| |
150 Brett Chase Suite B Paducah KY 42003-5706 | |
(270) 554-4820 | |
(270) 448-0300 |
Full Name | |
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Speciality | Internal Medicine |
Location | 150 Brett Chase, Paducah, Kentucky |
Authorized Official Name and Position | Lee Tolar Meals (OWNER/MEMBER TAX MATTERS) |
Authorized Official Contact | 2705544820 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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150 Brett Chase Suite B Paducah KY 42003-5706 Ph: (270) 554-4820 | 150 Brett Chase Suite B Paducah KY 42003-5706 Ph: (270) 554-4820 |
NPI Number | 1144610213 |
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Provider Enumeration Date | 01/28/2015 |
Last Update Date | 09/17/2015 |
Medicare PECOS PAC ID | 1052615408 |
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Medicare Enrollment ID | O20160205001029 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144610213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Lee Tolar Meals |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578622379 PECOS PAC ID: 5698665438 Enrollment ID: I20110104001212 |
Jeffrey L. Riney M.d. & Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Medical Center Dr, Suite 209b, Paducah, KY 42003 Phone: 270-441-4610 Fax: 270-441-4608 | |
Mercy Health Physicians Kentucky Specialty Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Medical Center Dr Ste 202, Paducah, KY 42003 Phone: 270-441-4510 Fax: 270-441-4512 | |
Western Baptist Medical Ventures, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Kentucky Ave, Paducah, KY 42003 Phone: 270-575-2101 Fax: 270-575-2905 | |
Infectious Diseases Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Broadway St, Paducah, KY 42001 Phone: 270-444-9889 Fax: 270-444-9291 | |