| Carol B Peddicord Md Pllc | |
|
250 Burkesville Rd Albany KY 42602-1604 | |
| (606) 387-0323 | |
| (606) 387-0310 |
| Full Name | Carol B Peddicord Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 250 Burkesville Rd, Albany, Kentucky |
| Authorized Official Name and Position | Carol Peddicord (OWNER) |
| Authorized Official Contact | 6066884470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol B Peddicord Md Pllc 250 Burkesville Rd Albany KY 42602-1604 Ph: (606) 387-0323 | Carol B Peddicord Md Pllc 250 Burkesville Rd Albany KY 42602-1604 Ph: (606) 387-0323 |
| NPI Number | 1760874713 |
|---|---|
| Provider Enumeration Date | 02/28/2015 |
| Last Update Date | 09/01/2022 |
| Medicare PECOS PAC ID | 7618296120 |
|---|---|
| Medicare Enrollment ID | O20150625001509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760874713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25961 (Kentucky) | Primary |
| Provider Name | Carol Bertram Peddicord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912990607 PECOS PAC ID: 2264628213 Enrollment ID: I20101202000285 |
| Provider Name | Lora R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699135723 PECOS PAC ID: 7719284454 Enrollment ID: I20160324000861 |
| Provider Name | Makayla Danielle Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831831478 PECOS PAC ID: 4981058344 Enrollment ID: I20231004000526 |
Early Childhood Center Healthy Kids Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 King Dr, Albany, KY 42602 Phone: 844-435-0900 Fax: 270-858-4029 | |
Shirley K Catron M D Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Burkesville Rd, Albany, KY 42602 Phone: 606-387-0675 Fax: 606-387-3149 | |
Tammy L. Brown, M.d., P.s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Burkesville Rd, Albany, KY 42602 Phone: 606-387-4251 Fax: 606-387-0803 | |
William Calvin Powell, Md Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 N Cross St, Albany, KY 42602 Phone: 606-387-6631 Fax: 606-387-8121 | |
Clinton Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 606 Burkesville Rd, Westview Medical Plaza, Albany, KY 42602 Phone: 606-387-4251 Fax: 606-387-5785 | |
Albany Family Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 Foothills Ave, Albany, KY 42602 Phone: 606-387-0047 Fax: 606-387-0083 | |
Clinton County High Healthy Kids Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 High School Dr, Albany, KY 42602 Phone: 844-435-0900 Fax: 270-858-4029 |