Kelly L Cole, DO | |
121 E Main St, Providence, KY 42450-1268 | |
(270) 667-2023 | |
(270) 667-7518 |
Full Name | Kelly L Cole |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 30 Years |
Location | 121 E Main St, Providence, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588638969 | NPI | - | NPPES |
00000043968 | Other | KY | ANTHEM BLUE CROSS & BLUE |
027299800 | Other | BLACK LUNG | |
1103582 | Medicaid | KY | |
1386132 | Other | THE FUNDS ID | |
64024375 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02437 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Caretenders | Owensboro, KY | Home health agency |
Baptist Health Home Care | Madisonville, KY | Home health agency |
St Anthony's Hospice Inc | Henderson, KY | Hospice |
Methodist Hospital | Henderson, KY | Hospital |
Deaconess Hospital Inc | Evansville, IN | Hospital |
Baptist Health Madisonville | Madisonville, KY | Hospital |
Methodist Hospital Union County | Morganfield, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Deaconess Clinic Inc | 3375610116 | 343 |
Entity Name | Deaconess Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891941688 PECOS PAC ID: 3375610116 Enrollment ID: O20081017000259 |
Entity Name | Deaconess Union County Hospital, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003481201 PECOS PAC ID: 5799189866 Enrollment ID: O20210811002781 |
Mailing Address | Practice Location Address |
---|---|
Kelly L Cole, DO Po Box 310, Providence, KY 42450-0310 Ph: (270) 667-2023 | Kelly L Cole, DO 121 E Main St, Providence, KY 42450-1268 Ph: (270) 667-2023 |
Kenneth W Cloern, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 Fax: 270-667-9065 | |
Tristan K Lineberry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 | |
Jami T Perry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 Fax: 270-667-9065 |