Imac Regeneration Center - Medicare in Paducah, KY

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Imac Regeneration Center is a medicare enrolled "Nurse Practitioner" provider in Paducah, Kentucky. Their current practice location is 2725 James Sanders Blvd, Suite A, Paducah, Kentucky. You can reach out to their office (for appointments etc.) via phone at (270) 554-5114.

Imac Regeneration Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Imac Regeneration Center is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1083727994.

Contact Information

Imac Regeneration Center
2725 James Sanders Blvd, Suite A,
Paducah, KY 42001-8401
(270) 554-5114
(270) 554-5021

Map and Direction




Healthcare Provider's Profile

Full NameImac Regeneration Center
TypeFacility
SpecialityNurse Practitioner
Location2725 James Sanders Blvd, Paducah, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083727994
  • Provider Enumeration Date: 08/16/2006
  • Last Update Date: 09/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4587750039
  • Enrollment ID: O20071016000037

Medical Identifiers

Medical identifiers for Imac Regeneration Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083727994NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 5134 (Kentucky)Secondary
207T00000XNeurological Surgery 36051 (Kentucky)Secondary
225100000XPhysical Therapist 002302 (Kentucky)Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Imac Regeneration Center acts as a billing entity for following providers:
Provider NameErica Young
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710185517
PECOS PAC ID: 6507803103
Enrollment ID: I20050414001037
Provider NameMatthew C Wallis
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1851499388
PECOS PAC ID: 5890719785
Enrollment ID: I20060118000697
Provider NameRobert A Garneau
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1962498113
PECOS PAC ID: 2668370339
Enrollment ID: I20081111000361
Provider NameDerek W Snodgrass
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1992971600
PECOS PAC ID: 8628141140
Enrollment ID: I20090707000036
Provider NameMatthew B Tackett
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1588721757
PECOS PAC ID: 4082649215
Enrollment ID: I20091013000028
Provider NameDonald R Douglas
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1053416313
PECOS PAC ID: 5395934103
Enrollment ID: I20110110000745
Provider NameTommy G West
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093747040
PECOS PAC ID: 0244251536
Enrollment ID: I20111123000210
Provider NameDaniel Richard Farr
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1316044068
PECOS PAC ID: 2466548128
Enrollment ID: I20120222000174
Provider NameMary Elisabeth Chase
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1962779801
PECOS PAC ID: 3779744040
Enrollment ID: I20120412000604
Provider NameHeidi R Schweder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043609183
PECOS PAC ID: 8820315393
Enrollment ID: I20150320001147
Provider NameDaniel Jennewein
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851780613
PECOS PAC ID: 9234411323
Enrollment ID: I20170125002206
Provider NameRachel Rome
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1679795256
PECOS PAC ID: 6608065552
Enrollment ID: I20170202000229
Provider NameLeslye Bransford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194269464
PECOS PAC ID: 7911280995
Enrollment ID: I20170217000893
Provider NameAaron Wayne Colson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396987244
PECOS PAC ID: 6406194695
Enrollment ID: I20190213002749
Provider NameMatthew D Walters
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124335245
PECOS PAC ID: 3274712450
Enrollment ID: I20191125001721
Provider NameTyler F Ward
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1760026371
PECOS PAC ID: 0345673828
Enrollment ID: I20191216000403
Provider NameKayla Hendley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326685066
PECOS PAC ID: 1052745874
Enrollment ID: I20200102000731
Provider NameDouglas Bouldin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770568727
PECOS PAC ID: 4880693936
Enrollment ID: I20200227000541
Provider NameMercedes Robinson
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1285163139
PECOS PAC ID: 1658793450
Enrollment ID: I20200624002397
Provider NameBrittany Danielle Massey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528676178
PECOS PAC ID: 8325462195
Enrollment ID: I20200727002110
Provider NameKayla Klope
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447685425
PECOS PAC ID: 9537585351
Enrollment ID: I20200811002558
Provider NameLaken Nicole Darnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568076230
PECOS PAC ID: 1254758253
Enrollment ID: I20200903003083
Provider NameJanssen Shea Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144813403
PECOS PAC ID: 1052726262
Enrollment ID: I20210222001854
Provider NameShelby A Rollings-gough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629677117
PECOS PAC ID: 0446667703
Enrollment ID: I20210402000238
Provider NameMegan Elizabeth Burcham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134706583
PECOS PAC ID: 6406265743
Enrollment ID: I20210517002399
Provider NameTonya Ellington
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992968945
PECOS PAC ID: 3476950692
Enrollment ID: I20210930000651
Provider NameAmy Christine Grogan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063162790
PECOS PAC ID: 8729465026
Enrollment ID: I20220505002243

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. Imac Regeneration Center is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Imac Regeneration Center
2725 James Sanders Blvd, Suite A,
Paducah, KY 42001-8401

Ph: (270) 554-5114		Imac Regeneration Center
2725 James Sanders Blvd, Suite A,
Paducah, KY 42001-8401

Ph: (270) 554-5114

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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