Commonwealth Family Clinic, Pllc | |
2387 Professional Heights Dr Ste 60 Lexington KY 40503-3004 | |
(859) 303-8756 | |
Not Available |
Full Name | Commonwealth Family Clinic, Pllc |
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Speciality | Clinic/Center |
Location | 2387 Professional Heights Dr Ste 60, Lexington, Kentucky |
Authorized Official Name and Position | Anne Claire Compton (OWNER, EMPLOYEE) |
Authorized Official Contact | 8594571864 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Commonwealth Family Clinic, Pllc 1890 Star Shoot Pkwy Ste 170 Lexington KY 40509-4567 Ph: (859) 457-1864 | Commonwealth Family Clinic, Pllc 2387 Professional Heights Dr Ste 60 Lexington KY 40503-3004 Ph: (859) 303-8756 |
NPI Number | 1003583717 |
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Provider Enumeration Date | 08/30/2021 |
Last Update Date | 12/08/2023 |
Medicare PECOS PAC ID | 1052772183 |
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Medicare Enrollment ID | O20230804001631 |
Identifier | Type | State | Issuer |
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1003583717 | NPI | - | NPPES |
Provider Name | Anne Claire Compton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235581653 PECOS PAC ID: 3072808617 Enrollment ID: I20160822003002 |
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