| Kentucky Diabetes Endocrinology Center, Psc | |
|
417 E Cambridge Ln Nicholasville KY 40356-8132 | |
| (859) 351-3801 | |
| Not Available |
| Full Name | Kentucky Diabetes Endocrinology Center, Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 417 E Cambridge Ln, Nicholasville, Kentucky |
| Authorized Official Name and Position | Lyle Christopher Myers (CORPORATE PRESIDENT) |
| Authorized Official Contact | 8592278015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Diabetes Endocrinology Center, Psc 417 E Cambridge Ln Nicholasville KY 40356-8132 Ph: (859) 351-3801 | Kentucky Diabetes Endocrinology Center, Psc 417 E Cambridge Ln Nicholasville KY 40356-8132 Ph: (859) 351-3801 |
| NPI Number | 1528120862 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 01/07/2022 |
| Medicare PECOS PAC ID | 7315983343 |
|---|---|
| Medicare Enrollment ID | O20050630000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528120862 | NPI | - | NPPES |
| 659 282 36 | Medicaid | KY | |
| 1408233 | Other | UMWA | |
| K008543 | Other | CHAMPUS | |
| 208448 | Other | BLACK LUNG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Wendell R Miers |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356403489 PECOS PAC ID: 8729265533 Enrollment ID: I20110603000333 |
| Provider Name | Lyle C Myers |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255493342 PECOS PAC ID: 4688851405 Enrollment ID: I20110603000404 |
Kpa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Keene Manor Cir, Nicholasville, KY 40356 Phone: 718-961-3277 | |
Brannon Crossing Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 E Brannon Rd, Nicholasville, KY 40356 Phone: 859-260-5540 Fax: 859-260-4399 | |
Concentra Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Bellaire Drive, Nicholasville, KY 40356 Phone: 859-887-4882 Fax: 859-881-1728 | |
Brannon Crossing Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Providence Way Ste 200, Nicholasville, KY 40356 Phone: 859-260-5370 Fax: 859-260-5379 | |
Baptist Internal Medicine And Pediatrics At Brannon Crossing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Providence Way, Suite 200, Nicholasville, KY 40356 Phone: 859-260-5370 Fax: 859-260-5379 | |
Nicholasville Urgent Treatment Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Bellaire Drive, Nicholasville, KY 40356 Phone: 859-887-4882 | |
Peter Aliu Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Stable Way, Nicholasville, KY 40356 Phone: 276-233-9982 Fax: 859-687-0001 |