Thomas Blake Vincent, DO | |
3400 New Hartford Rd, Owensboro, KY 42303-2058 | |
(270) 684-5034 | |
Not Available |
Full Name | Thomas Blake Vincent |
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Gender | Male |
Speciality | Family Medicine |
Location | 3400 New Hartford Rd, Owensboro, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417397076 | NPI | - | NPPES |
201324850 | Medicaid | IN | |
7100282830 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 03709 (Kentucky) | Primary |
207Q00000X | Family Medicine | R3058 (Kentucky) | Secondary |
Entity Name | Hendersons Minor Outpatient Medicine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811947070 PECOS PAC ID: 7719906171 Enrollment ID: O20101025000552 |
Entity Name | Recover Together Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346736758 PECOS PAC ID: 7810247533 Enrollment ID: O20201023002201 |
Mailing Address | Practice Location Address |
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Thomas Blake Vincent, DO Po Box 1244, Henderson, KY 42419-1244 Ph: (812) 465-6202 | Thomas Blake Vincent, DO 3400 New Hartford Rd, Owensboro, KY 42303-2058 Ph: (270) 684-5034 |
Dr. Fred Thomas Tuttle, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4106 Mason Woods Ln, Owensboro, KY 42303 Phone: 270-993-3999 | |
Dr. Namita R Gopal, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 415 Sutton Ln, Owensboro, KY 42301 Phone: 270-744-9600 Fax: 270-744-0834 | |
James Anthony Holder, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 920 Frederica St, Suite 104, Owensboro, KY 42301 Phone: 270-926-0234 Fax: 270-926-0257 | |
Rajendra P Mahajan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2060 E Parrish Ave, Owensboro, KY 42303 Phone: 270-684-5034 Fax: 270-685-1873 | |
William S Black, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1006 Ford Ave, Owensboro, KY 42301 Phone: 270-688-2110 Fax: 270-688-2111 | |
Jacqueline Merrill, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Industrial Dr, Owensboro, KY 42301 Phone: 270-689-6500 | |
Audry G Rhodes, M.D., M.S., FAAFP Family Medicine Medicare: Medicare Enrolled Practice Location: 2211 Mayfair Dr, Suite 101, Owensboro, KY 42301 Phone: 270-688-1352 Fax: 270-683-4313 |