| Restorative Oxygen Care, Llc | |
|
3499 Blazer Pkwy Ste 35 Lexington KY 40509-2798 | |
| (859) 420-6362 | |
| Not Available |
| Full Name | Restorative Oxygen Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3499 Blazer Pkwy Ste 35, Lexington, Kentucky |
| Authorized Official Name and Position | Paul Dieruf (PARTNER) |
| Authorized Official Contact | 8594206362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Oxygen Care, Llc 169 Burt Rd Lexington KY 40503-2455 Ph: (859) 276-9242 | Restorative Oxygen Care, Llc 3499 Blazer Pkwy Ste 35 Lexington KY 40509-2798 Ph: (859) 420-6362 |
| NPI Number | 1578247078 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 06/14/2023 |
| Medicare PECOS PAC ID | 6305209610 |
|---|---|
| Medicare Enrollment ID | O20230901002281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578247078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James M Collier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942252606 PECOS PAC ID: 2163317629 Enrollment ID: I20040304000229 |
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