| Empowerme Medical Group, Pc | |
|
2643 Chandler Dr Bowling Green KY 42104-6256 | |
| (844) 502-7996 | |
| Not Available |
| Full Name | Empowerme Medical Group, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2643 Chandler Dr, Bowling Green, Kentucky |
| Authorized Official Name and Position | David Church (VP OF FINANCE) |
| Authorized Official Contact | 6189725228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerme Medical Group, Pc 1335 Strassner Dr Brentwood MO 63144-1872 Ph: (844) 502-7996 | Empowerme Medical Group, Pc 2643 Chandler Dr Bowling Green KY 42104-6256 Ph: (844) 502-7996 |
| NPI Number | 1831884121 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 04/19/2023 |
| Medicare PECOS PAC ID | 7214392059 |
|---|---|
| Medicare Enrollment ID | O20230526000884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831884121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Chelsea Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740714674 PECOS PAC ID: 7214207273 Enrollment ID: I20170724003582 |
| Provider Name | Kristopher Wolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497137947 PECOS PAC ID: 5193073575 Enrollment ID: I20180801000927 |
| Provider Name | Kristy Faith Statzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649877275 PECOS PAC ID: 3476966045 Enrollment ID: I20201229001685 |
| Provider Name | Heather Kimbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932807914 PECOS PAC ID: 7911372701 Enrollment ID: I20230410000592 |
| Provider Name | Joseph Mitchell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1952669152 PECOS PAC ID: 5496981425 Enrollment ID: I20230526001109 |
| Provider Name | Lauren Petry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447702212 PECOS PAC ID: 4880963719 Enrollment ID: I20230612001837 |
| Provider Name | Patricia Lewien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295256485 PECOS PAC ID: 2961772223 Enrollment ID: I20231117002027 |
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