Mt. Sterling Clinic, Pllc. | |
100 Sterling Way Suite 1 Mt. Sterling KY 40353 | |
(859) 498-0200 | |
(859) 498-5812 |
Full Name | Mt. Sterling Clinic, Pllc. |
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Speciality | Internal Medicine |
Location | 100 Sterling Way, Mt. Sterling, Kentucky |
Authorized Official Name and Position | Lon Edward Roberts (PRESIDENT) |
Authorized Official Contact | 8594980200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mt. Sterling Clinic, Pllc. 100 Sterling Way Suite 1 Mt. Sterling KY 40353 Ph: (859) 498-0200 | Mt. Sterling Clinic, Pllc. 100 Sterling Way Suite 1 Mt. Sterling KY 40353 Ph: (859) 498-0200 |
NPI Number | 1316920663 |
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Provider Enumeration Date | 11/21/2005 |
Last Update Date | 05/18/2010 |
Medicare PECOS PAC ID | 3476527995 |
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Medicare Enrollment ID | O20040820001088 |
Identifier | Type | State | Issuer |
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1316920663 | NPI | - | NPPES |
65937849 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Shelly Marie Rogers |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497795116 PECOS PAC ID: 6305875444 Enrollment ID: I20050809000290 |
Provider Name | Julia K Maness |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154427904 PECOS PAC ID: 9537187505 Enrollment ID: I20051108000696 |
Provider Name | Dan E Calleja |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871532366 PECOS PAC ID: 3274628557 Enrollment ID: I20071002000104 |
Provider Name | Brigitte D King |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780666305 PECOS PAC ID: 7012197536 Enrollment ID: I20110215000791 |
Provider Name | Jennifer Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154844678 PECOS PAC ID: 7618249335 Enrollment ID: I20170815004271 |