| Averhealth | |
|
300 W Maxwell St Lexington KY 40508-2508 | |
| (866) 680-3106 | |
| Not Available |
| Full Name | Averhealth |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 W Maxwell St, Lexington, Kentucky |
| Authorized Official Name and Position | Melissa Franzua Rios (SR. PAYER RELATIONS ASSOCIATE) |
| Authorized Official Contact | 8045009813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Averhealth 2916 W Marshall St Ste 100 Richmond VA 23230-4808 Ph: () - | Averhealth 300 W Maxwell St Lexington KY 40508-2508 Ph: (866) 680-3106 |
| NPI Number | 1265191621 |
|---|---|
| Provider Enumeration Date | 12/14/2021 |
| Last Update Date | 08/15/2022 |
| Medicare PECOS PAC ID | 4284853292 |
|---|---|
| Medicare Enrollment ID | O20220810003118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265191621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Cassandra Elizabeth Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336701275 PECOS PAC ID: 2961733035 Enrollment ID: I20191004000594 |
| Provider Name | Paul Delgiudice |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508863093 PECOS PAC ID: 4082515887 Enrollment ID: I20220819001441 |
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