Buc Newport Llc | |
85 Carothers Rd Newport KY 41071-2415 | |
(859) 431-7900 | |
(859) 431-7919 |
Full Name | Buc Newport Llc |
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Speciality | Clinic/Center |
Location | 85 Carothers Rd, Newport, Kentucky |
Authorized Official Name and Position | Robert R So (MEDICAL DIRECTOR) |
Authorized Official Contact | 8594317900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Buc Newport Llc 85 Carothers Rd Newport KY 41071-2415 Ph: (859) 431-7900 | Buc Newport Llc 85 Carothers Rd Newport KY 41071-2415 Ph: (859) 431-7900 |
NPI Number | 1679982250 |
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Provider Enumeration Date | 08/07/2014 |
Last Update Date | 03/11/2019 |
Medicare PECOS PAC ID | 0446574339 |
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Medicare Enrollment ID | O20150126000328 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679982250 | NPI | - | NPPES |
7100331030 | Medicaid | KY | |
7100352430 | Medicaid | KY |
Provider Name | Stephen P Meese |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1619949278 PECOS PAC ID: 0941255053 Enrollment ID: I20050322000103 |
Provider Name | Francine Robinson Mosley |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1215952544 PECOS PAC ID: 3678519824 Enrollment ID: I20091013000611 |
Provider Name | Charles Johnson |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1760566863 PECOS PAC ID: 1052458692 Enrollment ID: I20100127000260 |
Provider Name | Christine E Romani |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487830048 PECOS PAC ID: 7719173780 Enrollment ID: I20101202000530 |
Provider Name | Robert R So |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1609028117 PECOS PAC ID: 9638330483 Enrollment ID: I20120423000243 |
Provider Name | Brandon Nelson Conrad |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841428059 PECOS PAC ID: 6608094263 Enrollment ID: I20140825000752 |
Provider Name | Olivia K So |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871983635 PECOS PAC ID: 9537487053 Enrollment ID: I20150414000855 |
Provider Name | Nicole K Hance |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639515794 PECOS PAC ID: 8527200211 Enrollment ID: I20190218001157 |
Provider Name | Leslie Asanga Fogwe |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1518544949 PECOS PAC ID: 3274901251 Enrollment ID: I20221122003303 |
Mark Schroer Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17 E 6th St, Newport, KY 41071 Phone: 859-431-8285 | |
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