| Dr Clinton Shain Kiteck, DO | |
|
810 Jamestown St, Columbia, KY 42728-1010 | |
| (270) 384-4764 | |
| (270) 384-6228 |
| Full Name | Dr Clinton Shain Kiteck |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 810 Jamestown St, Columbia, 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 |
|---|---|---|---|
| 1447437116 | NPI | - | NPPES |
| 7100058480 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 03065 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Columbia, KY | Home health agency |
| Tj Health Columbia | Columbia, KY | Hospital |
| T J Samson Community Hospital | Glasgow, KY | Hospital |
| Taylor Regional Hospital | Campbellsville, KY | Hospital |
| Russell County Hospital | Russell springs, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adair County Hospital District | 3577474667 | 18 |
| T J Health Columbia Inc | 7113224783 | 32 |
| Entity Name | T J Health Columbia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235595653 PECOS PAC ID: 7113224783 Enrollment ID: O20160929001571 |
| Entity Name | T J Health Columbia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831555358 PECOS PAC ID: 7113224783 Enrollment ID: O20161004002436 |
| Entity Name | T J Health Columbia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821454349 PECOS PAC ID: 7113224783 Enrollment ID: O20161005001888 |
| Entity Name | T J Health Columbia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942666466 PECOS PAC ID: 7113224783 Enrollment ID: O20161018002105 |
| Entity Name | T J Health Columbia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912358011 PECOS PAC ID: 7113224783 Enrollment ID: O20170131002850 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clinton Shain Kiteck, DO 810 Jamestown St, Columbia, KY 42728-1010 Ph: (270) 384-4764 | Dr Clinton Shain Kiteck, DO 810 Jamestown St, Columbia, KY 42728-1010 Ph: (270) 384-4764 |
Dr. Martha Anne Yeary, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Burkesville St, Columbia, KY 42728 Phone: 270-384-0233 Fax: 270-384-0245 | |
Yuichi Kitagawa, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 803 Burksville St, Columbia, KY 42728 Phone: 270-318-3399 Fax: 270-215-5527 | |
Dr. Robert S. Shipp, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1463 Campbellsville Rd, Columbia, KY 42728 Phone: 270-384-9934 Fax: 270-384-2823 | |
Kimberly Renee Turpin-rose, ARNP Family Medicine Medicare: Medicare Enrolled Practice Location: 803 Burkesville St, Columbia, KY 42728 Phone: 270-318-3399 Fax: 270-215-5527 |