| Mazen Khayat Jr, MD | |
|
801 Barret Ave, Suite 104, Louisville, KY 40204-1747 | |
| (502) 589-9310 | |
| (502) 583-5560 |
| Full Name | Mazen Khayat Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 48 Years |
| Location | 801 Barret Ave, Louisville, 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 |
|---|---|---|---|
| 1285681312 | NPI | - | NPPES |
| 200065880 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01044238A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 01044238A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrison County Hospital | Corydon, IN | Hospital |
| The James B. Haggin Memorial Hospital | Harrodsburg, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clarksville Emergency Group Pc | 6507277423 | 132 |
| Empact Midwest Llc | 9436577517 | 21 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Entity Name | Clarksville Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023487154 PECOS PAC ID: 6507277423 Enrollment ID: O20201125002335 |
| Mailing Address | Practice Location Address |
|---|---|
| Mazen Khayat Jr, MD 801 Barret Ave, Suite 104, Louisville, KY 40204-1747 Ph: (502) 589-9310 | Mazen Khayat Jr, MD 801 Barret Ave, Suite 104, Louisville, KY 40204-1747 Ph: (502) 589-9310 |
Corey Warf, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr, Louisville, KY 40217 Phone: 502-636-7225 | |
Anne Hayes, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4001 Dutchmans Ln, Louisville, KY 40207 Phone: 502-893-1000 | |
Mrs. Melissa Sue Puffenbarger, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000 Fax: 502-852-8556 | |
Dr. Jared Stuart Bass, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4001 Dutchmans Ln, Louisville, KY 40207 Phone: 502-893-1000 | |
Terry G Hensley, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7926 Preston Hwy Ste 106, Louisville, KY 40219 Phone: 502-964-4357 | |
Dr. Brett Allen Miller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr, Louisville, KY 40217 Phone: 502-634-6767 Fax: 502-634-6775 | |
Elvis U Njere, D.O Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr, Louisville, KY 40217 Phone: 502-636-7225 Fax: 502-636-8032 |