Bates Miller & Sims Pllc | |
100 Jay Street Stanford KY 40484-7511 | |
(606) 365-1547 | |
(606) 365-8380 |
Full Name | Bates Miller & Sims Pllc |
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Speciality | Clinic/Center |
Location | 100 Jay Street, Stanford, Kentucky |
Authorized Official Name and Position | James Alvin Miller (MEDICAL DIRECTOR) |
Authorized Official Contact | 6063651547 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bates Miller & Sims Pllc Po Box330 Stanford KY 40484-0330 Ph: (606) 365-1547 | Bates Miller & Sims Pllc 100 Jay Street Stanford KY 40484-7511 Ph: (606) 365-1547 |
NPI Number | 1598869638 |
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Provider Enumeration Date | 09/11/2006 |
Last Update Date | 10/04/2023 |
Medicare PECOS PAC ID | 0840226692 |
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Medicare Enrollment ID | O20050713000056 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598869638 | NPI | - | NPPES |
35001924 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Kentucky) | Primary |
Provider Name | Rodney K Bates |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477596542 PECOS PAC ID: 6002705209 Enrollment ID: I20040315000677 |
Provider Name | Christopher D Sims |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386687457 PECOS PAC ID: 2668440322 Enrollment ID: I20040921000088 |
Provider Name | James A Miller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194768267 PECOS PAC ID: 1254238447 Enrollment ID: I20040921000103 |
Provider Name | Jamie L Atwood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316002967 PECOS PAC ID: 1456313907 Enrollment ID: I20041028000060 |
Provider Name | Jeanne A Chase |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487799516 PECOS PAC ID: 0446303366 Enrollment ID: I20090724000417 |
Provider Name | Crystal Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063494045 PECOS PAC ID: 4880732320 Enrollment ID: I20091103000711 |
Provider Name | Mary L Edwards |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154624492 PECOS PAC ID: 8224211008 Enrollment ID: I20110401000093 |
Provider Name | Samantha B Shell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518213776 PECOS PAC ID: 7911137914 Enrollment ID: I20140312001365 |
Provider Name | Rhonda Lee Tokle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033609680 PECOS PAC ID: 5496002099 Enrollment ID: I20180726002797 |
Provider Name | Jesslyn B Kelsey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346727112 PECOS PAC ID: 9537407028 Enrollment ID: I20190207001473 |
Provider Name | Lauren N Paynter |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1255956124 PECOS PAC ID: 9234553652 Enrollment ID: I20200717003061 |
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