| Louisville Concierge Medicine, Pllc | |
|
10325 Champion Farms Drive Louisville KY 40241-6129 | |
| (502) 618-3535 | |
| (502) 618-3537 |
| Full Name | Louisville Concierge Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10325 Champion Farms Drive, Louisville, Kentucky |
| Authorized Official Name and Position | Alexis G Karageorge (OWNER) |
| Authorized Official Contact | 5026183535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisville Concierge Medicine, Pllc 10325 Champion Farms Drive Louisville KY 40241-6129 Ph: (502) 618-3535 | Louisville Concierge Medicine, Pllc 10325 Champion Farms Drive Louisville KY 40241-6129 Ph: (502) 618-3535 |
| NPI Number | 1659653590 |
|---|---|
| Provider Enumeration Date | 09/16/2011 |
| Last Update Date | 02/01/2016 |
| Medicare PECOS PAC ID | 6608048376 |
|---|---|
| Medicare Enrollment ID | O20111003000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659653590 | NPI | - | NPPES |
| DS6356 | Other | KY | RAILROAD MEDICARE |
| 000000739235 | Other | KY | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 32573 (Kentucky) | Primary |
| Provider Name | Alexis G Karageorge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730140088 PECOS PAC ID: 0143119933 Enrollment ID: I20040317000001 |
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