| Sandra Geile, MD | |
|
466 Linden Ave, Harrodsburg, KY 40330-1841 | |
| (859) 734-5173 | |
| (859) 734-9925 |
| Full Name | Sandra Geile |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 466 Linden Ave, Harrodsburg, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174543722 | NPI | - | NPPES |
| 3810004514 | Medicaid | WV | |
| 000000259688 | Other | KY | ANTHEM |
| 3000103 | Other | WV | BWC |
| P00037844 | Other | KY | RR- MEDICARE |
| 50005458 | Other | KY | PASSPORT |
| 64056666 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 36735 (Kentucky) | Secondary |
| 207R00000X | Internal Medicine | 36735 (Kentucky) | Primary |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Geile, MD 466 Linden Ave, Harrodsburg, KY 40330-1841 Ph: (859) 734-5173 | Sandra Geile, MD 466 Linden Ave, Harrodsburg, KY 40330-1841 Ph: (859) 734-5173 |
George W Noe, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 214 South Chiles St, Harrodsburg, KY 40330 Phone: 859-734-2784 Fax: 859-734-5488 | |
Dr. Nick Dedman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 466 Linden Ave, Harrodsburg, KY 40330 Phone: 859-734-5173 Fax: 859-734-9925 |