| Leonor S Pagtakhan So, MD | |
|
156 Island Creek Rd, Pikeville, KY 41501-9340 | |
| (606) 432-0174 | |
| (606) 437-0438 |
| Full Name | Leonor S Pagtakhan So |
|---|---|
| Gender | Female |
| Speciality | Allergy/immunology |
| Experience | 61 Years |
| Location | 156 Island Creek Rd, Pikeville, Kentucky |
| 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 |
|---|---|---|---|
| 1376533091 | NPI | - | NPPES |
| 64178163 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 17816 (Kentucky) | Secondary |
| 207K00000X | Allergy & Immunology | 17816 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pikeville Medical Center | Pikeville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Investment Trust | 7214845072 | 2 |
| Pediatric Associates | 9436147048 | 9 |
| Entity Name | Medical Investment Trust |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053382788 PECOS PAC ID: 7214845072 Enrollment ID: O20040213000031 |
| Entity Name | Salyersville Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215984711 PECOS PAC ID: 4385539501 Enrollment ID: O20040217000889 |
| Entity Name | Pediatric Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013954510 PECOS PAC ID: 9436147048 Enrollment ID: O20050211000269 |
| Mailing Address | Practice Location Address |
|---|---|
| Leonor S Pagtakhan So, MD 156 Island Creek Rd, Pikeville, KY 41501-9340 Ph: (606) 432-0174 | Leonor S Pagtakhan So, MD 156 Island Creek Rd, Pikeville, KY 41501-9340 Ph: (606) 432-0174 |
Dr. Charles E Lowe Iii, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 5425 North Mayo Trail, Suite 101, Pikeville, KY 41501 Phone: 606-433-0591 Fax: 606-433-0594 |