| Landmark Digestive Health Psc | |
|
3112 Fairview Dr Owensboro KY 42303 | |
| (270) 922-2500 | |
| Not Available |
| Full Name | Landmark Digestive Health Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3112 Fairview Dr, Owensboro, Kentucky |
| Authorized Official Name and Position | Miguel Lalama (OWNER) |
| Authorized Official Contact | 2709222500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmark Digestive Health Psc 2851 New Hartford Rd Ste A Owensboro KY 42303-1320 Ph: () - | Landmark Digestive Health Psc 3112 Fairview Dr Owensboro KY 42303 Ph: (270) 922-2500 |
| NPI Number | 1982270757 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 10/06/2022 |
| Medicare PECOS PAC ID | 4183025653 |
|---|---|
| Medicare Enrollment ID | O20210622003298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982270757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Brittany A Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043754815 PECOS PAC ID: 5496037533 Enrollment ID: I20170124003281 |
| Provider Name | Miguel A Lalama |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669793683 PECOS PAC ID: 1254504756 Enrollment ID: I20180829003646 |
| Provider Name | Simone G Mccormack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245994011 PECOS PAC ID: 7810386992 Enrollment ID: I20211111002710 |
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Jones Medical Corp Dba Bridgewater Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Salem Drive, Owensboro, KY 42303 Phone: 270-686-8008 Fax: 270-686-8066 | |
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Owensboro Health Medical Group - Cardiology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Pleasant Valley Rd, Owensboro, KY 42303 Phone: 270-417-7500 Fax: 270-417-7509 | |
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