Tristan K Lineberry, MD | |
215 E Main St, Providence, KY 42450-1261 | |
(270) 667-7017 | |
Not Available |
Full Name | Tristan K Lineberry |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 44 Years |
Location | 215 E Main St, Providence, 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 |
---|---|---|---|
1336245349 | NPI | - | NPPES |
21614 | Other | KY | LICENSE |
000000044292 | Other | BCBS PROVIDER NUMBER | |
64216146 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 21614 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regional Health Care Affiliates, Inc | 3173668274 | 24 |
Entity Name | Regional Health Care Affiliates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144543349 PECOS PAC ID: 3173668274 Enrollment ID: O20100824000119 |
Mailing Address | Practice Location Address |
---|---|
Tristan K Lineberry, MD Po Box 37, Providence, KY 42450-0037 Ph: (270) 667-7017 | Tristan K Lineberry, MD 215 E Main St, Providence, KY 42450-1261 Ph: (270) 667-7017 |
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 | |
Kelly L Cole, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 E Main St, Providence, KY 42450 Phone: 270-667-2023 Fax: 270-667-7518 | |
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 |