| Infinity Family Care, Pllc | |
|
104 Commerce St Cadiz KY 42211-9780 | |
| (270) 512-2512 | |
| Not Available |
| Full Name | Infinity Family Care, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 Commerce St, Cadiz, Kentucky |
| Authorized Official Name and Position | Jeanine Wadlington (OWNEE) |
| Authorized Official Contact | 2705122512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Family Care, Pllc Po Box 1039 Cadiz KY 42211-1039 Ph: (270) 512-2512 | Infinity Family Care, Pllc 104 Commerce St Cadiz KY 42211-9780 Ph: (270) 512-2512 |
| NPI Number | 1578230124 |
|---|---|
| Provider Enumeration Date | 08/23/2021 |
| Last Update Date | 08/23/2021 |
| Medicare PECOS PAC ID | 5597144022 |
|---|---|
| Medicare Enrollment ID | O20220614000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578230124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Billie D Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538689666 PECOS PAC ID: 0547539876 Enrollment ID: I20170630000033 |
| Provider Name | Jeanie L Wadlington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861974495 PECOS PAC ID: 3375897572 Enrollment ID: I20181106002412 |
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