Wellington Provider Group Pc - Medicare Primary Care in Lexington, KY

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Wellington Provider Group Pc is a medicare enrolled primary clinic (Family Medicine) in Lexington, Kentucky. The current practice location for Wellington Provider Group Pc is 535 Wellington Way Ste 330, Lexington, Kentucky. For appointments, you can reach them via phone at (859) 439-0399. The mailing address for Wellington Provider Group Pc is 535 Wellington Way Ste 330, Lexington, Kentucky and phone number is () -.

Wellington Provider Group Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1457012205. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (859) 439-0399.

Contact Information

Wellington Provider Group Pc
535 Wellington Way Ste 330
Lexington
KY 40503-1331
(859) 439-0399
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameWellington Provider Group Pc
SpecialityFamily Medicine
Location535 Wellington Way Ste 330, Lexington, Kentucky
Authorized Official Name and PositionBrittany Dennis (BILLING/CREDENTIALING MANAGER)
Authorized Official Contact8595188817
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wellington Provider Group Pc
535 Wellington Way Ste 330
Lexington
KY 40503-1331

Ph: () -		Wellington Provider Group Pc
535 Wellington Way Ste 330
Lexington
KY 40503-1331

Ph: (859) 439-0399

NPI Details:

NPI Number1457012205
Provider Enumeration Date01/04/2022
Last Update Date05/18/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8123412459
Medicare Enrollment IDO20220302000270

Medical Identifiers

Medical identifiers for Wellington Provider Group Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457012205NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Secondary
261QG0250XClinic/center - Genetics (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Wellington Provider Group Pc acts as a billing entity for following providers:
Provider NameDominique R Abell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528148749
PECOS PAC ID: 6002909934
Enrollment ID: I20070907000533
Provider NameKristin P Boothe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902118789
PECOS PAC ID: 8921122144
Enrollment ID: I20100825000257
Provider NameJeremy Stich
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1295027126
PECOS PAC ID: 7416133616
Enrollment ID: I20110524000746
Provider NameMelissa Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740681766
PECOS PAC ID: 4789805284
Enrollment ID: I20141027001689
Provider NameKristin Little Dawson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1316192917
PECOS PAC ID: 4082930300
Enrollment ID: I20150304001860
Provider NameJacqueline Cassell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184095200
PECOS PAC ID: 1658671987
Enrollment ID: I20151118001456
Provider NameJanice Mae Bullins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700243540
PECOS PAC ID: 7618271792
Enrollment ID: I20160210001486
Provider NameKrista M. Elkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972954279
PECOS PAC ID: 0345533170
Enrollment ID: I20160801001205
Provider NameLaura Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134672348
PECOS PAC ID: 8527356708
Enrollment ID: I20161004002708
Provider NameStacey Lynn Jacobs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295161933
PECOS PAC ID: 2860621364
Enrollment ID: I20161021002057
Provider NameChristie Conley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912449760
PECOS PAC ID: 4284914912
Enrollment ID: I20161214002123
Provider NameLori Denison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750824116
PECOS PAC ID: 6709168420
Enrollment ID: I20170112002296
Provider NameSandra J Conn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265931851
PECOS PAC ID: 1456613652
Enrollment ID: I20180328002330
Provider NameKaryn N Mcguire
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033667159
PECOS PAC ID: 6800142837
Enrollment ID: I20180705002993
Provider NameCheryl Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730698341
PECOS PAC ID: 1456608785
Enrollment ID: I20180718001670
Provider NameSusan Kelly Harvey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992275655
PECOS PAC ID: 1456698521
Enrollment ID: I20190128001551
Provider NameDawn Sheehan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699237818
PECOS PAC ID: 5890025738
Enrollment ID: I20190919001860
Provider NameAndrea Homer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104468164
PECOS PAC ID: 5890126411
Enrollment ID: I20200515000863
Provider NameChristina Adele Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184230161
PECOS PAC ID: 6103246137
Enrollment ID: I20201013002887
Provider NameLori Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043830102
PECOS PAC ID: 8527478304
Enrollment ID: I20201105002505
Provider NameVanessa Flannery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396238218
PECOS PAC ID: 4688085053
Enrollment ID: I20201117000411
Provider NameLindsey Nicole Mcpherson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003409202
PECOS PAC ID: 5991110942
Enrollment ID: I20210224002793
Provider NameAmber Banovz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427476829
PECOS PAC ID: 1254730427
Enrollment ID: I20210520002801
Provider NameMelissa D Stipp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922676204
PECOS PAC ID: 6103221353
Enrollment ID: I20210825003698
Provider NameTyler Layne Arvin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760059794
PECOS PAC ID: 2264825918
Enrollment ID: I20220202001021
Provider NameJennifer Rossi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386832442
PECOS PAC ID: 6709073224
Enrollment ID: I20220318002075
Provider NameMelissa Michelle Clay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730778101
PECOS PAC ID: 3072908391
Enrollment ID: I20220322003057
Provider NameErin Donaldson
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1568873800
PECOS PAC ID: 4284956889
Enrollment ID: I20220411002569
Provider NameThomas Mccoy
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1043493943
PECOS PAC ID: 5395900823
Enrollment ID: I20220420001215
Provider NameCarl Seger
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1699957308
PECOS PAC ID: 1951455773
Enrollment ID: I20220422000335
Provider NameJeffrey Graham
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1609830918
PECOS PAC ID: 5395789507
Enrollment ID: I20220426002264
Provider NameJean Nicole Perkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700408671
PECOS PAC ID: 8426445180
Enrollment ID: I20220427001239
Provider NameChristina Marie Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144819467
PECOS PAC ID: 1850774662
Enrollment ID: I20220811001496
Provider NameMark Goodman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1609018860
PECOS PAC ID: 2668643008
Enrollment ID: I20220906000497
Provider NameTonya Carlette Eubanks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689133571
PECOS PAC ID: 2466789938
Enrollment ID: I20220912002987
Provider NameNicole Ashley Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659731644
PECOS PAC ID: 8628444114
Enrollment ID: I20221025002692
Provider NameStephanie Lauren Avdagic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003486804
PECOS PAC ID: 0840667747
Enrollment ID: I20221107000926
Provider NameMarsha Ann Paul
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770067183
PECOS PAC ID: 5890120554
Enrollment ID: I20221227000292

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.