| Pikeville Medical Center, Inc. | |
|
911 Bypass Rd Bldg A Pikeville KY 41501-1602 | |
| (606) 430-3500 | |
| (606) 432-6762 |
| Full Name | Pikeville Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 911 Bypass Rd Bldg A, Pikeville, Kentucky |
| Authorized Official Name and Position | Michelle Hagy (CFO) |
| Authorized Official Contact | 6064303519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pikeville Medical Center, Inc. Po Box 432 Pikeville KY 41502-0432 Ph: (606) 430-3500 | Pikeville Medical Center, Inc. 911 Bypass Rd Bldg A Pikeville KY 41501-1602 Ph: (606) 430-3500 |
| NPI Number | 1023896529 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 10/12/2023 |
| Medicare PECOS PAC ID | 6709790157 |
|---|---|
| Medicare Enrollment ID | O20230929000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023896529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Sagar Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801186689 PECOS PAC ID: 3971896788 Enrollment ID: I20160801000531 |
| Provider Name | Benjamin Knepper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972620730 PECOS PAC ID: 8921301607 Enrollment ID: I20170626000186 |
| Provider Name | Christopher Koch |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558780262 PECOS PAC ID: 4486998523 Enrollment ID: I20220908002439 |
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Pikeville Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 Fax: 606-432-6762 | |
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