| Peter J Popovich, DO | |
|
913 N Dixie Ave, Elizabethtown, KY 42701-2503 | |
| (877) 783-6257 | |
| (859) 514-5521 |
| Full Name | Peter J Popovich |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 913 N Dixie Ave, 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 |
|---|---|---|---|
| 1144394206 | NPI | - | NPPES |
| P00650256 | Other | TX | RAILROAD |
| 188382902 | Medicaid | TX | |
| 8AA314 | Other | TX | BCBS |
| 8W1785 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | M5446 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | 03164 (Kentucky) | Primary |
| Entity Name | Elizabethtown Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528003316 PECOS PAC ID: 9537067525 Enrollment ID: O20031229000839 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter J Popovich, DO Po Box 910530, Lexington, KY 40591-0530 Ph: (866) 965-3774 | Peter J Popovich, DO 913 N Dixie Ave, Elizabethtown, KY 42701-2503 Ph: (877) 783-6257 |
Gary Harris, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 913 N Dixie Ave, Elizabethtown, KY 42701 Phone: 877-783-6257 | |
Christina Gordon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 913 N Dixie Ave, Elizabethtown, KY 42701 Phone: 877-783-6257 | |
Dr. Paul H Christensen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1111 Ring Rd Ste A, Elizabethtown, KY 42701 Phone: 270-706-1111 Fax: 270-706-5085 | |
Karina Busch, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 913 N Dixie Ave, Elizabethtown, KY 42701 Phone: 877-783-6257 | |
Marie Christine Lawson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 913 N Dixie Ave, Elizabethtown, KY 42701 Phone: 877-783-6257 | |
Roger Lewis Gelperin, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1382 Hutcherson Ln, Elizabethtown, KY 42701 Phone: 915-491-4575 Fax: 270-735-9311 |