| Forrest A Hanke, MD | |
|
200 Clinic Dr, Madisonville, KY 42431-1661 | |
| (270) 825-7200 | |
| Not Available |
| Full Name | Forrest A Hanke |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 200 Clinic Dr, Madisonville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295831279 | NPI | - | NPPES |
| 25587 | Other | KY | LICENSE |
| 000000044290 | Other | BCBS PROVIDER NUMBER | |
| 64255870 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25587 (Kentucky) | Primary |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942 |
| Mailing Address | Practice Location Address |
|---|---|
| Forrest A Hanke, MD 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: () - | Forrest A Hanke, MD 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 825-7200 |
Kristin Wickham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7200 | |
Robert G. Holzknecht, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 444 S Main St, Madisonville, KY 42431 Phone: 270-821-4444 Fax: 270-821-9188 | |
Richard G King, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7200 | |
Catherine S Montz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5646 Fax: 270-825-5648 | |
Michael Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 Madison Square Dr Ste C, Madisonville, KY 42431 Phone: 270-821-6262 | |
Robert Lamont Wood, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-6680 Fax: 270-825-7266 | |
Marium Iqbal, Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-6680 Fax: 270-825-7266 |