| Lisa Leigh Corum, MD | |
|
175 S English Station Rd Ste 226, Louisville, KY 40245-4199 | |
| (502) 244-0911 | |
| (502) 253-0581 |
| Full Name | Lisa Leigh Corum |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 175 S English Station Rd Ste 226, Louisville, 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 |
|---|---|---|---|
| 1174524821 | NPI | - | NPPES |
| 50024464 | Other | KY | PASSPORT |
| 000000624358 | Other | KY | ANTHEM |
| 3722989000 | Other | KY | PASSPORT ADVANTAGE |
| 187522 | Medicaid | SC | |
| K204930-KOHMG | Other | KY | MEDICARE |
| 64339492 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33949 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | 2013-02331 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sandhills Medical Foundation, Inc. | 8224949821 | 25 |
| Sandhills Medical Foundation, Inc. | 8224949821 | 25 |
| Entity Name | Sandhills Medical Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568541597 PECOS PAC ID: 8224949821 Enrollment ID: O20031126000326 |
| Entity Name | Sandhills Medical Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922584481 PECOS PAC ID: 8224949821 Enrollment ID: O20200528000475 |
| Entity Name | Sandhills Medical Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083228779 PECOS PAC ID: 8224949821 Enrollment ID: O20230104003131 |
| Entity Name | Sandhills Medical Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780398461 PECOS PAC ID: 8224949821 Enrollment ID: O20240104003460 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Leigh Corum, MD 11501 Redwood Way, Louisville, KY 40223-2362 Ph: (803) 487-4006 | Lisa Leigh Corum, MD 175 S English Station Rd Ste 226, Louisville, KY 40245-4199 Ph: (502) 244-0911 |
Jaivanti Lohano, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 Portland Ave, Louisville, KY 40212 Phone: 502-774-8631 Fax: 502-778-3499 | |
John L Markert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1169 Eastern Pkwy Ste 2265, Louisville, KY 40217 Phone: 502-635-7455 Fax: 502-634-9296 | |
Dr. Jerry Randolph Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3015 Wilson Ave, Park Duvalle Cnc, Louisville, KY 40211 Phone: 502-774-4401 Fax: 502-772-4783 | |
Dr. Jill Marie Jacobs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8019 Dixie Hwy Ste 101, Louisville, KY 40258 Phone: 502-254-3898 | |
Dr. Paul Clint Bricker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6200 Dutchmans Ln, Louisville, KY 40205 Phone: 502-456-6200 Fax: 502-688-6024 | |
Michael James Gaffney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3532 Ephraim Mcdowell Drive, Louisville, KY 40205 Phone: 502-456-6200 Fax: 502-456-6655 | |
Veronica Anne Kavorkian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 Chamberlain Ln, Louisville, KY 40245 Phone: 502-243-9044 Fax: 502-243-8482 |