| Tri-state Digestive Disease Assoc Psc. | |
|
617 23rd St Suiye 11 Ashland KY 41101-2845 | |
| (606) 324-3188 | |
| (606) 329-2237 |
| Full Name | Tri-state Digestive Disease Assoc Psc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 617 23rd St, Ashland, Kentucky |
| Authorized Official Name and Position | Michael Don Canty (PRESIDENT) |
| Authorized Official Contact | 6063243188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Digestive Disease Assoc Psc. 617 23rd St Suite 11 Ashland KY 41101-2880 Ph: (606) 324-3188 | Tri-state Digestive Disease Assoc Psc. 617 23rd St Suiye 11 Ashland KY 41101-2845 Ph: (606) 324-3188 |
| NPI Number | 1851467237 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 01/11/2012 |
| Medicare PECOS PAC ID | 9830163609 |
|---|---|
| Medicare Enrollment ID | O20040826000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851467237 | NPI | - | NPPES |
| 0126072 | Medicaid | OH | |
| 65920845 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Kentucky) | Primary |
| Provider Name | Cheryl L Bascom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619073319 PECOS PAC ID: 2567422926 Enrollment ID: I20041012000369 |
| Provider Name | Michael D Canty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003912783 PECOS PAC ID: 1658345426 Enrollment ID: I20130621000333 |
| Provider Name | Laura Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134672348 PECOS PAC ID: 8527356708 Enrollment ID: I20161004002708 |
Ovp Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2550 Carter Ave, Ashland, KY 41101 Phone: 304-429-1088 | |
George Carl Borst Iii Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 St.christopher Drive, Ashland, KY 41101 Phone: 606-324-1101 Fax: 606-324-0404 | |
Hazel Yang, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 Carter Ave, Ashland, KY 41101 Phone: 606-325-1894 Fax: 606-325-9193 | |
Malcolm H. King, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 Lexington Ave, Suite 205, Ashland, KY 41101 Phone: 606-325-9633 Fax: 606-325-9634 | |
Bellefonte Pediatrics, Ashland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2910 Carter Ave, Ashland, KY 41101 Phone: 606-326-9001 Fax: 606-326-9005 | |
Kings Daughters - Boyd County High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14375 Lions Ln, Ashland, KY 41102 Phone: 606-408-8920 Fax: 606-408-8908 | |
Eric F. Smith, Do Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 23rd St, Suite 130, Ashland, KY 41101 Phone: 606-329-2888 Fax: 606-329-2890 |