Travis Massengale, DO | |
350 Hospital Way, Somerset, KY 42503-2872 | |
(606) 451-2624 | |
(606) 451-5506 |
Full Name | Travis Massengale |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 350 Hospital Way, Somerset, 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 |
---|---|---|---|
1083145874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 04599 (Kentucky) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health | Columbia, KY | Home health agency |
Lifeline Health Care Of Pulaski | Somerset, KY | Home health agency |
Lake Cumberland Regional Hospital | Somerset, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Cumberland Regional Hospital Llc | 7214909456 | 34 |
Entity Name | Lake Cumberland Regional Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861078685 PECOS PAC ID: 7214909456 Enrollment ID: O20040809001229 |
Mailing Address | Practice Location Address |
---|---|
Travis Massengale, DO 350 Hospital Way, Somerset, KY 42503-2872 Ph: (606) 451-2624 | Travis Massengale, DO 350 Hospital Way, Somerset, KY 42503-2872 Ph: (606) 451-2624 |
Dr. Michael Shane Randolph, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 104 Hardin Ln, Somerset, KY 42503 Phone: 606-676-0786 | |
Dr. Brittany Paige Pittman Hardcorn, DNP, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2441 S Highway 27, Somerset, KY 42501 Phone: 606-451-0231 | |
David M Reilly, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 350 Hospital Way, Suite 100, Somerset, KY 42503 Phone: 606-451-2601 Fax: 606-451-2641 | |
Jeffery W Golden, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Suite 100, Somerset, KY 42503 Phone: 606-451-2650 Fax: 606-451-2641 | |
Susan J Petrosky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Parkway Dr, Somerset, KY 42503 Phone: 606-679-4389 | |
James David Wilson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Suite 100, Somerset, KY 42503 Phone: 606-451-2662 Fax: 606-451-2641 |