Ira Blaine Potter, MD is a medicare enrolled "Family Medicine" physician in Lackey, Kentucky. His current practice location is
77 Millard Allen Dr, Lackey, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 358-2381.
Ira Blaine Potter is licensed to practice in Kentucky (license number 15918) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942208590.
Physician's Profile
| Full Name | Ira Blaine Potter |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 77 Millard Allen Dr, Lackey, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ira Blaine Potter attended and graduated from in
NPI Data:
- NPI Number: 1942208590
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 12/09/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ira Blaine Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942208590 | NPI | - | NPPES |
| 2139 | Other | KY | CHA |
| 000000045528 | Other | KY | BCBS |
| 64159189 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 15918 (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. Ira Blaine Potter is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ira Blaine Potter, MD
Po Box 190,
Lackey, KY 41643-0190
Ph: (606) 358-2381 | Ira Blaine Potter, MD
77 Millard Allen Dr,
Lackey, KY 41643-0190
Ph: (606) 358-2381 |
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