| Sarah Lichtenstein, | |
|
20 Medical Village Dr, Edgewood, KY 41017-5401 | |
| (859) 578-5651 | |
| (859) 331-3456 |
| Full Name | Sarah Lichtenstein |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 20 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 |
|---|---|---|---|
| 1144640756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 60001 (Kentucky) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Lichtenstein, Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 578-5651 | Sarah Lichtenstein, 20 Medical Village Dr, Edgewood, KY 41017-5401 Ph: (859) 578-5651 |
Dr. Lisa Williams Miller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 108 Beech Dr., Edgewood, KY 41017 Phone: 859-331-8655 Fax: 859-341-7198 | |
Dr. Griffith Ernest Quinby Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 233 Colony Dr., Edgewood, KY 41017 Phone: 859-655-5642 | |
Dr. Radhika Bala Ramesh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Village Dr, Ste 102, Edgewood, KY 41017 Phone: 859-341-1011 Fax: 859-341-7198 | |
Dr. Meredith A Landorf, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-578-5651 Fax: 859-331-3456 | |
Dr. Kevin Joseph Kelly, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Village Dr, Suite 102, Edgewood, KY 41017 Phone: 859-341-1011 Fax: 859-341-7198 | |
Jeffrey A Whitsett, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2423 Fax: 859-301-2066 |