| Springfield Medical Assoc Psc | |
|
219 W Main St Springfield KY 40069-1228 | |
| (859) 336-7795 | |
| (859) 336-7020 |
| Full Name | Springfield Medical Assoc Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 219 W Main St, Springfield, Kentucky |
| Authorized Official Name and Position | Christopher Brown (OFFICE MANAGER) |
| Authorized Official Contact | 8593367795 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Medical Assoc Psc 219 W Main St Springfield KY 40069-1228 Ph: (859) 336-7795 | Springfield Medical Assoc Psc 219 W Main St Springfield KY 40069-1228 Ph: (859) 336-7795 |
| NPI Number | 1386620102 |
|---|---|
| Provider Enumeration Date | 12/22/2005 |
| Last Update Date | 12/21/2023 |
| Medicare PECOS PAC ID | 8820021918 |
|---|---|
| Medicare Enrollment ID | O20050919000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386620102 | NPI | - | NPPES |
| 65931826 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Julia Keeling Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669459434 PECOS PAC ID: 5092700658 Enrollment ID: I20040415000080 |
| Provider Name | Courtney Danielle Cecil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811775737 PECOS PAC ID: 8022469311 Enrollment ID: I20240111001074 |
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