Dr Clinton Shain Kiteck, DO | |
810 Jamestown St, Columbia, KY 42728-1010 | |
(270) 384-4764 | |
(270) 384-6228 |
Full Name | Dr Clinton Shain Kiteck |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 810 Jamestown St, Columbia, 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 |
---|---|---|---|
1447437116 | NPI | - | NPPES |
7100058480 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 03065 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health | Columbia, KY | Home health agency |
Tj Health Columbia | Columbia, KY | Hospital |
T J Samson Community Hospital | Glasgow, KY | Hospital |
Taylor Regional Hospital | Campbellsville, KY | Hospital |
Russell County Hospital | Russell springs, KY | Hospital |
Lake Cumberland Regional Hospital | Somerset, KY | Hospital |
Signature Healthcare At Summit Manor Rehab & Welln | Columbia, KY | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
T J Health Columbia Inc | 7113224783 | 26 |
Entity Name | T J Health Columbia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235595653 PECOS PAC ID: 7113224783 Enrollment ID: O20160929001571 |
Entity Name | T J Health Columbia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831555358 PECOS PAC ID: 7113224783 Enrollment ID: O20161004002436 |
Entity Name | T J Health Columbia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821454349 PECOS PAC ID: 7113224783 Enrollment ID: O20161005001888 |
Entity Name | T J Health Columbia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942666466 PECOS PAC ID: 7113224783 Enrollment ID: O20161018002105 |
Entity Name | T J Health Columbia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912358011 PECOS PAC ID: 7113224783 Enrollment ID: O20170131002850 |
Mailing Address | Practice Location Address |
---|---|
Dr Clinton Shain Kiteck, DO 810 Jamestown St, Columbia, KY 42728-1010 Ph: (270) 384-4764 | Dr Clinton Shain Kiteck, DO 810 Jamestown St, Columbia, KY 42728-1010 Ph: (270) 384-4764 |
Dr. Martha Anne Yeary, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Burkesville St, Columbia, KY 42728 Phone: 270-384-0233 Fax: 270-384-0245 | |
Yuichi Kitagawa, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 803 Burksville St, Columbia, KY 42728 Phone: 270-318-3399 Fax: 270-215-5527 | |
Dr. Robert S. Shipp, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1463 Campbellsville Rd, Columbia, KY 42728 Phone: 270-384-9934 Fax: 270-384-2823 | |
Kimberly Renee Turpin-rose, ARNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 803 Burkesville St, Columbia, KY 42728 Phone: 270-318-3399 Fax: 270-215-5527 | |
Sherry G Shirley - Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 937 Campbellsville Rd, Columbia, KY 42728 Phone: 270-394-2777 Fax: 270-864-2770 |