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2200 E Parrish Ave Bldg C Ste 104 Owensboro KY 42303-1449 | |
| (270) 852-1632 | |
| (270) 852-1633 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2200 E Parrish Ave, Owensboro, Kentucky |
| Authorized Official Name and Position | Danett K Jackson (OFFICE MANAGER) |
| Authorized Official Contact | 2708521632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2200 E Parrish Ave Bldg C Ste 104 Owensboro KY 42303-1449 Ph: (270) 852-1632 | 2200 E Parrish Ave Bldg C Ste 104 Owensboro KY 42303-1449 Ph: (270) 852-1632 |
| NPI Number | 1497707335 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 10/16/2013 |
| Medicare PECOS PAC ID | 3678560661 |
|---|---|
| Medicare Enrollment ID | O20040430000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497707335 | NPI | - | NPPES |
| C64949 | Other | UPIN | |
| 331024 | Other | KY | ANTHEM |
| 363734 | Other | KY | ANTHEM |
| 95003349 | Medicaid | KY | |
| 6417376800 | Medicaid | KY | |
| 65922197 | Medicaid | KY |
| Provider Name | Jennifer A Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548281975 PECOS PAC ID: 5092715003 Enrollment ID: I20061221000379 |
| Provider Name | Sarah E Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891929824 PECOS PAC ID: 2264588862 Enrollment ID: I20090923000642 |
| Provider Name | Lauren E Bickel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972503639 PECOS PAC ID: 9931233855 Enrollment ID: I20100813000969 |
| Provider Name | Kenneth E Canant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316952898 PECOS PAC ID: 1355255803 Enrollment ID: I20100927001395 |
Jones Medical Corp Dba Bridgewater Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Salem Drive, Owensboro, KY 42303 Phone: 270-686-8008 Fax: 270-686-8066 | |
Choice Care Associates, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Breckenridge St, Suite 400, Owensboro, KY 42303 Phone: 270-688-0900 Fax: 207-926-7488 | |
Randy L Wolfe, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Triplett St, Owensboro, KY 42303 Phone: 270-688-4325 | |
Robert C Dalzell,md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2816 Veach Rd, Owensboro, KY 42303 Phone: 270-926-2929 Fax: 270-683-3290 |