| Eileen Marie Kummant, MD | |
|
11087 Main St, Martin, KY 41649-7999 | |
| (606) 285-3690 | |
| (606) 285-6769 |
| Full Name | Eileen Marie Kummant |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 11087 Main St, Martin, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841234614 | NPI | - | NPPES |
| 01716747 | Medicaid | PA | |
| 7100310340 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 46795 (Kentucky) | Primary |
| Entity Name | Appalachian Regional Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871189019 PECOS PAC ID: 0840107835 Enrollment ID: O20031125000520 |
| Entity Name | Arh Mary Breckinridge Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184156036 PECOS PAC ID: 8123293818 Enrollment ID: O20170728001694 |
| Mailing Address | Practice Location Address |
|---|---|
| Eileen Marie Kummant, MD 100 E Liberty St, Ste 800, Louisville, KY 40202-1434 Ph: (606) 285-3690 | Eileen Marie Kummant, MD 11087 Main St, Martin, KY 41649-7999 Ph: (606) 285-3690 |
Vijaya Rama Ammisetty, M. D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11203 Main Street, Martin, KY 41649 Phone: 606-285-6400 | |
Mr. Prem Shankar Verma, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11176 Main St, Martin, KY 41649 Phone: 606-285-9426 Fax: 606-285-6619 | |
Gopal R Majmundar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11217 Main Street, Martin, KY 41649 Phone: 606-285-9000 Fax: 606-285-9484 | |
Angela M O'quinn, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12579 Main Street, Suite 101, Martin, KY 41649 Phone: 606-285-0681 Fax: 606-285-6769 |