| Susan J Petrosky, MD | |
|
100 Parkway Dr, Somerset, KY 42503-3450 | |
| (606) 679-4389 | |
| Not Available |
| Full Name | Susan J Petrosky |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 100 Parkway Dr, Somerset, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124021563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30416 (Kentucky) | Primary |
| Entity Name | Lake Cumberland Regional Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861078685 PECOS PAC ID: 7214909456 Enrollment ID: O20040809001229 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan J Petrosky, MD 1276 Wolf Creek Rd, Nancy, KY 42544-6621 Ph: (606) 875-3265 | Susan J Petrosky, MD 100 Parkway Dr, Somerset, KY 42503-3450 Ph: (606) 679-4389 |
Dr. Michael Shane Randolph, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 104 Hardin Ln, Somerset, KY 42503 Phone: 606-676-0786 | |
Dr. Brittany Paige Pittman Hardcorn, DNP, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2441 S Highway 27, Somerset, KY 42501 Phone: 606-451-0231 | |
David M Reilly, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 350 Hospital Way, Suite 100, Somerset, KY 42503 Phone: 606-451-2601 Fax: 606-451-2641 | |
Travis Massengale, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Somerset, KY 42503 Phone: 606-451-2624 Fax: 606-451-5506 | |
Jeffery W Golden, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Suite 100, Somerset, KY 42503 Phone: 606-451-2650 Fax: 606-451-2641 | |
James David Wilson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Suite 100, Somerset, KY 42503 Phone: 606-451-2662 Fax: 606-451-2641 |