| Family & Internal Medicine Associates Pllc | |
|
325 W Walnut St Ste 600 Lebanon KY 40033-1378 | |
| (270) 699-9500 | |
| (270) 699-9550 |
| Full Name | Family & Internal Medicine Associates Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 325 W Walnut St, Lebanon, Kentucky |
| Authorized Official Name and Position | Jim Osbourne (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 2706999500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Internal Medicine Associates Pllc 325 W Walnut St Ste 600 Lebanon KY 40033-1378 Ph: (270) 699-9500 | Family & Internal Medicine Associates Pllc 325 W Walnut St Ste 600 Lebanon KY 40033-1378 Ph: (270) 699-9500 |
| NPI Number | 1780682609 |
|---|---|
| Provider Enumeration Date | 07/13/2005 |
| Last Update Date | 10/02/2019 |
| Medicare PECOS PAC ID | 9335051002 |
|---|---|
| Medicare Enrollment ID | O20040302000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780682609 | NPI | - | NPPES |
| 65932105 | Medicaid | KY | |
| 1077750 | Other | KY | PASSPORT |
| 2435329002 | Other | KY | PASSPORT ADVANTAGE |
| 18D0320437 | Other | KY | CLIA |
| 35002005 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | David Bryan George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376525212 PECOS PAC ID: 9234041906 Enrollment ID: I20040415000015 |
| Provider Name | Michelle J Leathers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093797185 PECOS PAC ID: 7517931728 Enrollment ID: I20040824000335 |
| Provider Name | Judy L Kantlehner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801877352 PECOS PAC ID: 9234167834 Enrollment ID: I20050803000515 |
| Provider Name | Laura L Mccain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932410958 PECOS PAC ID: 5496949810 Enrollment ID: I20101029001020 |
| Provider Name | Kelly Renee Deatley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467848952 PECOS PAC ID: 0446547772 Enrollment ID: I20170317001912 |
| Provider Name | Anne C Morley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154801629 PECOS PAC ID: 3274884366 Enrollment ID: I20181001000159 |
| Provider Name | Rachael Dobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689132128 PECOS PAC ID: 3678814688 Enrollment ID: I20190401000476 |
| Provider Name | Delana Michelle Connors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154987451 PECOS PAC ID: 1850634197 Enrollment ID: I20190530000361 |
| Provider Name | Rachael P. Abell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992339345 PECOS PAC ID: 9032547476 Enrollment ID: I20200317001941 |
| Provider Name | Margaret Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659947661 PECOS PAC ID: 4183029242 Enrollment ID: I20210827000733 |
| Provider Name | Lauren Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891457917 PECOS PAC ID: 7012306012 Enrollment ID: I20211112001388 |
| Provider Name | Natalie Marie Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548928732 PECOS PAC ID: 3072907864 Enrollment ID: I20220221000852 |
Village Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 325 W Walnut St Ste 600, Lebanon, KY 40033 Phone: 270-699-9500 Fax: 270-699-9550 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Corporate Dr, Lebanon, KY 40033 Phone: 270-692-3441 Fax: 270-858-4029 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W Main St, Lebanon, KY 40033 Phone: 270-692-3883 Fax: 270-858-4029 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3345 Highway 208, Lebanon, KY 40033 Phone: 270-692-3676 Fax: 270-858-4029 | |
Gregory W. Schall, Do, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 W High Street, Lebanon, KY 40033 Phone: 270-692-9559 Fax: 270-692-9236 | |
One Cross Community, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 429 W Walnut St, Lebanon, KY 40033 Phone: 270-789-0034 Fax: 270-789-0097 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 Hwy 327, Lebanon, KY 40033 Phone: 270-692-4902 Fax: 270-858-4029 |