|
| |
|
255 Church St Ste 102b Pikeville KY 41501-3476 | |
| (606) 218-6011 | |
| (606) 218-6082 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 255 Church St Ste 102b, Pikeville, Kentucky |
| Authorized Official Name and Position | James Hager (OWNER PRESIDENT) |
| Authorized Official Contact | 6062186011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1433 Pikeville KY 41502-1433 Ph: (606) 218-6011 | 255 Church St Ste 102b Pikeville KY 41501-3476 Ph: (606) 218-6011 |
| NPI Number | 1629114707 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 10/21/2024 |
| Medicare PECOS PAC ID | 9931114766 |
|---|---|
| Medicare Enrollment ID | O20060215000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629114707 | NPI | - | NPPES |
| Provider Name | James Robert Hager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386617322 PECOS PAC ID: 8224066113 Enrollment ID: I20050802000052 |
| Provider Name | Shirley A Goff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386834273 PECOS PAC ID: 7416041876 Enrollment ID: I20070917000520 |
| Provider Name | Bethany S Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962740969 PECOS PAC ID: 3476708363 Enrollment ID: I20130226000219 |
| Provider Name | Andrea Jade Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649751546 PECOS PAC ID: 8820349251 Enrollment ID: I20180925002123 |
| Provider Name | Gerri Whitney Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346721271 PECOS PAC ID: 5698010890 Enrollment ID: I20181217001167 |
| Provider Name | Destiny Nykole Conn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831975622 PECOS PAC ID: 1456632066 Enrollment ID: I20240223003733 |
Pikeville Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 Fax: 606-432-6762 | |
Appalachian Care Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8015 Millard Hwy, Pikeville, KY 41501 Phone: 606-653-2222 | |
Mountain Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5425 N Mayo Trl Ste 201, Pikeville, KY 41501 Phone: 606-432-0191 | |
Pikeville Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 Fax: 606-432-6762 | |
Bhatraju Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Town Mountain Rd, Suite 111, Pikeville, KY 41501 Phone: 606-432-0168 | |
Kevin Brandt Johnson, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Adams Lane, Suite 600, Pikeville, KY 41501 Phone: 606-639-6538 |