| Palliative Care Service | |
|
909 Kenton Station Dr Maysville KY 41056-9616 | |
| (606) 759-4050 | |
| (606) 759-1207 |
| Full Name | Palliative Care Service |
|---|---|
| Speciality | Family Medicine |
| Location | 909 Kenton Station Dr, Maysville, Kentucky |
| Authorized Official Name and Position | Derek Shawn Flaugher (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6067594050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palliative Care Service 909 Kenton Station Dr Maysville KY 41056-9616 Ph: (606) 759-4050 | Palliative Care Service 909 Kenton Station Dr Maysville KY 41056-9616 Ph: (606) 759-4050 |
| NPI Number | 1649492026 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 10/08/2024 |
| Medicare PECOS PAC ID | 3870506124 |
|---|---|
| Medicare Enrollment ID | O20071011000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649492026 | NPI | - | NPPES |
| 7100002480 | Medicaid | KY |
| Provider Name | William C Denham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760434203 PECOS PAC ID: 6002861457 Enrollment ID: I20050317000953 |
| Provider Name | Travis James Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710494497 PECOS PAC ID: 1951661941 Enrollment ID: I20180213001002 |
| Provider Name | Lee A Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194347476 PECOS PAC ID: 3870915283 Enrollment ID: I20210527001839 |
| Provider Name | Savannah Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700643665 PECOS PAC ID: 1355789751 Enrollment ID: I20240404001306 |
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