| Physician Management Services Psc | |
|
1573 Hwy 259n Brownsville KY 42210 | |
| (270) 597-2168 | |
| (270) 597-2033 |
| Full Name | Physician Management Services Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1573 Hwy 259n, Brownsville, Kentucky |
| Authorized Official Name and Position | Kalidas G Sahetya (SECRETARY) |
| Authorized Official Contact | 2707968800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Management Services Psc Po Box 90039 Bowling Green KY 42102-9039 Ph: (270) 796-8800 | Physician Management Services Psc 1573 Hwy 259n Brownsville KY 42210 Ph: (270) 597-2168 |
| NPI Number | 1679619811 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 10/18/2011 |
| Medicare PECOS PAC ID | 2860487816 |
|---|---|
| Medicare Enrollment ID | O20101222000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679619811 | NPI | - | NPPES |
| 35001171 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 900024 (Kentucky) | Primary |
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