| Mercer Medical Associates Psc | |
|
470 Linden Ave Suite 3 Harrodsburg KY 40330-1871 | |
| (859) 734-4307 | |
| (859) 734-4300 |
| Full Name | Mercer Medical Associates Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 470 Linden Ave, Harrodsburg, Kentucky |
| Authorized Official Name and Position | Thomas Cozatt Jackson (OWNER) |
| Authorized Official Contact | 8597344307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercer Medical Associates Psc 470 Linden Ave Suite 3 Harrodsburg KY 40330-1871 Ph: (859) 734-4307 | Mercer Medical Associates Psc 470 Linden Ave Suite 3 Harrodsburg KY 40330-1871 Ph: (859) 734-4307 |
| NPI Number | 1013106186 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 10/15/2007 |
| Medicare PECOS PAC ID | 3072576289 |
|---|---|
| Medicare Enrollment ID | O20041109000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013106186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29222 (Kentucky) | Primary |
| Provider Name | Thomas C Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306818968 PECOS PAC ID: 5496718629 Enrollment ID: I20100916001262 |
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