Lake Cumberland Pediatrics Pllc - Medicare Primary Care in Monticello, KY

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Lake Cumberland Pediatrics Pllc is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Monticello, Kentucky. The current practice location for Lake Cumberland Pediatrics Pllc is 268 Rolling Hills Blvd., Monticello, Kentucky. For appointments, you can reach them via phone at (606) 753-0293. The mailing address for Lake Cumberland Pediatrics Pllc is Po Box 1737, N/a, Monticello, Kentucky and phone number is (606) 753-0293.

Lake Cumberland Pediatrics Pllc is licensed to practice in Kentucky (license number 900327). The clinic also participates in the medicare program and its NPI number is 1518406859. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (606) 753-0293.

Contact Information

Lake Cumberland Pediatrics Pllc
268 Rolling Hills Blvd.
Monticello
KY 42633-9004
(606) 753-0293
(606) 753-0291

Map and Direction


Primary Care Clinic Profile

Full NameLake Cumberland Pediatrics Pllc
SpecialityClinic/Center
Location268 Rolling Hills Blvd., Monticello, Kentucky
Authorized Official Name and PositionJoseph Clay Brown (OWNER)
Authorized Official Contact6067530293
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lake Cumberland Pediatrics Pllc
Po Box 1737
N/a
Monticello
KY 42633-4737

Ph: (606) 753-0293		Lake Cumberland Pediatrics Pllc
268 Rolling Hills Blvd.
Monticello
KY 42633-9004

Ph: (606) 753-0293

NPI Details:

NPI Number1518406859
Provider Enumeration Date02/20/2017
Last Update Date05/27/2022

Medicare PECOS Information:

Medicare PECOS PAC ID3375828379
Medicare Enrollment IDO20170313002409

Medical Identifiers

Medical identifiers for Lake Cumberland Pediatrics Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518406859NPI-NPPES
900327OtherKYRHC LIC
18-8969OtherKYMEDICARE PART A
7100447120MedicaidKY
7100462460OtherKYNP GROUP MEDICAID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health 900327 (Kentucky)Primary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lake Cumberland Pediatrics Pllc acts as a billing entity for following providers:
Provider NameJennifer J West
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184852659
PECOS PAC ID: 0547313454
Enrollment ID: I20090724000304
Provider NameRobin C Duncan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326345513
PECOS PAC ID: 7315120573
Enrollment ID: I20110324000892
Provider NameJoseph Clay Brown
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619295540
PECOS PAC ID: 5395960298
Enrollment ID: I20140709001933
Provider NameDanielle Choate
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962891689
PECOS PAC ID: 0648599530
Enrollment ID: I20150427001295
Provider NameAmy Doris Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942700976
PECOS PAC ID: 0941561922
Enrollment ID: I20180308001115
Provider NameJatessia Marcum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245873090
PECOS PAC ID: 2264860527
Enrollment ID: I20200319001850
Provider NameAshleigh Renee Williamson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508477209
PECOS PAC ID: 0941627327
Enrollment ID: I20200831002138
Provider NameSojnia I Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457968406
PECOS PAC ID: 5395156590
Enrollment ID: I20201119000593
Provider NameJessica Bertram
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336833490
PECOS PAC ID: 2365802501
Enrollment ID: I20230719001199

Reviews and Comments


Clinic/Center in Monticello, KY


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Practice Location: 1225 N Main St, Monticello, KY 42633
Phone: 606-340-0740    Fax: 606-340-0742

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Medicare: Medicare Enrolled
Practice Location: 126 Franklin Drive, Monticello, KY 42633
Phone: 606-685-6131    Fax: 606-685-6179

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Medicare: Medicare Enrolled
Practice Location: 1 S Creek Dr Ste 102, Monticello, KY 42633
Phone: 606-348-3365    

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Medicare: Not Enrolled in Medicare
Practice Location: 39 Jim Hill Service Rd, Monticello, KY 42633
Phone: 606-678-0705    Fax: 606-678-2807

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1 S Creek Dr Ste 102, Monticello, KY 42633
Phone: 606-348-3365    Fax: 606-348-8496

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 80 Rolling Hills Blvd, Monticello, KY 42633
Phone: 606-343-0216    Fax: 606-343-0224

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1293 N Main St Ste 102, Monticello, KY 42633
Phone: 606-340-8825    Fax: 606-340-0097

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.