| Robert J Polacek, MD | |
|
1 Medical Village Dr, Edgewood, KY 41017-3403 | |
| (859) 301-2000 | |
| (859) 301-2066 |
| Full Name | Robert J Polacek |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1 Medical Village Dr, Edgewood, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326085515 | NPI | - | NPPES |
| 000000642753 | Other | KY | ANTHEM BCBS PROVIDER # |
| 2239554 | Medicaid | OH | |
| 200194410 | Medicaid | IN | |
| 4198961 | Other | KY | AETNA PROVIDER ID# |
| 64285240 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 28524 (Kentucky) | Primary |
| 208M00000X | Hospitalist | 28524 (Kentucky) | Secondary |
| 207P00000X | Emergency Medicine | 28524 (Kentucky) | Secondary |
| Entity Name | Kentucky Fertility And Gynecology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275547606 PECOS PAC ID: 0749178523 Enrollment ID: O20040304001300 |
| Entity Name | Magdalene Karon, M.d., P.s.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235324690 PECOS PAC ID: 2961445861 Enrollment ID: O20050602000030 |
| Entity Name | Obhg Kentucky Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457644122 PECOS PAC ID: 5496910200 Enrollment ID: O20120628000666 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Polacek, MD Po Box 636324, Cincinnati, OH 45263-6324 Ph: (859) 344-5555 | Robert J Polacek, MD 1 Medical Village Dr, Edgewood, KY 41017-3403 Ph: (859) 301-2000 |
Dr. Caroline Elmer-lyon, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 610 Medical Village Dr, Edgewood, KY 41017 Phone: 859-757-3132 Fax: 859-301-7010 | |
Mrs. Angela Sue Beale Martin, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2440 Fax: 859-301-2493 | |
Dr. Vincent Thomas Bilotta, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Village Drive, Suite 302, Edgewood, KY 41017 Phone: 859-341-2510 Fax: 859-578-2004 | |
Daniel Lorang Spinosa, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1 Medical Village Drive, Edgewood, KY 41017 Phone: 859-301-2237 | |
Dr. John Ronald Jackson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Ste 302, Edgewood, KY 41017 Phone: 859-341-2510 Fax: 859-578-5888 | |
Dr. Michael Joesph Gerwe, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Ste 302, Edgewood, KY 41017 Phone: 859-341-2510 Fax: 859-578-5888 | |
Sarah Hawkins, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2440 Fax: 859-301-2493 |