| Jessica L Fortwengler, MD | |
|
6580 Kenwood Crossing Road, Crestwood, KY 40014 | |
| (502) 243-3161 | |
| (502) 243-3164 |
| Full Name | Jessica L Fortwengler |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 6580 Kenwood Crossing Road, Crestwood, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891934980 | NPI | - | NPPES |
| 000000650401 | Other | KY | ANTHEM |
| 50027705 | Other | KY | PASSPORT |
| 7100104670 | Medicaid | KY | |
| P00854282 | Other | KY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 42398 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica L Fortwengler, MD Po Box 950248, Louisville, KY 40295-0248 Ph: (502) 489-5730 | Jessica L Fortwengler, MD 6580 Kenwood Crossing Road, Crestwood, KY 40014 Ph: (502) 243-3161 |
Donna Gatewood, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6580 Kenwood Crossing Road, Crestwood, KY 40014 Phone: 502-243-3161 Fax: 502-243-3164 | |
Jianxia Wang, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6411 Veterans Memorial Pkwy, Crestwood, KY 40014 Phone: 502-241-8611 Fax: 502-241-4175 | |
Dr. Michael Ames Punnett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6580 Kenwood Crossing Rd, Crestwood, KY 40014 Phone: 502-243-3161 Fax: 502-243-3164 | |
Renee V Girdler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6411 Veterans Memorial Parkway, Crestwood, KY 40014 Phone: 502-852-5205 Fax: 502-852-5405 | |
Richard A Hefner, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6580 Kenwood Crossings Road, Crestwood, KY 40014 Phone: 502-243-3161 Fax: 502-243-3164 | |
Stephanie Jolly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6580 Kenwood Crossing Rd, Crestwood, KY 40014 Phone: 502-243-3161 Fax: 502-243-3164 |