| Internal Medicine And Pediatric Partners, Pllc | |
|
6341 Meeting St Ste 102 Prospect KY 40059-8731 | |
| (502) 566-0300 | |
| Not Available |
| Full Name | Internal Medicine And Pediatric Partners, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6341 Meeting St Ste 102, Prospect, Kentucky |
| Authorized Official Name and Position | Nicole Strecker (OWNER) |
| Authorized Official Contact | 5025660300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine And Pediatric Partners, Pllc 6341 Meeting St Ste 102 Prospect KY 40059-8731 Ph: (502) 566-0300 | Internal Medicine And Pediatric Partners, Pllc 6341 Meeting St Ste 102 Prospect KY 40059-8731 Ph: (502) 566-0300 |
| NPI Number | 1568239770 |
|---|---|
| Provider Enumeration Date | 12/07/2023 |
| Last Update Date | 12/07/2023 |
| Medicare PECOS PAC ID | 9133572167 |
|---|---|
| Medicare Enrollment ID | O20240125004673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568239770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Spencer R Idstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205194693 PECOS PAC ID: 1951551431 Enrollment ID: I20160912001660 |
| Provider Name | Nicole Brown Strecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336482413 PECOS PAC ID: 4880909118 Enrollment ID: I20170724003583 |
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