| Paducah Psychiatry Group Psc | |
|
100 Fountain Ave Suite 301 Paducah KY 42001-2774 | |
| (270) 443-8195 | |
| (270) 444-7922 |
| Full Name | Paducah Psychiatry Group Psc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 100 Fountain Ave, Paducah, Kentucky |
| Authorized Official Name and Position | David A Meyer (PRESIDENT) |
| Authorized Official Contact | 2704438195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paducah Psychiatry Group Psc 100 Fountain Ave Suite 301 Paducah KY 42001-2774 Ph: (270) 443-8195 | Paducah Psychiatry Group Psc 100 Fountain Ave Suite 301 Paducah KY 42001-2774 Ph: (270) 443-8195 |
| NPI Number | 1558419978 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 07/18/2008 |
| Medicare PECOS PAC ID | 7214909191 |
|---|---|
| Medicare Enrollment ID | O20040811000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558419978 | NPI | - | NPPES |
| 00511500 | Other | MAGELLAN | |
| 000000049057 | Other | KY | BCBS |
| 64206717 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20671 (Kentucky) | Primary |
| Provider Name | David Andrew Meyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811957459 PECOS PAC ID: 8729050604 Enrollment ID: I20051207000063 |
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