| Lancaster Primary Care Psc | |
|
187 Farra Dr Lancaster KY 40444-8764 | |
| (859) 792-1797 | |
| (859) 792-1793 |
| Full Name | Lancaster Primary Care Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 187 Farra Dr, Lancaster, Kentucky |
| Authorized Official Name and Position | James R Werkmeister (OWNER) |
| Authorized Official Contact | 8597921797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lancaster Primary Care Psc 187 Farra Dr Lancaster KY 40444-8764 Ph: (859) 792-1797 | Lancaster Primary Care Psc 187 Farra Dr Lancaster KY 40444-8764 Ph: (859) 792-1797 |
| NPI Number | 1548344021 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 04/25/2008 |
| Medicare PECOS PAC ID | 6305864356 |
|---|---|
| Medicare Enrollment ID | O20051108000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548344021 | NPI | - | NPPES |
| 65944688 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29800 (Kentucky) | Primary |
| Provider Name | James R Werkmeister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295708857 PECOS PAC ID: 0840286910 Enrollment ID: I20051114000745 |
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