| Mr Rezkalla Butros, MD | |
|
148 Skyview Drive, Mt. Sterling, KY 40351-1300 | |
| (859) 499-0717 | |
| (859) 499-0926 |
| Full Name | Mr Rezkalla Butros |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 148 Skyview Drive, Mt. Sterling, 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 |
|---|---|---|---|
| 1023037082 | NPI | - | NPPES |
| 65938888 | Medicaid | KY | |
| 31-001050 | Medicaid | KY | |
| 64015977 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34280 (Kentucky) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | 34280 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc - Winchester | Winchester, KY | Dialysis facility |
| Fmc - Mt. Sterling | Mount sterling, KY | Dialysis facility |
| Amedisys Home Health Care Services | Mount sterling, KY | Home health agency |
| Clark Regional Medical Center | Winchester, KY | Hospital |
| Saint Joseph Mount Sterling | Mount sterling, KY | Hospital |
| Saint Joseph Hospital | Lexington, KY | Hospital |
| Windsor Care Center | Mount sterling, KY | Nursing home |
| Ridgeway Nursing & Rehabilitation Facility | Owingsville, KY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Means Adult Primary Care Clinic Of Kentucky Pllc | 5395642177 | 9 |
| Entity Name | Means Adult Primary Care Clinic Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205935814 PECOS PAC ID: 5395642177 Enrollment ID: O20031218000659 |
| Entity Name | Rural Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437574613 PECOS PAC ID: 6901039197 Enrollment ID: O20140423001232 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Rezkalla Butros, MD 148 Skyview Drive, Mt. Sterling, KY 40351-1300 Ph: (859) 499-0717 | Mr Rezkalla Butros, MD 148 Skyview Drive, Mt. Sterling, KY 40351-1300 Ph: (859) 499-0717 |