| Lee County Family Medical Clinic | |
|
1025 Grand Avenue Beattyville KY 41311-9249 | |
| (606) 464-2401 | |
| (606) 464-3290 |
| Full Name | Lee County Family Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1025 Grand Avenue, Beattyville, Kentucky |
| Authorized Official Name and Position | Derrick J Hamilton (CEO) |
| Authorized Official Contact | 6066669950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee County Family Medical Clinic Po Box 690 141 Main Street Beattyville KY 41311-0690 Ph: (606) 464-0151 | Lee County Family Medical Clinic 1025 Grand Avenue Beattyville KY 41311-9249 Ph: (606) 464-2401 |
| NPI Number | 1407818628 |
|---|---|
| Provider Enumeration Date | 04/04/2006 |
| Last Update Date | 01/24/2024 |
| Medicare PECOS PAC ID | 2961453618 |
|---|---|
| Medicare Enrollment ID | O20050214000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407818628 | NPI | - | NPPES |
| 181848 | Other | KY | MEDCIARE FQHC PTAN |
| 31000862 | Medicaid | KY | |
| 9521 | Other | KY | MEDICARE PART B |
| Provider Name | Derrick J Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376631283 PECOS PAC ID: 7810097268 Enrollment ID: I20070713000448 |
| Provider Name | Bridget C Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396739413 PECOS PAC ID: 6507952900 Enrollment ID: I20071017000232 |
| Provider Name | Alissa Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962630475 PECOS PAC ID: 7911050968 Enrollment ID: I20090808000063 |
| Provider Name | Scotty Dwayne Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730317561 PECOS PAC ID: 0446391825 Enrollment ID: I20100107000241 |
| Provider Name | Allison M Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477818896 PECOS PAC ID: 5092965129 Enrollment ID: I20121025000292 |
| Provider Name | Nicole Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649594797 PECOS PAC ID: 9931412764 Enrollment ID: I20150722004335 |
| Provider Name | Sandra Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760849194 PECOS PAC ID: 2860798345 Enrollment ID: I20160309001348 |
| Provider Name | Beverly D Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124488903 PECOS PAC ID: 3072812973 Enrollment ID: I20160427001694 |
| Provider Name | Tami Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356851620 PECOS PAC ID: 4880950617 Enrollment ID: I20171113000365 |
| Provider Name | Brittany Fugate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871980003 PECOS PAC ID: 5395066179 Enrollment ID: I20190725002295 |
| Provider Name | Edwina Leigh Withrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942855606 PECOS PAC ID: 7214369594 Enrollment ID: I20191107003187 |
| Provider Name | Jennifer Lynn Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861091886 PECOS PAC ID: 7618387812 Enrollment ID: I20201028003181 |
| Provider Name | George E Chapman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518462324 PECOS PAC ID: 1052649175 Enrollment ID: I20210813002224 |
| Provider Name | Heather R Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023789658 PECOS PAC ID: 0446648364 Enrollment ID: I20211026003381 |
| Provider Name | Laken Nickell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659941466 PECOS PAC ID: 8123400736 Enrollment ID: I20220728003615 |
| Provider Name | Morganne Danielle Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427796440 PECOS PAC ID: 8123401981 Enrollment ID: I20220811003378 |
| Provider Name | Alan Sloas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619605003 PECOS PAC ID: 0143697631 Enrollment ID: I20221114001870 |
| Provider Name | Courtney Brooke Addison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104420835 PECOS PAC ID: 7911376892 Enrollment ID: I20221215002485 |
| Provider Name | Rebecca K Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174836662 PECOS PAC ID: 0749648764 Enrollment ID: I20230623002197 |
| Provider Name | Kellie D Watts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588301550 PECOS PAC ID: 9739548348 Enrollment ID: I20230629002334 |
| Provider Name | Teresa E Gevedon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659087112 PECOS PAC ID: 4789037250 Enrollment ID: I20240131003699 |
Beattyville Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Center Street, Beattyville, KY 41311 Phone: 606-464-2447 Fax: 606-464-0097 |