| Eric Douglas Ervin, MD | |
|
110 3rd St, Suite 180, Henderson, KY 42420-2993 | |
| (270) 827-3573 | |
| (270) 827-1250 |
| Full Name | Eric Douglas Ervin |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 110 3rd St, Henderson, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225105596 | NPI | - | NPPES |
| 65913394 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35996 (Kentucky) | Primary |
| Entity Name | Methodist Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679718100 PECOS PAC ID: 4981508454 Enrollment ID: O20031204000875 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Douglas Ervin, MD 2000 N Elm St Ste 1b, Henderson, KY 42420-2385 Ph: (270) 844-8144 | Eric Douglas Ervin, MD 110 3rd St, Suite 180, Henderson, KY 42420-2993 Ph: (270) 827-3573 |
Dr. Kelly Winston Fife, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 3rd St, Suite 180, Imperial Building, Henderson, KY 42420 Phone: 270-827-3573 Fax: 270-827-1250 | |
Dr. Fred L. Barnett, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1997 Barrett Ct, Henderson, KY 42420 Phone: 270-826-3538 Fax: 270-827-2779 | |
Mr. Garrett Chase Koon, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2000 N Elm St, Henderson, KY 42420 Phone: 270-827-3573 Fax: 270-827-1250 | |
Maria C Aljabi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 340 Starlite Dr, Henderson, KY 42420 Phone: 270-844-8027 Fax: 270-844-8183 | |
Dr. Lesa Sue Sutton-davis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2000 N Elm St Ste 1b, Henderson, KY 42420 Phone: 270-844-8144 Fax: 270-844-8145 | |
Dr. Iyad A Aljabi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 505 Klutey Park Plaza Dr, Henderson, KY 42420 Phone: 270-830-0313 Fax: 270-830-7117 |