| Bluegrass Internal Medicine Pllc | |
|
3346 Professional Park Dr Owensboro KY 42303-4551 | |
| (270) 685-1066 | |
| (270) 685-0881 |
| Full Name | Bluegrass Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3346 Professional Park Dr, Owensboro, Kentucky |
| Authorized Official Name and Position | Angela Louise Jarvis (PRESIDENT) |
| Authorized Official Contact | 2706851066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Internal Medicine Pllc 3346 Professional Park Owensboro KY 42303-4551 Ph: (270) 685-1066 | Bluegrass Internal Medicine Pllc 3346 Professional Park Dr Owensboro KY 42303-4551 Ph: (270) 685-1066 |
| NPI Number | 1619973682 |
|---|---|
| Provider Enumeration Date | 06/24/2005 |
| Last Update Date | 03/24/2021 |
| Medicare PECOS PAC ID | 1254316821 |
|---|---|
| Medicare Enrollment ID | O20040619000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619973682 | NPI | - | NPPES |
| 65935470 | Medicaid | KY | |
| 78902251 | Medicaid | KY |
| Provider Name | Patrick B Gipe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598761702 PECOS PAC ID: 9133011760 Enrollment ID: I20040327000123 |
| Provider Name | Matheis W Carrico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962499624 PECOS PAC ID: 7416990395 Enrollment ID: I20050602000558 |
| Provider Name | David J Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215933247 PECOS PAC ID: 7810902038 Enrollment ID: I20060209000235 |
| Provider Name | Ramez A Salamah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912070038 PECOS PAC ID: 8628004835 Enrollment ID: I20100414000275 |
| Provider Name | Steven L Roby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801152434 PECOS PAC ID: 2668615311 Enrollment ID: I20161213001526 |
| Provider Name | Brandy Pelphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104300946 PECOS PAC ID: 1355695511 Enrollment ID: I20181107001648 |
| Provider Name | Jonathan L Blandford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568811842 PECOS PAC ID: 6002109063 Enrollment ID: I20190826001912 |
Toyotetsu - Owensboro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3110 Airpark Dr, Owensboro, KY 42301 Phone: 270-685-3098 Fax: 270-685-3099 | |
Jones Medical Corp Dba Bridgewater Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Salem Drive, Owensboro, KY 42303 Phone: 270-686-8008 Fax: 270-686-8066 | |
Advanced Center For Orthopedics & Sports Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2780 Frederica St, Owensboro, KY 42301 Phone: 270-926-4100 Fax: 270-648-4678 | |
Choice Care Associates, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Breckenridge St, Suite 400, Owensboro, KY 42303 Phone: 270-688-0900 Fax: 207-926-7488 | |
Randy L Wolfe, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Triplett St, Owensboro, KY 42303 Phone: 270-688-4325 | |
Owensboro Health Medical Group - Cardiology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Pleasant Valley Rd, Owensboro, KY 42303 Phone: 270-417-7500 Fax: 270-417-7509 | |
Robert C Dalzell,md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2816 Veach Rd, Owensboro, KY 42303 Phone: 270-926-2929 Fax: 270-683-3290 |