| Grover C Dils, MD | |
|
466 Burnley Rd, Scottsville, KY 42164-6355 | |
| (270) 618-3700 | |
| (270) 618-3772 |
| Full Name | Grover C Dils |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | 466 Burnley Rd, Scottsville, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720044191 | NPI | - | NPPES |
| 64308182 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 30818 (Kentucky) | Primary |
| 207P00000X | Emergency Medicine | 30818 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifeline Home Health | Tompkinsville, KY | Home health agency |
| The Medical Center (bowling Green) | Bowling green, KY | Hospital |
| The Medical Center At Scottsville | Scottsville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Health Corporation, Inc. | 5496667628 | 391 |
| Entity Name | Commonwealth Health Corporation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881109304 PECOS PAC ID: 5496667628 Enrollment ID: O20040916000800 |
| 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 | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Grover C Dils, MD Po Box 3560, Bowling Green, KY 42102-3560 Ph: (270) 618-3700 | Grover C Dils, MD 466 Burnley Rd, Scottsville, KY 42164-6355 Ph: (270) 618-3700 |
Amanda Mcgeorge, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 466 Burnley Rd, Scottsville, KY 42164 Phone: 270-618-3700 | |
Dr. William Harston Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 208 S Court St, Scottsville, KY 42164 Phone: 270-239-4000 Fax: 270-796-9328 |