| Scott A. Young M.d., Psc | |
|
12010 Shelbyville Rd Suite 300 Louisville KY 40243-1054 | |
| (502) 244-9355 | |
| (502) 244-9577 |
| Full Name | Scott A. Young M.d., Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12010 Shelbyville Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Scott A. Young (PRESIDENT) |
| Authorized Official Contact | 5022449355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott A. Young M.d., Psc Po Box 436256 Louisville KY 40253-6256 Ph: (502) 244-9355 | Scott A. Young M.d., Psc 12010 Shelbyville Rd Suite 300 Louisville KY 40243-1054 Ph: (502) 244-9355 |
| NPI Number | 1114935319 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 09/09/2010 |
| Medicare PECOS PAC ID | 9335109016 |
|---|---|
| Medicare Enrollment ID | O20041018000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114935319 | NPI | - | NPPES |
| G78602 | Other | KY | UPIN |
| 5459438 | Other | AETNA PROVIDER ID | |
| P00202026 | Other | KY | RAILROAD MEDICARE ID |
| 000000337192 | Other | ANTHEM PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 32052 (Kentucky) | Primary |
| Provider Name | Scott A Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104018977 PECOS PAC ID: 6305813494 Enrollment ID: I20040917000036 |
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