Heartland Primary Care | |
2412 Ring Rd Suite 200 Elizabethtown KY 42701-7998 | |
(270) 765-5926 | |
(270) 763-0051 |
Full Name | Heartland Primary Care |
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Speciality | Family Medicine |
Location | 2412 Ring Rd, Elizabethtown, Kentucky |
Authorized Official Name and Position | Thomas G Ingram (OWNER) |
Authorized Official Contact | 2707655926 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Heartland Primary Care 2412 Ring Rd Suite 200 Elizabethtown KY 42701-7998 Ph: (270) 765-5926 | Heartland Primary Care 2412 Ring Rd Suite 200 Elizabethtown KY 42701-7998 Ph: (270) 765-5926 |
NPI Number | 1396750022 |
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Provider Enumeration Date | 07/30/2006 |
Last Update Date | 05/31/2017 |
Medicare PECOS PAC ID | 1557274263 |
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Medicare Enrollment ID | O20031110000188 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396750022 | NPI | - | NPPES |
65940306 | Medicaid | KY | |
DB3908 | Other | KY | RAILROAD MEDICARE GRP # |
Provider Name | Thomas G Ingram |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437153194 PECOS PAC ID: 7517870223 Enrollment ID: I20031112000401 |
Provider Name | Gregory D Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659375269 PECOS PAC ID: 6305734138 Enrollment ID: I20040918000133 |
Provider Name | Rebecca B Tatum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760461065 PECOS PAC ID: 5991715765 Enrollment ID: I20060425000536 |
Provider Name | Robyn A Ohler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740351618 PECOS PAC ID: 7214020049 Enrollment ID: I20070910000557 |
Provider Name | Tammy D Carman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811039209 PECOS PAC ID: 0143382911 Enrollment ID: I20090105000129 |
Provider Name | Latisha Faye Markins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699039248 PECOS PAC ID: 6901062827 Enrollment ID: I20120723000153 |
Provider Name | Gwendolynn N Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205187333 PECOS PAC ID: 9133373293 Enrollment ID: I20130126000012 |
Provider Name | Rhianna Kay Riggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730420100 PECOS PAC ID: 2466699715 Enrollment ID: I20130506000465 |
Provider Name | Velda R Neidlinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780924514 PECOS PAC ID: 5698914042 Enrollment ID: I20130617000278 |
Provider Name | Stacie A Cain |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386078848 PECOS PAC ID: 1254568777 Enrollment ID: I20131209000235 |
Provider Name | Donna J Wilson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548576903 PECOS PAC ID: 3971731597 Enrollment ID: I20140106000339 |
Provider Name | Carmen N Painter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295158285 PECOS PAC ID: 9739310525 Enrollment ID: I20140319001645 |
Provider Name | Kirstin D Donnelly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831587831 PECOS PAC ID: 0244554095 Enrollment ID: I20150127000349 |
Provider Name | Joyce L Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336598895 PECOS PAC ID: 7315227477 Enrollment ID: I20161206002309 |
Provider Name | Vanessa J Embry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760886550 PECOS PAC ID: 6103142914 Enrollment ID: I20161214000621 |
Provider Name | Jessica C. Blount |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750738100 PECOS PAC ID: 2466734215 Enrollment ID: I20170131001606 |
Provider Name | Deidra Irvin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871099044 PECOS PAC ID: 9032474697 Enrollment ID: I20180531001986 |
Provider Name | Joseph Walter Adams |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841685112 PECOS PAC ID: 0648589770 Enrollment ID: I20180904001415 |
Provider Name | Shannon O'donnell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629578174 PECOS PAC ID: 6901141738 Enrollment ID: I20181221002000 |
Provider Name | Jennifer L Durling |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649739574 PECOS PAC ID: 3971830829 Enrollment ID: I20190814004228 |
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