| Vanessa States, | |
|
4000 Kresge Way, Louisville, KY 40207-4605 | |
| (502) 897-8230 | |
| Not Available |
| Full Name | Vanessa States |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 4000 Kresge Way, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730615394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 59024 (Kentucky) | Primary |
| Entity Name | Louisville Pathology Associates, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265465801 PECOS PAC ID: 8628069028 Enrollment ID: O20040524000768 |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa States, 500 S Preston St Rm 305, Louisville, KY 40202-1702 Ph: (502) 852-8696 | Vanessa States, 4000 Kresge Way, Louisville, KY 40207-4605 Ph: (502) 897-8230 |
Brock Aaron Martin, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 550 S Jackson St, Louisville, KY 40202 Phone: 502-852-1816 | |
Mr. John R. Parker, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 530 S. Jackson St., Louisville, KY 40202 Phone: 502-852-6395 Fax: 502-852-1761 | |
Cynthia Romer Fata, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-456-6211 Fax: 502-456-4440 | |
Robin B Bideau, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2307 Greene Way, Louisville, KY 40220 Phone: 502-897-9594 Fax: 502-736-4456 | |
Dr. Christopher M Kauffmann, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4000 Kresge Way, Pathology Dept, Louisville, KY 40207 Phone: 502-897-8226 Fax: 502-897-8215 | |
William Byron Lockwood, MD, PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: 530 S. Jackson St, Louisville, KY 40202 Phone: 502-852-6395 Fax: 502-852-1761 | |
Houda Alatassi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Department Of Pathology And Laboratory Medicine, Louisville, KY 40202 Phone: 502-852-1762 Fax: 502-852-1761 |