| Frank C Clark, MD | |
|
Trillium Way, Corbin, KY 40701-8445 | |
| (606) 528-1212 | |
| (606) 523-2547 |
| Full Name | Frank C Clark |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | Trillium Way, Corbin, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851409007 | NPI | - | NPPES |
| 000000200592 | Other | KY | ANTHEM |
| 64044878 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 36432 (Kentucky) | Primary |
| Entity Name | Knd Development 59 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164751756 PECOS PAC ID: 3678602802 Enrollment ID: O20100527000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Frank C Clark, MD 2 Trillium Way Ste 205, Corbin, KY 40701-8445 Ph: (606) 523-2140 | Frank C Clark, MD Trillium Way, Corbin, KY 40701-8445 Ph: (606) 528-1212 |
Dave M Purcell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 Fax: 606-523-2547 | |
Dr. Karim Hamid Rasheed, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1498 W Cumberland Gap Pkwy, Corbin, KY 40701 Phone: 606-280-7875 Fax: 833-974-2501 | |
George Kargas, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
Raymond J Monaco Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 Fax: 606-523-2547 | |
Thomas F Whealton, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1498 W Cumberland Gap Pkwy, Corbin, KY 40701 Phone: 606-280-7875 |