| Rural Service Pllc | |
|
300 Viking Dr. Morehead KY 40351 | |
| (606) 462-3763 | |
| (859) 368-7681 |
| Full Name | Rural Service Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Viking Dr., Morehead, Kentucky |
| Authorized Official Name and Position | Fadi Bacha (OWNER) |
| Authorized Official Contact | 8593129674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Service Pllc 300 Viking Dr. Morehead KY 40351 Ph: (606) 462-3763 | Rural Service Pllc 300 Viking Dr. Morehead KY 40351 Ph: (606) 462-3763 |
| NPI Number | 1326795196 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 10/12/2023 |
| Medicare PECOS PAC ID | 9234518440 |
|---|---|
| Medicare Enrollment ID | O20220617002396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326795196 | NPI | - | NPPES |
| Provider Name | Fadi Bacha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639157456 PECOS PAC ID: 6305741067 Enrollment ID: I20031204001159 |
| Provider Name | Lindsey Kincaid Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548602501 PECOS PAC ID: 6608018940 Enrollment ID: I20130815000451 |
| Provider Name | Jennifer Schadle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568991941 PECOS PAC ID: 0840552154 Enrollment ID: I20180327000999 |
| Provider Name | Lorna Isaac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942974282 PECOS PAC ID: 9133523400 Enrollment ID: I20210809002006 |
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