| Markert Family Practice Psc | |
|
1169 Eastern Pkwy Ste 2265 Louisville KY 40217-1479 | |
| (502) 635-7455 | |
| (502) 634-9296 |
| Full Name | Markert Family Practice Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 1169 Eastern Pkwy Ste 2265, Louisville, Kentucky |
| Authorized Official Name and Position | Sara E Herp (OFFICE MANAGER) |
| Authorized Official Contact | 5026357455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Markert Family Practice Psc 1169 Eastern Pkwy Ste 2265 Louisville KY 40217-1479 Ph: (502) 635-7455 | Markert Family Practice Psc 1169 Eastern Pkwy Ste 2265 Louisville KY 40217-1479 Ph: (502) 635-7455 |
| NPI Number | 1174681977 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 12/04/2020 |
| Medicare PECOS PAC ID | 4284608381 |
|---|---|
| Medicare Enrollment ID | O20040824000969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174681977 | NPI | - | NPPES |
| F7785 | Other | KY | MEDICARE ID TYPE UNSPECIF |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John L Markert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003922923 PECOS PAC ID: 4082635131 Enrollment ID: I20051216000114 |
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