| Affect Provider Group, P.c. | |
|
116 N 3rd St Ste 3 Danville KY 40422-1691 | |
| (845) 769-8758 | |
| Not Available |
| Full Name | Affect Provider Group, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 116 N 3rd St Ste 3, Danville, Kentucky |
| Authorized Official Name and Position | Karla Renee Mullings (DIRECTOR OF COMPLIANCE) |
| Authorized Official Contact | 8457698758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affect Provider Group, P.c. 116 N 3rd St Ste 3 Danville KY 40422-1691 Ph: (951) 691-9101 | Affect Provider Group, P.c. 116 N 3rd St Ste 3 Danville KY 40422-1691 Ph: (845) 769-8758 |
| NPI Number | 1326799081 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Medicare PECOS PAC ID | 5597105684 |
|---|---|
| Medicare Enrollment ID | O20240507001406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326799081 | NPI | - | NPPES |
| Provider Name | Scott G Kixmiller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669775318 PECOS PAC ID: 6709021298 Enrollment ID: I20130404000523 |
| Provider Name | Jane Schwarting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215304852 PECOS PAC ID: 5294035325 Enrollment ID: I20151123000258 |
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