Internal Medicine Associates Psc | |
1401 Harrodsburg Rd Suite B-160 Lexington KY 40504-3751 | |
(859) 276-4486 | |
(859) 277-9164 |
Full Name | Internal Medicine Associates Psc |
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Speciality | Internal Medicine |
Location | 1401 Harrodsburg Rd, Lexington, Kentucky |
Authorized Official Name and Position | Jeannie Moberly (OFFICE MANAGER) |
Authorized Official Contact | 8592764486 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Internal Medicine Associates Psc 1401 Harrodsburg Rd Suite B-160 Lexington KY 40504-3751 Ph: (859) 276-4486 | Internal Medicine Associates Psc 1401 Harrodsburg Rd Suite B-160 Lexington KY 40504-3751 Ph: (859) 276-4486 |
NPI Number | 1902951759 |
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Provider Enumeration Date | 01/24/2007 |
Last Update Date | 10/19/2010 |
Medicare PECOS PAC ID | 2769389956 |
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Medicare Enrollment ID | O20031216000598 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902951759 | NPI | - | NPPES |
CL6978 | Other | KY | RAILROAD MEDICARE |
65924193 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jonathan C Waltman |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1639181654 PECOS PAC ID: 4284548033 Enrollment ID: I20031117000159 |
Provider Name | Steve S Lin |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1518979111 PECOS PAC ID: 2668386467 Enrollment ID: I20031117000260 |
Provider Name | John H Thomas |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1811909823 PECOS PAC ID: 8022922871 Enrollment ID: I20031117000304 |
Provider Name | Michael W Schaeffer |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1144257163 PECOS PAC ID: 5698665586 Enrollment ID: I20080626000259 |
Provider Name | Thomas L Goff |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1376767962 PECOS PAC ID: 4789760299 Enrollment ID: I20090724000617 |
Provider Name | Azhar Aslam |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1457380156 PECOS PAC ID: 9436227741 Enrollment ID: I20100415000742 |
Provider Name | Ralph D Caldroney |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528025517 PECOS PAC ID: 6406900505 Enrollment ID: I20101209000137 |
Provider Name | Barry Schumer |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184678781 PECOS PAC ID: 1759288970 Enrollment ID: I20101209000203 |
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