| Ulrich Medical Clinic | |
|
1655 E Highway 3094 East Bernstadt KY 40729-6216 | |
| (606) 843-2339 | |
| (606) 843-6815 |
| Full Name | Ulrich Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1655 E Highway 3094, East Bernstadt, Kentucky |
| Authorized Official Name and Position | Dennis Ulrich (OWNER) |
| Authorized Official Contact | 6068432339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ulrich Medical Clinic 1655 E Highway 3094 East Bernstadt KY 40729-6216 Ph: (606) 843-2339 | Ulrich Medical Clinic 1655 E Highway 3094 East Bernstadt KY 40729-6216 Ph: (606) 843-2339 |
| NPI Number | 1184290645 |
|---|---|
| Provider Enumeration Date | 06/03/2021 |
| Last Update Date | 06/17/2021 |
| Medicare PECOS PAC ID | 6507261757 |
|---|---|
| Medicare Enrollment ID | O20210825004009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184290645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Dennis A Ulrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063413581 PECOS PAC ID: 8123005964 Enrollment ID: I20050316000512 |
| Provider Name | Katie L Grubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962808048 PECOS PAC ID: 7517280241 Enrollment ID: I20150102001124 |
| Provider Name | Regina Tolson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740943265 PECOS PAC ID: 6305236175 Enrollment ID: I20211209002154 |
Ulrich Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1655 E Highway 3094, East Bernstadt, KY 40729 Phone: 606-843-2339 Fax: 606-843-6815 |