| Winchester Neurology,psc | |
|
128 Professional Ave Winchester KY 40391-1116 | |
| (859) 737-1300 | |
| Not Available |
| Full Name | Winchester Neurology,psc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 128 Professional Ave, Winchester, Kentucky |
| Authorized Official Name and Position | Aleksandr V Mogilevski (PRESIDENT OWNER) |
| Authorized Official Contact | 8597371300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winchester Neurology,psc 128 Professional Ave Winchester KY 40391-1116 Ph: (859) 737-1300 | Winchester Neurology,psc 128 Professional Ave Winchester KY 40391-1116 Ph: (859) 737-1300 |
| NPI Number | 1730368192 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 04/22/2008 |
| Medicare PECOS PAC ID | 8820015084 |
|---|---|
| Medicare Enrollment ID | O20170602002073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730368192 | NPI | - | NPPES |
| 64340102 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Aleksandr Mogilevski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396896742 PECOS PAC ID: 4284893389 Enrollment ID: I20120308000882 |
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