| Douglas G Irwin, MD | |
|
94 Marie Langdon Dr, Suite 2, Manchester, KY 40962-6353 | |
| (606) 599-9955 | |
| (606) 599-9966 |
| Full Name | Douglas G Irwin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 94 Marie Langdon Dr, Manchester, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538115621 | NPI | - | NPPES |
| 64081466 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38637 (Kentucky) | Primary |
| 207P00000X | Emergency Medicine | 38637 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ephraim Mcdowell Regional Medical Center | Danville, KY | Hospital |
| Ephraim Mcdowell Fort Logan Hospital | Stanford, KY | Hospital |
| The James B. Haggin Memorial Hospital | Harrodsburg, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 24 On Physicians Pc | 5698688141 | 239 |
| Advanced Family Medical Clinic Mount Vernon | 2062780810 | 6 |
| Entity Name | Harrison Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386783868 PECOS PAC ID: 8628961018 Enrollment ID: O20040209000207 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | 24 On Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679522346 PECOS PAC ID: 5698688141 Enrollment ID: O20061012000513 |
| Entity Name | Advanced Family Medical Clinic Mount Vernon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578090403 PECOS PAC ID: 2062780810 Enrollment ID: O20171026003512 |
| Entity Name | Advanced Family Medical Clinic Liberty |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023545241 PECOS PAC ID: 3173891926 Enrollment ID: O20171026003580 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas G Irwin, MD 509 Memorial Drive, Suite 2, Manchester, KY 40962-6195 Ph: (606) 598-5104 | Douglas G Irwin, MD 94 Marie Langdon Dr, Suite 2, Manchester, KY 40962-6353 Ph: (606) 599-9955 |
Mrs. Emaleigh Cieara Sams, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 Bert Combs Lake Rd, Manchester, KY 40962 Phone: 606-813-6456 | |
Angela Yvonne Rice, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 94 Marie Langdon Dr Ste 2, Manchester, KY 40962 Phone: 606-599-9955 | |
Dr. Kobkit Putrakul, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 210 Marie Langdon Dr, Manchester, KY 40962 Phone: 606-598-5104 Fax: 606-983-7252 | |
Sam Gbutue Vorkpor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 509 Memorial Dr Ste 2, Manchester, KY 40962 Phone: 606-598-8813 | |
Shawn R Gorden, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 56 Marie Langdon Dr, Manchester, KY 40962 Phone: 606-599-4080 Fax: 606-598-1688 |