| Elizabeth Self Burckardt, MD | |
|
6420 Dutchmans Pkwy Ste 380, Louisville, KY 40205-3355 | |
| (502) 894-8441 | |
| (502) 894-4453 |
| Full Name | Elizabeth Self Burckardt |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Experience | 11 Years |
| Location | 6420 Dutchmans Pkwy Ste 380, Louisville, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588081749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 53577 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Norton Hospitals, Inc | Louisville, KY | Hospital |
| Baptist Health Floyd | New albany, IN | Hospital |
| Baptist Health Louisville | Louisville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ent Care Centers Pllc | 2961896832 | 15 |
| Ent Care Centers Pllc | 2961896832 | 15 |
| University Of Louisville Physicians Inc | 3476725599 | 1264 |
| Entity Name | Kentuckiana Ear Nose & Throat Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194771592 PECOS PAC ID: 9133195902 Enrollment ID: O20050808000314 |
| Entity Name | Ent Care Centers Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093381485 PECOS PAC ID: 2961896832 Enrollment ID: O20220224001366 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Self Burckardt, MD 6420 Dutchmans Pkwy, Ste 380, Louisville, KY 40205-3355 Ph: (502) 894-9753 | Elizabeth Self Burckardt, MD 6420 Dutchmans Pkwy Ste 380, Louisville, KY 40205-3355 Ph: (502) 894-8441 |
Dr. Michael J Brown, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3999 Dutchmans Ln, Suite #3a, Suburban Plaza One, Louisville, KY 40207 Phone: 502-897-7300 Fax: 502-897-3332 | |
Dr. Carl D Coppola, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3950 Kresge Way Ste 402, Louisville, KY 40207 Phone: 502-893-3683 | |
Mr. Stanley S. Chmiel, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4003 Kresge Way, Ste 227, Louisville, KY 40207 Phone: 502-893-3342 Fax: 502-893-9575 | |
Christopher John Harryman, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6420 Dutchmans Pkwy Ste 380, Louisville, KY 40205 Phone: 502-894-8441 | |
Dr. Marion D Eyre, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205 Phone: 502-894-9753 Fax: 502-371-0929 | |
Dr. Sean Matthew Miller, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6420 Dutchmans Pkwy Ste 380, Louisville, KY 40205 Phone: 502-894-8441 Fax: 502-894-4453 | |
Ziad A Katrib, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 170, Louisville, KY 40202 Phone: 502-583-3687 Fax: 502-588-7840 |