| Jaynes Family Practice South Llc | |
|
1507 S Main St Corbin KY 40701-1932 | |
| (606) 280-4044 | |
| (833) 222-3797 |
| Full Name | Jaynes Family Practice South Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1507 S Main St, Corbin, Kentucky |
| Authorized Official Name and Position | Leslie Jaynes (OWNER) |
| Authorized Official Contact | 6063043794 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaynes Family Practice South Llc 1507 S Main St Corbin KY 40701-1932 Ph: (606) 280-4044 | Jaynes Family Practice South Llc 1507 S Main St Corbin KY 40701-1932 Ph: (606) 280-4044 |
| NPI Number | 1245943356 |
|---|---|
| Provider Enumeration Date | 01/04/2023 |
| Last Update Date | 01/08/2023 |
| Certification Date | 01/08/2023 |
| Medicare PECOS PAC ID | 1052776523 |
|---|---|
| Medicare Enrollment ID | O20230505001607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245943356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Leslie Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598005654 PECOS PAC ID: 0143466441 Enrollment ID: I20130410000638 |
| Provider Name | Cassaidy Hendrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679962872 PECOS PAC ID: 8123343563 Enrollment ID: I20150206000776 |
| Provider Name | Deborah Ann Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962956268 PECOS PAC ID: 5294014528 Enrollment ID: I20161109001533 |
Winds Of Change Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Master St Ste 6, Corbin, KY 40701 Phone: 606-404-5104 Fax: 606-404-5105 | |
Baptist Health Psychiatric Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
White Owl Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8699 S Us Highway 25, Corbin, KY 40701 Phone: 859-229-4647 | |
Big Oaks Properties Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3265 Hwy 26, Suite 3, Corbin, KY 40701 Phone: 606-305-3721 | |
Corbin High School Based Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 Synder Street, Corbin, KY 40701 Phone: 606-528-3902 Fax: 606-526-8606 | |
Soulistic Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 E Peachtree St Ste 2, Corbin, KY 40701 Phone: 606-261-2060 |