Physicians To Children & Adolescents | |
201 S 5th St Bardstown KY 40004-1142 | |
(502) 348-7554 | |
(502) 337-6070 |
Full Name | Physicians To Children & Adolescents |
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Speciality | Clinic/Center |
Location | 201 S 5th St, Bardstown, Kentucky |
Authorized Official Name and Position | Mary Jo Nalley (ADMINISTRATOR) |
Authorized Official Contact | 5023487554 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Physicians To Children & Adolescents 201 S 5th St Bardstown KY 40004-1142 Ph: (502) 350-0050 | Physicians To Children & Adolescents 201 S 5th St Bardstown KY 40004-1142 Ph: (502) 348-7554 |
NPI Number | 1053305524 |
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Provider Enumeration Date | 09/09/2005 |
Last Update Date | 10/29/2019 |
Medicare PECOS PAC ID | 4880687862 |
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Medicare Enrollment ID | O20040406000449 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053305524 | NPI | - | NPPES |
Provider Name | Ronald D Tyler |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1588661714 PECOS PAC ID: 6800880758 Enrollment ID: I20040413000867 |
Provider Name | Christal Denton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801032594 PECOS PAC ID: 5496802373 Enrollment ID: I20090410000026 |
Provider Name | Kali M Lewis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144554916 PECOS PAC ID: 3971642455 Enrollment ID: I20091121000044 |
Provider Name | Stanley L Block |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1619974821 PECOS PAC ID: 4183764376 Enrollment ID: I20091219000005 |
Provider Name | James A Hedrick |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1902803117 PECOS PAC ID: 7012900012 Enrollment ID: I20100106000491 |
Provider Name | Daniel J Finn |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1063419208 PECOS PAC ID: 1456492529 Enrollment ID: I20100112000170 |
Provider Name | Robert A Smith |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1063419877 PECOS PAC ID: 8022150796 Enrollment ID: I20100119000030 |
Provider Name | Diane Michelle Cardin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841504578 PECOS PAC ID: 6507048873 Enrollment ID: I20110308000276 |
Provider Name | Leslie M Brauner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720343551 PECOS PAC ID: 2062664311 Enrollment ID: I20121212000462 |
Provider Name | Lindsay Blackmon |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1982925004 PECOS PAC ID: 8022258193 Enrollment ID: I20130712000652 |
Provider Name | Monica B Strenecky |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093156929 PECOS PAC ID: 3072757186 Enrollment ID: I20130911000350 |
Provider Name | Amber R Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831636075 PECOS PAC ID: 7517241946 Enrollment ID: I20170303000832 |
Provider Name | Shannon Michelle Woods |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730697517 PECOS PAC ID: 1355602723 Enrollment ID: I20180227001319 |
Provider Name | Brittany Michelle Lisby |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982173910 PECOS PAC ID: 1355688839 Enrollment ID: I20190122001455 |
Provider Name | Kaitlyn Danielle Cassady |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1043773880 PECOS PAC ID: 3577890185 Enrollment ID: I20220908003059 |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1345 Templin Ave, Bardstown, KY 40004 Phone: 844-435-0900 Fax: 270-858-4029 | |
Flaget Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 W John Fitch Ave, Suite 210, Bardstown, KY 40004 Phone: 502-348-7648 Fax: 502-348-7490 | |
Fast Pace Kentucky, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1095 Morton Ave, Bardstown, KY 40004 Phone: 502-601-0107 | |
Bardstown Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3615 E John Rowan Blvd Ste 104, Bardstown, KY 40004 Phone: 502-348-5968 Fax: 270-706-5802 | |
Bardstown Internal Medicine, Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 810 Morton Ave Ste 202, Bardstown, KY 40004 Phone: 502-348-1990 Fax: 502-348-1954 | |
First Care Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 W John Rowan Blvd, Bardstown, KY 40004 Phone: 606-716-6017 Fax: 606-261-2074 |