| Neil G Barry Iii Md Inc | |
|
3004 W Cumberland Avenue Medical Arts Building Middlesboro KY 40965 | |
| (606) 248-4162 | |
| (606) 242-3429 |
| Full Name | Neil G Barry Iii Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3004 W Cumberland Avenue, Middlesboro, Kentucky |
| Authorized Official Name and Position | Neil G Barry (OWNER) |
| Authorized Official Contact | 6062484162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neil G Barry Iii Md Inc 3004 W Cumberland Avenue Medical Arts Building Middlesboro KY 40965 Ph: (606) 248-4162 | Neil G Barry Iii Md Inc 3004 W Cumberland Avenue Medical Arts Building Middlesboro KY 40965 Ph: (606) 248-4162 |
| NPI Number | 1710085238 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 06/12/2013 |
| Medicare PECOS PAC ID | 5496652240 |
|---|---|
| Medicare Enrollment ID | O20100303000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710085238 | NPI | - | NPPES |
| 65931263 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Karen E Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144278631 PECOS PAC ID: 4880674100 Enrollment ID: I20070809000416 |
| Provider Name | Neil G Barry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235125972 PECOS PAC ID: 7315844107 Enrollment ID: I20100216000392 |
| Provider Name | Pamela Cavins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780122671 PECOS PAC ID: 0648547794 Enrollment ID: I20230307001819 |
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