| Bardstown Internal Medicine, Psc | |
|
810 Morton Ave Ste 202 Bardstown KY 40004-2549 | |
| (502) 348-1990 | |
| (502) 348-1954 |
| Full Name | Bardstown Internal Medicine, Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 810 Morton Ave Ste 202, Bardstown, Kentucky |
| Authorized Official Name and Position | Susan Meece (OFFICE MANAGER) |
| Authorized Official Contact | 5023481990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bardstown Internal Medicine, Psc 810 Morton Ave Ste 202 Bardstown KY 40004-2549 Ph: (502) 348-1990 | Bardstown Internal Medicine, Psc 810 Morton Ave Ste 202 Bardstown KY 40004-2549 Ph: (502) 348-1990 |
| NPI Number | 1306043401 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 07/13/2010 |
| Medicare PECOS PAC ID | 5294753778 |
|---|---|
| Medicare Enrollment ID | O20051103000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306043401 | NPI | - | NPPES |
| DF7461 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 37944 (Kentucky) | Primary |
| Provider Name | Daniel Grant Meece |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801865787 PECOS PAC ID: 4688862097 Enrollment ID: I20101229001105 |
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