| Central Kentucky Medical Group, Psc | |
|
115 Crossfield Dr Ste A Versailles KY 40383-1845 | |
| (859) 873-9843 | |
| Not Available |
| Full Name | Central Kentucky Medical Group, Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 115 Crossfield Dr Ste A, Versailles, Kentucky |
| Authorized Official Name and Position | Georgia Blair Barker (ADMINISTRATOR) |
| Authorized Official Contact | 8592789413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Kentucky Medical Group, Psc 115 Crossfield Dr Ste A Versailles KY 40383-1845 Ph: (859) 873-9843 | Central Kentucky Medical Group, Psc 115 Crossfield Dr Ste A Versailles KY 40383-1845 Ph: (859) 873-9843 |
| NPI Number | 1568475986 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 04/15/2008 |
| Medicare PECOS PAC ID | 6002807344 |
|---|---|
| Medicare Enrollment ID | O20040524001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568475986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | C Dale Goodin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902899065 PECOS PAC ID: 2860441201 Enrollment ID: I20050112001117 |
| Provider Name | Neil R Farris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053304139 PECOS PAC ID: 8123077575 Enrollment ID: I20050112001128 |
| Provider Name | William E Childers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912900853 PECOS PAC ID: 0042201386 Enrollment ID: I20050112001138 |
| Provider Name | Larry Hubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316032519 PECOS PAC ID: 1456445816 Enrollment ID: I20070917000580 |
| Provider Name | Jill C Wozniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285858308 PECOS PAC ID: 2860672888 Enrollment ID: I20110209000019 |
| Provider Name | Patricia H Woodruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245574532 PECOS PAC ID: 2668625815 Enrollment ID: I20130121000138 |
Versailles Internal Medicine, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 Amsden Ave, Suite 501, Versailles, KY 40383 Phone: 859-873-0511 Fax: 859-873-0523 | |
Cherawen Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4060 Troy Pike, Versailles, KY 40383 Phone: 859-229-1225 | |
Southside Elementary Healthy Kids Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Troy Pike, Versailles, KY 40383 Phone: 859-879-4660 Fax: 270-858-4029 | |
Ellen Webb, M.d. Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Frankfort St Ste 2, Versailles, KY 40383 Phone: 859-873-0905 Fax: 859-873-1025 | |
Ellen Webb Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Frankfort St, Suite 2, Versailles, KY 40383 Phone: 859-873-0905 Fax: 859-873-1025 | |
Deerfield Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Lexington St, Versailles, KY 40383 Phone: 859-879-3115 Fax: 859-879-3818 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Woodburn Hall Dr, Versailles, KY 40383 Phone: 859-879-4680 Fax: 270-858-4029 |