| Paintsville Pediatric Associates | |
|
822 S Mayo Trl Paintsville KY 41240-1384 | |
| (606) 789-5541 | |
| (606) 789-9445 |
| Full Name | Paintsville Pediatric Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 822 S Mayo Trl, Paintsville, Kentucky |
| Authorized Official Name and Position | Yassin Khattab (PRESIDENT) |
| Authorized Official Contact | 6067895541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paintsville Pediatric Associates 822 S Mayo Trl Paintsville KY 41240-1384 Ph: (606) 789-5541 | Paintsville Pediatric Associates 822 S Mayo Trl Paintsville KY 41240-1384 Ph: (606) 789-5541 |
| NPI Number | 1669523460 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 03/25/2013 |
| Medicare PECOS PAC ID | 1658301619 |
|---|---|
| Medicare Enrollment ID | O20100319000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669523460 | NPI | - | NPPES |
| 31001019 | Medicaid | KY | |
| 000000203757 | Other | KY | ANTHEM BLUE C BLUE S |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Yassin Khattab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376650317 PECOS PAC ID: 6901836964 Enrollment ID: I20050818000884 |
| Provider Name | Melissa Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174992382 PECOS PAC ID: 6709170343 Enrollment ID: I20160810000772 |
| Provider Name | David G Sammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154897791 PECOS PAC ID: 5890023550 Enrollment ID: I20190820002520 |
| Provider Name | Bethany Pennington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598310450 PECOS PAC ID: 3173854809 Enrollment ID: I20191011000171 |
| Provider Name | Jessica Renee Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801448444 PECOS PAC ID: 4082046875 Enrollment ID: I20191115002902 |
Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Fm Stafford Ave, Paintsville, KY 41240 Phone: 606-789-2424 Fax: 606-789-2492 | |
Luminosity Integrated Rejuvenation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Depot Road, Paintsville, KY 41240 Phone: 606-793-5077 | |
Kings Daughters Medical Center Collins Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 N Mayo Trl, Paintsville, KY 41240 Phone: 606-789-8666 Fax: 606-789-5913 | |
Scott B. Arnett M.d., Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 West St, Suite 1, Paintsville, KY 41240 Phone: 606-789-5979 Fax: 606-788-0387 | |
Belhasen Family Care Center Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 838 S Mayo Tr, Paintsville, KY 41240 Phone: 606-789-8749 Fax: 606-789-6407 | |
Homeplace Clinic Paintsville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 S Mayo Trl, Paintsville, KY 41240 Phone: 606-789-3518 Fax: 606-789-3530 | |
Arh Tug Valley Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 Church St, Paintsville, KY 41240 Phone: 606-788-9100 |