| Richard Larry Gaston, MD | |
|
4900 Houston Rd, Florence, KY 41042-4824 | |
| (859) 301-8074 | |
| (859) 212-4357 |
| Full Name | Richard Larry Gaston |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 20 Years |
| Location | 4900 Houston Rd, Florence, 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 |
|---|---|---|---|
| 1033347075 | NPI | - | NPPES |
| 0144763 | Medicaid | OH | |
| 7100385920 | Medicaid | KY | |
| 201358060 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083A0300X | Preventive Medicine - Addiction Medicine | 48502 (Kentucky) | Secondary |
| 208M00000X | Hospitalist | 48502 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Florence | Florence, KY | Hospital |
| St Elizabeth Ft Thomas | Fort thomas, KY | Hospital |
| St Elizabeth Edgewood | Edgewood, 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 |
| Entity Name | Apogee Medical Group Kentucky Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356503114 PECOS PAC ID: 8820164411 Enrollment ID: O20080905000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Larry Gaston, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 301-8074 | Richard Larry Gaston, MD 4900 Houston Rd, Florence, KY 41042-4824 Ph: (859) 301-8074 |
David Kleesattel, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4900 Houston Rd, Florence, KY 41042 Phone: 859-331-6466 Fax: 859-344-7930 | |
Cruff Renard, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4900 Houston Rd, Florence, KY 41042 Phone: 859-301-8074 Fax: 859-301-4945 | |
Dr. Vivekananda Sharanappa Adike, M.D., Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4900 Houston Rd, Florence, KY 41042 Phone: 859-301-8074 Fax: 859-301-4945 |