| Jeffrey Tuttle, M.d., P.l.l.c. | |
|
219 E High St Lexington KY 40507-1409 | |
| (859) 537-7332 | |
| (859) 258-9209 |
| Full Name | Jeffrey Tuttle, M.d., P.l.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 219 E High St, Lexington, Kentucky |
| Authorized Official Name and Position | Jeffrey Tuttle (MEMBER) |
| Authorized Official Contact | 8595377332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Tuttle, M.d., P.l.l.c. 219 E High St Lexington KY 40507-1409 Ph: (859) 537-7332 | Jeffrey Tuttle, M.d., P.l.l.c. 219 E High St Lexington KY 40507-1409 Ph: (859) 537-7332 |
| NPI Number | 1891012811 |
|---|---|
| Provider Enumeration Date | 04/29/2010 |
| Last Update Date | 12/23/2019 |
| Certification Date | 12/23/2019 |
| Medicare PECOS PAC ID | 2668500216 |
|---|---|
| Medicare Enrollment ID | O20100503000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891012811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 40860 (Kentucky) | Primary |
| Provider Name | Jeffrey Tuttle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700088515 PECOS PAC ID: 6608968326 Enrollment ID: I20070824000604 |
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