| Monticello Medical Associates, Inc | |
|
1 S Creek Dr Ste 102 Monticello KY 42633-9472 | |
| (606) 348-3365 | |
| Not Available |
| Full Name | Monticello Medical Associates, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 S Creek Dr Ste 102, Monticello, Kentucky |
| Authorized Official Name and Position | Robert Parmelee (CEO) |
| Authorized Official Contact | 6063483365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monticello Medical Associates, Inc 1 S Creek Dr Ste 102 Monticello KY 42633-9472 Ph: (606) 348-3365 | Monticello Medical Associates, Inc 1 S Creek Dr Ste 102 Monticello KY 42633-9472 Ph: (606) 348-3365 |
| NPI Number | 1063007672 |
|---|---|
| Provider Enumeration Date | 03/05/2021 |
| Last Update Date | 10/24/2024 |
| Medicare PECOS PAC ID | 2062409154 |
|---|---|
| Medicare Enrollment ID | O20040429000965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063007672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Sheryl E Polk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578554978 PECOS PAC ID: 9436192200 Enrollment ID: I20050603000079 |
| Provider Name | Barry White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609879758 PECOS PAC ID: 1850369679 Enrollment ID: I20070328000053 |
| Provider Name | Sherrell L Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780675801 PECOS PAC ID: 6103018163 Enrollment ID: I20101008000363 |
| Provider Name | Peter Petrenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770574147 PECOS PAC ID: 0446442446 Enrollment ID: I20101008000783 |
| Provider Name | Yanire Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093705311 PECOS PAC ID: 0941494132 Enrollment ID: I20101102000108 |
| Provider Name | Carl Don Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861811093 PECOS PAC ID: 7719100684 Enrollment ID: I20140521001723 |
| Provider Name | Matthew Eaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336494772 PECOS PAC ID: 7315230745 Enrollment ID: I20160722001510 |
| Provider Name | Jacob Dudley Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194232207 PECOS PAC ID: 0244594109 Enrollment ID: I20180501002823 |
| Provider Name | Raymond Bennett Speck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063992956 PECOS PAC ID: 2668723776 Enrollment ID: I20180927002877 |
| Provider Name | Misty Gail Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619647658 PECOS PAC ID: 9133508724 Enrollment ID: I20220628003088 |
| Provider Name | Pamela R. Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285347112 PECOS PAC ID: 2163883760 Enrollment ID: I20230728003193 |
Faith Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 N Main St, Monticello, KY 42633 Phone: 606-340-0740 Fax: 606-340-0742 | |
Faith Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 126 Franklin Drive, Monticello, KY 42633 Phone: 606-685-6131 Fax: 606-685-6179 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 Jim Hill Service Rd, Monticello, KY 42633 Phone: 606-678-0705 Fax: 606-678-2807 | |
Phillips Pratt & Mcfarland Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 S Creek Dr Ste 102, Monticello, KY 42633 Phone: 606-348-3365 Fax: 606-348-8496 | |
Koscienski & Foster Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1293 N Main St Ste 102, Monticello, KY 42633 Phone: 606-340-8825 Fax: 606-340-0097 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1080 S Main St, Monticello, KY 42633 Phone: 844-435-0900 Fax: 270-858-4029 |