| Lance Mclean Hottman, DO | |
|
1 Audubon Plaza Dr, Louisville, KY 40217-1318 | |
| (502) 636-7225 | |
| Not Available |
| Full Name | Lance Mclean Hottman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1 Audubon Plaza Dr, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164638631 | NPI | - | NPPES |
| 7100076530 | Medicaid | KY | |
| 200967670 | Medicaid | IN | |
| 03270 | Other | KY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 03270 (Kentucky) | Primary |
| Entity Name | Southeastern Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance Mclean Hottman, DO Po Box 4778, Bloomington, IN 47402-4778 Ph: (812) 336-1690 | Lance Mclean Hottman, DO 1 Audubon Plaza Dr, Louisville, KY 40217-1318 Ph: (502) 636-7225 |
Mrs. Melissa Sue Puffenbarger, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000 Fax: 502-852-8556 |
Terry G Hensley, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7926 Preston Hwy Ste 106, Louisville, KY 40219 Phone: 502-964-4357 |
Dr. Brett Allen Miller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr, Louisville, KY 40217 Phone: 502-634-6767 Fax: 502-634-6775 |
Mr. Dustin T Hamilton, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Abraham Flexner Way, Louisville, KY 40202 Phone: 502-587-4421 Fax: 502-587-4840 |
Alessandro Cancelliere, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr, Louisville, KY 40217 Phone: 502-636-7225 Fax: 502-636-8032 |
Jack Gerughty, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4000 Kresge Way, Louisville, KY 40207 Phone: 502-899-7646 |
Thomas Donaldson Johnston Vi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Abraham Flexner Way, Louisville, KY 40202 Phone: 502-587-4421 Fax: 502-587-4840 |