Lake Cumberland Physician Practices, Llc - Medicare in Somerset, KY

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Lake Cumberland Physician Practices, Llc is a medicare enrolled "Orthopaedic Surgery" provider in Somerset, Kentucky. Their current practice location is 27 Imaging Dr, Suite B, Somerset, Kentucky. You can reach out to their office (for appointments etc.) via phone at (606) 679-7464.

Lake Cumberland Physician Practices, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lake Cumberland Physician Practices, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1811356892.

Contact Information

Lake Cumberland Physician Practices, Llc
27 Imaging Dr, Suite B,
Somerset, KY 42503
(606) 679-7464
(606) 678-8586

Map and Direction




Healthcare Provider's Profile

Full NameLake Cumberland Physician Practices, Llc
TypeFacility
SpecialityOrthopaedic Surgery
Location27 Imaging Dr, Somerset, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811356892
  • Provider Enumeration Date: 02/18/2016
  • Last Update Date: 11/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2567510464
  • Enrollment ID: O20090504000210

Medical Identifiers

Medical identifiers for Lake Cumberland Physician Practices, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811356892NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LA2100XNurse Practitioner - Acute Care (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lake Cumberland Physician Practices, Llc acts as a billing entity for following providers:
Provider NameTodd L Horn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093814808
PECOS PAC ID: 3173422599
Enrollment ID: I20040106000001
Provider NameHarold H Rutledge
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1184666521
PECOS PAC ID: 1850383761
Enrollment ID: I20040331001459
Provider NameAmr O El-naggar
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1033180757
PECOS PAC ID: 3577546746
Enrollment ID: I20040614000167
Provider NameSamir I Cook
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1629075296
PECOS PAC ID: 4880685007
Enrollment ID: I20040624000189
Provider NameYasser A Nadim
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1477505634
PECOS PAC ID: 7315832581
Enrollment ID: I20040920001095
Provider NameNatarajan Mullai
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1851373096
PECOS PAC ID: 0648249078
Enrollment ID: I20041001000080
Provider NamePiyush Patel
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1164413159
PECOS PAC ID: 0042115404
Enrollment ID: I20051013000612
Provider NameAngela Stinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528050853
PECOS PAC ID: 7416973920
Enrollment ID: I20051024000194
Provider NameBarry White
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609879758
PECOS PAC ID: 1850369679
Enrollment ID: I20070328000053
Provider NameAnjum Iqbal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982793790
PECOS PAC ID: 4385737147
Enrollment ID: I20070910000809
Provider NameKhalid Iqbal
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1447349329
PECOS PAC ID: 5294828067
Enrollment ID: I20070910000896
Provider NameDaniel Robert Yanicko
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1598731796
PECOS PAC ID: 2961504683
Enrollment ID: I20080304000250
Provider NameTommy W Shelton
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1770617854
PECOS PAC ID: 9234202326
Enrollment ID: I20080723000317
Provider NameMelissa Cheng
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225258130
PECOS PAC ID: 2769582816
Enrollment ID: I20081021000051
Provider NameKenneth E Ruby
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1063419133
PECOS PAC ID: 8527123694
Enrollment ID: I20090224000764
Provider NameRandall Elliot Dalton
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1336155944
PECOS PAC ID: 8729094628
Enrollment ID: I20090504000259
Provider NameRichard J Heuer
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1497757439
PECOS PAC ID: 1850204520
Enrollment ID: I20090706000504
Provider NameLisa E Marcum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306076443
PECOS PAC ID: 9931254174
Enrollment ID: I20090911000257
Provider NameBenjamin C Bryson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184887432
PECOS PAC ID: 5698817690
Enrollment ID: I20100128000273
Provider NamePatrick F Jenkins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417921883
PECOS PAC ID: 4284762030
Enrollment ID: I20100514000525
Provider NameSharon Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821324278
PECOS PAC ID: 8921139791
Enrollment ID: I20100623000864
Provider NameJesse L Pace
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1679779276
PECOS PAC ID: 3678649969
Enrollment ID: I20100913001044
Provider NameMagdy El Kalliny
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1275504730
PECOS PAC ID: 0143428060
Enrollment ID: I20101206000022
Provider NameStephanie M Hutchinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154640357
PECOS PAC ID: 0143419028
Enrollment ID: I20110107000139
Provider NameSandra Lee Braswell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700186343
PECOS PAC ID: 3971792664
Enrollment ID: I20110111000968
Provider NameAlisha J Cooley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851699060
PECOS PAC ID: 9032395413
Enrollment ID: I20110519000371
Provider NameJohn C Mobley
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1619059334
PECOS PAC ID: 6305742545
Enrollment ID: I20111230000127
Provider NameJocelyn Elhalawany
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518215326
PECOS PAC ID: 1951550722
Enrollment ID: I20121011000429
Provider NameBrenda Jean Jobson
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1831126887
PECOS PAC ID: 2860592789
Enrollment ID: I20130326000059
Provider NameDennis J Joseph
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1336307792
PECOS PAC ID: 5193961605
Enrollment ID: I20130927000694
Provider NameMolly Simmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386080752
PECOS PAC ID: 7012140643
Enrollment ID: I20140505002230
Provider NameBenjamin L Stivers
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1447588009
PECOS PAC ID: 1951521939
Enrollment ID: I20140926000523
Provider NameRobin Goff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710381124
PECOS PAC ID: 2062735251
Enrollment ID: I20141218002283
Provider NameCarol A Price
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538561618
PECOS PAC ID: 9436473519
Enrollment ID: I20150120001679
Provider NameHeidi Renae Frey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710063300
PECOS PAC ID: 2062517923
Enrollment ID: I20150413000658
Provider NameTracie L Parrish
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689063349
PECOS PAC ID: 1850612755
Enrollment ID: I20150603003116
Provider NameLeslie E. Schwindel
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1720215254
PECOS PAC ID: 2062730278
Enrollment ID: I20151229001324
Provider NameJody Coomer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962863407
PECOS PAC ID: 4880991488
Enrollment ID: I20160421000890
Provider NameSurya R Kumar
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1154470466
PECOS PAC ID: 0941299689
Enrollment ID: I20160428000910
Provider NameShawn M Acino
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1942319850
PECOS PAC ID: 3375535149
Enrollment ID: I20161017002114
Provider NameNina Frances Booth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871029181
PECOS PAC ID: 6901170596
Enrollment ID: I20170920002501
Provider NameJacob Dudley Coffey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194232207
PECOS PAC ID: 0244594109
Enrollment ID: I20180501002823
Provider NameCandace Lanier Mckee
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1689017360
PECOS PAC ID: 7315187804
Enrollment ID: I20180618001833
Provider NameLeslie Chambers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548786213
PECOS PAC ID: 9739436353
Enrollment ID: I20180726003443
Provider NameWilliam Geisert
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1336415736
PECOS PAC ID: 0840417192
Enrollment ID: I20180918002184
Provider NamePatrick Gorman Shepherd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629561493
PECOS PAC ID: 6103179270
Enrollment ID: I20181019002084
Provider NameWilliam G Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801360524
PECOS PAC ID: 9931441219
Enrollment ID: I20190507002273
Provider NameHeather Ann Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417434200
PECOS PAC ID: 5991048712
Enrollment ID: I20190520000904
Provider NameHeather Ramsey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578125274
PECOS PAC ID: 1850629809
Enrollment ID: I20190828003973
Provider NameDanielle E Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699324566
PECOS PAC ID: 1052641677
Enrollment ID: I20190925000866
Provider NameJessica Mckinney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669015103
PECOS PAC ID: 7911330261
Enrollment ID: I20191127002022
Provider NameLana R New
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851939045
PECOS PAC ID: 2062842396
Enrollment ID: I20200428001321
Provider NameJoseph Eid
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1467894113
PECOS PAC ID: 6002058500
Enrollment ID: I20200804000669
Provider NameMay Abdelhak Ghanim-moustafa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255816088
PECOS PAC ID: 8123446507
Enrollment ID: I20200916002910
Provider NameBrandi Lynee Mullins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386242998
PECOS PAC ID: 1153738372
Enrollment ID: I20210405001829
Provider NameStacey Strunk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174141477
PECOS PAC ID: 5597174433
Enrollment ID: I20210506000394
Provider NameAusaf Ahmed
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1720439540
PECOS PAC ID: 5496041634
Enrollment ID: I20210624002109
Provider NameMichelle Lynn King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659951911
PECOS PAC ID: 9234531583
Enrollment ID: I20210709001054
Provider NameStacey L Bowlds
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1861847394
PECOS PAC ID: 5991063745
Enrollment ID: I20210721001944
Provider NameKatie J Aaron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033792726
PECOS PAC ID: 3870997703
Enrollment ID: I20210813001904
Provider NameCourtney Cheyenne Floyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245827658
PECOS PAC ID: 3072918119
Enrollment ID: I20210826003595
Provider NameVannessa Marie Watson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538822192
PECOS PAC ID: 5698165140
Enrollment ID: I20211124001295
Provider NameElizabeth Erin Combs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063173904
PECOS PAC ID: 3274910500
Enrollment ID: I20220506000842
Provider NameJingkun Wang
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1407387731
PECOS PAC ID: 9739431503
Enrollment ID: I20220803001868
Provider NameCharlotte Kaye Hayes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497494512
PECOS PAC ID: 3971988056
Enrollment ID: I20220912000510
Provider NamePennie Christine Haste
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922730605
PECOS PAC ID: 2365828670
Enrollment ID: I20221010001431
Provider NameJacob N Rizkalla
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1134784978
PECOS PAC ID: 0042699480
Enrollment ID: I20230925002593
Provider NameJustin Hunsucker
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1568720167
PECOS PAC ID: 6709104953
Enrollment ID: I20240327002534
Provider NameLaura Zigler
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1033663174
PECOS PAC ID: 5890081368
Enrollment ID: I20240924001732
Provider NameSteven Cooperman
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1467008383
PECOS PAC ID: 0547621112
Enrollment ID: I20241007003388
Provider NameAmanda Jo Holder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194564211
PECOS PAC ID: 2365973815
Enrollment ID: I20241008002044

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lake Cumberland Physician Practices, Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lake Cumberland Physician Practices, Llc
330 Seven Springs Way,
Brentwood, TN 37027-5098

Ph: (615) 920-7000		Lake Cumberland Physician Practices, Llc
27 Imaging Dr, Suite B,
Somerset, KY 42503

Ph: (606) 679-7464

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.