Crab Orchard Primary Care | |
29 Main St Crab Orchard KY 40419-6548 | |
(606) 355-7800 | |
(606) 355-7803 |
Full Name | Crab Orchard Primary Care |
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Speciality | Clinic/Center |
Location | 29 Main St, Crab Orchard, Kentucky |
Authorized Official Name and Position | Brittany Underwood (CREDENTIALING AGENT) |
Authorized Official Contact | 8593038746 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crab Orchard Primary Care 1031 Wellington Way Ste 240 Lexington KY 40513-1257 Ph: (859) 303-8746 | Crab Orchard Primary Care 29 Main St Crab Orchard KY 40419-6548 Ph: (606) 355-7800 |
NPI Number | 1942463096 |
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Provider Enumeration Date | 07/09/2008 |
Last Update Date | 09/02/2021 |
Medicare PECOS PAC ID | 4183791700 |
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Medicare Enrollment ID | O20080924000350 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942463096 | NPI | - | NPPES |
7100043870 | Medicaid | KY |
Provider Name | Janet M Flinn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073580171 PECOS PAC ID: 2961392071 Enrollment ID: I20040319000926 |
Provider Name | Martha Duncan Hawkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407824279 PECOS PAC ID: 8123017324 Enrollment ID: I20040512000067 |
Provider Name | Terri Overbee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467420034 PECOS PAC ID: 1850380957 Enrollment ID: I20040512000158 |
Provider Name | Gene Carole Nochta |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477521326 PECOS PAC ID: 0244200228 Enrollment ID: I20040728000069 |
Provider Name | Rachel L Short |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740261767 PECOS PAC ID: 6608844212 Enrollment ID: I20040922000040 |
Provider Name | Jane Owens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639147218 PECOS PAC ID: 4587612627 Enrollment ID: I20050105001016 |
Provider Name | William S Davis |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1891723680 PECOS PAC ID: 7517913221 Enrollment ID: I20050325000278 |
Provider Name | Marlene B Huff |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851311997 PECOS PAC ID: 2961435839 Enrollment ID: I20050913000221 |
Provider Name | Durrett M Bennett |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386794824 PECOS PAC ID: 5597786004 Enrollment ID: I20051213000188 |
Provider Name | Kevin Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598826349 PECOS PAC ID: 6608976527 Enrollment ID: I20070706000516 |
Provider Name | Kathleen A Dively |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639137763 PECOS PAC ID: 1951475128 Enrollment ID: I20080806000286 |
Provider Name | Elizabeth J Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215168349 PECOS PAC ID: 1153477906 Enrollment ID: I20090918000339 |
Provider Name | Marcel Simo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972734002 PECOS PAC ID: 2466508213 Enrollment ID: I20090918000403 |
Provider Name | John E Pappas |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922219294 PECOS PAC ID: 0042341158 Enrollment ID: I20100706000079 |
Provider Name | Scott Fisk |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1780847343 PECOS PAC ID: 5799816492 Enrollment ID: I20111128000721 |
Provider Name | Karen Sue Scott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518253368 PECOS PAC ID: 8426223462 Enrollment ID: I20111202000496 |
Provider Name | Tara L Curtsinger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578841193 PECOS PAC ID: 0749455376 Enrollment ID: I20111209000716 |
Provider Name | Tracy L Hollan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538440227 PECOS PAC ID: 1951560309 Enrollment ID: I20120305000587 |
Provider Name | Mary E Garcia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366713828 PECOS PAC ID: 6901060177 Enrollment ID: I20120620000107 |
Provider Name | Theresa A Wilp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376803676 PECOS PAC ID: 8729242839 Enrollment ID: I20120620000584 |
Provider Name | Victoria L Ewing |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659420768 PECOS PAC ID: 4082856703 Enrollment ID: I20130808000966 |
Provider Name | Leslie Joyce Chrisman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952745044 PECOS PAC ID: 0547497042 Enrollment ID: I20131206001627 |
Provider Name | Linda Mcclain |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1891789905 PECOS PAC ID: 2163450552 Enrollment ID: I20131209001508 |
Provider Name | Ruth H Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659789899 PECOS PAC ID: 2062736523 Enrollment ID: I20150112000971 |
Provider Name | Tena S Burke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447659289 PECOS PAC ID: 3274857164 Enrollment ID: I20150126000293 |
Provider Name | Melodye A Taulbee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932560711 PECOS PAC ID: 9931406634 Enrollment ID: I20160323002021 |
Provider Name | Carole R Huffman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144621566 PECOS PAC ID: 2769763564 Enrollment ID: I20170110003394 |
Provider Name | Katherine L Craig |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306381272 PECOS PAC ID: 8022343565 Enrollment ID: I20190705000548 |
Provider Name | Gulena Yvonne Reffett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144871138 PECOS PAC ID: 2365876299 Enrollment ID: I20191230002192 |
Provider Name | Autumn B Schneider |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811538218 PECOS PAC ID: 6305267618 Enrollment ID: I20200527002890 |
Crab Orchard Elementary School Health Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Lancaster Street, Crab Orchard, KY 40419 Phone: 606-355-2331 | |
Crab Orchard Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Main St, Crab Orchard, KY 40419 Phone: 606-355-7300 Fax: 606-355-7310 | |
Crab Orchard Elementary Healthy Kids Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Lancaster St, Crab Orchard, KY 40419 Phone: 844-435-0900 Fax: 270-858-4029 |