Hospitalist Medicine Physicians Of Kentucky - Berea, Psc | |
1210 Ky Highway 36 E Unit 1 Cynthiana KY 41031-7665 | |
(615) 377-5658 | |
Not Available |
Full Name | Hospitalist Medicine Physicians Of Kentucky - Berea, Psc |
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Speciality | Internal Medicine |
Location | 1210 Ky Highway 36 E Unit 1, Cynthiana, Kentucky |
Authorized Official Name and Position | Shannon Lagrone (DIRECTOR PAYER ENROLLMENT) |
Authorized Official Contact | 2144225715 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hospitalist Medicine Physicians Of Kentucky - Berea, Psc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 377-5658 | Hospitalist Medicine Physicians Of Kentucky - Berea, Psc 1210 Ky Highway 36 E Unit 1 Cynthiana KY 41031-7665 Ph: (615) 377-5658 |
NPI Number | 1003664574 |
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Provider Enumeration Date | 05/09/2024 |
Last Update Date | 05/14/2024 |
Medicare PECOS PAC ID | 2961948211 |
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Medicare Enrollment ID | O20240723000620 |
Identifier | Type | State | Issuer |
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1003664574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | James O Calder |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447667332 PECOS PAC ID: 0244545788 Enrollment ID: I20180830003707 |
Provider Name | Erik Quintero |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003480781 PECOS PAC ID: 4284033887 Enrollment ID: I20221017001337 |
Don R Stephens Md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 E Pleasant Street, Cynthiana, KY 41031 Phone: 859-234-4494 Fax: 859-234-4483 | |
Harrison Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1210 Ky Highway 36 E, Cynthiana, KY 41031 Phone: 859-234-2300 Fax: 859-235-3699 | |
Harrison Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1210 Ky Highway 36 E, Cynthiana, KY 41031 Phone: 859-234-2300 Fax: 859-235-3699 | |
Dwight E Lewis, Md, Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1210 Ky Highway 36 E, Suite 1b, Cynthiana, KY 41031 Phone: 859-234-1173 Fax: 859-234-1852 | |
Harrison Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 439 E Pleasant St, Cynthiana, KY 41031 Phone: 859-234-4494 Fax: 859-234-4498 | |
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