| Mercy Medical Clinic Pllc | |
|
14659 Us N Hwy 25e Ste 16 Corbin KY 41701 | |
| (606) 280-7070 | |
| Not Available |
| Full Name | Mercy Medical Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 14659 Us N Hwy 25e, Corbin, Kentucky |
| Authorized Official Name and Position | Kathryn Baker (OWNER) |
| Authorized Official Contact | 6062807070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Medical Clinic Pllc 14659 Us N Hwy 25e Ste 16 Corbin KY 41701 Ph: () - | Mercy Medical Clinic Pllc 14659 Us N Hwy 25e Ste 16 Corbin KY 41701 Ph: (606) 280-7070 |
| NPI Number | 1528557147 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 05/09/2018 |
| Medicare PECOS PAC ID | 5597011072 |
|---|---|
| Medicare Enrollment ID | O20180713001439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528557147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kathryn E Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457781353 PECOS PAC ID: 7315174927 Enrollment ID: I20131205000743 |
| Provider Name | Ashley B Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043686561 PECOS PAC ID: 1456652536 Enrollment ID: I20151214002468 |
| Provider Name | Keisha Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548896335 PECOS PAC ID: 5799190518 Enrollment ID: I20210209000293 |
| Provider Name | Melinda Mae Pezzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851042840 PECOS PAC ID: 2567841828 Enrollment ID: I20220617000313 |
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