Entlc, Psc is a
Otolaryngology based in Maysville, Kentucky. Entlc, Psc is licensed to practice in Kentucky (license number 35183) and their current practice location is
491 Tucker Dr, Maysville, Kentucky. It can be reached at their office (for appointments etc.) via phone at
(606) 759-4852.
NPI number for Entlc, Psc is 1124217765 and their current mailing address is 491 Tucker Drive, Maysville, Kentucky. Entlc, Psc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1124217765.
Healthcare Provider's Profile
Full Name | Entlc, Psc |
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Type | Facility |
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Speciality | Otolaryngology |
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Location | 491 Tucker Dr, Maysville, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124217765
- Provider Enumeration Date: 10/19/2007
- Last Update Date: 06/13/2013
Medical Identifiers
Medical identifiers for Entlc, Psc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124217765 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 0478 (Kentucky) | Secondary |
237700000X | Hearing Instrument Specialist | 0946 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 6223P (Kentucky) | Secondary |
207Y00000X | Otolaryngology | 35183 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Entlc, Psc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Entlc, Psc 491 Tucker Drive, Maysville, KY 41056-9111 Ph: (606) 759-4852 | Entlc, Psc 491 Tucker Dr, Maysville, KY 41056-9111 Ph: (606) 759-4852 |
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