| Juan Gustavo Polo, MD | |
|
234 E Gray St, Ste. 670, Louisville, KY 40202-1900 | |
| (502) 629-4525 | |
| (502) 629-4529 |
| Full Name | Juan Gustavo Polo |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 48 Years |
| Location | 234 E Gray St, Louisville, 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 |
|---|---|---|---|
| 1952399669 | NPI | - | NPPES |
| 200489040 | Other | IN | ANTHEM INDIANA MEDICAID- NORTON ICC |
| 64017098 | Medicaid | KY | |
| 200489040 | Medicaid | IN | |
| 200489040 | Other | KY | MD WISE- NORTON ICC |
| 1128117 | Other | KY | PASSPORT |
| 200489040 | Other | KY | HEALTHY INDIANA PLAN- NORTON ICC |
| 31K4, 000000179689 | Other | KY | ANTHEM |
| P00838101 | Other | IN | RRMCR - NICC |
| 002045573-002 | Other | UNITED HEALTHCARE | |
| 017376 | Other | KY | SIHO - NORTON ICC |
| 5832707 | Other | KY | AETNA |
| P00362331 | Other | KY | RRMCR - NICC |
| 000000381954 | Other | KY | ANTHEM - NORTON ICC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36067 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Norton Hospitals, Inc | Louisville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Medical Associates Inc | 7012811284 | 1310 |
| New Horizons Physical Therapy Limited Partnership | 4183641608 | 57 |
| 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 |
|---|---|
| Juan Gustavo Polo, MD 234 E Gray St, Ste. 670, Louisville, KY 40202-1900 Ph: (502) 629-4525 | Juan Gustavo Polo, MD 234 E Gray St, Ste. 670, Louisville, KY 40202-1900 Ph: (502) 629-4525 |
Cindy J Code, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3950 Kresge Way, Suite 303, Louisville, KY 40207 Phone: 502-896-1880 Fax: 502-896-1887 | |
Dr. Uchenna Loretta Ozor, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St Bldg Suite303, Louisville, KY 40202 Phone: 502-629-5552 Fax: 502-629-3132 | |
Mohamed Hegazi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 529 S Jackson St, Louisville, KY 40202 Phone: 502-562-4270 | |
Dr. Michael Patrick Krease, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1941 Bishop Ln Ste 200, Louisville, KY 40218 Phone: 502-888-1988 | |
Dr. Ramsey Nasri Nassar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6400 Dutchmans Pkwy, Ste 250, Louisville, KY 40205 Phone: 502-587-9660 Fax: 502-540-5615 | |
Jeanne M Thompson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Audubon Plaza Dr, Ll2, Louisville, KY 40217 Phone: 502-636-8095 Fax: 502-636-8097 | |
Terrence P Donohue, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 Poplar Level Rd Ste 101, Louisville, KY 40213 Phone: 502-636-7444 Fax: 502-636-7112 |