Arh Mary Breckinridge Health Services, Inc. - Medicare Primary Care in Corbin, KY

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Arh Mary Breckinridge Health Services, Inc. is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Corbin, Kentucky. The current practice location for Arh Mary Breckinridge Health Services, Inc. is 1317 Cumberland Falls Hwy, Corbin, Kentucky. For appointments, you can reach them via phone at (606) 545-5500. The mailing address for Arh Mary Breckinridge Health Services, Inc. is 100 Airport Gardens Rd, Hazard, Kentucky and phone number is (606) 216-5145.

Arh Mary Breckinridge Health Services, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053983908. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (606) 545-5500.

Contact Information

Arh Mary Breckinridge Health Services, Inc.
1317 Cumberland Falls Hwy
Corbin
KY 40701-2720
(606) 545-5500
(606) 545-5501

Map and Direction


Primary Care Clinic Profile

Full NameArh Mary Breckinridge Health Services, Inc.
SpecialityClinic/Center
Location1317 Cumberland Falls Hwy, Corbin, Kentucky
Authorized Official Name and PositionHollie P Harris (PRESIDENT AND CEO)
Authorized Official Contact8592262511
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Arh Mary Breckinridge Health Services, Inc.
100 Airport Gardens Rd
Hazard
KY 41701-9529

Ph: (606) 216-5145		Arh Mary Breckinridge Health Services, Inc.
1317 Cumberland Falls Hwy
Corbin
KY 40701-2720

Ph: (606) 545-5500

NPI Details:

NPI Number1053983908
Provider Enumeration Date07/12/2021
Last Update Date07/12/2021

Medicare PECOS Information:

Medicare PECOS PAC ID8123293818
Medicare Enrollment IDO20170316001594

Medical Identifiers

Medical identifiers for Arh Mary Breckinridge Health Services, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053983908NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Arh Mary Breckinridge Health Services, Inc. acts as a billing entity for following providers:
Provider NameThomas J Moore
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1235211616
PECOS PAC ID: 0345137444
Enrollment ID: I20040303000377
Provider NameSyed M Raza
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1841220241
PECOS PAC ID: 6002899317
Enrollment ID: I20040609000154
Provider NameDana P Edwards
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1164424131
PECOS PAC ID: 2769434851
Enrollment ID: I20050217000032
Provider NameRogelio L Uy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932108438
PECOS PAC ID: 6901847391
Enrollment ID: I20050516000843
Provider NameJames S Bazzi
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1164443271
PECOS PAC ID: 0345286399
Enrollment ID: I20050630000255
Provider NameMaria A Hortillosa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629004015
PECOS PAC ID: 8921001249
Enrollment ID: I20060807000001
Provider NameHimachala R Veligandla
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1023065927
PECOS PAC ID: 2668461047
Enrollment ID: I20060925000574
Provider NameMelanie L Chesnut
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578756821
PECOS PAC ID: 9133212764
Enrollment ID: I20070912000420
Provider NameRaju N Vora
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1457367898
PECOS PAC ID: 7810984044
Enrollment ID: I20100923001258
Provider NameJerry Woolum
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1467464446
PECOS PAC ID: 9830288240
Enrollment ID: I20101210000357
Provider NameSteven L Woolley
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1831189935
PECOS PAC ID: 4082895321
Enrollment ID: I20110221000432
Provider NameDolly Boughaba
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1376582221
PECOS PAC ID: 3779776869
Enrollment ID: I20110913000264
Provider NameRobert L. Thomas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1619978327
PECOS PAC ID: 6800868696
Enrollment ID: I20120120000347
Provider NameChintamani R Vora
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1215943428
PECOS PAC ID: 7517117575
Enrollment ID: I20121029000226
Provider NameEdilfavia Uy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922332006
PECOS PAC ID: 9931352978
Enrollment ID: I20130325000465
Provider NameElizabeth K Douglas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972822757
PECOS PAC ID: 6103050323
Enrollment ID: I20131001000468
Provider NameLalit Vadlamani
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1770552648
PECOS PAC ID: 2668467481
Enrollment ID: I20140131000572
Provider NameChristopher M Yost
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467744086
PECOS PAC ID: 8628294568
Enrollment ID: I20140729001933
Provider NameTammy L Chorak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902213986
PECOS PAC ID: 9436377041
Enrollment ID: I20140822002384
Provider NameKamlesh P Sajnani
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1730490152
PECOS PAC ID: 0648587535
Enrollment ID: I20150909001638
Provider NameDavid Phillip Terwilliger
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1871801282
PECOS PAC ID: 6709193162
Enrollment ID: I20150916003514
Provider NameJessica Helton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780060913
PECOS PAC ID: 4981996782
Enrollment ID: I20160715000239
Provider NameAmanda Abbott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366997652
PECOS PAC ID: 2668751215
Enrollment ID: I20161122001632
Provider NameJamie Wilder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134679806
PECOS PAC ID: 7810272648
Enrollment ID: I20170317001713
Provider NameJacob Witt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609306737
PECOS PAC ID: 6709158595
Enrollment ID: I20170814001483
Provider NameAmber Peace
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1902162167
PECOS PAC ID: 3274764683
Enrollment ID: I20171018003240
Provider NameJohn Brandon Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184131419
PECOS PAC ID: 9032472659
Enrollment ID: I20180412002962
Provider NameOpal Alicia Prevatt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609255181
PECOS PAC ID: 6709135338
Enrollment ID: I20180815002069
Provider NameBonnie Ferguson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346720505
PECOS PAC ID: 9537419148
Enrollment ID: I20180831001245
Provider NameTonya Michelle Turpin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619447018
PECOS PAC ID: 2466797733
Enrollment ID: I20181214003037
Provider NameMichael Anthony Lynch
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811428683
PECOS PAC ID: 3072856509
Enrollment ID: I20190523001762
Provider NameSteven Michael Rosenthal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952300279
PECOS PAC ID: 6709980196
Enrollment ID: I20190802001821
Provider NameKristy Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427600790
PECOS PAC ID: 9537591094
Enrollment ID: I20191121001591
Provider NameCharles I Okwundu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1861914202
PECOS PAC ID: 0840538815
Enrollment ID: I20200914002399
Provider NamePamela J Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093055691
PECOS PAC ID: 6507006285
Enrollment ID: I20201207000301
Provider NameGeorge Abraham Khouri
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1609138866
PECOS PAC ID: 4587987268
Enrollment ID: I20201209003207
Provider NameArvind Vasudevan
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1770503526
PECOS PAC ID: 2860414091
Enrollment ID: I20201210001729
Provider NameKayla Larae Bargo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730782699
PECOS PAC ID: 9335552827
Enrollment ID: I20201229002917
Provider NameAmber Denise Wires
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598383861
PECOS PAC ID: 4486068632
Enrollment ID: I20210128002639
Provider NameJames Cook
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1558359943
PECOS PAC ID: 1254374549
Enrollment ID: I20210223002466
Provider NameStanley R. Horner
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1578576864
PECOS PAC ID: 8527251776
Enrollment ID: I20210409001779
Provider NameSam Kumar Saha
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1629394390
PECOS PAC ID: 3870733181
Enrollment ID: I20210505002251
Provider NameJustin A Canter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194274100
PECOS PAC ID: 2961783964
Enrollment ID: I20210506001806
Provider NameRam Penmetsa
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1427084102
PECOS PAC ID: 3375618770
Enrollment ID: I20210512003259
Provider NameJulia Moses
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982368320
PECOS PAC ID: 0547659039
Enrollment ID: I20211123001854
Provider NameJason John Madey
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1245466937
PECOS PAC ID: 2062791569
Enrollment ID: I20220209001205
Provider NameMakenzie Brooke Herald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578224622
PECOS PAC ID: 8426442195
Enrollment ID: I20220222001856
Provider NameUsha Aryal
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1073712287
PECOS PAC ID: 2163657362
Enrollment ID: I20220322000420
Provider NameJoseph Pazona
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1447422951
PECOS PAC ID: 7012087471
Enrollment ID: I20220920000241
Provider NameMichlene Rae Passeri
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1649711094
PECOS PAC ID: 1254733710
Enrollment ID: I20220929002799
Provider NameKatherine Klos
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1982849550
PECOS PAC ID: 2466601828
Enrollment ID: I20221031000895
Provider NameSarah Michelle Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932821816
PECOS PAC ID: 2668841933
Enrollment ID: I20221208000201
Provider NameRichard Calhoun
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1043653041
PECOS PAC ID: 2365738887
Enrollment ID: I20230427000653
Provider NameAdriane M Spruell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346623956
PECOS PAC ID: 5395059505
Enrollment ID: I20230714003462
Provider NameHaley Elizabeth Wagner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073398624
PECOS PAC ID: 9032566153
Enrollment ID: I20231111000603
Provider NameBrooklyn Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932985488
PECOS PAC ID: 6305294430
Enrollment ID: I20231129002257
Provider NameAshley Tapscott
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1124282587
PECOS PAC ID: 5799931416
Enrollment ID: I20240110004412
Provider NameChibuzo Nwokolo
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1093921090
PECOS PAC ID: 4082714712
Enrollment ID: I20240213003256

Reviews and Comments


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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.