| Brandenburg Family Medicine | |
|
815 Hillcrest Dr Brandenburg KY 40108-1415 | |
| (270) 422-4111 | |
| Not Available |
| Full Name | Brandenburg Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 815 Hillcrest Dr, Brandenburg, Kentucky |
| Authorized Official Name and Position | Crystal Dawn Webster (OFFICE MANAGER) |
| Authorized Official Contact | 2704224111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandenburg Family Medicine 815 Hillcrest Dr Brandenburg KY 40108-1415 Ph: (270) 422-4111 | Brandenburg Family Medicine 815 Hillcrest Dr Brandenburg KY 40108-1415 Ph: (270) 422-4111 |
| NPI Number | 1912919929 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 06/27/2016 |
| Medicare PECOS PAC ID | 7214973312 |
|---|---|
| Medicare Enrollment ID | O20050629000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912919929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Kentucky) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 3003595 (Kentucky) | Secondary |
| Provider Name | Kyle J King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982604625 PECOS PAC ID: 6709956386 Enrollment ID: I20100714000773 |
| Provider Name | Bryan M Honaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356328066 PECOS PAC ID: 8426951971 Enrollment ID: I20100715000185 |
| Provider Name | Mallory Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720508120 PECOS PAC ID: 8224307269 Enrollment ID: I20170706001222 |
| Provider Name | Celeste N Hardesty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851856876 PECOS PAC ID: 6901144062 Enrollment ID: I20190214002279 |
Blumine Health Brandenburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1404 Old Ekron Rd, Brandenburg, KY 40108 Phone: 270-422-8100 Fax: 270-422-8112 | |
Kentuckyone Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 534 Hillcrest Drive, Brandenburg, KY 40108 Phone: 270-422-5000 | |
Hardin Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 534 Hillcrest Dr, Brandenburg, KY 40108 Phone: 270-422-5000 Fax: 270-422-5052 | |
Baptist Health Medical Group Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 534 Hillcrest Dr, Brandenburg, KY 40108 Phone: 270-422-5000 Fax: 270-422-5052 |