| Patrick Thomas Burns, MD | |
|
1500 James Simpson Jr Way, Ste 201, Covington, KY 41011-0801 | |
| (859) 655-4111 | |
| (859) 655-4815 |
| Full Name | Patrick Thomas Burns |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1500 James Simpson Jr Way, Covington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548220817 | NPI | - | NPPES |
| 64247901 | Medicaid | KY | |
| 2159140 | Other | OH | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24790 (Kentucky) | Primary |
| 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 |
|---|---|
| Patrick Thomas Burns, MD 2300 Chamber Center Dr, Suite 300, Lakeside Park, KY 41017-1686 Ph: (859) 655-4111 | Patrick Thomas Burns, MD 1500 James Simpson Jr Way, Ste 201, Covington, KY 41011-0801 Ph: (859) 655-4111 |
Amitava Michael Dasgupta, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1401 Madison Ave, Covington, KY 41011 Phone: 859-655-6100 Fax: 573-882-6228 | |
Dr. Tim Burke Keller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Ste 201, Covington, KY 41011 Phone: 859-655-4111 Fax: 859-655-4815 | |
Dr. Teresa Koeller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 W 18th St, Covington, KY 41011 Phone: 859-757-0717 Fax: 859-331-2425 | |
Luke Sunghoon Hong, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-4111 Fax: 859-655-4815 | |
Nathan Allan Gordon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-4111 Fax: 859-655-4815 | |
Mina C Kalfas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 W 18th St, Covington, KY 41011 Phone: 859-757-0717 Fax: 859-331-2425 |