Dr Millard Lynn Fogleman, MD is a
Family Medicine physician based in Beverly, Kentucky. Dr Millard Lynn Fogleman is licensed to practice in Kentucky (license number 33564) and his current practice location is 53 Queendale Ctr, Red Bird Clinic, Beverly, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 598-5135.
NPI number for Dr Millard Lynn Fogleman is 1790771046 and his current mailing address is 53 Queendale Ctr, Red Bird Clinic, Beverly, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790771046.
Physician's Profile
| Full Name | Dr Millard Lynn Fogleman |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 53 Queendale Ctr, Beverly, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790771046
- Provider Enumeration Date: 09/22/2005
- Last Update Date: 02/28/2011
Medical Identifiers
Medical identifiers for Dr Millard Lynn Fogleman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790771046 | NPI | - | NPPES |
| 64057094 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 33564 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Millard Lynn Fogleman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Millard Lynn Fogleman, MD
53 Queendale Ctr, Red Bird Clinic,
Beverly, KY 40913-9607
Ph: (606) 598-5135 | Dr Millard Lynn Fogleman, MD
53 Queendale Ctr, Red Bird Clinic,
Beverly, KY 40913-9607
Ph: (606) 598-5135 |
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