| Lily Creek Medical Group, Psc | |
|
92 Joe T Petty Dr Russell Springs KY 42642-8543 | |
| (270) 866-8881 | |
| (270) 866-8849 |
| Full Name | Lily Creek Medical Group, Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 92 Joe T Petty Dr, Russell Springs, Kentucky |
| Authorized Official Name and Position | Robert L. Bertram (PRESIDENT) |
| Authorized Official Contact | 2708668881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lily Creek Medical Group, Psc Po Box 5007 Frankfort KY 40602-5007 Ph: (502) 226-3858 | Lily Creek Medical Group, Psc 92 Joe T Petty Dr Russell Springs KY 42642-8543 Ph: (270) 866-8881 |
| NPI Number | 1205987542 |
|---|---|
| Provider Enumeration Date | 01/15/2007 |
| Last Update Date | 10/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205987542 | NPI | - | NPPES |
| 000000064586 | Other | KY | ANTHEM |
| 608475500 | Other | KY | BLACK LUNG |
| 65932386 | Medicaid | KY |
Russell County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-4141 | |
Russell County Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Joe T Petty Dr, Russell Springs, KY 42642 Phone: 270-866-7771 Fax: 270-866-7774 | |
Redd Road Enterprises, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9321 Ky 80-east, Russell Springs, KY 42728 Phone: 270-385-9208 Fax: 270-385-9209 | |
Primary Care Associates Of Russell County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 92 Joe T Petty Dr, Russell Springs, KY 42642 Phone: 270-866-9359 | |
John Kilgallin M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Russell County High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2166 S Highway 127, Russell Springs, KY 42642 Phone: 270-866-3341 Fax: 270-864-1693 |