| Dr Pamela Kaye Harston, MD | |
|
1890 Lyda Ave, Suite 103, Bowling Green, KY 42104-5829 | |
| (270) 904-6160 | |
| (270) 904-6165 |
| Full Name | Dr Pamela Kaye Harston |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 38 Years |
| Location | 1890 Lyda Ave, Bowling Green, 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 |
|---|---|---|---|
| 1902973043 | NPI | - | NPPES |
| 1157737 | Other | KY | PASSPORT MEDICAID |
| 64259369 | Medicaid | KY | |
| 000000197280 | Other | KY | ANTHEM BCBS |
| 250005380 | Other | KY | RR MEDICARE |
| 1467280 | Other | KY | UMWA |
| 8122 | Other | KY | KY DEPT OF WC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 25936 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Health Group Of Louisville Llc | 5294092383 | 4 |
| Entity Name | Physicians Health Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437555299 PECOS PAC ID: 4385966894 Enrollment ID: O20141210002551 |
| Entity Name | Physicians Health Group Of Louisville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518478783 PECOS PAC ID: 5294092383 Enrollment ID: O20171128000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pamela Kaye Harston, MD 1890 Lyda Ave, Suite 103, Bowling Green, KY 42104-5829 Ph: (270) 904-6160 | Dr Pamela Kaye Harston, MD 1890 Lyda Ave, Suite 103, Bowling Green, KY 42104-5829 Ph: (270) 904-6160 |
Matthew Swain Bartimus, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 165 Natchez Trace Ave Ste 200, Bowling Green, KY 42103 Phone: 270-796-4698 Fax: 270-782-3274 | |
Emma Ramsey, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1751 Scottsville Rd Ste 9, Bowling Green, KY 42104 Phone: 270-796-6800 | |
Dr. James Robert Farrage Jr., M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1725 Mcintosh St, Bowling Green, KY 42104 Phone: 270-793-9229 Fax: 270-793-9076 | |
Dr. Robert Wood Byrd, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1725 Mcintosh St, Bowling Green, KY 42104 Phone: 270-793-9229 Fax: 270-793-9076 |