| Primecare Psc | |
|
2413 Ring Rd Ste 110 Elizabethtown KY 42701-5924 | |
| (270) 765-4535 | |
| (270) 763-1901 |
| Full Name | Primecare Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 2413 Ring Rd Ste 110, Elizabethtown, Kentucky |
| Authorized Official Name and Position | David J. Zoeller (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2707654535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Psc 2413 Ring Rd Ste 110 Elizabethtown KY 42701-5924 Ph: (270) 765-4535 | Primecare Psc 2413 Ring Rd Ste 110 Elizabethtown KY 42701-5924 Ph: (270) 765-4535 |
| NPI Number | 1023091600 |
|---|---|
| Provider Enumeration Date | 11/28/2005 |
| Last Update Date | 11/17/2022 |
| Medicare PECOS PAC ID | 6507850500 |
|---|---|
| Medicare Enrollment ID | O20040413000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023091600 | NPI | - | NPPES |
| 1507510 | Medicaid | TN | |
| 78904083 | Medicaid | KY | |
| 65922940 | Medicaid | KY | |
| 7100060440 | Medicaid | KY |
| Provider Name | David J Zoeller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194708776 PECOS PAC ID: 1557355567 Enrollment ID: I20040413000508 |
| Provider Name | Jessica L Muth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518358431 PECOS PAC ID: 0941511299 Enrollment ID: I20150612001822 |
| Provider Name | Lindsey M. Monin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790132371 PECOS PAC ID: 8628368339 Enrollment ID: I20160609000408 |
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