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Aaron Neal Skinner

Internal Medicine

Allopathic & Osteopathic Physicians

200 E Chestnut St, Suite 303, Louisville, KY 40202-1831

PECOS Enrollment

This provider is enrolled in PECOS as AARON SKINNER.

Based on the most recent information from CMS, provider Aaron Neal Skinner is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1003941824
Provider Type
Individual
Full Name
Skinner, Aaron Neal
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
2/22/2007
Last Updated
2/3/2017

Contact Information

Practice Location

200 E Chestnut St, Suite 303, Louisville, KY 40202-1831

(502) 629-5552

(502) 629-3132

Mailing Location

PO Box 776351, Chicago, IL 60677-6351

(502) 588-9490

(502) 272-5116

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 42758 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 107566	Description Other	Issuer SIHO - NIS Kentucky
ID 200956290	Description Medicaid	Issuer Unlisted Indiana
ID 50024876	Description Other	Issuer PASSPORT - NIS Kentucky
ID 000051983E	Description Other	Issuer HUMANA - NIS Kentucky
ID 000000620684	Description Other	Issuer ANTHEM Kentucky
ID 7100075750	Description Medicaid	Issuer Unlisted Kentucky
ID P00773830	Description Other	Issuer RAILROAD MEDICARE Kentucky
ID 3726614000	Description Other	Issuer PASSPORT ADVANTAGE - NIS Kentucky

Aaron Neal Skinner

PECOS Enrollment

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