| Kate Roxalyn Gazenko, MD | |
|
1 Medicine Dr, Clarksville, AR 72830-4431 | |
| (479) 754-6510 | |
| (479) 754-5644 |
| Full Name | Kate Roxalyn Gazenko |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 19 Years |
| Location | 1 Medicine Dr, Clarksville, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245435213 | NPI | - | NPPES |
| 210971001 | Medicaid | AR |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnson Regional Medical Center | Clarksville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Physician Services Llc | 4981698032 | 48 |
| Johnson Regional Medical Center | 1658360284 | 16 |
| Entity Name | St Marys Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124084991 PECOS PAC ID: 4981698032 Enrollment ID: O20040609000759 |
| Entity Name | Johnson Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275558710 PECOS PAC ID: 1658360284 Enrollment ID: O20060824000013 |
| Entity Name | Gazenko Surgical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225629652 PECOS PAC ID: 1456766849 Enrollment ID: O20210217000884 |
| Mailing Address | Practice Location Address |
|---|---|
| Kate Roxalyn Gazenko, MD 1010 W Main St, Clarksville, AR 72830-3417 Ph: (479) 705-2310 | Kate Roxalyn Gazenko, MD 1 Medicine Dr, Clarksville, AR 72830-4431 Ph: (479) 754-6510 |
Dr. J. David Goodman, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2 Medicine Dr, Clarksville, AR 72830 Phone: 479-754-6510 Fax: 479-754-5644 | |
Dr. Richard Mckelvey, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2 Medicine Dr, Clarksville, AR 72830 Phone: 479-754-6510 Fax: 479-754-5644 |