| John D Kilgallin, MD | |
|
404 Steve Dr, Russell Springs, KY 42642-4622 | |
| (270) 866-3161 | |
| (270) 866-3163 |
| Full Name | John D Kilgallin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 404 Steve Dr, Russell Springs, 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 |
|---|---|---|---|
| 1881679496 | NPI | - | NPPES |
| 64257231 | Medicaid | KY |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Emergency Physicians Llc | 2466364997 | 627 |
| Entity Name | Russell County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437245842 PECOS PAC ID: 6204887243 Enrollment ID: O20050217000172 |
| 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 |
| Entity Name | Kentucky Post-acute Medical Services 1 Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831628783 PECOS PAC ID: 9234471426 Enrollment ID: O20190509000789 |
| Mailing Address | Practice Location Address |
|---|---|
| John D Kilgallin, MD Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 864-1472 | John D Kilgallin, MD 404 Steve Dr, Russell Springs, KY 42642-4622 Ph: (270) 866-3161 |
Alyssa L Kozacek, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 404 Steve Drive, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Dr. Richard Stayton Miles, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-2440 Fax: 270-866-2442 | |
Dr. Miles Kenton Gibson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 92 Joe T Petty Dr, Suite 300, Russell Springs, KY 42642 Phone: 270-866-7066 Fax: 270-866-7068 | |
Liesel C Grentz, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-2440 Fax: 270-866-2442 | |
Dr. Macon Samuel Bradley, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 153 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-4141 | |
Leann Dalton Cooper, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-2440 Fax: 270-866-2442 |