MEDICARE: MARY LOU G REICHERT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	21498	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316031453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY LOU G REICHERT MD

Provider Business Mailing Address
First Line	:	2700 STANLEY GAULT PKWY STE 129
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5176
Country	:	US
Telephone Number	:	502-253-4900
Fax Number	:	502-489-5751

Provider Business Practice Location Address
First Line	:	6041 TIMBER RIDGE DR
Second Line	:
City	:	PROSPECT
State	:	KY
Zip	:	40059-8134
Country	:	US
Telephone Number	:	502-928-0910
Fax Number	:	502-928-0911

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	02/11/2020

Similar Medicare Providers

1215933080 — REEM HAMAD MD
Practice Location Address:

6041 TIMBER RIDGE DR
PROSPECT, KY
40059-8134

Practice Phone: 502-228-2225
Practice Fax: 502-228-2226

1043310329 — MITRA SHAMS MD
Practice Location Address:

6041 TIMBER RIDGE DR
PROSPECT, KY
40059-8134

Practice Phone: 502-228-2225
Practice Fax: 502-228-2226

1558485060 — MRS. SARA SCHMIDT CUMMINS D.M.D
Practice Location Address:

6007 TIMBER RIDGE DR
PROSPECT, KY
40059-8134

Practice Phone: 502-228-4700
Practice Fax: 502-228-4797

1528237161 — DIANA K HAN MD
Practice Location Address:

6041 TIMBER RIDGE DR
PROSPECT, KY
40059-8134

Practice Phone: 502-228-2225
Practice Fax: 502-228-2226

1881938967 — DR. CASIE ELLEN SAXION DPT
Practice Location Address:

6005 TIMBER RIDGE DR
PROSPECT, KY
40059-8134

Practice Phone: 502-292-0800
Practice Fax: 502-292-0400

1205359148 — DALTON MATTHEW O'BRIEN DPT
Practice Location Address:

6005 TIMBER RIDGE DR
PROSPECT, KY
40059-8134

Practice Phone: 502-292-0800
Practice Fax: 502-292-0400

Directions to “ MARY LOU G REICHERT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.