Bluegrass Extended Care Services Llc - Medicare Primary Care in Lexington, KY

Bluegrass Extended Care Services Llc is a medicare enrolled primary clinic (Family Medicine) in Lexington, Kentucky. The current practice location for Bluegrass Extended Care Services Llc is 989 Governors Ln Ste 240, Lexington, Kentucky. For appointments, you can reach them via phone at (859) 338-3958. The mailing address for Bluegrass Extended Care Services Llc is 989 Governors Ln Ste 240, Lexington, Kentucky and phone number is (859) 338-3958.

Bluegrass Extended Care Services Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1912274044. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (859) 338-3958.

Contact Information

Bluegrass Extended Care Services Llc
989 Governors Ln Ste 240
Lexington
KY 40513-1175
(859) 338-3958
(859) 368-8135

Map and Direction


Primary Care Clinic Profile

Full NameBluegrass Extended Care Services Llc
SpecialityFamily Medicine
Location989 Governors Ln Ste 240, Lexington, Kentucky
Authorized Official Name and PositionJohn W. Richard (OWNER)
Authorized Official Contact8593383958
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bluegrass Extended Care Services Llc
989 Governors Ln Ste 240
Lexington
KY 40513-1175

Ph: (859) 338-3958
Bluegrass Extended Care Services Llc
989 Governors Ln Ste 240
Lexington
KY 40513-1175

Ph: (859) 338-3958

NPI Details:

NPI Number1912274044
Provider Enumeration Date11/17/2011
Last Update Date07/22/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4688832090
Medicare Enrollment IDO20120214000748

Medical Identifiers

Medical identifiers for Bluegrass Extended Care Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912274044NPI-NPPES
7100185160MedicaidKY
7100192070MedicaidKY
7100206250MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
363A00000XPhysician Assistant (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bluegrass Extended Care Services Llc acts as a billing entity for following providers:
Provider NameJohn W Richard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124047717
PECOS PAC ID: 2062316102
Enrollment ID: I20031121000012
Provider NameJanet M Flinn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073580171
PECOS PAC ID: 2961392071
Enrollment ID: I20040319000926
Provider NameGene Carole Nochta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477521326
PECOS PAC ID: 0244200228
Enrollment ID: I20040728000069
Provider NameMary L Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154624492
PECOS PAC ID: 8224211008
Enrollment ID: I20110401000093
Provider NameKatherine R Waugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902266729
PECOS PAC ID: 9739479304
Enrollment ID: I20160609002454

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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.