| Licking Valley Internal Medicine & Pediatrics Psc | |
|
1210 Ky Highway 36 E Suite 2a Cynthiana KY 41031-7490 | |
| (859) 234-9611 | |
| (859) 235-0878 |
| Full Name | Licking Valley Internal Medicine & Pediatrics Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1210 Ky Highway 36 E, Cynthiana, Kentucky |
| Authorized Official Name and Position | William Frank Mckemie (PRESIDENT) |
| Authorized Official Contact | 8592349611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Licking Valley Internal Medicine & Pediatrics Psc 1210 Ky Highway 36 E Suite 2a Cynthiana KY 41031-7490 Ph: (859) 234-9611 | Licking Valley Internal Medicine & Pediatrics Psc 1210 Ky Highway 36 E Suite 2a Cynthiana KY 41031-7490 Ph: (859) 234-9611 |
| NPI Number | 1225136153 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 04/07/2010 |
| Medicare PECOS PAC ID | 3678463379 |
|---|---|
| Medicare Enrollment ID | O20040317000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225136153 | NPI | - | NPPES |
| 65934341 | Medicaid | KY |
| Provider Name | Stephen A Besson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750344552 PECOS PAC ID: 1850329210 Enrollment ID: I20080102000343 |
| Provider Name | Sarah Lindsey Florence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124250089 PECOS PAC ID: 3971640954 Enrollment ID: I20091023000218 |
| Provider Name | Misti S. Dixon Mcnees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922551142 PECOS PAC ID: 2961796958 Enrollment ID: I20160815001315 |
| Provider Name | James O Calder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447667332 PECOS PAC ID: 0244545788 Enrollment ID: I20180830003707 |
Don R Stephens Md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 E Pleasant Street, Cynthiana, KY 41031 Phone: 859-234-4494 Fax: 859-234-4483 | |
A C Wright Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 430 East Pleasant Street, Cynthiana, KY 41031 Phone: 859-234-3282 Fax: 859-234-9400 | |
Hmh Physician Group Pcc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 Ky Highway 36 E, Suite 1a, Cynthiana, KY 41031 Phone: 859-234-5555 Fax: 859-235-8444 | |
Assured Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 S Main St, Cynthiana, KY 41031 Phone: 859-358-2051 | |
Hmh Primary Care Main Campus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 Ky Highway 36 E, Cynthiana, KY 41031 Phone: 859-234-2300 Fax: 859-235-3699 | |
Harrison Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1210 Ky Highway 36 E, Cynthiana, KY 41031 Phone: 859-234-2300 Fax: 859-235-3699 |