| Southeast Family Practice Psc | |
|
222 W Tennessee Ave Pineville KY 40977-1737 | |
| (606) 499-5135 | |
| Not Available |
| Full Name | Southeast Family Practice Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 222 W Tennessee Ave, Pineville, Kentucky |
| Authorized Official Name and Position | Trampas S Nolan (APRN / OWNER) |
| Authorized Official Contact | 6066546210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Family Practice Psc 222 W Tennessee Ave Pineville KY 40977-1737 Ph: (606) 499-5135 | Southeast Family Practice Psc 222 W Tennessee Ave Pineville KY 40977-1737 Ph: (606) 499-5135 |
| NPI Number | 1033600416 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 12/08/2023 |
| Medicare PECOS PAC ID | 0941550149 |
|---|---|
| Medicare Enrollment ID | O20180910002071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033600416 | NPI | - | NPPES |
| Provider Name | Trampas S Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033144191 PECOS PAC ID: 8921072091 Enrollment ID: I20040824000741 |
| Provider Name | Aaron N Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083030860 PECOS PAC ID: 7911120803 Enrollment ID: I20140527000917 |
| Provider Name | Jennie Katelyn Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659054534 PECOS PAC ID: 0446601710 Enrollment ID: I20240213004238 |
Pineville Community Hospital Association, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 W Virginia Ave, Pineville, KY 40977 Phone: 606-337-2381 | |
Total Care Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 Riverview Ave, Pineville, KY 40977 Phone: 606-654-4775 Fax: 606-654-2613 | |
Memorial Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 Phone: 606-598-4508 Fax: 606-712-1200 | |
Southeastern Ky Total Care Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 W Virginia Ave, Pineville, KY 40977 Phone: 606-337-3051 Fax: 606-337-2871 | |
Pine Mountain Clinic Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 Riverview Rd, Pineville, KY 40977 Phone: 606-337-6047 Fax: 606-337-0925 | |
Jerry L. Woolum, M.d., P.s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Virginia Avenue, Suite F200, Pineville, KY 40977 Phone: 606-337-0860 Fax: 606-337-9956 |