| Mobolanle Asope Elder, MD | |
|
196 Bevins Ln Ste F, Georgetown, KY 40324-8534 | |
| (502) 863-2818 | |
| (502) 863-2764 |
| Full Name | Mobolanle Asope Elder |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 196 Bevins Ln Ste F, 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 |
|---|---|---|---|
| 1245896224 | NPI | - | NPPES |
| 7100744080 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 56363 (Kentucky) | 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 |
| Entity Name | Cumberland Family Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Mobolanle Asope Elder, MD 196 Bevins Ln Ste F, Georgetown, KY 40324-8534 Ph: (502) 863-2818 | Mobolanle Asope Elder, MD 196 Bevins Ln Ste F, Georgetown, KY 40324-8534 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. Kristy K. Menke, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1162 Lexington Rd, Georgetown, KY 40324 Phone: 502-863-6426 |
William Lee Grey, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1162 Lexington Rd, Georgetown, KY 40324 Phone: 502-863-6426 Fax: 502-868-4724 |
Kristina Joy Jayne, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 227 E Main St, Georgetown, KY 40324 Phone: 859-710-6300 |
Dr. Jennifer S. Oliver, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1162 Lexington Rd, Georgetown, KY 40324 Phone: 502-863-6426 |
Martin A Castillo Liranzo, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1502 Oxford Dr Ste 100, Georgetown, KY 40324 Phone: 502-863-2818 |
Dr. Cynthia Katie Smallwood, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1162 Lexington Rd, Georgetown, KY 40324 Phone: 502-863-6426 Fax: 502-868-9724 |