| Jerry L. Woolum, M.d., P.s.c. | |
|
121 Virginia Avenue Suite F200 Pineville KY 40977 | |
| (606) 337-0860 | |
| (606) 337-9956 |
| Full Name | Jerry L. Woolum, M.d., P.s.c. |
|---|---|
| Speciality | Surgery |
| Location | 121 Virginia Avenue, Pineville, Kentucky |
| Authorized Official Name and Position | Jerry L Woolum (MD) |
| Authorized Official Contact | 6063370860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry L. Woolum, M.d., P.s.c. 121 Virginia Avenue Suite F200 Pineville KY 40977 Ph: (606) 337-0860 | Jerry L. Woolum, M.d., P.s.c. 121 Virginia Avenue Suite F200 Pineville KY 40977 Ph: (606) 337-0860 |
| NPI Number | 1265445845 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 10/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265445845 | NPI | - | NPPES |
| 65936379 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
Southeast Family Practice Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 222 W Tennessee Ave, Pineville, KY 40977 Phone: 606-499-5135 | |
Pineville Community Hospital Association, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 W Virginia Ave, Pineville, KY 40977 Phone: 606-337-2381 | |
Total Care Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 Riverview Ave, Pineville, KY 40977 Phone: 606-654-4775 Fax: 606-654-2613 | |
Memorial Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 Phone: 606-598-4508 Fax: 606-712-1200 | |
Southeastern Ky Total Care Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 W Virginia Ave, Pineville, KY 40977 Phone: 606-337-3051 Fax: 606-337-2871 | |
Pine Mountain Clinic Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 Riverview Rd, Pineville, KY 40977 Phone: 606-337-6047 Fax: 606-337-0925 |