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515 Memorial Dr Ste 3 Manchester KY 40962-9157 | |
| (606) 599-0864 | |
| (606) 599-0869 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 515 Memorial Dr, Manchester, Kentucky |
| Authorized Official Name and Position | Neeraj Mahboob (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6065990169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
515 Memorial Dr Ste 3 Manchester KY 40962-9157 Ph: (606) 599-0864 | 515 Memorial Dr Ste 3 Manchester KY 40962-9157 Ph: (606) 599-0864 |
| NPI Number | 1407867484 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 10/11/2012 |
| Medicare PECOS PAC ID | 1951294610 |
|---|---|
| Medicare Enrollment ID | O20040802000640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407867484 | NPI | - | NPPES |
| 18-8900 | Other | KY | MEDICARE RURAL HEALTH PROVIDER NUMBER |
| 31-000797 | Medicaid | KY | |
| 7100137660 | Medicaid | KY |
| Provider Name | Neeraj Mahboob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073524062 PECOS PAC ID: 8022901792 Enrollment ID: I20040901001198 |
| Provider Name | Mazhar Salim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013075449 PECOS PAC ID: 4789775842 Enrollment ID: I20070806000004 |
| Provider Name | Teresa Lynn Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669671863 PECOS PAC ID: 2769576099 Enrollment ID: I20070918000371 |
| Provider Name | Janet Y Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700159886 PECOS PAC ID: 3577709195 Enrollment ID: I20130425000728 |
| Provider Name | Candice Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417591918 PECOS PAC ID: 5193158707 Enrollment ID: I20191211002502 |
Bell Medical Billing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Richmond Rd Unit B, Manchester, KY 40962 Phone: 859-402-4853 Fax: 606-598-8838 | |
Kishore Internal Medicine, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 94 Marie Langdon Dr, Ste 2, Manchester, KY 40962 Phone: 606-599-0200 Fax: 606-599-0202 | |
Christian Family Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Garrard Sq, Manchester, KY 40962 Phone: 606-658-2323 Fax: 606-658-6085 |