| Premier Medical Group, Psc | |
|
1030 Burlew Blvd Bldg A Owensboro KY 42303-1735 | |
| (270) 926-2273 | |
| (270) 684-3212 |
| Full Name | Premier Medical Group, Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1030 Burlew Blvd Bldg A, Owensboro, Kentucky |
| Authorized Official Name and Position | Jennifer Boarman (BILLING MANAGER) |
| Authorized Official Contact | 2709262273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Group, Psc Po Box 1919 Owensboro KY 42302-1919 Ph: (270) 926-2273 | Premier Medical Group, Psc 1030 Burlew Blvd Bldg A Owensboro KY 42303-1735 Ph: (270) 926-2273 |
| NPI Number | 1427083534 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/06/2021 |
| Medicare PECOS PAC ID | 7517868235 |
|---|---|
| Medicare Enrollment ID | O20040116000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427083534 | NPI | - | NPPES |
| 200000370A | Medicaid | IN | |
| CC5837 | Other | KY | RAILROAD MEDICARE |
| 000000057660 | Other | KY | ANTHEM BC/BS |
| 65903114 | Medicaid | KY |
| Provider Name | Bernard Buchanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881623395 PECOS PAC ID: 3072403690 Enrollment ID: I20040317001366 |
| Provider Name | Bridget Colette Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235236852 PECOS PAC ID: 1658390869 Enrollment ID: I20051117000010 |
| Provider Name | Bradley S King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831165588 PECOS PAC ID: 3476552019 Enrollment ID: I20061209000007 |
| Provider Name | Veletta L Beatty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487835732 PECOS PAC ID: 3577617968 Enrollment ID: I20150624002228 |
| Provider Name | Kathy Thiesse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669845764 PECOS PAC ID: 7214239557 Enrollment ID: I20160104002448 |
| Provider Name | Angela Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871960948 PECOS PAC ID: 7517248156 Enrollment ID: I20161220000473 |
| Provider Name | Amanda Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174065718 PECOS PAC ID: 8628359205 Enrollment ID: I20161220001950 |
| Provider Name | Joan Katherine Topp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770022550 PECOS PAC ID: 6406132554 Enrollment ID: I20170404001819 |
| Provider Name | Shannon E Gleason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366095820 PECOS PAC ID: 7012245632 Enrollment ID: I20190821000466 |
| Provider Name | Brandy Blue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225650542 PECOS PAC ID: 4789094962 Enrollment ID: I20201028002229 |
| Provider Name | Tara A Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134726284 PECOS PAC ID: 3072921881 Enrollment ID: I20210415002450 |
| Provider Name | Aileen A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366016040 PECOS PAC ID: 1557764750 Enrollment ID: I20210726002888 |
| Provider Name | Robyn Brianna Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932860129 PECOS PAC ID: 0648664615 Enrollment ID: I20220308002932 |
| Provider Name | Maria K Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255014270 PECOS PAC ID: 9830552975 Enrollment ID: I20230823000371 |
Toyotetsu - Owensboro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3110 Airpark Dr, Owensboro, KY 42301 Phone: 270-685-3098 Fax: 270-685-3099 | |
Jones Medical Corp Dba Bridgewater Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Salem Drive, Owensboro, KY 42303 Phone: 270-686-8008 Fax: 270-686-8066 | |
Choice Care Associates, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Breckenridge St, Suite 400, Owensboro, KY 42303 Phone: 270-688-0900 Fax: 207-926-7488 | |
Randy L Wolfe, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Triplett St, Owensboro, KY 42303 Phone: 270-688-4325 | |
Owensboro Health Medical Group - Cardiology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Pleasant Valley Rd, Owensboro, KY 42303 Phone: 270-417-7500 Fax: 270-417-7509 | |
Robert C Dalzell,md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2816 Veach Rd, Owensboro, KY 42303 Phone: 270-926-2929 Fax: 270-683-3290 | |
Owensboro Health Medical Group - Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 E Parrish Ave, Owensboro, KY 42303 Phone: 270-691-8040 Fax: 270-691-8049 |