Dr Kelly S Tate, MD | |
1724 Kenton St, Suite 2 A, Hopkinsville, KY 42240-1981 | |
(270) 885-2091 | |
(270) 885-2094 |
Full Name | Dr Kelly S Tate |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 1724 Kenton St, Hopkinsville, 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 |
---|---|---|---|
1700839040 | NPI | - | NPPES |
64271489 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27148 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lifeline Health Care Of Logan | Russellville, KY | Home health agency |
Logan Memorial Hospital | Russellville, KY | Hospital |
Jennie Stuart Medical Center | Hopkinsville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Logan Physician Practice Llc | 4880596592 | 8 |
Entity Name | Logan Physician Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265740765 PECOS PAC ID: 4880596592 Enrollment ID: O20040219000212 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelly S Tate, MD 1724 Kenton St, Suite 2 A, Hopkinsville, KY 42240-1981 Ph: (270) 885-2091 | Dr Kelly S Tate, MD 1724 Kenton St, Suite 2 A, Hopkinsville, KY 42240-1981 Ph: (270) 885-2091 |
Kari Howton, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 1724 Kenton St Ste 1d, Hopkinsville, KY 42240 Phone: 270-887-9066 Fax: 270-887-9199 | |
Alan D Cato, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 Russellville Rd, Hopkinsville, KY 42240 Phone: 270-889-6025 Fax: 270-886-4487 | |
Dr. Panagiotis Galanopoulos, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3999 Fort Campbell Blvd, Hopkinsville, KY 42240 Phone: 270-886-2205 Fax: 270-886-0392 | |
Vinna R Denison, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 North Dr, Hopkinsville, KY 42240 Phone: 270-707-0303 Fax: 270-707-0808 | |
Billy Kevin Fralish, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Clinic Dr, Hopkinsville, KY 42240 Phone: 270-707-3300 | |
Dr. William E Sweet, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1102 S Virginia St, Hopkinsville, KY 42240 Phone: 270-890-0440 Fax: 270-890-0449 | |
Chester L Crump, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1717 High St, Suite 2d, Hopkinsville, KY 42240 Phone: 270-885-6101 Fax: 270-885-3563 |