Freeman Tichatonga Changamire, MD, SCD, MBA in Louisville, KY

Freeman Tichatonga Changamire, MD, SCD, MBA is a medicare enrolled "Family Medicine" physician in Louisville, Kentucky. His current practice location is 7926 Preston Hwy Ste 106, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 964-4357.

Freeman Tichatonga Changamire is licensed to practice in Kentucky (license number 50191) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639377963.

Contact Information

	Freeman Tichatonga Changamire, MD, SCD, MBA
	7926 Preston Hwy Ste 106, Louisville, KY 40219-3848
	(502) 964-4357
	(502) 966-5948

Map and Direction

Physician's Profile

Full Name	Freeman Tichatonga Changamire
Gender	Male
Speciality	Family Medicine
Location	7926 Preston Hwy Ste 106, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639377963
Provider Enumeration Date: 07/09/2007
Last Update Date: 12/26/2017

Medicare PECOS Information:

PECOS PAC ID: 5991999435
Enrollment ID: I20151013000117

Medical Identifiers

Medical identifiers for Freeman Tichatonga Changamire such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639377963	NPI	-	NPPES
110086725/A	Medicaid	MA
234001	Other	KY	SIHO
386790	Medicaid	SC
000001121829	Other	KY	ANTHEM-KY
K231120	Other	KY	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	244111 (Massachusetts)	Secondary
207Q00000X	Family Medicine	38679 (South Carolina)	Secondary
207Q00000X	Family Medicine	50191 (Kentucky)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Freeman Tichatonga Changamire allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Freeman Tichatonga Changamire is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Freeman Tichatonga Changamire, MD, SCD, MBA Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490	Freeman Tichatonga Changamire, MD, SCD, MBA 7926 Preston Hwy Ste 106, Louisville, KY 40219-3848 Ph: (502) 964-4357

Reviews and Comments

Family Medicine Doctors in Louisville, KY

Jaivanti Lohano, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 Portland Ave, Louisville, KY 40212 Phone: 502-774-8631 Fax: 502-778-3499
John L Markert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1169 Eastern Pkwy Ste 2265, Louisville, KY 40217 Phone: 502-635-7455 Fax: 502-634-9296
Dr. Jerry Randolph Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3015 Wilson Ave, Park Duvalle Cnc, Louisville, KY 40211 Phone: 502-774-4401 Fax: 502-772-4783
Dr. Jill Marie Jacobs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8019 Dixie Hwy Ste 101, Louisville, KY 40258 Phone: 502-254-3898
Dr. Paul Clint Bricker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6200 Dutchmans Ln, Louisville, KY 40205 Phone: 502-456-6200 Fax: 502-688-6024
Michael James Gaffney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3532 Ephraim Mcdowell Drive, Louisville, KY 40205 Phone: 502-456-6200 Fax: 502-456-6655
Veronica Anne Kavorkian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 Chamberlain Ln, Louisville, KY 40245 Phone: 502-243-9044 Fax: 502-243-8482

Freeman Tichatonga Changamire, MD, SCD, MBA - Medicare Family Medicine in Louisville, KY