| Dr Ernesto Nillar-fonseca, PSYD | |
|
9824 Collier Ln, Louisville, KY 40291-3184 | |
| (502) 262-9487 | |
| Not Available |
| Full Name | Dr Ernesto Nillar-fonseca |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 13 Years |
| Location | 9824 Collier Ln, Louisville, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508003195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20043751A (Indiana) | Secondary |
| 103TC0700X | Psychologist - Clinical | 239702 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eventus Ecs, Inc | 2163969650 | 251 |
| Extended Care Specialists, Inc | 2466407713 | 286 |
| Eventus Wholehealth Midwest Inc | 4183040470 | 113 |
| Entity Name | Extended Care Specialists, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20190703001141 |
| Entity Name | Eventus Wholehealth Midwest Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20211217001894 |
| Entity Name | Eventus Ecs, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073353496 PECOS PAC ID: 2163969650 Enrollment ID: O20240910001036 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ernesto Nillar-fonseca, PSYD 9824 Collier Ln, Louisville, KY 40291-3184 Ph: (502) 262-9487 | Dr Ernesto Nillar-fonseca, PSYD 9824 Collier Ln, Louisville, KY 40291-3184 Ph: (502) 262-9487 |
Mary K Thompson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 903 Baxter Ave, Louisville, KY 40204 Phone: 502-458-7366 Fax: 502-458-7362 | |
Dr. Ann M Brian, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1909 Richmond Dr, Louisville, KY 40205 Phone: 502-451-8816 | |
Mr. Jeffery T Mercer, MA Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11003 Perwinkle Ln, Louisville, KY 40291 Phone: 502-618-2620 | |
Dr. Nicholas Bach, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 Evergreen Rd Ste 104, Louisville, KY 40243 Phone: 502-203-0838 | |
Dr. Stacy Lyn Cambron, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7982 New Lagrange Rd, Suite 4, Louisville, KY 40222 Phone: 502-426-6022 Fax: 502-426-9913 | |
Dr. Holly Beth Gustafson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1169 Eastern Pkwy, Ste 431, Louisville, KY 40217 Phone: 502-212-1032 Fax: 502-212-1033 | |
Dr. Karen Lois Haswell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 309 Wendover Ave, Suite 1, Louisville, KY 40207 Phone: 502-895-8353 Fax: 502-895-8222 |