MEDICARE: DR. DENISE L EPPERSON 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	2084P0800X	Psychiatry Physician	25182	KY
2	208D00000X	General Practice Physician	25182	KY
3	2084P0800X	Psychiatry Physician	01038239A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	160780	OTHER	IN	PV MEDICARE GROUP
3	CG3623	OTHER	IN	PV RR MEDICARE GROUP
7	P00453459	OTHER	IN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	000000056294	OTHER	ANTHEM GROUP

General Provider Information

NPI Number	:	1851440267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENISE L EPPERSON MD

Provider Business Mailing Address
First Line	:	7212 OLD HEADY RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40299-5214
Country	:	US
Telephone Number	:	502-261-1605
Fax Number	:

Provider Business Practice Location Address
First Line	:	4119 BROWNS LN STE 1
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-1500
Country	:	US
Telephone Number	:	502-451-9296
Fax Number	:	502-451-9291

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

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	03/25/2026

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Directions to “ DR. DENISE L EPPERSON MD” Practice Location

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