Dr Charles D Jarboe, MD | |
912 Wallace Ave, Suite 103, Leitchfield, KY 42754-2404 | |
(270) 230-8200 | |
(270) 230-0882 |
Full Name | Dr Charles D Jarboe |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 42 Years |
Location | 912 Wallace Ave, Leitchfield, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356348213 | NPI | - | NPPES |
000000222830 | Other | KY | ANTHEM PIN # |
10804168 | Other | CAQH UNIVERSAL CREDENTIAL | |
320012117 | Other | KY | TAX ID |
18D0999959 | Other | CLIA | |
64227176 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22717 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Twin Lakes Regional Medical Center | Leitchfield, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Concord Company Of Tennessee Pllc | 0345588109 | 44 |
Entity Name | Concord Company Of Tennessee Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649743667 PECOS PAC ID: 0345588109 Enrollment ID: O20190221000097 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles D Jarboe, MD 912 Wallace Ave Ste 103, Leitchfield, KY 42754-2405 Ph: (270) 230-8200 | Dr Charles D Jarboe, MD 912 Wallace Ave, Suite 103, Leitchfield, KY 42754-2404 Ph: (270) 230-8200 |
Kenneth E Green, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1895 Elizabethtown Rd, Leitchfield, KY 42754 Phone: 270-230-0182 Fax: 270-230-0014 | |
Dr. Isaac David Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 908 Wallace Ave, Leitchfield, KY 42754 Phone: 270-230-0124 Fax: 270-230-0157 | |
Ray J Begay, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Mill St, Leitchfield, KY 42754 Phone: 270-259-0352 Fax: 270-287-0157 | |
Dr. Ivan Alexander Escudero, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 912 Wallace Ave Ste 102, Leitchfield, KY 42754 Phone: 270-259-8888 Fax: 270-259-8887 | |
Dr. Gay Fulkerson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 S Main St, Leitchfield, KY 42754 Phone: 270-259-9633 Fax: 270-259-0061 |