| Tannika Christensen, MD | |
|
1023 New Moody Ln, Suite 201, La Grange, KY 40031-9177 | |
| (502) 225-4480 | |
| (502) 225-9169 |
| Full Name | Tannika Christensen |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 1023 New Moody Ln, La Grange, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053481820 | NPI | - | NPPES |
| D5341 | Medicaid | UT | |
| 3754512000 | Other | KY | PASSPORT ADVANTAGE |
| P00757041 | Other | KY | MEDICARE RR |
| 50026877 | Other | KY | PASSPORT HEALTH PLAN |
| 7100093970 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 41864 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Louisville, KY | Home health agency |
| Baptist Health Lagrange | La grange, KY | Hospital |
| Baptist Health Louisville | Louisville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Health Medical Group Inc | 5597867184 | 2132 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Tannika Christensen, MD 1023 New Moody Ln, Suite 201, La Grange, KY 40031-9177 Ph: (502) 225-4480 | Tannika Christensen, MD 1023 New Moody Ln, Suite 201, La Grange, KY 40031-9177 Ph: (502) 225-4480 |
Dr. Harold Douglass Crall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4000 Morgan Rd, Roederer Correctional Complex, La Grange, KY 40031 Phone: 502-222-0173 | |
Vincent Devin Clark, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1230 Market St Ste A, La Grange, KY 40031 Phone: 502-225-6900 Fax: 502-666-7693 | |
Mary Catherine Rutherford, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1023 New Moody Ln, Suite 201, La Grange, KY 40031 Phone: 502-225-4480 Fax: 502-225-9169 | |
Marcia D Ebbs, MD PSC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1006 New Moody Ln, La Grange, KY 40031 Phone: 502-593-0083 Fax: 502-222-0029 | |
Plavakeerthi Kemparajurs, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Parker Pl Unit 200, La Grange, KY 40031 Phone: 502-222-7144 Fax: 502-222-6159 | |
Samyuktha Vani Kemparajurs, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Parker Pl Unit 200, La Grange, KY 40031 Phone: 502-222-7144 |