Thomas Blake Vincent, DO | |
1253 Paris Rd # A, Mayfield, KY 42066-4989 | |
(270) 247-2455 | |
Not Available |
Full Name | Thomas Blake Vincent |
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Gender | Male |
Speciality | Family Medicine |
Location | 1253 Paris Rd # A, Mayfield, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417397076 | NPI | - | NPPES |
201324850 | Medicaid | IN | |
7100282830 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R3058 (Kentucky) | Secondary |
207Q00000X | Family Medicine | 03709 (Kentucky) | Primary |
Entity Name | Hendersons Minor Outpatient Medicine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811947070 PECOS PAC ID: 7719906171 Enrollment ID: O20101025000552 |
Entity Name | Recover Together Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346736758 PECOS PAC ID: 7810247533 Enrollment ID: O20201023002201 |
Mailing Address | Practice Location Address |
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Thomas Blake Vincent, DO Po Box 1244, Henderson, KY 42419-1244 Ph: (812) 465-6202 | Thomas Blake Vincent, DO 1253 Paris Rd # A, Mayfield, KY 42066-4989 Ph: (270) 247-2455 |
Mrs. Annette D Beasley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1099 Medical Center Cir, Mayfield, KY 42066 Phone: 812-267-0686 | |
Wayne E. Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1029 Medical Center Cir Ste 202, Mayfield, KY 42066 Phone: 270-247-7795 Fax: 270-251-4551 | |
Richard Darren Stone, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1019 Paducah Rd Ste B, Mayfield, KY 42066 Phone: 270-970-0924 Fax: 866-985-7514 | |
Dr. Mark D Irvin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Medical Center Cir, Mayfield, KY 42066 Phone: 270-247-8100 Fax: 270-247-7780 | |
Kathryn J Glass, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Golf Club Ln, Mayfield, KY 42066 Phone: 270-970-1217 | |
Jessica Leann Awbery, Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Kings Dr, Mayfield, KY 42066 Phone: 270-804-7710 |