| John H Hines, MD | |
|
120 W Broadway, Louisville, KY 40202-2110 | |
| (502) 772-8662 | |
| (502) 996-8309 |
| Full Name | John H Hines |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 120 W Broadway, 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 |
|---|---|---|---|
| 1194780171 | NPI | - | NPPES |
| 000000365642 | Other | KY | ANTHEM |
| 000023025G | Other | KY | HUMANA - CMA |
| 50007141 | Other | KY | PASSPORT - CMA |
| 060947 | Other | KY | SIHO - CMA |
| 64167919 | Medicaid | KY | |
| 2448314000 | Other | KY | PASSPORT ADVTG - CMA |
| 2525362 | Other | KY | CIGNA - CMA |
| 1202726 | Other | KY | CHA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16791 (Kentucky) | Primary |
| Entity Name | Family Health Centers, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649732603 PECOS PAC ID: 6901700053 Enrollment ID: O20031121000045 |
| Mailing Address | Practice Location Address |
|---|---|
| John H Hines, MD Po Box 950202, Louisville, KY 40295-0202 Ph: (502) 969-6552 | John H Hines, MD 120 W Broadway, Louisville, KY 40202-2110 Ph: (502) 772-8662 |
Jaivanti Lohano, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 Portland Ave, Louisville, KY 40212 Phone: 502-774-8631 Fax: 502-778-3499 | |
John L Markert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1169 Eastern Pkwy Ste 2265, Louisville, KY 40217 Phone: 502-635-7455 Fax: 502-634-9296 | |
Dr. Jerry Randolph Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3015 Wilson Ave, Park Duvalle Cnc, Louisville, KY 40211 Phone: 502-774-4401 Fax: 502-772-4783 | |
Dr. Jill Marie Jacobs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8019 Dixie Hwy Ste 101, Louisville, KY 40258 Phone: 502-254-3898 | |
Dr. Paul Clint Bricker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6200 Dutchmans Ln, Louisville, KY 40205 Phone: 502-456-6200 Fax: 502-688-6024 | |
Michael James Gaffney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3532 Ephraim Mcdowell Drive, Louisville, KY 40205 Phone: 502-456-6200 Fax: 502-456-6655 | |
Veronica Anne Kavorkian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 Chamberlain Ln, Louisville, KY 40245 Phone: 502-243-9044 Fax: 502-243-8482 |