| Leitchfield Primary Care Pllc | |
|
8885 State Road 237 Tell City IN 47586-8567 | |
| (812) 547-7011 | |
| Not Available |
| Full Name | Leitchfield Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 8885 State Road 237, Tell City, Indiana |
| Authorized Official Name and Position | Andrew W Jenkins (SOLE MEMBER) |
| Authorized Official Contact | 2707449600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leitchfield Primary Care Pllc Po Box 9150 Paducah KY 42002-9150 Ph: (270) 744-9600 | Leitchfield Primary Care Pllc 8885 State Road 237 Tell City IN 47586-8567 Ph: (812) 547-7011 |
| NPI Number | 1508117334 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 08/08/2023 |
| Medicare PECOS PAC ID | 7012152648 |
|---|---|
| Medicare Enrollment ID | O20130401000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508117334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Andrew Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144491598 PECOS PAC ID: 6507052297 Enrollment ID: I20110901000216 |
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