| Family Medical Specialty Clinic Pllc | |
|
12 Jackson Heights Drive Family Medical & Specialty Clinic, Llc Jackson KY 41339 | |
| (606) 693-0199 | |
| (606) 666-9480 |
| Full Name | Family Medical Specialty Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12 Jackson Heights Drive, Jackson, Kentucky |
| Authorized Official Name and Position | June E Abadilla (PRESIDENT) |
| Authorized Official Contact | 6066930199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Specialty Clinic Pllc 12 Jackson Heights Drive Jackson KY 41339 Ph: (606) 693-0199 | Family Medical Specialty Clinic Pllc 12 Jackson Heights Drive Family Medical & Specialty Clinic, Llc Jackson KY 41339 Ph: (606) 693-0199 |
| NPI Number | 1992863021 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 09/25/2022 |
| Medicare PECOS PAC ID | 0941102305 |
|---|---|
| Medicare Enrollment ID | O20040126000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992863021 | NPI | - | NPPES |
| 31000904 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Melecio Abordo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871590935 PECOS PAC ID: 3375445745 Enrollment ID: I20040202000139 |
| Provider Name | June Samonte Abadilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811975683 PECOS PAC ID: 4385632371 Enrollment ID: I20040506000617 |
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Juniper Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2307 Bobcat Ln, Jackson, KY 41339 Phone: 606-464-0151 Fax: 606-464-0152 | |
Clemente V. Zulueta, Jr., Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 95 Jackson Hts, Ste 201, Jackson, KY 41339 Phone: 606-693-1078 Fax: 606-693-1079 | |
United Clinics Of Kentucky Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 95 Jackson Hts Ste A, Jackson, KY 41339 Phone: 606-718-6505 Fax: 606-272-6180 | |
Saint Mark's Family And Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 Jackson Hts, Jackson, KY 41339 Phone: 606-693-0199 Fax: 606-693-0299 | |
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