M&m Medical Clinics Llc | |
240 Masonic Home Dr Masonic Home KY 40041-9000 | |
(502) 530-0916 | |
(502) 719-1124 |
Full Name | M&m Medical Clinics Llc |
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Speciality | Internal Medicine |
Location | 240 Masonic Home Dr, Masonic Home, Kentucky |
Authorized Official Name and Position | Venkat Sharma (CEO) |
Authorized Official Contact | 5025300916 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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M&m Medical Clinics Llc 500 W Jefferson St Ste 2310 Louisville KY 40202-2823 Ph: (502) 530-0916 | M&m Medical Clinics Llc 240 Masonic Home Dr Masonic Home KY 40041-9000 Ph: (502) 530-0916 |
NPI Number | 1467960492 |
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Provider Enumeration Date | 01/11/2018 |
Last Update Date | 12/23/2019 |
Medicare PECOS PAC ID | 5698039097 |
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Medicare Enrollment ID | O20180511001324 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467960492 | NPI | - | NPPES |
Provider Name | Steven R Shlonsky |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1366542748 PECOS PAC ID: 2860407277 Enrollment ID: I20060207000178 |
Provider Name | Karen D Eastridge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578588687 PECOS PAC ID: 6901808831 Enrollment ID: I20070206000627 |
Provider Name | Susanne M Steinbock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649221573 PECOS PAC ID: 6800993262 Enrollment ID: I20070518000234 |
Provider Name | Mary T Skinner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033358072 PECOS PAC ID: 3173689692 Enrollment ID: I20090310000021 |
Provider Name | Rangaraj K Gopalraj |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1902072820 PECOS PAC ID: 2769514629 Enrollment ID: I20100713000581 |
Provider Name | Joshua Lee Hill |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1093025504 PECOS PAC ID: 8123266806 Enrollment ID: I20130608000109 |
Provider Name | Josephine Gomes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679594329 PECOS PAC ID: 9234356981 Enrollment ID: I20140804002356 |
Provider Name | Izegbea M. Cannon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013389022 PECOS PAC ID: 9830409291 Enrollment ID: I20151116000132 |
Provider Name | Angela L Leinenbach Flint |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255975397 PECOS PAC ID: 0648604595 Enrollment ID: I20191230002598 |
Provider Name | Logan Marie Griffith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811604499 PECOS PAC ID: 7315315991 Enrollment ID: I20221202000179 |