| Dr Glenn Ruben Womack, MD | |
|
732 Elizaville Ave, Flemingsburg, KY 41041-1139 | |
| (606) 849-2323 | |
| (606) 849-2025 |
| Full Name | Dr Glenn Ruben Womack |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 732 Elizaville Ave, Flemingsburg, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639164536 | NPI | - | NPPES |
| 64159528 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15952 (Kentucky) | Primary |
| Entity Name | Meadowview Physician Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760893275 PECOS PAC ID: 9032276274 Enrollment ID: O20090316000259 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn Ruben Womack, MD 732 Elizaville Ave, P.o. Box 344, Flemingsburg, KY 41041-1139 Ph: (606) 849-2323 | Dr Glenn Ruben Womack, MD 732 Elizaville Ave, Flemingsburg, KY 41041-1139 Ph: (606) 849-2323 |
Mr. William Gordan Bacon, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 935 Elizaville Ave, Flemingsburg, KY 41041 Phone: 606-849-3374 Fax: 606-845-0646 | |
Mr. Michael Alan Boyd, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 935 Elizaville Ave, Flemingsburg, KY 41041 Phone: 606-849-3374 Fax: 606-845-0646 | |
Michael D Dunaway, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 Elizaville Ave, Flemingsburg, KY 41041 Phone: 606-845-0028 Fax: 606-845-0263 | |
Dr. Betsy E Bailey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 Elizaville Ave, Flemingsburg, KY 41041 Phone: 606-845-0028 Fax: 606-845-0263 |