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Yvette Marie Cua

Internal Medicine

Allopathic & Osteopathic Physicians

550 S Jackson St, Louisville, KY 40202-1622

PECOS Enrollment

This provider is enrolled in PECOS as YVETTE CUA.

Based on the most recent information from CMS, provider Yvette Marie Cua 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
1477582112
Provider Type
Individual
Full Name
Cua, Yvette Marie
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
7/3/2006
Last Updated
3/7/2023

Contact Information

Practice Location

550 S Jackson St, Louisville, KY 40202-1622

(502) 852-1595

(502) 852-8980

Mailing Location

550 S Jackson St, Louisville, KY 40202-1622

(502) 852-1595

(502) 852-8980

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 44031 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 841348	Description Other	Issuer BCBS Georgia
ID 000977138A	Description Medicaid	Issuer Unlisted Georgia

Yvette Marie Cua

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

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Howle, Katherine Elyse

Carter, Keith Baxter