| Dr Katherine Marie Ebsworth-mojica, MD | |
|
2004 Cumberland Ave Ste 301, Middlesboro, KY 40965-1385 | |
| (606) 248-3091 | |
| (606) 248-8526 |
| Full Name | Dr Katherine Marie Ebsworth-mojica |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 17 Years |
| Location | 2004 Cumberland Ave Ste 301, Middlesboro, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780848820 | NPI | - | NPPES |
| 7100540920 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 51829 (Kentucky) | Primary |
| 2080P0208X | Pediatrics - Pediatric Infectious Diseases | 51829 (Kentucky) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain Comprehensive Health Corporation | 7618875873 | 74 |
| Entity Name | Mountain Comprehensive Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417900242 PECOS PAC ID: 7618875873 Enrollment ID: O20031224000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Katherine Marie Ebsworth-mojica, MD 2004 Cumberland Ave Ste 301, Middlesboro, KY 40965-1385 Ph: (606) 248-3091 | Dr Katherine Marie Ebsworth-mojica, MD 2004 Cumberland Ave Ste 301, Middlesboro, KY 40965-1385 Ph: (606) 248-3091 |
Rachel Andrea Jones-tackett, CPNP-PC Pediatrics Medicare: Medicare Enrolled Practice Location: 3602 Cumberland Ave Ste B102, Middlesboro, KY 40965 Phone: 606-248-7778 | |
Deborah L. Gever, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3600 Cumberland Ave, Middlesboro, KY 40965 Phone: 606-242-1100 | |
Mr. Mohamad Hakam Alnahhas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3602 Cumberland Ave Ste B-102, Middlesboro, KY 40965 Phone: 606-248-7778 Fax: 606-248-7787 | |
Dr. Charles I. Okwundu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2004 Cumberland Ave, Middlesboro, KY 40965 Phone: 606-248-3015 Fax: 606-248-3024 |