Full Name | |
---|---|
Speciality | Family Medicine |
Location | 116 Main St, Cadiz, Kentucky |
Authorized Official Name and Position | Harshul Patel (MEMBER) |
Authorized Official Contact | 2128449916 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
116 Main St Cadiz KY 42211-9163 Ph: (270) 350-4504 | 116 Main St Cadiz KY 42211-9163 Ph: (270) 350-4504 |
NPI Number | 1326424177 |
---|---|
Provider Enumeration Date | 08/04/2015 |
Last Update Date | 12/27/2022 |
Medicare PECOS PAC ID | 5092016824 |
---|---|
Medicare Enrollment ID | O20151221000102 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326424177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 44458 (Kentucky) | Primary |
207R00000X | Internal Medicine | 42143 (Kentucky) | Secondary |
Provider Name | Harshul Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427213842 PECOS PAC ID: 0941378350 Enrollment ID: I20081010000696 |
Provider Name | Vaishali H Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942437603 PECOS PAC ID: 8820112659 Enrollment ID: I20100901000185 |
Provider Name | Elizabeth Ann Gill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982252748 PECOS PAC ID: 0143632646 Enrollment ID: I20201207001143 |
Provider Name | Danielle Jennings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669134086 PECOS PAC ID: 2961890058 Enrollment ID: I20211021002494 |
Provider Name | Kayla Boyd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710665385 PECOS PAC ID: 1658732508 Enrollment ID: I20230725003500 |
Provider Name | Kari Howton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003690710 PECOS PAC ID: 8820440498 Enrollment ID: I20240118003951 |
Provider Name | Lyndsey West |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902583032 PECOS PAC ID: 8224569207 Enrollment ID: I20241001003048 |
Provider Name | Jamee Leigh Crick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326750399 PECOS PAC ID: 8527599513 Enrollment ID: I20241001003323 |
Infinity Family Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Commerce St, Cadiz, KY 42211 Phone: 270-512-2512 | |
Maanya Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 Main St, Cadiz, KY 42211 Phone: 270-350-4504 | |
Cadiz Family Care Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 261 Main St, Cadiz, KY 42211 Phone: 270-522-9697 Fax: 270-522-9698 |