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Dylan Nathanael Gerlach

Internal Medicine

Allopathic & Osteopathic Physicians

550 S Jackson St, Louisville, KY 40202-1622

PECOS Enrollment

This provider is enrolled in PECOS as DYLAN GERLACH.

Based on the most recent information from CMS, provider Dylan Nathanael Gerlach 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 3 days ago.

Profile Details

Provider ID
1073073391
Provider Type
Individual
Full Name
Gerlach, Dylan Nathanael
Gender
Male

Sole Proprietor
Yes
Enumeration Date
3/22/2019
Last Updated
3/10/2025

Contact Information

Practice Location

550 S Jackson St, Louisville, KY 40202-1622

(502) 852-5666

Unlisted Fax

Mailing Location

550 S Jackson St Ste A3k00, Louisville, KY 40202-1622

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 05103 Kentucky
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License 05103 Kentucky

Dylan Nathanael Gerlach

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Bricknell, Ryan Aziz Thomas

Augenstein, Abigail Claire

Quisenberry, Thomas Eric

University Of Louisville Physicians Inc.

Jarvis, Patrick M

Mccubbin, Jason P

University Of Louisville Physicians, Inc.

Baker, Mallory Camille

Alwakeedi, Adel Mohammed

Dunlavy, Bradley