| Mrs Shawn Kathleen Ross, MD | |
|
2300 Chamber Center Dr, Lakeside Park, KY 41017-1686 | |
| (859) 341-3114 | |
| (859) 578-2156 |
| Full Name | Mrs Shawn Kathleen Ross |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 2300 Chamber Center Dr, Lakeside Park, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659477180 | NPI | - | NPPES |
| 000000052213 | Other | KY | ANTHEM |
| 64253750 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25375 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Home Care | Florence, KY | Home health agency |
| St Elizabeth Edgewood | Edgewood, KY | Hospital |
| St Elizabeth Florence | Florence, KY | Hospital |
| St Elizabeth Ft Thomas | Fort thomas, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Inc | 2163326240 | 756 |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shawn Kathleen Ross, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 344-5555 | Mrs Shawn Kathleen Ross, MD 2300 Chamber Center Dr, Lakeside Park, KY 41017-1686 Ph: (859) 341-3114 |
Joshua M Benge, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Chamber Center Dr, Lakeside Park, KY 41017 Phone: 859-655-7040 Fax: 859-331-2021 | |
Zachary John Grove, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Chamber Center Dr, Lakeside Park, KY 41017 Phone: 859-341-3114 Fax: 859-578-2156 | |
Christina Friedly, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Chamber Center Dr, Lakeside Park, KY 41017 Phone: 859-341-3114 Fax: 859-578-2156 | |
Kyle J Legrand, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2156 Chamber Center Dr, Lakeside Park, KY 41017 Phone: 859-341-6255 Fax: 859-547-1197 |