Mountain Comprehensive Health Corporation - Medicare Dental Clinic in Whitesburg, KY

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Mountain Comprehensive Health Corporation is a medicare enrolled dental clinic (Clinic/center - Primary Care) in Whitesburg, Kentucky. The current practice location for Mountain Comprehensive Health Corporation is 226 Medical Plaza Ln, Whitesburg, Kentucky. For appointments, you can reach them via phone at (606) 633-4823. The mailing address for Mountain Comprehensive Health Corporation is Po Box 40, Whitesburg, Kentucky and phone number is (606) 633-4823.

Mountain Comprehensive Health Corporation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1417900242. 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 (606) 633-4823.

Contact Information

Mountain Comprehensive Health Corporation
226 Medical Plaza Ln
Whitesburg
KY 41858-7425
(606) 633-4823
(606) 633-1874

Map and Direction


Dental Care Clinic Profile

Full NameMountain Comprehensive Health Corporation
SpecialityClinic/Center
Location226 Medical Plaza Ln, Whitesburg, Kentucky
Authorized Official Name and PositionL.m. (mike) Caudill (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact6066334823
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mountain Comprehensive Health Corporation
Po Box 40
Whitesburg
KY 41858-0040

Ph: (606) 633-4823		Mountain Comprehensive Health Corporation
226 Medical Plaza Ln
Whitesburg
KY 41858-7425

Ph: (606) 633-4823

NPI Details:

NPI Number1417900242
Provider Enumeration Date05/19/2006
Last Update Date10/07/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7618875873
Medicare Enrollment IDO20031224000024

Medical Identifiers

Medical identifiers for Mountain Comprehensive Health Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417900242NPI-NPPES
31000169MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Primary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
367A00000XAdvanced Practice Midwife (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mountain Comprehensive Health Corporation acts as a billing entity for following providers:
Provider NameNathan W Baker
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1013962778
PECOS PAC ID: 0840190419
Enrollment ID: I20040110000076
Provider NameFares Khater
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992732101
PECOS PAC ID: 2961391958
Enrollment ID: I20040315001448
Provider NameSalem E Hanna
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992750665
PECOS PAC ID: 7911978127
Enrollment ID: I20050401000910
Provider NameAmy Nora Asher Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730182817
PECOS PAC ID: 2668410036
Enrollment ID: I20050418000904
Provider NameVan S Breeding
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801841572
PECOS PAC ID: 5991710246
Enrollment ID: I20060208000445
Provider NameApril L Hall-slone
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124066949
PECOS PAC ID: 7113968504
Enrollment ID: I20060821000254
Provider NameMartha C Combs-woolum
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033121017
PECOS PAC ID: 7810079126
Enrollment ID: I20080125000230
Provider NameLaura P Ashby-jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023279510
PECOS PAC ID: 9032279476
Enrollment ID: I20081114000779
Provider NameGary W Turner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548403546
PECOS PAC ID: 4688727480
Enrollment ID: I20090727000434
Provider NameShannon R Rutherford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548492952
PECOS PAC ID: 8325185382
Enrollment ID: I20091023000011
Provider NameGregory B Dye
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275528937
PECOS PAC ID: 2769420058
Enrollment ID: I20091228000037
Provider NameMahmood Alam
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1083669741
PECOS PAC ID: 4486796273
Enrollment ID: I20100115000786
Provider NameDavid S Barker
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1558525691
PECOS PAC ID: 0446394381
Enrollment ID: I20100216000809
Provider NameLisa G Bates
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114230158
PECOS PAC ID: 3274667860
Enrollment ID: I20100818000592
Provider NameSharon F Ward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689987968
PECOS PAC ID: 3577687524
Enrollment ID: I20100828000009
Provider NameByron S Thomas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952564502
PECOS PAC ID: 6901075332
Enrollment ID: I20110801000804
Provider NameShana R Banks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154605160
PECOS PAC ID: 9032378542
Enrollment ID: I20120301000794
Provider NameAnna Ballard
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1700031754
PECOS PAC ID: 1153335773
Enrollment ID: I20120313000366
Provider NameMatthew Troy Breeding
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336450659
PECOS PAC ID: 6406096346
Enrollment ID: I20130717000378
Provider NameMary J Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538595111
PECOS PAC ID: 1052545563
Enrollment ID: I20131015001931
Provider NameJonathan A Hatton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629362397
PECOS PAC ID: 8628203767
Enrollment ID: I20131028001008
Provider NameCarmen Jones
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194899757
PECOS PAC ID: 3173660164
Enrollment ID: I20140321001468
Provider NameMisty L Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285059394
PECOS PAC ID: 8022240423
Enrollment ID: I20140417001970
Provider NameAnita C Collins -mccullum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902248891
PECOS PAC ID: 9830312685
Enrollment ID: I20140522002334
Provider NameMisty Dawn Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588073639
PECOS PAC ID: 6709004351
Enrollment ID: I20140825000687
Provider NameKristin M Delaney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912314683
PECOS PAC ID: 9537387683
Enrollment ID: I20140902001748
Provider NameAshley Darmell Sumpter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720405558
PECOS PAC ID: 0749409266
Enrollment ID: I20140916001437
Provider NameKatrina Slone
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205147550
PECOS PAC ID: 3072733179
Enrollment ID: I20141010002085
Provider NameLora K Cook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649683327
PECOS PAC ID: 0345562690
Enrollment ID: I20141124000987
Provider NameMeranda J Ramey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730577305
PECOS PAC ID: 4385968262
Enrollment ID: I20150123002315
Provider NameNatasha Nicole Gay
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942583380
PECOS PAC ID: 2668792425
Enrollment ID: I20150518002041
Provider NameApril Mae Dempsey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376925305
PECOS PAC ID: 3870808595
Enrollment ID: I20150810002610
Provider NameChadwick E Gambrell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578903118
PECOS PAC ID: 1557679065
Enrollment ID: I20151002001491
Provider NameMary Beth Hamilton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710319306
PECOS PAC ID: 6002125952
Enrollment ID: I20151016000593
Provider NameBrittany Bobrowski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871900795
PECOS PAC ID: 8729200027
Enrollment ID: I20161005000437
Provider NameSydney C. Whitaker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609205939
PECOS PAC ID: 6800184623
Enrollment ID: I20161011002839
Provider NameSavanna Wynn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013468222
PECOS PAC ID: 2961782461
Enrollment ID: I20161129000490
Provider NameBrooke Whitaker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538611298
PECOS PAC ID: 5294015079
Enrollment ID: I20161213002717
Provider NameJennie Sturgill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871042804
PECOS PAC ID: 9335421395
Enrollment ID: I20170126002477
Provider NameHeather Yates
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053856799
PECOS PAC ID: 2567745946
Enrollment ID: I20170208002852
Provider NameKristen D Combs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548705502
PECOS PAC ID: 1759665466
Enrollment ID: I20170224000351
Provider NameBrandi Carmical
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477065803
PECOS PAC ID: 1850657867
Enrollment ID: I20171108000188
Provider NameNatasha Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922507581
PECOS PAC ID: 1355604778
Enrollment ID: I20180418001512
Provider NameKatherine Marie Ebsworth-mojica
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1780848820
PECOS PAC ID: 4082913207
Enrollment ID: I20180810002685
Provider NameKristin Smith
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1124519319
PECOS PAC ID: 4284982927
Enrollment ID: I20180813000805
Provider NamePaul G Vaccaro Jr
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1144284365
PECOS PAC ID: 5294014320
Enrollment ID: I20180815003829
Provider NameCrystal Lee Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619462066
PECOS PAC ID: 9537410147
Enrollment ID: I20180920002376
Provider NameKyla Stanley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396218988
PECOS PAC ID: 8628317674
Enrollment ID: I20190308001482
Provider NameLisa Renee Blackwood
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1912298191
PECOS PAC ID: 5496997249
Enrollment ID: I20190429002128
Provider NameBrittany Slone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366904302
PECOS PAC ID: 9830423029
Enrollment ID: I20190621000811
Provider NamePatrick Earl Ball
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265884696
PECOS PAC ID: 3577821354
Enrollment ID: I20190626002972
Provider NameTracey Nycole Blakley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497212302
PECOS PAC ID: 9638408982
Enrollment ID: I20190911001870
Provider NameAmber L Allen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932103306
PECOS PAC ID: 7113993908
Enrollment ID: I20190930003164
Provider NameJames Lee Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477184331
PECOS PAC ID: 4284061383
Enrollment ID: I20200303000315
Provider NameAlexandra Dawn Hoskins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710542683
PECOS PAC ID: 2860820305
Enrollment ID: I20200317001481
Provider NameDevin N Whitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821627068
PECOS PAC ID: 7012347784
Enrollment ID: I20200420003311
Provider NameFelicia Natasha Scott
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144688011
PECOS PAC ID: 3476976804
Enrollment ID: I20200701003550
Provider NameJames Edsel Craft
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1508449034
PECOS PAC ID: 9537578315
Enrollment ID: I20210506002759
Provider NameTimothy Finn
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1588248009
PECOS PAC ID: 1557761483
Enrollment ID: I20210615002354
Provider NameColton T Cornett
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326543836
PECOS PAC ID: 9032447735
Enrollment ID: I20210721002025
Provider NameKeshia G. Shepherd
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619442134
PECOS PAC ID: 1658777909
Enrollment ID: I20210910002799
Provider NameLarry Thomas Hickerson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376134767
PECOS PAC ID: 8325437932
Enrollment ID: I20211118003010
Provider NameLaci Alexandra Honeycutt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104578616
PECOS PAC ID: 8325431786
Enrollment ID: I20220207001599
Provider NameFrances Meade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609461516
PECOS PAC ID: 0749674034
Enrollment ID: I20220302002479
Provider NameAdrianne Marie Warren Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154905008
PECOS PAC ID: 9436535465
Enrollment ID: I20220928003555
Provider NameSamuel P Hamilton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598481723
PECOS PAC ID: 6901274455
Enrollment ID: I20221115001395
Provider NameMorgan Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740996974
PECOS PAC ID: 5799159760
Enrollment ID: I20230315001382
Provider NameSabrina Sergent
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891490074
PECOS PAC ID: 1557736832
Enrollment ID: I20230419001787
Provider NameZachary Davis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518587427
PECOS PAC ID: 5193149243
Enrollment ID: I20230726000707
Provider NameLindsey Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316628209
PECOS PAC ID: 2668835356
Enrollment ID: I20230829000495
Provider NameDonna Kirby
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841861978
PECOS PAC ID: 5890143788
Enrollment ID: I20231204001485
Provider NameApril Fields
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265048615
PECOS PAC ID: 2860845765
Enrollment ID: I20240126002947
Provider NameAdam Bhatti
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1689278541
PECOS PAC ID: 7012350523
Enrollment ID: I20240212001487
Provider NameJaclyn Felicia Wright-dinsmore
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376306837
PECOS PAC ID: 6608213053
Enrollment ID: I20240321002008
Provider NameChloe Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811753239
PECOS PAC ID: 1658718945
Enrollment ID: I20240321003900
Provider NameKaren Lynn Baker
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1316082969
PECOS PAC ID: 5294177333
Enrollment ID: I20240521003610
Provider NameSonji Nicole Adams
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1043525355
PECOS PAC ID: 8325480114
Enrollment ID: I20240524001043
Provider NameGloria Y Kilgore
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1215216585
PECOS PAC ID: 9638511231
Enrollment ID: I20240529000412
Provider NameHeather White
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932365681
PECOS PAC ID: 7517309917
Enrollment ID: I20240530003853
Provider NameAudra Boggs
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1255646758
PECOS PAC ID: 0143662403
Enrollment ID: I20240531002379

Reviews and Comments


Dental Clinics in Whitesburg, KY


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.