| Total Life Care, Pllc | |
|
2850 Lone Oak Rd Bayley Square, Suite 4 Paducah KY 42003-8043 | |
| (270) 554-3904 | |
| (270) 534-8928 |
| Full Name | Total Life Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2850 Lone Oak Rd, Paducah, Kentucky |
| Authorized Official Name and Position | Pamela Diane Weaver (PRACTICE MANAGER) |
| Authorized Official Contact | 2705543904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Life Care, Pllc 2850 Lone Oak Rd Bayley Square, Suite 4 Paducah KY 42003-8043 Ph: (270) 554-3904 | Total Life Care, Pllc 2850 Lone Oak Rd Bayley Square, Suite 4 Paducah KY 42003-8043 Ph: (270) 554-3904 |
| NPI Number | 1225197031 |
|---|---|
| Provider Enumeration Date | 12/07/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6800786633 |
|---|---|
| Medicare Enrollment ID | O20040317000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225197031 | NPI | - | NPPES |
| 65902389 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kentucky) | Primary |
| 207R00000X | Internal Medicine | (Kentucky) | Primary |
| Provider Name | Jennifer W Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336222512 PECOS PAC ID: 3173550936 Enrollment ID: I20050722000675 |
| Provider Name | Amanda D Gaudy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881928992 PECOS PAC ID: 4789862384 Enrollment ID: I20110630000295 |
| Provider Name | Van Meeks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255574984 PECOS PAC ID: 4284874132 Enrollment ID: I20130717000449 |
Jeffrey L. Riney M.d. & Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Medical Center Dr, Suite 209b, Paducah, KY 42003 Phone: 270-441-4610 Fax: 270-441-4608 | |
Emerald Healthcare Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2520 New Holt Rd Ste I, Paducah, KY 42001 Phone: 270-558-3916 | |
Wilson Medical Staffing Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2603 Kentucky Ave Ste 305, Paducah, KY 42003 Phone: 270-558-5456 Fax: 270-558-5471 | |
Mercy Health Physicians Kentucky Specialty Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Medical Center Dr Ste 202, Paducah, KY 42003 Phone: 270-441-4510 Fax: 270-441-4512 | |
Western Baptist Medical Ventures, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Kentucky Ave, Paducah, KY 42003 Phone: 270-575-2101 Fax: 270-575-2905 | |
Infectious Diseases Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Broadway St, Paducah, KY 42001 Phone: 270-444-9889 Fax: 270-444-9291 | |
Baptist Health Prime Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 Kentucky Ave, Suite 103, Paducah, KY 42003 Phone: 270-443-4311 Fax: 270-443-4145 |