| Mary Hall Md Francisco Rivera Md And Associates Psc | |
|
9788 Ky Rt 122 Ste 2 Mc Dowell KY 41647-6042 | |
| (606) 377-2492 | |
| (606) 377-1018 |
| Full Name | Mary Hall Md Francisco Rivera Md And Associates Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 9788 Ky Rt 122, Mc Dowell, Kentucky |
| Authorized Official Name and Position | Mary Alice Hall (PRESIDENT) |
| Authorized Official Contact | 6063772492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Hall Md Francisco Rivera Md And Associates Psc Po Box 277 Mc Dowell KY 41647-0277 Ph: (606) 377-2492 | Mary Hall Md Francisco Rivera Md And Associates Psc 9788 Ky Rt 122 Ste 2 Mc Dowell KY 41647-6042 Ph: (606) 377-2492 |
| NPI Number | 1952412173 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 10/27/2011 |
| Medicare PECOS PAC ID | 5294724233 |
|---|---|
| Medicare Enrollment ID | O20040506001050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952412173 | NPI | - | NPPES |
| CL3780 | Other | PALMETTO RAILROAD MEDICAR | |
| 65913402 | Medicaid | KY | |
| 0303224 | Other | UMWA | |
| 020364400 | Other | FEDERAL BLACK LUNG/DOL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| Provider Name | Francisco G Rivera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780795906 PECOS PAC ID: 5496757916 Enrollment ID: I20070212000504 |
| Provider Name | Mary A Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083725204 PECOS PAC ID: 4880683838 Enrollment ID: I20100527000775 |
Arh Mcdowell Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9879 Ky Route 122, Mc Dowell, KY 41647 Phone: 606-377-3462 Fax: 606-377-3466 |