| James R Cicchiello, MD | |
|
7926 Preston Hwy, Ste 210, Louisville, KY 40219-3848 | |
| (502) 966-8675 | |
| (502) 966-8836 |
| Full Name | James R Cicchiello |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 7926 Preston Hwy, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730144296 | NPI | - | NPPES |
| 000000720334 | Other | KY | ANTHEM - ICC |
| 2448315000 | Other | PAD - NMA | |
| 000000364343 | Other | ANTHEM - NMA | |
| 50007142 | Other | PASSPORT - NMA | |
| 64262173 | Medicaid | KY | |
| P00266880 | Other | KY | RRMCR - NMA |
| 0000023025F | Other | HUMANA / NMA | |
| 062447 | Other | SIHO - NMA | |
| 0724045 | Other | CIGNA / NMA | |
| 1193582 | Other | CHA / NMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 26217 (Kentucky) | Primary |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306983762 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
| Mailing Address | Practice Location Address |
|---|---|
| James R Cicchiello, MD Po Box 950202, Louisville, KY 40295-0202 Ph: (502) 588-9490 | James R Cicchiello, MD 7926 Preston Hwy, Ste 210, Louisville, KY 40219-3848 Ph: (502) 966-8675 |
Ms. Leesa Richardson, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3215 Westport Green Pl, Louisville, KY 40241 Phone: 502-412-1112 Fax: 502-357-0606 |
Alok Ravindra Amraotkar, MD, MPH General Practice Medicare: Not Enrolled in Medicare Practice Location: 550 S Jackson St, Acb 3rd Floor, Louisville, KY 40202 Phone: 502-852-7559 |
Cheryl Barnes, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3703 Taylorsville Rd, Suite 214, Louisville, KY 40220 Phone: 502-541-7661 Fax: 502-459-0629 |
Clara Prada Comer, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6105 Regal Springs Dr, Louisville, KY 40205 Phone: 502-552-6121 |
Sullivan Scott Smith, DO General Practice Medicare: Medicare Enrolled Practice Location: 530 S Jackson St Rm C1h17, Louisville, KY 40202 Phone: 502-852-5689 |
Dr. Gerald Michael Daiuto, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 13100 Rehl Rd, Louisville, KY 40299 Phone: 502-267-4296 |
David M Holland, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 2355 Poplar Level Rd, Ste. 200-a, Louisville, KY 40217 Phone: 502-636-7444 Fax: 502-636-7340 |