| Ricky Stanley Collis, MD | |
|
315 E Broadway, Suite 250, Louisville, KY 40202-3700 | |
| (502) 589-4765 | |
| (502) 589-4799 |
| Full Name | Ricky Stanley Collis |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 29 Years |
| Location | 315 E Broadway, Louisville, 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 |
|---|---|---|---|
| 1144231291 | NPI | - | NPPES |
| 0005382490 | Other | AETNA | |
| 000000043722 | Other | ANTHEM | |
| 200137520A | Medicaid | IN | |
| 64298144 | Medicaid | KY | |
| 1058769 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 29814 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Norton Hospitals, Inc | Louisville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Interventional Rehabilitation Of Kentucky Psc | 6103850482 | 2 |
| Interventional Rehabilitation Of Kentucky Psc | 6103850482 | 2 |
| Entity Name | Interventional Rehabilitation Of Kentucky Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275549842 PECOS PAC ID: 6103850482 Enrollment ID: O20070314000029 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricky Stanley Collis, MD 315 E Broadway, Suite 250, Louisville, KY 40202-3700 Ph: (502) 589-4765 | Ricky Stanley Collis, MD 315 E Broadway, Suite 250, Louisville, KY 40202-3700 Ph: (502) 589-4765 |
Amy Lee Delk, APRN Pain Medicine Medicare: Medicare Enrolled Practice Location: 312 S 4th St Ste 700, Louisville, KY 40202 Phone: 502-804-5495 Fax: 833-563-1715 | |
Lady Christine Lim Ong Sio, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Bluegrass Ave Ste 300, Louisville, KY 40215 Phone: 502-815-7336 Fax: 502-815-7337 | |
Brigid M Buckman, ARNP Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Eastpoint Pkwy, Suite 410, Louisville, KY 40223 Phone: 502-253-6625 Fax: 502-253-6629 | |
Konrad Kijewski, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4130 Dutchmans Ln Ste 200, Louisville, KY 40207 Phone: 502-897-1794 Fax: 502-897-3852 | |
Dr. Teekam Ochani, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Zorn Ave, Robley Rex Va Medical Center Gec (11g), Louisville, KY 40206 Phone: 502-287-5187 | |
Mr. Bill Walker Haney, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205 Phone: 502-708-9880 Fax: 502-708-6911 |