| Bardstown Primary Care, Pllc | |
|
201 S 5th St Bardstown KY 40004-1142 | |
| (502) 348-7554 | |
| (502) 337-6070 |
| Full Name | Bardstown Primary Care, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 S 5th St, Bardstown, Kentucky |
| Authorized Official Name and Position | Mary Jo Nalley (ADMINISTRATOR) |
| Authorized Official Contact | 5023487554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bardstown Primary Care, Pllc 201 S 5th St Bardstown KY 40004-1142 Ph: (502) 350-0050 | Bardstown Primary Care, Pllc 201 S 5th St Bardstown KY 40004-1142 Ph: (502) 348-7554 |
| NPI Number | 1053305524 |
|---|---|
| Provider Enumeration Date | 09/09/2005 |
| Last Update Date | 10/29/2019 |
| Medicare PECOS PAC ID | 4880687862 |
|---|---|
| Medicare Enrollment ID | O20040406000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053305524 | NPI | - | NPPES |
| Provider Name | Ronald D Tyler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588661714 PECOS PAC ID: 6800880758 Enrollment ID: I20040413000867 |
| Provider Name | Christal Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801032594 PECOS PAC ID: 5496802373 Enrollment ID: I20090410000026 |
| Provider Name | Kali M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144554916 PECOS PAC ID: 3971642455 Enrollment ID: I20091121000044 |
| Provider Name | Stanley L Block |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619974821 PECOS PAC ID: 4183764376 Enrollment ID: I20091219000005 |
| Provider Name | James A Hedrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902803117 PECOS PAC ID: 7012900012 Enrollment ID: I20100106000491 |
| Provider Name | Daniel J Finn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063419208 PECOS PAC ID: 1456492529 Enrollment ID: I20100112000170 |
| Provider Name | Robert A Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063419877 PECOS PAC ID: 8022150796 Enrollment ID: I20100119000030 |
| Provider Name | Diane Michelle Cardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841504578 PECOS PAC ID: 6507048873 Enrollment ID: I20110308000276 |
| Provider Name | Leslie M Brauner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720343551 PECOS PAC ID: 2062664311 Enrollment ID: I20121212000462 |
| Provider Name | Lindsay Blackmon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982925004 PECOS PAC ID: 8022258193 Enrollment ID: I20130712000652 |
| Provider Name | Monica B Strenecky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093156929 PECOS PAC ID: 3072757186 Enrollment ID: I20130911000350 |
| Provider Name | Amber R Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831636075 PECOS PAC ID: 7517241946 Enrollment ID: I20170303000832 |
| Provider Name | Shannon Michelle Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730697517 PECOS PAC ID: 1355602723 Enrollment ID: I20180227001319 |
| Provider Name | Brittany Michelle Lisby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982173910 PECOS PAC ID: 1355688839 Enrollment ID: I20190122001455 |
| Provider Name | Kaitlyn Danielle Cassady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043773880 PECOS PAC ID: 3577890185 Enrollment ID: I20220908003059 |
Cumberland Family Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1345 Templin Ave, Bardstown, KY 40004 Phone: 844-435-0900 Fax: 270-858-4029 | |
Saint Joseph Medical Foundation, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 W John Fitch Ave, Suite 210, Bardstown, KY 40004 Phone: 502-348-7648 Fax: 502-348-7490 | |
Fast Pace Kentucky, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1095 Morton Ave, Bardstown, KY 40004 Phone: 502-601-0107 | |
Baptist Health Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3615 E John Rowan Blvd Ste 104, Bardstown, KY 40004 Phone: 502-348-5968 Fax: 270-706-5802 | |
Flaget Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4371 New Shepherdsville Rd Fl 2, Bardstown, KY 40004 Phone: 502-350-1302 | |
Bardstown Internal Medicine, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Morton Ave Ste 202, Bardstown, KY 40004 Phone: 502-348-1990 Fax: 502-348-1954 |