| Wky Family Healthcare | |
|
318 S 7th St Mayfield KY 42066-2337 | |
| (270) 251-3223 | |
| (270) 251-3220 |
| Full Name | Wky Family Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 318 S 7th St, Mayfield, Kentucky |
| Authorized Official Name and Position | Jeffrey Alan Carrico (CO-OWNER) |
| Authorized Official Contact | 2702513223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wky Family Healthcare 318 S 7th St Mayfield KY 42066-2337 Ph: (270) 251-3223 | Wky Family Healthcare 318 S 7th St Mayfield KY 42066-2337 Ph: (270) 251-3223 |
| NPI Number | 1982845889 |
|---|---|
| Provider Enumeration Date | 03/23/2009 |
| Last Update Date | 09/03/2014 |
| Medicare PECOS PAC ID | 8527116235 |
|---|---|
| Medicare Enrollment ID | O20090507000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982845889 | NPI | - | NPPES |
| 7100083510 | Other | KY | MEDICAID GRP -PHY |
| 18D1098184 | Other | KY | CLIA WAVE |
| 7100090880 | Other | KY | MEDICAID GRP -ARNP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 28163 (Kentucky) | Primary |
| Provider Name | Tanya S Goins-harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942203872 PECOS PAC ID: 0547355356 Enrollment ID: I20071008000548 |
| Provider Name | Jeffrey A Carrico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982607610 PECOS PAC ID: 5698823300 Enrollment ID: I20090507000494 |
| Provider Name | Amanda Kimbler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174864516 PECOS PAC ID: 7618118241 Enrollment ID: I20130724000865 |
| Provider Name | Darrell R New |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235505827 PECOS PAC ID: 8921314451 Enrollment ID: I20150828002332 |
| Provider Name | Alexandria Brooke Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245844166 PECOS PAC ID: 3173943347 Enrollment ID: I20201009001595 |
Dr Shah Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 W Water St, Mayfield, KY 42066 Phone: 270-247-2100 Fax: 270-247-2113 | |
Kentuckycare 63 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Kings Dr, Mayfield, KY 42066 Phone: 270-804-7710 Fax: 270-804-7722 | |
Mayfield Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 S 6th St, Mayfield, KY 42066 Phone: 270-247-1104 Fax: 270-247-1107 | |
Magnolia Family Practice Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1029 Medical Center Cir, Suite 200, Mayfield, KY 42066 Phone: 270-251-4545 Fax: 270-251-4546 | |
Pinelake Physician Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 S 6th St, Mayfield, KY 42066 Phone: 270-247-1104 | |
Pinelake Physician Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 Medical Center Cir, Mayfield, KY 42066 Phone: 270-251-4543 Fax: 270-251-4544 | |
Dale E. Jones, Md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1029 Medical Center Cir, Mayfield, KY 42066 Phone: 270-251-4545 Fax: 270-251-4546 |