Look up the most recent NPI and PECOS records

Thomas Eric Quisenberry

Internal Medicine

Allopathic & Osteopathic Physicians

Dept. Of Internal Medicine, Acb, University Of Louisvil, 530 South Jackson St, Louisville, KY 40202

PECOS Enrollment

This provider is enrolled in PECOS as THOMAS QUISENBERRY.

Based on the most recent information from CMS, provider Thomas Eric Quisenberry 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
1932239076
Provider Type
Individual
Full Name
Quisenberry, Thomas Eric
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/7/2007
Last Updated
7/8/2007

Contact Information

Practice Location

Dept. Of Internal Medicine, Acb, University Of Louisvil, 530 South Jackson St, Louisville, KY 40202

(502) 852-7041

Unlisted Fax

Mailing Location

1412 Willow Ave Apt 69, Louisville, KY 40204-1432

(502) 608-3713

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License R-1064 Kentucky

Thomas Eric Quisenberry

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

University Of Louisville Physicians, Inc.

Cua, Yvette Marie

Rainey, Sabrina Constance

Morris, Matthew D

Klimchak, Nicholas

Riede, Keller Andrew

Jadav, Parth

Cogent Healthcare Of Kentucky, Psc

Brown, Julianna Rose

University Of Louisville Physicians, Inc.