| Advanced Family Medical Clinic Mount Vernon | |
|
79 Sarahs Ln Somerset KY 42503-2789 | |
| (859) 691-0201 | |
| Not Available |
| Full Name | Advanced Family Medical Clinic Mount Vernon |
|---|---|
| Speciality | Family Medicine |
| Location | 79 Sarahs Ln, Somerset, Kentucky |
| Authorized Official Name and Position | Khursheed Akram Siddiqui (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8596910201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Medical Clinic Mount Vernon Po Box 2369 Danville KY 40423-2369 Ph: (606) 392-2060 | Advanced Family Medical Clinic Mount Vernon 79 Sarahs Ln Somerset KY 42503-2789 Ph: (859) 691-0201 |
| NPI Number | 1578090403 |
|---|---|
| Provider Enumeration Date | 05/23/2017 |
| Last Update Date | 04/20/2023 |
| Medicare PECOS PAC ID | 2062780810 |
|---|---|
| Medicare Enrollment ID | O20170620000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578090403 | NPI | - | NPPES |
| 65942906 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 28741 (Kentucky) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
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