<unavail> in Greenup, KY - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Greenup, Kentucky. The current practice location for is 1615 Ashland Rd, Greenup, Kentucky. For appointments, you can reach them via phone at (606) 831-1129. The mailing address for is 1615 Ashland Rd, Greenup, Kentucky and phone number is (606) 473-7346.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194756361. 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 (606) 831-1129.

Contact Information


	1615 Ashland Rd Greenup KY 41144-1207
	(606) 831-1129
	(606) 473-7174

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	1615 Ashland Rd, Greenup, Kentucky
Authorized Official Name and Position	Brad Stultz (PRESIDENT)
Authorized Official Contact	6064737346
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1615 Ashland Rd Greenup KY 41144-1207 Ph: (606) 473-7346	1615 Ashland Rd Greenup KY 41144-1207 Ph: (606) 831-1129

NPI Details:

NPI Number	1194756361
Provider Enumeration Date	07/06/2006
Last Update Date	07/07/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	1557489440
Medicare Enrollment ID	O20230808003781

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194756361	NPI	-	NPPES
90070459	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Rancie Hannah
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1275530008 PECOS PAC ID: 8921079021 Enrollment ID: I20101109001305

Reviews and Comments

Internal Medicine in Greenup, KY

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- Medicare Primary Care in Greenup, KY