| John Wesley Prince Jr, MD | |
|
55 Foundation Dr, Flemingsburg, KY 41041-9815 | |
| (859) 335-9041 | |
| (859) 335-9072 |
| Full Name | John Wesley Prince Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 55 Foundation Dr, Flemingsburg, 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 |
|---|---|---|---|
| 1962424382 | NPI | - | NPPES |
| 50005474 | Other | KY | PASSPORT |
| P00015881 | Other | KY | RR-MEDICARE |
| 000000259709 | Other | KY | ANTHEM |
| 64046618 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 36068 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pineville Community Health Center, Inc | Pineville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yalinie Medics Llc | 5991938557 | 5 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | Yalinie Medics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992964944 PECOS PAC ID: 5991938557 Enrollment ID: O20140506000690 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20170425001394 |
| Entity Name | Pineville Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275192924 PECOS PAC ID: 5698009157 Enrollment ID: O20200116003024 |
| Entity Name | Breathitt Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841825767 PECOS PAC ID: 1759712904 Enrollment ID: O20200504001352 |
| Entity Name | Rockcastle Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225640154 PECOS PAC ID: 3971923814 Enrollment ID: O20201015000813 |
| Mailing Address | Practice Location Address |
|---|---|
| John Wesley Prince Jr, MD Po Box 1650, Akron, OH 44309-1650 Ph: (330) 864-8900 | John Wesley Prince Jr, MD 55 Foundation Dr, Flemingsburg, KY 41041-9815 Ph: (859) 335-9041 |
Robert Damion Hardison, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 55 Foundation Dr, Flemingsburg, KY 41041 Phone: 606-849-5000 |