| Mr Bill Walker Haney, MD | |
| 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205-3341 | |
| (502) 708-9880 | |
| (502) 708-6911 | 
| Full Name | Mr Bill Walker Haney | 
|---|---|
| Gender | Male | 
| Speciality | Pain Medicine - Interventional Pain Medicine | 
| Location | 6400 Dutchmans Pkwy Ste 60, Louisville, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265525653 | NPI | - | NPPES | 
| 64227879 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 01071971A (Indiana) | Secondary | 
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 22787 (Kentucky) | Primary | 
| Entity Name | Pain Management Centers Of America Psc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1992271811 PECOS PAC ID: 2769727114 Enrollment ID: O20190205002506 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Bill Walker Haney, MD 1101 Professional Blvd Ste 100, Evansville, IN 47714-8018 Ph: (812) 477-7246 | Mr Bill Walker Haney, MD 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205-3341 Ph: (502) 708-9880 | 
| Amy Lee Delk, APRN Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 312 S 4th St Ste 700, Louisville, KY 40202 Phone: 502-804-5495 Fax: 833-563-1715 | |
| Lady Christine Lim Ong Sio, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 1900 Bluegrass Ave Ste 300, Louisville, KY 40215 Phone: 502-815-7336 Fax: 502-815-7337 | |
| Brigid M Buckman, ARNP Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Eastpoint Pkwy, Suite 410, Louisville, KY 40223 Phone: 502-253-6625 Fax: 502-253-6629 | |
| Ricky Stanley Collis, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway, Suite 250, Louisville, KY 40202 Phone: 502-589-4765 Fax: 502-589-4799 | |
| Konrad Kijewski, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4130 Dutchmans Ln Ste 200, Louisville, KY 40207 Phone: 502-897-1794 Fax: 502-897-3852 | |
| Dr. Alexander Hendrik Sinofsky, M.D Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1169 Eastern Pkwy Ste 400, Louisville, KY 40217 Phone: 502-276-5554 Fax: 502-403-2065 |