Kenneth Bazydlo, | |
413 South Loop Road, Edgewood, KY 41017-5446 | |
(859) 301-3800 | |
(859) 301-3987 |
Full Name | Kenneth Bazydlo |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 6 Years |
Location | 413 South Loop Road, Edgewood, 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 |
---|---|---|---|
1558854174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MT215774 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | TP195 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Home Care | Florence, KY | Home health agency |
St Elizabeth Edgewood | Edgewood, KY | Hospital |
St Elizabeth Florence | Florence, KY | Hospital |
Village Care Center | Erlanger, KY | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Elizabeth Medical Center, Inc | 0648174623 | 102 |
Entity Name | St Elizabeth Medical Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932187937 PECOS PAC ID: 0648174623 Enrollment ID: O20031121000206 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Bazydlo, Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 344-5555 | Kenneth Bazydlo, 413 South Loop Road, Edgewood, KY 41017-5446 Ph: (859) 301-3800 |
Robert N Tracy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 413 South Loop Road, Edgewood, KY 41017 Phone: 859-301-3800 Fax: 859-301-3987 | |
Karl M Schmitt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 413 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-3800 Fax: 859-301-3987 | |
Dr. Michael Paul Minning, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 Thomas More Pkwy, Suite 200 B, Edgewood, KY 41017 Phone: 859-301-8686 Fax: 859-301-8690 | |
Dr. Shannon K Bentley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 413 South Loop Road, St Elizabeth Family Practice Center, Edgewood, KY 41017 Phone: 859-301-3800 Fax: 859-301-3987 | |
Dr. Mary Ann Barnes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 413 South Loop Road, Edgewood, KY 41017 Phone: 859-301-3800 Fax: 859-301-3987 | |
Ravinderjit Hans, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945 | |
Dr. Harjodh Singh Dhillon, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945 |