Jeeshan Ali Faridi, MD | |
875 Pennsylvania Ave, Bardstown, KY 40004-2529 | |
(502) 348-5685 | |
(502) 348-1771 |
Full Name | Jeeshan Ali Faridi |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 9 Years |
Location | 875 Pennsylvania Ave, Bardstown, 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 |
---|---|---|---|
1134514532 | NPI | - | NPPES |
7100432810 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 2021-02615 (North Carolina) | Secondary |
207X00000X | Orthopaedic Surgery | 58849 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Caldwell Memorial Hospital | Lenoir, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kentuckyone Health Medical Group Inc | 8820993702 | 227 |
Caldwell Memorial Hospital Inc | 5395646970 | 150 |
Entity Name | Community Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
Entity Name | Kentuckyone Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104875970 PECOS PAC ID: 8820993702 Enrollment ID: O20031204000080 |
Mailing Address | Practice Location Address |
---|---|
Jeeshan Ali Faridi, MD Po Box 936, London, KY 40743-0936 Ph: (606) 330-7835 | Jeeshan Ali Faridi, MD 875 Pennsylvania Ave, Bardstown, KY 40004-2529 Ph: (502) 348-5685 |
Mark C Duber, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 875 Pennsylvania Ave, Bardstown, KY 40004 Phone: 023-485-6855 | |
Dr. Michael Thomas Sewell, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 875 Pennsylvania Ave, Bardstown, KY 40004 Phone: 502-348-5685 |