Look up the most recent NPI and PECOS records

Josh Prebeck

Internal Medicine

Allopathic & Osteopathic Physicians

200 E Chestnut St Bldg Suite303, Louisville, KY 40202-1831

PECOS Enrollment

This provider is enrolled in PECOS as JOSHUA PREBECK.

Based on the most recent information from CMS, provider Josh Prebeck 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
1356881288
Provider Type
Individual
Full Name
Prebeck, Josh
Title
Dr.
Credential
D.O.

Gender
Male
Sole Proprietor
No
Enumeration Date
2/25/2017
Last Updated
2/9/2023

Contact Information

Practice Location

200 E Chestnut St Bldg Suite303, Louisville, KY 40202-1831

(502) 629-5552

(502) 629-3132

Mailing Location

PO Box 776351, Chicago, IL 60677-2510

(502) 588-9490

(502) 272-5116

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 04574 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 7100612950	Description Medicaid	Issuer Unlisted Kentucky
ID 300028784	Description Medicaid	Issuer Unlisted Indiana
ID K285350	Description Other	Issuer MEDICARE Kentucky

Josh Prebeck

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Hannah, Benjamin

Rouchka, Jennifer Tobias

Azabache Orrillo, Hilda Evelyn

Williams, Patrick Murray

Chaudhary, Sirmad Bashir

Wilhelm, David Joseph

Hasan, Rafi A

University Of Louisville Physicians Inc.

Cogent Healthcare Of Kentucky, Psc

Staley, Stella R.