| Infectious Diseases Specialists Of Kentuckiana Llc | |
|
1220 Missouri Ave Jeffersonville IN 47130-3725 | |
| (812) 949-3242 | |
| Not Available |
| Full Name | Infectious Diseases Specialists Of Kentuckiana Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1220 Missouri Ave, Jeffersonville, Indiana |
| Authorized Official Name and Position | Ammar Tayara (MEMBER) |
| Authorized Official Contact | 8129493242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases Specialists Of Kentuckiana Llc 17027 Ashburton Dr Louisville KY 40245-5713 Ph: () - | Infectious Diseases Specialists Of Kentuckiana Llc 1220 Missouri Ave Jeffersonville IN 47130-3725 Ph: (812) 949-3242 |
| NPI Number | 1740694421 |
|---|---|
| Provider Enumeration Date | 06/20/2014 |
| Last Update Date | 03/29/2017 |
| Medicare PECOS PAC ID | 3577789544 |
|---|---|
| Medicare Enrollment ID | O20140728001842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740694421 | NPI | - | NPPES |
| 201244550 | Medicaid | IN | |
| 7100359690 | Medicaid | KY | |
| DV8435 | Other | KY | RAILROAD MEDICARE |
| 7100447670 | Medicaid | KY | |
| 000000883842 | Other | IN | ANTHEM |
| DV0764 | Other | IN | RAILROAD MEDICARE |
| Provider Name | Ammar Tayara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609978220 PECOS PAC ID: 8224131446 Enrollment ID: I20070308000468 |
| Provider Name | Heather M Hedgepeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821539818 PECOS PAC ID: 0547545303 Enrollment ID: I20170320000649 |
Physician's Care Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1804 E 10th St, Jeffersonville, IN 47130 Phone: 812-288-2488 Fax: 812-288-6603 | |
Crossover Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Patrol Rd, Jeffersonville, IN 47130 Phone: 949-891-0328 | |
Jeffersonville Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 Wall St, Suite 204, Jeffersonville, IN 47130 Phone: 812-288-8410 Fax: 812-288-8409 | |
Shaze Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1035 Wall Street Ste 104-c1, Jeffersonville, IN 47130 Phone: 812-282-2218 Fax: 812-282-2252 | |
Viverant Integrative Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 335 Spring St Ste B, Jeffersonville, IN 47130 Phone: 812-255-1699 | |
New Life Family Resources Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Spring St # 2, Jeffersonville, IN 47130 Phone: 812-288-1470 Fax: 812-288-2717 | |
Havens Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Sparks Avenue, Suite 200, Jeffersonville, IN 47130 Phone: 812-283-4441 Fax: 812-288-2605 |