| Madison Primary Care, Llc | |
|
210 Saint George St Suite 110 Richmond KY 40475-2376 | |
| (859) 626-9766 | |
| (859) 626-0741 |
| Full Name | Madison Primary Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 210 Saint George St, Richmond, Kentucky |
| Authorized Official Name and Position | Brittany Underwood (CREDENTIALING) |
| Authorized Official Contact | 8593038746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Primary Care, Llc 1031 Wellington Way Ste 240 Lexington KY 40513-1257 Ph: (859) 303-8746 | Madison Primary Care, Llc 210 Saint George St Suite 110 Richmond KY 40475-2376 Ph: (859) 626-9766 |
| NPI Number | 1730473745 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 09/02/2021 |
| Certification Date | 09/02/2021 |
| Medicare PECOS PAC ID | 0244400513 |
|---|---|
| Medicare Enrollment ID | O20110823000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730473745 | NPI | - | NPPES |
| Provider Name | Janet M Flinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073580171 PECOS PAC ID: 2961392071 Enrollment ID: I20040319000926 |
| Provider Name | Martha Duncan Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407824279 PECOS PAC ID: 8123017324 Enrollment ID: I20040512000067 |
| Provider Name | Terri Overbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467420034 PECOS PAC ID: 1850380957 Enrollment ID: I20040512000158 |
| Provider Name | Gene Carole Nochta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477521326 PECOS PAC ID: 0244200228 Enrollment ID: I20040728000069 |
| Provider Name | Jane Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639147218 PECOS PAC ID: 4587612627 Enrollment ID: I20050105001016 |
| Provider Name | Marlene B Huff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851311997 PECOS PAC ID: 2961435839 Enrollment ID: I20050913000221 |
| Provider Name | Durrett M Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386794824 PECOS PAC ID: 5597786004 Enrollment ID: I20051213000188 |
| Provider Name | Arlys K Solien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437130580 PECOS PAC ID: 8729139985 Enrollment ID: I20090629000221 |
| Provider Name | Marcel Simo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972734002 PECOS PAC ID: 2466508213 Enrollment ID: I20090918000403 |
| Provider Name | Karen Sue Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518253368 PECOS PAC ID: 8426223462 Enrollment ID: I20111202000496 |
| Provider Name | Linda Mcclain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891789905 PECOS PAC ID: 2163450552 Enrollment ID: I20131209001508 |
| Provider Name | Ruth H Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659789899 PECOS PAC ID: 2062736523 Enrollment ID: I20150112000971 |
| Provider Name | Tena S Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447659289 PECOS PAC ID: 3274857164 Enrollment ID: I20150126000293 |
| Provider Name | Katherine L Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306381272 PECOS PAC ID: 8022343565 Enrollment ID: I20190705000548 |
| Provider Name | Gulena Yvonne Reffett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144871138 PECOS PAC ID: 2365876299 Enrollment ID: I20191230002192 |
| Provider Name | Autumn B Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811538218 PECOS PAC ID: 6305267618 Enrollment ID: I20200527002890 |
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