- Medicare in Georgetown, KY

  1. Home
is a medicare enrolled "Clinic/center - Medical Specialty" provider in Georgetown, Kentucky. Their current practice location is 103 S Bradford Ln, Georgetown, Kentucky. You can reach out to their office (for appointments etc.) via phone at (859) 321-1029.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1689611949.

Contact Information

103 S Bradford Ln,
Georgetown, KY 40324-2336
(859) 321-1029
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityClinic/center - Medical Specialty
Location103 S Bradford Ln, Georgetown, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689611949
  • Provider Enumeration Date: 06/02/2006
  • Last Update Date: 02/18/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8426051947
  • Enrollment ID: O20060822000444

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689611949NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1845DT (Kentucky)Secondary
207W00000XOphthalmology 38932 (Kentucky)Secondary
207W00000XOphthalmology 45851 (Kentucky)Secondary
261QM2500XClinic/center - Medical Specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameWilliam W Richardson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1720028483
PECOS PAC ID: 1254334774
Enrollment ID: I20060822000440
Provider NameStefanie Adams
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1750669198
PECOS PAC ID: 5395918874
Enrollment ID: I20111027000918
Provider NameJames J Gullett
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1073748158
PECOS PAC ID: 6608019179
Enrollment ID: I20130830000797

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1299 Standish Way,
Lexington, KY 40504-2045

Ph: (859) 523-3553
103 S Bradford Ln,
Georgetown, KY 40324-2336

Ph: (859) 321-1029

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.