| Vijay Menon, MD | |
|
913 N Dixie Ave, Elizabethtown, KY 42701-2503 | |
| (270) 737-1212 | |
| Not Available |
| Full Name | Vijay Menon |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 913 N Dixie Ave, Elizabethtown, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124123633 | NPI | - | NPPES |
| 200406490 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 55613 (Kentucky) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01056824 (Indiana) | Primary |
| Entity Name | The Methodist Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720290349 PECOS PAC ID: 9638063894 Enrollment ID: O20040210000526 |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Entity Name | Norton Childrens Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326695255 PECOS PAC ID: 3779917596 Enrollment ID: O20200309001084 |
| Mailing Address | Practice Location Address |
|---|---|
| Vijay Menon, MD 504 Aintree Ave, Holly Springs, NC 27540-4987 Ph: (317) 379-6341 | Vijay Menon, MD 913 N Dixie Ave, Elizabethtown, KY 42701-2503 Ph: (270) 737-1212 |
Kristina L Knisely, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 270-769-9642 | |
Linnea L Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 270-769-9642 | |
Dr. Veronica Hurst Cammack, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Helmwood Plaza Dr, Elizabethtown, KY 42701 Phone: 270-737-4808 Fax: 270-737-4939 | |
Melissa Bland Flynn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Helmwood Plaza Dr, Elizabethtown, KY 42701 Phone: 270-737-4808 Fax: 270-737-4939 | |
Dr. Hilary Anderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 270-769-9642 | |
Alexis Cole, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 502-769-9642 |