| Mercy Medical Clinic Of Lee County | |
|
1025 Grand Ave Beattyville KY 41311-0000 | |
| (606) 464-8806 | |
| (606) 464-9453 |
| Full Name | Mercy Medical Clinic Of Lee County |
|---|---|
| Speciality | Clinic/Center |
| Location | 1025 Grand Ave, Beattyville, Kentucky |
| Authorized Official Name and Position | Trena Lynn Stocker (PRESIDENT) |
| Authorized Official Contact | 8597790148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Medical Clinic Of Lee County Po Box 636493 Cincinnati OH 45263-6493 Ph: (513) 981-5130 | Mercy Medical Clinic Of Lee County 1025 Grand Ave Beattyville KY 41311-0000 Ph: (606) 464-8806 |
| NPI Number | 1609151471 |
|---|---|
| Provider Enumeration Date | 10/12/2011 |
| Last Update Date | 05/02/2019 |
| Medicare PECOS PAC ID | 2466592688 |
|---|---|
| Medicare Enrollment ID | O20100624000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609151471 | NPI | - | NPPES |
| 7100244280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Keith Allen Everitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942255245 PECOS PAC ID: 2062318777 Enrollment ID: I20031211000700 |
| Provider Name | Sandra D Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770697211 PECOS PAC ID: 7719933449 Enrollment ID: I20050325000448 |
| Provider Name | Julie R Kennon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578677068 PECOS PAC ID: 0345296075 Enrollment ID: I20050325000464 |
| Provider Name | Billie J Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417061995 PECOS PAC ID: 9436105079 Enrollment ID: I20050325000572 |
| Provider Name | Rondal E Goble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952321515 PECOS PAC ID: 4981643301 Enrollment ID: I20050426000735 |
| Provider Name | Maher Kassis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912968603 PECOS PAC ID: 2769426162 Enrollment ID: I20050616000481 |
| Provider Name | Pamela Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205807849 PECOS PAC ID: 8123159795 Enrollment ID: I20100625000189 |
| Provider Name | Richard H Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780768259 PECOS PAC ID: 2163619826 Enrollment ID: I20101207000443 |
| Provider Name | Tonya Suzanne Justice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689814675 PECOS PAC ID: 7416111273 Enrollment ID: I20120607000613 |
| Provider Name | Shawn C Rice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013115302 PECOS PAC ID: 3476709569 Enrollment ID: I20120806000282 |
| Provider Name | Heather R Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548517709 PECOS PAC ID: 2062661994 Enrollment ID: I20121009000257 |
| Provider Name | Dustin C Wattenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003231432 PECOS PAC ID: 0840420857 Enrollment ID: I20140312001711 |
| Provider Name | Brian Merrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942609821 PECOS PAC ID: 7719201508 Enrollment ID: I20150127001864 |
| Provider Name | Kemberly J Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245631878 PECOS PAC ID: 1456671155 Enrollment ID: I20150520002040 |
| Provider Name | Bridget C Shepherd Depaul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750751517 PECOS PAC ID: 3678878212 Enrollment ID: I20160219001144 |
| Provider Name | Joyce L Puckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245784982 PECOS PAC ID: 7113205717 Enrollment ID: I20161102002153 |
| Provider Name | Rebekah Lynn Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578013587 PECOS PAC ID: 3375820798 Enrollment ID: I20170511001780 |
| Provider Name | Larry Omar Maggard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184140907 PECOS PAC ID: 6800169715 Enrollment ID: I20170828004692 |
| Provider Name | Adam Tyler Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558859561 PECOS PAC ID: 8224389986 Enrollment ID: I20180919004325 |
| Provider Name | Bobbie Jean Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669952644 PECOS PAC ID: 8022360718 Enrollment ID: I20181008002054 |
| Provider Name | Alyssa C Estes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346808300 PECOS PAC ID: 6103154091 Enrollment ID: I20190830001503 |
| Provider Name | Sondra J Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245890862 PECOS PAC ID: 1557796968 Enrollment ID: I20200113001942 |
| Provider Name | Laura Ashley Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013553627 PECOS PAC ID: 4486080355 Enrollment ID: I20200212002837 |
| Provider Name | Felicia Estes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508648627 PECOS PAC ID: 3678923216 Enrollment ID: I20231222001978 |
| Provider Name | Mollie Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811759970 PECOS PAC ID: 6800236928 Enrollment ID: I20240506003361 |
Beattyville Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1027 Highway 11 N, Beattyville, KY 41311 Phone: 606-464-0061 Fax: 606-464-0420 | |
John M Smith,m.d. P.s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 River Drive, Beattyville, KY 41311 Phone: 606-464-2946 Fax: 606-464-3502 | |
Lee County Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Main Street, Beattyville, KY 41311 Phone: 606-464-0151 Fax: 606-464-0152 | |
Juniper Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 599 Lee Ave, Beattyville, KY 41311 Phone: 606-464-0151 Fax: 606-464-0152 | |
Md Moore Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1031 Hwy 11 N, Beattyville, KY 41311 Phone: 606-595-8454 | |
Juniper Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1665 Highway 11 S, Beattyville, KY 41311 Phone: 606-464-0151 Fax: 606-464-0152 |