| Mr Tyler Abraham De Witt, MD | |
|
120 Helmwood Plaza Dr Ste 103, Elizabethtown, KY 42701-3459 | |
| (270) 979-7171 | |
| (270) 979-7172 |
| Full Name | Mr Tyler Abraham De Witt |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 120 Helmwood Plaza Dr Ste 103, Elizabethtown, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518490606 | NPI | - | NPPES |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tyler Abraham De Witt, MD 401 E Chestnut St Unit 600, Louisville, KY 40202-5705 Ph: (502) 588-4450 | Mr Tyler Abraham De Witt, MD 120 Helmwood Plaza Dr Ste 103, Elizabethtown, KY 42701-3459 Ph: (270) 979-7171 |
Dr. Noel Z Reloj Sr., Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 551 Westport Rd, Ste C, Elizabethtown, KY 42701 Phone: 270-769-6330 Fax: 270-766-1032 | |
Dr. Imran Javed Iqbal, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 120 Helmwood Plaza Dr Ste 103, Elizabethtown, KY 42701 Phone: 270-979-7171 Fax: 270-979-7172 | |
Carmen Pinto, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1311 N Dixie Hwy, Elizabethtown, KY 42701 Phone: 270-769-1304 Fax: 270-234-8028 | |
Navinchandra Ramji Shah, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 790 N Dixie Ave, Suite # 700, Elizabethtown, KY 42701 Phone: 270-737-1399 Fax: 270-737-6916 | |
Julie Holman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1311 N Dixie Hwy, Elizabethtown, KY 42701 Phone: 270-769-1304 Fax: 270-234-8028 | |
Suresh Babu Kodali, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 708 Westport Rd Ste 103, Elizabethtown, KY 42701 Phone: 270-766-1234 Fax: 270-766-1144 |