St. Michael's Health Clinic is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Oak Grove, Kentucky. The current practice location for St. Michael's Health Clinic is 2801 Walter Garrett Ln, Oak Grove, Kentucky. For appointments, you can reach them via phone at
(270) 640-5821. The mailing address for St. Michael's Health Clinic is 2801 Walter Garrett Ln., Oak Grove, Kentucky and phone number is (270) 640-5821.
St. Michael's Health Clinic is licensed to practice in Kentucky (license number 3004526). The clinic also participates in the medicare program and its
NPI number is 1366800922. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(270) 640-5821.
Primary Care Clinic Profile
| Full Name | St. Michael's Health Clinic |
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| Speciality | Clinic/Center |
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| Location | 2801 Walter Garrett Ln, Oak Grove, Kentucky |
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| Authorized Official Name and Position | Kimberly Riddle (DNP, APRN) |
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| Authorized Official Contact | 2706405821 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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St. Michael's Health Clinic
2801 Walter Garrett Ln.
Oak Grove
KY 42262-9998
Ph: (270) 640-5821 | St. Michael's Health Clinic
2801 Walter Garrett Ln
Oak Grove
KY 42262-9998
Ph: (270) 640-5821 |
NPI Details:
| NPI Number | 1366800922 |
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| Provider Enumeration Date | 02/10/2016 |
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| Last Update Date | 03/30/2016 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0244529980 |
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| Medicare Enrollment ID | O20160518002499 |
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Medical Identifiers
Medical identifiers for St. Michael's Health Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366800922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QP2300X | Clinic/center - Primary Care | 3004526 (Kentucky) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
St. Michael's Health Clinic acts as a billing entity for following providers:
| Provider Name | Kimberly J Cecil-riddle |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1215171251
PECOS PAC ID: 7315096641
Enrollment ID: I20160518002704 |
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