| Infinity Care | |
|
2515 7th Street Rd Louisville KY 40208-1070 | |
| (585) 402-9286 | |
| (502) 632-1432 |
| Full Name | Infinity Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2515 7th Street Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Jack Pickford (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5022937377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Care 2515 7th Street Rd Louisville KY 40208-1070 Ph: (585) 402-9286 | Infinity Care 2515 7th Street Rd Louisville KY 40208-1070 Ph: (585) 402-9286 |
| NPI Number | 1720790223 |
|---|---|
| Provider Enumeration Date | 12/16/2022 |
| Last Update Date | 03/11/2024 |
| Medicare PECOS PAC ID | 1759736481 |
|---|---|
| Medicare Enrollment ID | O20231016001337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720790223 | NPI | - | NPPES |
| 1861867830 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Dana Elizabeth Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992418420 PECOS PAC ID: 0941662977 Enrollment ID: I20230808002992 |
| Provider Name | Magdalen K Mekoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972387991 PECOS PAC ID: 2264886571 Enrollment ID: I20230920002025 |
| Provider Name | Ashley Utley Lawing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487141669 PECOS PAC ID: 7719335207 Enrollment ID: I20240410002419 |
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