Dr Carlton Alexander Lee, DO | |
1625 Nashville St, Russellville, KY 42276-8853 | |
(270) 725-4770 | |
Not Available |
Full Name | Dr Carlton Alexander Lee |
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Gender | Male |
Speciality | Family Medicine |
Location | 1625 Nashville St, Russellville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396150413 | NPI | - | NPPES |
03889 | Other | KY | KENTUCKY BOARD OF MEDICAL LICENSURE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 03889 (Kentucky) | Secondary |
207Q00000X | Family Medicine | R3258 (Kentucky) | Secondary |
207Q00000X | Family Medicine | 03889 (Kentucky) | Primary |
Entity Name | Trigg County Hospital, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538218680 PECOS PAC ID: 5193620805 Enrollment ID: O20031205000118 |
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
Entity Name | Trigg County Hospital, Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1538218680 PECOS PAC ID: 5193620805 Enrollment ID: O20080103000025 |
Mailing Address | Practice Location Address |
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Dr Carlton Alexander Lee, DO 1625 Nashville St, Russellville, KY 42276-8853 Ph: (270) 725-4770 | Dr Carlton Alexander Lee, DO 1625 Nashville St, Russellville, KY 42276-8853 Ph: (270) 725-4770 |
Dr. Lawrence J. Gotts, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1621 S Nashville St, Suite 104, Russellville, KY 42276 Phone: 270-726-4444 Fax: 270-726-4400 | |
Dr. Patrick Kevin Hayden, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1719 Nashville St, Suite C, Russellville, KY 42276 Phone: 270-726-7664 Fax: 270-726-9997 | |
Dr. Dana Karen Northern, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1405 Nashville St, Russellville, KY 42276 Phone: 270-725-9606 Fax: 270-725-9643 | |
Dr. Steven Zeller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1497 Nashville St, Russellville, KY 42276 Phone: 270-726-9568 Fax: 270-726-9570 | |
Katherine Hindman Gilliam, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Nashville St, Russellville, KY 42276 Phone: 270-725-9700 Fax: 270-725-9992 |