| Hospitalists Of The Bluegrass, Pllc | |
|
1740 Nicholasville Rd Baptist Health Hospital Lexington KY 40503-1431 | |
| (859) 309-8800 | |
| (859) 966-2594 |
| Full Name | Hospitalists Of The Bluegrass, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1740 Nicholasville Rd, Lexington, Kentucky |
| Authorized Official Name and Position | Waddah Yaacoubagha (PRESIDENT/OWNER) |
| Authorized Official Contact | 8599139900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalists Of The Bluegrass, Pllc 100 Windridge Dr Nicholasville KY 40356-8029 Ph: (859) 309-8800 | Hospitalists Of The Bluegrass, Pllc 1740 Nicholasville Rd Baptist Health Hospital Lexington KY 40503-1431 Ph: (859) 309-8800 |
| NPI Number | 1477971638 |
|---|---|
| Provider Enumeration Date | 04/03/2014 |
| Last Update Date | 04/03/2014 |
| Medicare PECOS PAC ID | 5496976805 |
|---|---|
| Medicare Enrollment ID | O20141029000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477971638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36958 (Kentucky) | Primary |
| Provider Name | Waddah Yaacoubagha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477527364 PECOS PAC ID: 1850354002 Enrollment ID: I20041109000097 |
| Provider Name | Amanda Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104373307 PECOS PAC ID: 9234418039 Enrollment ID: I20161118001185 |
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