Centerwell Senior Primary Care- South 2nd - Medicare Primary Care in Louisville, KY

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Centerwell Senior Primary Care- South 2nd is a medicare enrolled primary clinic (Internal Medicine) in Louisville, Kentucky. The current practice location for Centerwell Senior Primary Care- South 2nd is 3151 S 2nd St, Louisville, Kentucky. For appointments, you can reach them via phone at (502) 632-9313. The mailing address for Centerwell Senior Primary Care- South 2nd is 6101 Blue Lagoon Dr Ste 200, Miami, Florida and phone number is (305) 500-2000.

Centerwell Senior Primary Care- South 2nd is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1376282038. 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 (502) 632-9313.

Contact Information

Centerwell Senior Primary Care- South 2nd
3151 S 2nd St
Louisville
KY 40208-1446
(502) 632-9313
(877) 687-5190

Map and Direction


Primary Care Clinic Profile

Full NameCenterwell Senior Primary Care- South 2nd
SpecialityInternal Medicine
Location3151 S 2nd St, Louisville, Kentucky
Authorized Official Name and PositionAngie Martinez (SENIOR CREDENTIALING PROFESSIONAL)
Authorized Official Contact4074477120
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centerwell Senior Primary Care- South 2nd
6101 Blue Lagoon Dr Ste 200
Miami
FL 33126-3168

Ph: (305) 500-2000		Centerwell Senior Primary Care- South 2nd
3151 S 2nd St
Louisville
KY 40208-1446

Ph: (502) 632-9313

NPI Details:

NPI Number1376282038
Provider Enumeration Date06/01/2022
Last Update Date08/22/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8022492024
Medicare Enrollment IDO20220824003346

Medical Identifiers

Medical identifiers for Centerwell Senior Primary Care- South 2nd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376282038NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
208D00000XGeneral Practice (* (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. Centerwell Senior Primary Care- South 2nd acts as a billing entity for following providers:
Provider NameAllison L Hill
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588629778
PECOS PAC ID: 9537126727
Enrollment ID: I20041220000702
Provider NameTadarro L Richardson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780677724
PECOS PAC ID: 7012966468
Enrollment ID: I20050112001143
Provider NameGiavonne D Rondo Hillman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124083514
PECOS PAC ID: 8729050976
Enrollment ID: I20050427000874
Provider NameKimberlee A Sickels
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174556468
PECOS PAC ID: 4385638592
Enrollment ID: I20050512000142
Provider NameMisha Rhodes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043253453
PECOS PAC ID: 2860426889
Enrollment ID: I20050920000613
Provider NameStella R Staley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639187941
PECOS PAC ID: 5395764682
Enrollment ID: I20051116000202
Provider NameTamea Evans
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376501700
PECOS PAC ID: 9537166533
Enrollment ID: I20061106000311
Provider NameMark Miller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558474130
PECOS PAC ID: 7214031715
Enrollment ID: I20070322000187
Provider NameEvan K Dicken
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912050519
PECOS PAC ID: 0244330272
Enrollment ID: I20070705000322
Provider NameJanel J Willingham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609018423
PECOS PAC ID: 6901956051
Enrollment ID: I20090610000553
Provider NameAmy G Picklesimer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578860771
PECOS PAC ID: 6709068737
Enrollment ID: I20110311000046
Provider NameAllen Courtney Haddix
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508933771
PECOS PAC ID: 1355314550
Enrollment ID: I20111003000314
Provider NameCynthia C Mahin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548553894
PECOS PAC ID: 8325276710
Enrollment ID: I20150107000723
Provider NameAlexandria M Salois
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700331535
PECOS PAC ID: 2860770351
Enrollment ID: I20161103002551
Provider NameKenquisha M Moorman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437648789
PECOS PAC ID: 9133484439
Enrollment ID: I20180606002871
Provider NameElizabeth D Todd
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043500036
PECOS PAC ID: 6901023845
Enrollment ID: I20180719003073
Provider NameDana Singletary
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518453075
PECOS PAC ID: 7810245495
Enrollment ID: I20180731000577
Provider NameErica Woodson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376145110
PECOS PAC ID: 0244631356
Enrollment ID: I20210628001073
Provider NameErica Lache' Savage-jeter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275657694
PECOS PAC ID: 9739234584
Enrollment ID: I20220824003459
Provider NameDenise Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013590702
PECOS PAC ID: 4688039530
Enrollment ID: I20230427001172
Provider NameMariam Castaneda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124789201
PECOS PAC ID: 2365835600
Enrollment ID: I20230511001038
Provider NameTracy Elam
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1699957704
PECOS PAC ID: 2062878754
Enrollment ID: I20230523001503
Provider NameSteven Gray
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326033887
PECOS PAC ID: 6406996537
Enrollment ID: I20230919002665
Provider NameMadison Davis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831687003
PECOS PAC ID: 0345574422
Enrollment ID: I20230927002483

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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.