Stanford Wellcare Clinic Pllc in Stanford, KY

Stanford Wellcare Clinic Pllc is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Stanford, Kentucky. The current practice location for Stanford Wellcare Clinic Pllc is 132 Frontier Blvd Ste 101, Stanford, Kentucky. For appointments, you can reach them via phone at (606) 727-5757. The mailing address for Stanford Wellcare Clinic Pllc is 132 Frontier Blvd Ste 101, Stanford, Kentucky and phone number is (606) 727-5757.

Stanford Wellcare Clinic Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1861071219. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (606) 727-5757.

Contact Information

	Stanford Wellcare Clinic Pllc
	132 Frontier Blvd Ste 101 Stanford KY 40484-6516
	(606) 727-5757
	(606) 727-5777

Map and Direction

Primary Care Clinic Profile

Full Name	Stanford Wellcare Clinic Pllc
Speciality	Clinic/Center
Location	132 Frontier Blvd Ste 101, Stanford, Kentucky
Authorized Official Name and Position	Imad A Haddad (OWNER)
Authorized Official Contact	8594817113
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stanford Wellcare Clinic Pllc 132 Frontier Blvd Ste 101 Stanford KY 40484-6516 Ph: (606) 727-5757	Stanford Wellcare Clinic Pllc 132 Frontier Blvd Ste 101 Stanford KY 40484-6516 Ph: (606) 727-5757

NPI Details:

NPI Number	1861071219
Provider Enumeration Date	04/05/2021
Last Update Date	08/03/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	3375945785
Medicare Enrollment ID	O20210707003906

Medical Identifiers

Medical identifiers for Stanford Wellcare Clinic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861071219	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Secondary
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363L00000X	Nurse Practitioner	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Stanford Wellcare Clinic Pllc acts as a billing entity for following providers:

Provider Name	Imad A Haddad
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1508880063 PECOS PAC ID: 5496643181 Enrollment ID: I20040305000033

Provider Name	Kristen Renee Ryan
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1013526417 PECOS PAC ID: 9537584727 Enrollment ID: I20200805001206

Reviews and Comments

Clinic/Center in Stanford, KY

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Stanford Wellcare Clinic Pllc - Medicare Primary Care in Stanford, KY