Mary Lou G Reichert, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21498 Issued in KY

Practice address

6041 Timber Ridge Dr
Prospect, KY 40059-8134

Phone

(502) 928-0910

Fax

(502) 928-0911

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mreichert8461@bhkydirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baptist Health Medical Group Inc

  dba Dawson Springs Rural Health Clinic

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  Medicare reassignment
• Baptist Health Medical Group Inc

  • Urgent Care Clinic/Center
  • Louisville, KY
  • NPI 1508269200
  NPD
• Sasser,Davis & Iglehart

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1073783866
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1316031453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 STANLEY GAULT PKWY STE 129",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235176",
            "telephone_number": "502-253-4900",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 TIMBER RIDGE DR",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400598134",
            "telephone_number": "502-928-0910",
            "fax_number": "502-928-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Kresge Way Ste 54",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074683",
            "country_code": "US",
            "telephone_number": "502-896-6696",
            "fax_number": "502-896-1795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4003 Kresge Way Ste 410",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074652",
            "country_code": "US",
            "telephone_number": "502-893-7462",
            "fax_number": "502-212-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICHERT",
        "first_name": "MARY LOU",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "21498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64214984",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Regina Puno, MD
• Erica Marie Quarles, M.ED, LPATA
• Irma Nydia Ramos, MD
• Isabelle Rastler-Cross
• Brianna Sue Redman, MSN, APRN, FNP-C
• Harry L Renco, MD
• Mary Laura Ricker, OTR
• Diane Frye Riff, APRN
• Allyson Riggs, DNP, FNP-C
• Rise and Walk Psychiatric Services LLC

• Family Medicine Physician in Prospect, KY
• Providers in Prospect, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.