| Elliott Psychiatric Services, Pllc | |
|
851 Corporate Dr Suite 203 Lexington KY 40503-5428 | |
| (859) 219-0090 | |
| (859) 219-0339 |
| Full Name | Elliott Psychiatric Services, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 851 Corporate Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Robert E Elliott (PRESIDENT) |
| Authorized Official Contact | 8592190090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elliott Psychiatric Services, Pllc 851 Corporate Dr Suite 203 Lexington KY 40503-5428 Ph: (859) 219-0090 | Elliott Psychiatric Services, Pllc 851 Corporate Dr Suite 203 Lexington KY 40503-5428 Ph: (859) 219-0090 |
| NPI Number | 1336188788 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 10/18/2012 |
| Medicare PECOS PAC ID | 6103861281 |
|---|---|
| Medicare Enrollment ID | O20050621000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336188788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Robert E Elliott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881691657 PECOS PAC ID: 6002851185 Enrollment ID: I20050621000269 |
| Provider Name | Lisa R Barlow Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649277864 PECOS PAC ID: 1052591211 Enrollment ID: I20110207000114 |
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