Lake Cumberland Regional Hospital LLC - Medicare Primary Care in Somerset, KY

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Lake Cumberland Regional Hospital LLC is a medicare enrolled primary clinic (Internal Medicine) in Somerset, Kentucky. The current practice location for Lake Cumberland Regional Hospital LLC is 110 Hardin Ln Ste 9, Somerset, Kentucky. For appointments, you can reach them via phone at (606) 679-7316. The mailing address for Lake Cumberland Regional Hospital LLC is 330 Seven Springs Way, Brentwood, Tennessee and phone number is (615) 920-7000.

Lake Cumberland Regional Hospital LLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1861078685. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (606) 679-7316.

Contact Information

Lake Cumberland Regional Hospital LLC
110 Hardin Ln Ste 9
Somerset
KY 42503-3818
(606) 679-7316
(606) 679-0139

Map and Direction


Primary Care Clinic Profile

Full NameLake Cumberland Regional Hospital LLC
SpecialityInternal Medicine
Location110 Hardin Ln Ste 9, Somerset, Kentucky
Authorized Official Name and PositionCharlotte Lawrence (SECRETARY)
Authorized Official Contact6159207000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lake Cumberland Regional Hospital LLC
330 Seven Springs Way
Brentwood
TN 37027-5098

Ph: (615) 920-7000		Lake Cumberland Regional Hospital LLC
110 Hardin Ln Ste 9
Somerset
KY 42503-3818

Ph: (606) 679-7316

NPI Details:

NPI Number1861078685
Provider Enumeration Date03/22/2021
Last Update Date10/07/2022
Certification Date10/07/2022

Medicare PECOS Information:

Medicare PECOS PAC ID7214909456
Medicare Enrollment IDO20040809001229

Medical Identifiers

Medical identifiers for Lake Cumberland Regional Hospital LLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861078685NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ()Secondary
207R00000XInternal Medicine ()Primary
363A00000XPhysician Assistant ()Secondary
363L00000XNurse Practitioner ()Secondary
363LF0000XNurse Practitioner - Family ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lake Cumberland Regional Hospital LLC acts as a billing entity for following providers:
Provider NameBernard Williams
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1760413058
PECOS PAC ID: 7618872581
Enrollment ID: I20031204000046
Provider NameIbraiz Iqbal
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1720067168
PECOS PAC ID: 8022089390
Enrollment ID: I20040804000998
Provider NameWael Iibrahim Abdelrhman Ghanim
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1841241668
PECOS PAC ID: 2466421524
Enrollment ID: I20040927000649
Provider NameKhaled Saleh
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1689767543
PECOS PAC ID: 2961397617
Enrollment ID: I20050426000666
Provider NameJonathan B Dixon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609840073
PECOS PAC ID: 0749214443
Enrollment ID: I20050922000198
Provider NamePiyush Patel
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1164413159
PECOS PAC ID: 0042115404
Enrollment ID: I20051013000612
Provider NameJohn Sherman Bruner
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1194821249
PECOS PAC ID: 8628024213
Enrollment ID: I20060330000142
Provider NameMichael S Citak
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1538275557
PECOS PAC ID: 0648272708
Enrollment ID: I20070202000451
Provider NameDonald B Cherry
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659377075
PECOS PAC ID: 0345342911
Enrollment ID: I20070228000383
Provider NameJonathan Ruby
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346395837
PECOS PAC ID: 3072522515
Enrollment ID: I20070607000170
Provider NameTimothy W Poynter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982666897
PECOS PAC ID: 4688765167
Enrollment ID: I20070813000600
Provider NameMichael R Tekulve
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1760601025
PECOS PAC ID: 2062506041
Enrollment ID: I20070921000134
Provider NameAnthony J Stugan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700800844
PECOS PAC ID: 2365538865
Enrollment ID: I20071015000174
Provider NameDavid W Flynn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700889144
PECOS PAC ID: 0143317917
Enrollment ID: I20071026000375
Provider NameJillisa D Hawk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053567552
PECOS PAC ID: 8224196092
Enrollment ID: I20081022000756
Provider NameRobert B Bemiss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295847622
PECOS PAC ID: 9234282278
Enrollment ID: I20090808000011
Provider NameLisa Marcum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306076443
PECOS PAC ID: 9931254174
Enrollment ID: I20090911000257
Provider NameRobert G Drake
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528151685
PECOS PAC ID: 4183763402
Enrollment ID: I20091130000304
Provider NameTerry L New
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1194054817
PECOS PAC ID: 1052456761
Enrollment ID: I20100305000535
Provider NameSusan J Petrosky
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124021563
PECOS PAC ID: 4284762402
Enrollment ID: I20100510000404
Provider NameJeffrey W Golden
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083688444
PECOS PAC ID: 0749318616
Enrollment ID: I20100513000638
Provider NamePatrick F Jenkins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417921883
PECOS PAC ID: 4284762030
Enrollment ID: I20100514000525
Provider NameDavid M Reilly
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053385443
PECOS PAC ID: 7315078813
Enrollment ID: I20100628000493
Provider NameJoseph G Weigel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053385674
PECOS PAC ID: 3577694850
Enrollment ID: I20100630000526
Provider NameGregory J Sherry
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164496782
PECOS PAC ID: 0840321139
Enrollment ID: I20100630000646
Provider NameStanton L Cole
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740254358
PECOS PAC ID: 6608907720
Enrollment ID: I20100706000170
Provider NameRodney J Oakes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932173572
PECOS PAC ID: 0840321865
Enrollment ID: I20100708000150
Provider NameHarry R Kennedy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386618627
PECOS PAC ID: 8022140946
Enrollment ID: I20100713000074
Provider NameJames D Wilson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225002561
PECOS PAC ID: 4981737087
Enrollment ID: I20100726000711
Provider NameRobert W Cameron
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1366422644
PECOS PAC ID: 9234224940
Enrollment ID: I20100728001095
Provider NameAllison Cherry
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871599399
PECOS PAC ID: 6305038258
Enrollment ID: I20101011000249
Provider NameStephanie M Hutchinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154640357
PECOS PAC ID: 0143419028
Enrollment ID: I20110107000139
Provider NameSandra Lee Braswell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700186343
PECOS PAC ID: 3971792664
Enrollment ID: I20110111000968
Provider NameMateen Ahmed
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1922028604
PECOS PAC ID: 5597839241
Enrollment ID: I20110823000766
Provider NameLarry L Oteham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700852639
PECOS PAC ID: 8022078153
Enrollment ID: I20110926000725
Provider NameDale E Rutledge
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1770529760
PECOS PAC ID: 2769490978
Enrollment ID: I20111206000812
Provider NameDaniel L Gallo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861562746
PECOS PAC ID: 5698957363
Enrollment ID: I20120611000198
Provider NamePaul Snowdy
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1649210774
PECOS PAC ID: 7416905187
Enrollment ID: I20121023000347
Provider NameValerie G Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457794604
PECOS PAC ID: 3779722053
Enrollment ID: I20130618000065
Provider NameAutumn Z Richardson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467795690
PECOS PAC ID: 1759520042
Enrollment ID: I20130618000102
Provider NameDana L Gibson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1972573269
PECOS PAC ID: 4183866403
Enrollment ID: I20130815000274
Provider NameAllison R Bastin Muse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285604074
PECOS PAC ID: 0143463265
Enrollment ID: I20130821000324
Provider NameMisty a Cundiff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497178347
PECOS PAC ID: 3971734617
Enrollment ID: I20140324000414
Provider NameMichael Wilson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912260662
PECOS PAC ID: 1456570928
Enrollment ID: I20140915002267
Provider NameRobin Goff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710381124
PECOS PAC ID: 2062735251
Enrollment ID: I20141218002283
Provider NameJulie K Stevens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437549458
PECOS PAC ID: 7517278823
Enrollment ID: I20150612000602
Provider NameDeanna L Neal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154714442
PECOS PAC ID: 6103130422
Enrollment ID: I20150730013380
Provider NameLeah C Ashworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447326715
PECOS PAC ID: 2860596384
Enrollment ID: I20160301001145
Provider NameJody Coomer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962863407
PECOS PAC ID: 4880991488
Enrollment ID: I20160421000890
Provider NameLee M. Riddle
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295149532
PECOS PAC ID: 0749580975
Enrollment ID: I20160516002348
Provider NameBirrilla Maddox
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528471463
PECOS PAC ID: 8426368374
Enrollment ID: I20160525002535
Provider NameStefanie T Dolen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003229220
PECOS PAC ID: 1052629946
Enrollment ID: I20160525002649
Provider NameSean T Desimone
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225422041
PECOS PAC ID: 9032406160
Enrollment ID: I20160916002398
Provider NameAshley M Harris
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760878680
PECOS PAC ID: 5991092066
Enrollment ID: I20160919000921
Provider NameSarah K Hacker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881105062
PECOS PAC ID: 3375806607
Enrollment ID: I20180418002446
Provider NameRyann Poerio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508361601
PECOS PAC ID: 1850655697
Enrollment ID: I20180503000781
Provider NameRainer Oliver
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1043664774
PECOS PAC ID: 8729334438
Enrollment ID: I20180711002214
Provider NameTonya E Shea
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740674522
PECOS PAC ID: 0941588578
Enrollment ID: I20181005002129
Provider NameTolulope Fatokun
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1538579826
PECOS PAC ID: 1557605953
Enrollment ID: I20181211002354
Provider NameMandissa Sealey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760870778
PECOS PAC ID: 4284911801
Enrollment ID: I20190118002113
Provider NameJonathan M Walrath
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851822696
PECOS PAC ID: 8527301928
Enrollment ID: I20190529001113
Provider NameDavid Brandon Thomas
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1083961601
PECOS PAC ID: 9830499037
Enrollment ID: I20190917003252
Provider NameMakenzie Kinder
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1073165544
PECOS PAC ID: 2668704511
Enrollment ID: I20191028000673
Provider NameLaura Elizabeth Pedersen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225562010
PECOS PAC ID: 1951732510
Enrollment ID: I20200514001716
Provider NameTravis Massengale
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083145874
PECOS PAC ID: 8820429368
Enrollment ID: I20200515001944
Provider NameRebecca Jeannine Blakley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346751013
PECOS PAC ID: 1456782903
Enrollment ID: I20200515002455
Provider NameKari L Craun
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427405224
PECOS PAC ID: 4789978198
Enrollment ID: I20200708003372
Provider NameJoseph Eid
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1467894113
PECOS PAC ID: 6002058500
Enrollment ID: I20200804000669
Provider NameMeghan M Campbell
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1407397342
PECOS PAC ID: 1850718180
Enrollment ID: I20200901000563
Provider NameChristopher L White
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1184234775
PECOS PAC ID: 5799103867
Enrollment ID: I20200922002532
Provider NameAndrew C Vaughn
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1972981439
PECOS PAC ID: 8325336167
Enrollment ID: I20210505000500
Provider NameStacey Strunk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174141477
PECOS PAC ID: 5597174433
Enrollment ID: I20210506000394
Provider NameAlena a Thomas
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1972847978
PECOS PAC ID: 5395998025
Enrollment ID: I20210513000876
Provider NameBilal Aslam
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1790193100
PECOS PAC ID: 0547574303
Enrollment ID: I20210527002718
Provider NameKatie J Aaron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033792726
PECOS PAC ID: 3870997703
Enrollment ID: I20210813001904
Provider NameAlecia Fields
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1396164182
PECOS PAC ID: 7416292461
Enrollment ID: I20220513000552
Provider NameBlake Dixon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033772199
PECOS PAC ID: 6800274325
Enrollment ID: I20220610002396
Provider NameEric W Mcdaniel
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1336312321
PECOS PAC ID: 8820134034
Enrollment ID: I20220808000623
Provider NameElizabeth Ludwig
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1154827871
PECOS PAC ID: 6507104551
Enrollment ID: I20220818002752
Provider NameKristie Lynn Short
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457047524
PECOS PAC ID: 5193186583
Enrollment ID: I20230801004402
Provider NameRebecca Regan Whitworth
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619536794
PECOS PAC ID: 0840733788
Enrollment ID: I20240619001625
Provider NameAmy L Diaz
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1902435787
PECOS PAC ID: 0244652725
Enrollment ID: I20240814003150
Provider NameJames Lutz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922689629
PECOS PAC ID: 3274072749
Enrollment ID: I20240828002033
Provider NameAlyssa L Kozacek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174100895
PECOS PAC ID: 2264972207
Enrollment ID: I20240905002147
Provider NameAmanda Jo Holder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194564211
PECOS PAC ID: 2365973815
Enrollment ID: I20241008002044
Provider NameJaysie Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477294031
PECOS PAC ID: 6305359225
Enrollment ID: I20250702002203
Provider NameTravis Hamilton Denna
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1447887377
PECOS PAC ID: 2365873932
Enrollment ID: I20250805004039
Provider NameBrittany Nichole Littrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235012964
PECOS PAC ID: 2062914609
Enrollment ID: I20250904001209

Reviews and Comments

Other Primary Care Clinics in Somerset, KY

Upperline Healthcare, PC
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Medicare: Not Enrolled in Medicare
Practice Location: 117 Tradepark Dr Ste B, Somerset, KY 42503
Phone: 606-679-2773    Fax: 606-679-4626
Lake Cumberland Medical Associates
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Medicare: Medicare Enrolled
Practice Location: 305 Langdon St, Somerset, KY 42503
Phone: 606-679-7441    
Carehere LLC
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Medicare: Not Enrolled in Medicare
Practice Location: Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503
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Fast Pace Health
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Medicare: Medicare Enrolled
Practice Location: 2520 S Highway 27 Ste 1, Somerset, KY 42501
Phone: 606-416-5719    
Lakeside Primary Care, PSC
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Medicare: Medicare Enrolled
Practice Location: 6470 S Hwy 27, Somerset, KY 42501
Phone: 606-341-1339    Fax: 606-341-1340
Mohammad Afzal MD Internal Medicine LLC
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Medicare: Medicare Enrolled
Practice Location: 110 Hardin Ln Ste 2b, Somerset, KY 42503
Phone: 606-451-0312    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.