oscar Ernesto Penate, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 | |
Leon B Briggs, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 617 23rd St Ste 8b, Ashland, KY 41101 Phone: 606-408-1290 Fax: 606-408-6640 | |
Ronald Louis Newman, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 859-408-4000 Fax: 859-269-4120 | |
Jenawik C Marcum, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Avenue, Ashland, KY 41101 Phone: 606-408-6806 Fax: 606-408-6807 |