Dr Kelly S Tate, MD | |
118 S Main St, Elkton, KY 42220-8863 | |
(270) 265-5023 | |
(270) 265-5026 |
Full Name | Dr Kelly S Tate |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 38 Years |
Location | 118 S Main St, Elkton, 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 |
---|---|---|---|
1700839040 | NPI | - | NPPES |
64271489 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27148 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Hopkinsville, KY | Home health agency |
Lifeline Health Care Of Logan | Russellville, KY | Home health agency |
Logan Memorial Hospital | Russellville, KY | Hospital |
Jennie Stuart Medical Center | Hopkinsville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Logan Physician Practice Llc | 4880596592 | 7 |
Entity Name | Logan Physician Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265740765 PECOS PAC ID: 4880596592 Enrollment ID: O20040219000212 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelly S Tate, MD 118 S Main St, Elkton, KY 42220-8863 Ph: (270) 265-5023 | Dr Kelly S Tate, MD 118 S Main St, Elkton, KY 42220-8863 Ph: (270) 265-5023 |
Thomas G. Grabenstein, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 810 S Main St, Elkton, KY 42220 Phone: 270-265-5600 Fax: 270-265-5605 | |
Dr. Mallory C. Jorif, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 810 S Main St, Elkton, KY 42220 Phone: 270-265-5600 Fax: 270-265-5605 | |
Beth A Meade, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 Elk Fork Rd, Elkton, KY 42220 Phone: 270-265-2574 |