Community Care Clinic - Medicare Primary Care in Monticello, KY

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Community Care Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Monticello, Kentucky. The current practice location for Community Care Clinic is 126 Franklin Drive, Monticello, Kentucky. For appointments, you can reach them via phone at (606) 685-6131. The mailing address for Community Care Clinic is 521 Crane Rd, Somerset, Kentucky and phone number is (066) 425-5768.

Community Care Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053964965. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (606) 685-6131.

Contact Information

Community Care Clinic
126 Franklin Drive
Monticello
KY 42633
(606) 685-6131
(606) 685-6179

Map and Direction


Primary Care Clinic Profile

Full NameCommunity Care Clinic
SpecialityClinic/Center
Location126 Franklin Drive, Monticello, Kentucky
Authorized Official Name and PositionLogan Roy Antle (CEO)
Authorized Official Contact6064255768
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Community Care Clinic
521 Crane Rd
Somerset
KY 42501-9503

Ph: (066) 425-5768		Community Care Clinic
126 Franklin Drive
Monticello
KY 42633

Ph: (606) 685-6131

NPI Details:

NPI Number1053964965
Provider Enumeration Date07/19/2019
Last Update Date12/07/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0840529335
Medicare Enrollment IDO20190909002402

Medical Identifiers

Medical identifiers for Community Care Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053964965NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
261QR1300XClinic/center - Rural Health (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Community Care Clinic acts as a billing entity for following providers:
Provider NameBennet Cecil
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1811909864
PECOS PAC ID: 1951396340
Enrollment ID: I20040415001143
Provider NameCory Ryan
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1467443879
PECOS PAC ID: 9032106059
Enrollment ID: I20040429001230
Provider NameMansoor Ahmed
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1023058302
PECOS PAC ID: 7618927138
Enrollment ID: I20061003000531
Provider NameDenita K Mcdonald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881662781
PECOS PAC ID: 1759455900
Enrollment ID: I20080806000091
Provider NameBonnie Stockton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659327591
PECOS PAC ID: 6103953609
Enrollment ID: I20100414000644
Provider NameSherrell L Roberts
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780675801
PECOS PAC ID: 6103018163
Enrollment ID: I20101008000363
Provider NameYanire Martinez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093705311
PECOS PAC ID: 0941494132
Enrollment ID: I20101102000108
Provider NameStephanie M Hutchinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154640357
PECOS PAC ID: 0143419028
Enrollment ID: I20110107000139
Provider NameSandra Lee Braswell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700186343
PECOS PAC ID: 3971792664
Enrollment ID: I20110111000968
Provider NameMisty A Cundiff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497178347
PECOS PAC ID: 3971734617
Enrollment ID: I20140324000414
Provider NameJason T Hicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245403161
PECOS PAC ID: 5698994168
Enrollment ID: I20140915002456
Provider NameDanielle Revert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962871327
PECOS PAC ID: 9032427836
Enrollment ID: I20150928002539
Provider NameSusan Terri Sloan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134508880
PECOS PAC ID: 0042514523
Enrollment ID: I20160203000977
Provider NameHope R Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922482587
PECOS PAC ID: 7315234382
Enrollment ID: I20161011001601
Provider NameAmber Messamore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649763046
PECOS PAC ID: 8426303066
Enrollment ID: I20180621002333
Provider NameGinger Conn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730667759
PECOS PAC ID: 0446500029
Enrollment ID: I20180830003429
Provider NameRaymond Bennett Speck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063992956
PECOS PAC ID: 2668723776
Enrollment ID: I20180927002877
Provider NameLynsey Renae Flynn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841756228
PECOS PAC ID: 3072855436
Enrollment ID: I20190503002469
Provider NameHeather Ann Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417434200
PECOS PAC ID: 5991048712
Enrollment ID: I20190520000904
Provider NameRita Nemeth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598187742
PECOS PAC ID: 7012131089
Enrollment ID: I20190918001737
Provider NameStephanie P. Maggard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154719763
PECOS PAC ID: 6204261126
Enrollment ID: I20200122002105
Provider NameErin Nicole Garmon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851909576
PECOS PAC ID: 4789009515
Enrollment ID: I20200810003466
Provider NameCourtney Layne Hawk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891305132
PECOS PAC ID: 7113338872
Enrollment ID: I20201201002311
Provider NameMichelle Dennis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003585902
PECOS PAC ID: 0648677195
Enrollment ID: I20210924003011
Provider NameHannah E Hodge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679145999
PECOS PAC ID: 8527458025
Enrollment ID: I20211123002385
Provider NameElisha L Hussey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417612672
PECOS PAC ID: 8123412368
Enrollment ID: I20220303001670
Provider NameKenzie Reeder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174294193
PECOS PAC ID: 2961897087
Enrollment ID: I20220328000346
Provider NameLauren Eggers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801545280
PECOS PAC ID: 5991185662
Enrollment ID: I20220712002290
Provider NameJessica Nicole Hampton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376251199
PECOS PAC ID: 5698130243
Enrollment ID: I20230503002664

Reviews and Comments


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Phone: 606-340-8825    Fax: 606-340-0097

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.