| Emmanuel Yumang, Md, Pllc | |
|
73 Thompson Poynter Rd Ste A London KY 40741-7238 | |
| (606) 877-1446 | |
| (606) 877-1285 |
| Full Name | Emmanuel Yumang, Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 73 Thompson Poynter Rd, London, Kentucky |
| Authorized Official Name and Position | Emmanuel A. Yumang (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6068771446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel Yumang, Md, Pllc 73 Thompson Poynter Rd Ste A London KY 40741-2050 Ph: (606) 877-1446 | Emmanuel Yumang, Md, Pllc 73 Thompson Poynter Rd Ste A London KY 40741-7238 Ph: (606) 877-1446 |
| NPI Number | 1013951334 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 07/13/2017 |
| Medicare PECOS PAC ID | 3476591926 |
|---|---|
| Medicare Enrollment ID | O20050425000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013951334 | NPI | - | NPPES |
| 000000375125 | Other | KY | BCBS |
| 31-001001 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Veronica L Boley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457784159 PECOS PAC ID: 3173757457 Enrollment ID: I20130930000574 |
| Provider Name | Tommie L Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962867325 PECOS PAC ID: 5193028751 Enrollment ID: I20160114002882 |
| Provider Name | Ashley Hacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619655313 PECOS PAC ID: 8224488911 Enrollment ID: I20231220004076 |
| Provider Name | Joshua Daniel Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841009933 PECOS PAC ID: 2062934565 Enrollment ID: I20250313001815 |
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