| Prestonsburg Primary Care Pllc | |
|
535 N Lake Dr Prestonsburg KY 41653-1278 | |
| (606) 886-8466 | |
| (606) 886-0250 |
| Full Name | Prestonsburg Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 535 N Lake Dr, Prestonsburg, Kentucky |
| Authorized Official Name and Position | Blake R Burchett (MEMBER) |
| Authorized Official Contact | 6068868466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestonsburg Primary Care Pllc 535 N Lake Dr Prestonsburg KY 41653-1278 Ph: (606) 886-8466 | Prestonsburg Primary Care Pllc 535 N Lake Dr Prestonsburg KY 41653-1278 Ph: (606) 886-8466 |
| NPI Number | 1942554068 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 05/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942554068 | NPI | - | NPPES |
| K068190 | Other | KY | MEDICARE PTAN |
| 7100223400 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kentucky) | Primary |
| 363A00000X | Physician Assistant | (Kentucky) | Secondary |
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Prestonsburg Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Regency Park, Prestonsburg, KY 41653 Phone: 606-886-3077 Fax: 606-886-3078 | |
Ayesha M Sikder Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230 Ky Route 321, Suite # 4, Prestonsburg, KY 41653 Phone: 606-886-8880 Fax: 606-886-8628 | |
Blake R Burchett Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 N Lake Dr, Prestonsburg, KY 41653 Phone: 606-886-8466 Fax: 606-886-0250 | |
Highlands Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-886-7600 Fax: 606-886-2218 | |
Arh Medical And Specialty Associates - Prestonsburg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4851 Kentucky Highway 321, Prestonsburg, KY 41653 Phone: 606-886-3831 Fax: 606-886-3440 | |
Compassion Adult Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 N Lake Dr, Prestonsburg, KY 41653 Phone: 606-886-8466 |