| Gilbert M Mamauag, MD | |
|
346 Beechwood Dr, London, KY 40744-5403 | |
| (859) 227-7666 | |
| (606) 864-4774 |
| Full Name | Gilbert M Mamauag |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 346 Beechwood Dr, London, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922056464 | NPI | - | NPPES |
| 000000526857 | Other | KY | ANTHEM BCBS |
| 6431417200 | Medicaid | KY | |
| 000000525342 | Other | KY | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 31417 (Kentucky) | Secondary |
| 207P00000X | Emergency Medicine | 31417 (Kentucky) | Primary |
| Entity Name | T J Samson Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477609865 PECOS PAC ID: 0648182600 Enrollment ID: O20040318001777 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | Emergency Medicine Physicians Of Estill County,pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407235666 PECOS PAC ID: 1850604141 Enrollment ID: O20150715001677 |
| Entity Name | Emergency Medicine Services Of Ky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033816194 PECOS PAC ID: 9335505569 Enrollment ID: O20230515000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Gilbert M Mamauag, MD Po Box 370, London, KY 40743-0370 Ph: (859) 227-7666 | Gilbert M Mamauag, MD 346 Beechwood Dr, London, KY 40744-5403 Ph: (859) 227-7666 |
Dr. James Derrick Adams, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1406 W 5th St, Ste 201, London, KY 40741 Phone: 606-330-2377 Fax: 606-330-2369 | |
Troy Thomas Pope, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Saint Joseph Ln, London, KY 40741 Phone: 606-330-6100 | |
Emmanuel C. Yumang, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 73 Thompson Poynter Road, Suite A, London, KY 40741 Phone: 606-877-1446 Fax: 606-877-1285 | |
Werner Grentz, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 106 Nami Plz Ste 2, London, KY 40741 Phone: 606-864-0254 Fax: 606-864-0259 |