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150 W Bear Track Rd Campbellsville KY 42718-8709 | |
(270) 465-8133 | |
(270) 789-1543 |
Full Name | |
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Speciality | Family Medicine |
Location | 150 W Bear Track Rd, Campbellsville, Kentucky |
Authorized Official Name and Position | Jerome A. Dixon (PRESIDENT) |
Authorized Official Contact | 2704658133 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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150 W Bear Track Rd Campbellsville KY 42718-8709 Ph: (270) 465-8133 | 150 W Bear Track Rd Campbellsville KY 42718-8709 Ph: (270) 465-8133 |
NPI Number | 1508932955 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 09/19/2014 |
Medicare PECOS PAC ID | 8426017229 |
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Medicare Enrollment ID | O20041007000436 |
Identifier | Type | State | Issuer |
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1508932955 | NPI | - | NPPES |
64023203 | Medicaid | KY |
Provider Name | Jerome A Dixon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215919451 PECOS PAC ID: 5799744363 Enrollment ID: I20041008000353 |
Provider Name | Kevin A Graves |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164765582 PECOS PAC ID: 2668601824 Enrollment ID: I20140210001625 |
Taylor County Family Practice Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 E 1st St, Campbellsville, KY 42718 Phone: 270-465-4841 Fax: 270-465-0120 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1207 E Broadway, Campbellsville, KY 42718 Phone: 844-435-0900 Fax: 270-858-4029 | |
Tucker Family Medicine Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Greenbriar Dr, Suite B, Campbellsville, KY 42718 Phone: 270-465-0191 |