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Hieu Trung Tuong

Internal Medicine

Allopathic & Osteopathic Physicians

200 E Chestnut St, Ste. 303, Louisville, KY 40202-1831

PECOS Enrollment

This provider is enrolled in PECOS as HIEU TUONG.

Based on the most recent information from CMS, provider Hieu Trung Tuong 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 2 days ago.

Profile Details

Provider ID
1386717221
Provider Type
Individual
Full Name
Tuong, Hieu Trung
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
11/16/2006
Last Updated
10/28/2024

Contact Information

Practice Location

200 E Chestnut St, Ste. 303, Louisville, KY 40202-1831

(502) 629-5552

(502) 629-3132

Mailing Location

PO Box 776351, Chicago, IL 60677-6351

(502) 588-9490

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 30534 Kentucky
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 30534 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 201154080	Description Medicaid	Issuer Unlisted Indiana
ID 64305345	Description Medicaid	Issuer Unlisted Kentucky
ID K080350	Description Other	Issuer MEDICARE - NORTON INPATIENT SPECIALISTS Kentucky

Hieu Trung Tuong

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

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Issuer

ID

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Zavery, Arham Ashraf

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Ozor, Uchenna Loretta

Morris, Matthew D

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Aladili, Bahjat Nadim

Fomulu, Kenneth