| Main Street Medical Associates | |
|
214 E Main St Morehead KY 40351-1620 | |
| (606) 784-8682 | |
| Not Available |
| Full Name | Main Street Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 214 E Main St, Morehead, Kentucky |
| Authorized Official Name and Position | Wynetta J. Fletcher (OWNER) |
| Authorized Official Contact | 6067848682 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Medical Associates 214 E Main St Morehead KY 40351-1620 Ph: (606) 784-8682 | Main Street Medical Associates 214 E Main St Morehead KY 40351-1620 Ph: (606) 784-8682 |
| NPI Number | 1003496902 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 07/03/2023 |
| Certification Date | 07/03/2023 |
| Medicare PECOS PAC ID | 8527467034 |
|---|---|
| Medicare Enrollment ID | O20210602002318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003496902 | NPI | - | NPPES |
| Provider Name | Wynetta J Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720070048 PECOS PAC ID: 3971416421 Enrollment ID: I20031111000010 |
| Provider Name | Sarah J Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477896306 PECOS PAC ID: 4183861297 Enrollment ID: I20130509000302 |
| Provider Name | Yasmin Majumder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811305766 PECOS PAC ID: 1254559446 Enrollment ID: I20140829002132 |
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