| Frederick Medical Clinic, Psc | |
|
430 Liberty Rd West Liberty KY 41472-2049 | |
| (606) 743-3114 | |
| (606) 743-1404 |
| Full Name | Frederick Medical Clinic, Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 430 Liberty Rd, West Liberty, Kentucky |
| Authorized Official Name and Position | James Denzil Frederick (ADMINISTRATION MEDICAL DIRECTOR) |
| Authorized Official Contact | 6067433114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Medical Clinic, Psc Po Box 607 West Liberty KY 41472-0607 Ph: (606) 743-3114 | Frederick Medical Clinic, Psc 430 Liberty Rd West Liberty KY 41472-2049 Ph: (606) 743-3114 |
| NPI Number | 1194829812 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 04/11/2014 |
| Medicare PECOS PAC ID | 6608055272 |
|---|---|
| Medicare Enrollment ID | O20190328002085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194829812 | NPI | - | NPPES |
| 7100150550 | Medicaid | KY | |
| 35002013 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 183940 (Kentucky) | Primary |
| Provider Name | James D Frederick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881798502 PECOS PAC ID: 3971571100 Enrollment ID: I20040924000094 |
| Provider Name | Melissa Lynn Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629180690 PECOS PAC ID: 2769449230 Enrollment ID: I20041216000163 |
| Provider Name | Brittany Lynn Engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851844518 PECOS PAC ID: 9830486349 Enrollment ID: I20160927003195 |
Faith Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 N. Main Str., West Liberty, KY 41472 Phone: 606-743-1422 Fax: 606-743-3044 | |
Juniper Health Morgan County Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 672 Main St, West Liberty, KY 41472 Phone: 606-743-3030 Fax: 606-743-7480 | |
United Clinics Of Kentucky Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 633 Prestonsburg St, West Liberty, KY 41472 Phone: 606-743-3477 | |
Juniper Morgan County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1219 W Main St, West Liberty, KY 41472 Phone: 606-743-4808 Fax: 606-743-4716 | |
Morgan County Arh Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1084 Highway 7, Suite 2, West Liberty, KY 41472 Phone: 606-743-3065 Fax: 606-743-3066 | |
Arh Morgan County Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 476 Liberty Road, West Liberty, KY 41472 Phone: 606-743-3198 Fax: 606-743-1655 |