| Justin B Sedlak, MD | |
|
290 Big Run Rd, Lexington, KY 40503-2903 | |
| (859) 278-9513 | |
| Not Available |
| Full Name | Justin B Sedlak |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 290 Big Run Rd, Lexington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558468215 | NPI | - | NPPES |
| 000000044324 | Other | BCBS PROVIDER NUMBER | |
| 30321 | Other | KY | LICENSE |
| 64303217 | Medicaid | KY | |
| 000000804466 | Other | KY | BCBS- MMC/POWDERLY CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 30321 (Kentucky) | Primary |
| Entity Name | Chipps, Caffrey & Dubilier, P.s.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336148683 PECOS PAC ID: 4688573900 Enrollment ID: O20040106000573 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin B Sedlak, MD 290 Big Run Rd, Lexington, KY 40503-2903 Ph: (859) 278-9513 | Justin B Sedlak, MD 290 Big Run Rd, Lexington, KY 40503-2903 Ph: (859) 278-9513 |
Dr. Kirk Phillip Heitman, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Ms117, Lexington, KY 40536 Phone: 859-257-1446 | |
Alexander Patrick Smith, Pathology Medicare: Accepting Medicare Assignments Practice Location: 290 Big Run Rd, Lexington, KY 40503 Phone: 859-278-9513 | |
Dr. Amy Siegel Gewirtz, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St # Ms 117, Lexington, KY 40536 Phone: 859-323-5425 | |
Therese Jeanne Bocklage, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St # Ms 117, Lexington, KY 40536 Phone: 859-323-5425 | |
Dr. Paul Bachner, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 800 Rose Street, Lexington, KY 40536 Phone: 859-323-5425 | |
Dr. Peter Tobias Nelson, MD, PHD Pathology Medicare: Medicare Enrolled Practice Location: 800 Rose St # Ms 117, Lexington, KY 40536 Phone: 859-323-5425 | |
Dr. Eun Young Lee, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St # Ms 117, Lexington, KY 40536 Phone: 859-323-5425 |