Kelcie Logan Gregory, DO is a medicare enrolled "Internal Medicine" physician in Cornettsville, Kentucky. Her current practice location is
464 Ky Highway 699, Cornettsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 476-2593.
Kelcie Logan Gregory is licensed to practice in Kentucky (license number 05889) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740850627.
Physician's Profile
| Full Name | Kelcie Logan Gregory |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 464 Ky Highway 699, Cornettsville, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740850627
- Provider Enumeration Date: 07/01/2021
- Last Update Date: 07/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850839101
- Enrollment ID: I20240816003641
Medical Identifiers
Medical identifiers for Kelcie Logan Gregory such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740850627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 05889 (Kentucky) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelcie Logan Gregory allows following entities to bill medicare on her behalf.
| Entity Name | Mountain Comprehensive Health Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417900242
PECOS PAC ID: 7618875873
Enrollment ID: O20031224000024 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelcie Logan Gregory is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kelcie Logan Gregory, DO
Po Box 40,
Whitesburg, KY 41858-0040
Ph: () - | Kelcie Logan Gregory, DO
464 Ky Highway 699,
Cornettsville, KY 41731-8749
Ph: (606) 476-2593 |
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