| Martin A Castillo Liranzo, MD | |
| 1502 Oxford Dr Ste 100, Georgetown, KY 40324-8096 | |
| (502) 863-2818 | |
| Not Available | 
| Full Name | Martin A Castillo Liranzo | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 1502 Oxford Dr Ste 100, Georgetown, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679837181 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 0438035 (Kansas) | Primary | 
| Entity Name | Kentucky Mso Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1164867883 PECOS PAC ID: 0749450633 Enrollment ID: O20110901000380 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Martin A Castillo Liranzo, MD 330 Seven Springs Way, Brentwood, TN 37027-5098 Ph: (615) 920-7000 | Martin A Castillo Liranzo, MD 1502 Oxford Dr Ste 100, Georgetown, KY 40324-8096 Ph: (502) 863-2818 | 
| Ms. Lacey Sweigart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1162 Lexington Rd, Georgetown, KY 40324 Phone: 502-863-6426 Fax: 502-868-9724 | |
| Dr. Joel Anthony Knight, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 196 Bevins Ln F, Georgetown, KY 40324 Phone: 502-863-2818 Fax: 502-863-2764 | |
| Dr. Kristy K. Menke, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1162 Lexington Rd, Georgetown, KY 40324 Phone: 502-863-6426 | |
| Andrew Peter Balbaugh, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 196 Bevins Ln, Suite F, Georgetown, KY 40324 Phone: 502-863-2818 Fax: 502-863-2764 | |
| William Lee Grey, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1162 Lexington Rd, Georgetown, KY 40324 Phone: 502-863-6426 Fax: 502-868-4724 | |
| Ronald Earl Roberts Jr., M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 202 Bevins Ln, Georgetown, KY 40324 Phone: 859-323-9333 | |
| Kristina Joy Jayne, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 227 E Main St, Georgetown, KY 40324 Phone: 859-710-6300 |