| Masroor Alam, MD | |
|
1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017-3403 | |
| (859) 341-7246 | |
| (859) 341-7867 |
| Full Name | Masroor Alam |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 37 Years |
| Location | 1 Medical Village Dr, Edgewood, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720069388 | NPI | - | NPPES |
| 0982843 | Medicaid | OH | |
| 200320150 | Medicaid | IN | |
| 611077369 | Other | TAX ID | |
| 64028475 | Medicaid | KY | |
| 311585770 1720069388 | Other | HEALTHNET | |
| 000000192691 | Other | ANTHEM BLUE SHIELD | |
| 000000642262 | Other | ANTHEM | |
| 11179782 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 36170 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Edgewood | Edgewood, KY | Hospital |
| Dearborn County Hospital | Lawrenceburg, IN | Hospital |
| St Elizabeth Florence | Florence, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Group Practice Inc | 1254245137 | 390 |
| Anesthesia Group Practice Inc | 1254245137 | 390 |
| Anesthesia Group Practice Inc | 1254245137 | 390 |
| Entity Name | Anesthesia Group Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20031114000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Masroor Alam, MD 20 Medical Village Dr, Ste 258, Edgewood, KY 41017-5401 Ph: (859) 341-7246 | Masroor Alam, MD 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017-3403 Ph: (859) 341-7246 |
Raymond James Sullivan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Independent Anesthesiologists. Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 | |
David Zangrando, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 849-341-7246 Fax: 859-341-7867 | |
Timothy Dale Dickinson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 | |
Marian Jeanne Gorham, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 | |
Richard Gerard Oliver, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-641-7867 | |
Steven Peter Noll, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 | |
Dr. Oren Costantini, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-341-7867 |