| Mark H Deis, MD | |
|
2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017-3912 | |
| (859) 341-5400 | |
| (859) 579-4594 |
| Full Name | Mark H Deis |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2865 Chancellor Dr, Crestview Hills, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215910013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 36522 (Kentucky) | Primary |
| Entity Name | Children's Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark H Deis, MD 2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017-3912 Ph: (859) 341-5400 | Mark H Deis, MD 2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017-3912 Ph: (859) 341-5400 |
Jordan C Hsu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017 Phone: 859-341-5400 Fax: 859-578-3172 | |
Dr. Andrew Winslow, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2765 Chapel Pl, Crestview Hills, KY 41017 Phone: 859-344-5390 Fax: 859-282-8039 | |
Eric Schneider, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2865 Chancellor Dr Ste 225, Crestview Hills, KY 41017 Phone: 859-341-5400 | |
Cynthia S Spicker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017 Phone: 859-341-5400 Fax: 859-578-4594 | |
Brady Baker, PA-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2865 Chancellor Dr Ste 225, Crestview Hills, KY 41017 Phone: 859-341-5400 | |
Barry Allen Brokaw, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017 Phone: 859-341-5400 Fax: 859-578-4594 |