| Mr William R Durham, MD | |
| 513 18th St, Corbin, KY 40701 | |
| (606) 526-9664 | |
| (606) 526-6263 | 
| Full Name | Mr William R Durham | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 513 18th St, 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 | 
|---|---|---|---|
| 1093893216 | NPI | - | NPPES | 
| 64326424 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 32642 (Kentucky) | Primary | 
| Entity Name | Grace Community Health Center, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1568625648 PECOS PAC ID: 3870654064 Enrollment ID: O20081211000571 | 
| Entity Name | Provider Partners Care Management Lp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013348028 PECOS PAC ID: 9335379270 Enrollment ID: O20240424001833 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr William R Durham, MD 513 18th St, Po Box 459, Corbin, KY 40701 Ph: (606) 526-9664 | Mr William R Durham, MD 513 18th St, Corbin, KY 40701 Ph: (606) 526-9664 | 
| Dr. Swati Yalamanchi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Baptist Health Cancer Center, Corbin, KY 40701 Phone: 606-523-1934 Fax: 606-523-1982 | |
| Dr. Daniel W Whitley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1419 Cumberland Falls Hwy, Corbin, KY 40701 Phone: 606-528-4481 Fax: 606-528-2857 | |
| Dr. John P. Loventhal, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 45 Moonbow Plz, Corbin, KY 40701 Phone: 606-523-9010 Fax: 606-528-0028 | |
| Dr. Pramod A Reddy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 Moonbow Plz, Corbin, KY 40701 Phone: 606-523-9010 Fax: 606-523-5923 | |
| Priyanka Srinivas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Trillium Way Ste 306, Corbin, KY 40701 Phone: 606-526-4070 Fax: 606-526-4072 | |
| Jeremy Swiney, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 |