Tyler J Elam, DO | |
645 Interstate Dr, Grayson, KY 41143-1704 | |
(606) 474-0669 | |
(606) 474-0376 |
Full Name | Tyler J Elam |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 645 Interstate Dr, Grayson, 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 |
---|---|---|---|
1144646209 | NPI | - | NPPES |
K247850 | Other | KY | MEDICARE MMS |
04118 | Other | KY | STATE MEDICAL LICENSE |
7100472630 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 04118 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
King's Daughters' Medical Center | Ashland, KY | Hospital |
St Claire Regional Medical Center | Morehead, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lewis County Primary Care Center Inc | 1153311774 | 79 |
Entity Name | Lewis County Primary Care Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457303802 PECOS PAC ID: 1153311774 Enrollment ID: O20040515000278 |
Mailing Address | Practice Location Address |
---|---|
Tyler J Elam, DO Po Box 550, Vanceburg, KY 41179-0550 Ph: (606) 202-7359 | Tyler J Elam, DO 645 Interstate Dr, Grayson, KY 41143-1704 Ph: (606) 474-0669 |
Bhawan Yamraj, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 645 Interstate Dr, Grayson, KY 41143 Phone: 606-474-0669 Fax: 502-227-4965 | |
Dr. Marilyn J Connors, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 609 N Carol Malone Blvd, Grayson, KY 41143 Phone: 606-474-7892 Fax: 606-474-0040 | |
Lindy Nettleton, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 645 Interstate Dr, Grayson, KY 41143 Phone: 606-474-0669 Fax: 606-474-0376 | |
Dr. Henry G Adkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 State Highway 1947, Suite B, Grayson, KY 41143 Phone: 606-474-7808 Fax: 606-474-4654 | |
Dr. Evan Franklin Condee, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 State Highway 1947, Grayson, KY 41143 Phone: 606-475-0152 Fax: 606-474-0040 |