| Mt Washington Family Practice Pllc | |
|
532 Bardstown Rd N Mt Washington KY 40047 | |
| (502) 955-5800 | |
| (502) 538-3040 |
| Full Name | Mt Washington Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 532 Bardstown Rd N, Mt Washington, Kentucky |
| Authorized Official Name and Position | Michael Steven Payne (OWNER) |
| Authorized Official Contact | 5029555800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Washington Family Practice Pllc Po Box 67 Mt Washington KY 40047-0067 Ph: (502) 955-5800 | Mt Washington Family Practice Pllc 532 Bardstown Rd N Mt Washington KY 40047 Ph: (502) 955-5800 |
| NPI Number | 1538295571 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 09/19/2007 |
| Medicare PECOS PAC ID | 2668378050 |
|---|---|
| Medicare Enrollment ID | O20031208000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538295571 | NPI | - | NPPES |
| 64011109 | Medicaid | KY | |
| 7088131 | Other | KY | AETNA |
| DA9753 | Other | KY | RAILROAD MEDICARE |
| 2443395000 | Other | KY | PASSPORT ADVANTAGE |
| 000000306485 | Other | KY | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34039 (Kentucky) | Primary |
| Provider Name | Michael Steven Payne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467554808 PECOS PAC ID: 6901702323 Enrollment ID: I20040204000182 |
Bautista Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 West Ave, Mt Washington, KY 40047 Phone: 502-538-7425 | |
Dr Thomas D Johnson Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 N Bardstown Rd, Mt Washington, KY 40047 Phone: 502-538-4800 | |
Mark Orgel, Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 North Bardstown Road, Mt Washington, KY 40047 Phone: 502-538-4800 Fax: 502-538-3040 |