Kurt Jaenicke, MD is a medicare enrolled "Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery" physician in Louisa, Kentucky. His current practice location is
412 N Lock Ave, Louisa, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 638-4595.
Kurt Jaenicke is licensed to practice in West Virginia (license number 16950) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073671673.
Physician's Profile
| Full Name | Kurt Jaenicke |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 412 N Lock Ave, Louisa, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kurt Jaenicke attended and graduated from in
NPI Data:
- NPI Number: 1073671673
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 04/26/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kurt Jaenicke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073671673 | NPI | - | NPPES |
| 0163719 | Medicaid | OH | |
| 000000583794 | Other | KY | ANTHEM BCBS |
| 64313091 | Medicaid | KY | |
| 000000510048 | Other | KY | ANTHEM BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | 31309 (Kentucky) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 31309 (Kentucky) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 16950 (West Virginia) | Secondary |
| 207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | 16950 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kurt Jaenicke is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kurt Jaenicke, MD
Po Box 5009,
Brentwood, TN 37024-5009
Ph: (615) 221-1400 | Kurt Jaenicke, MD
412 N Lock Ave,
Louisa, KY 41230-1115
Ph: (606) 638-4595 |
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