Twin Lakes Medical Foundation Inc - Medicare Primary Care in Leitchfield, KY

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Twin Lakes Medical Foundation Inc is a medicare enrolled primary clinic (Nurse Practitioner) in Leitchfield, Kentucky. The current practice location for Twin Lakes Medical Foundation Inc is 908 Wallace Ave, Leitchfield, Kentucky. For appointments, you can reach them via phone at (270) 259-1626. The mailing address for Twin Lakes Medical Foundation Inc is 908 Wallace Ave, Leitchfield, Kentucky and phone number is (270) 259-1626.

Twin Lakes Medical Foundation Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205870862. 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) 259-1626.

Contact Information

Twin Lakes Medical Foundation Inc
908 Wallace Ave
Leitchfield
KY 42754-1479
(270) 259-1626
(270) 259-9582

Map and Direction


Primary Care Clinic Profile

Full NameTwin Lakes Medical Foundation Inc
SpecialityNurse Practitioner
Location908 Wallace Ave, Leitchfield, Kentucky
Authorized Official Name and PositionDeneace Clemons (COO)
Authorized Official Contact2702591626
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Twin Lakes Medical Foundation Inc
908 Wallace Ave
Leitchfield
KY 42754-1479

Ph: (270) 259-1626		Twin Lakes Medical Foundation Inc
908 Wallace Ave
Leitchfield
KY 42754-1479

Ph: (270) 259-1626

NPI Details:

NPI Number1205870862
Provider Enumeration Date06/15/2006
Last Update Date12/09/2019

Medicare PECOS Information:

Medicare PECOS PAC ID3971591850
Medicare Enrollment IDO20040501000241

Medical Identifiers

Medical identifiers for Twin Lakes Medical Foundation Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205870862NPI-NPPES
65923997MedicaidKY
65943045MedicaidKY
7100124530MedicaidKY
7100630070MedicaidKY
65937930MedicaidKY
7100072530MedicaidKY
65937047MedicaidKY
7100086880MedicaidKY
7100566530MedicaidKY
65939019MedicaidKY
70900162MedicaidKY
7100011670MedicaidKY
7100118990MedicaidKY
7100161750MedicaidKY
78903556MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207QS0010XFamily Medicine - Sports Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
207Y00000XOtolaryngology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
231H00000XAudiologist (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Primary
363LA2200XNurse Practitioner - Adult Health (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP2300XNurse Practitioner - Primary Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Twin Lakes Medical Foundation Inc acts as a billing entity for following providers:
Provider NameSteven E Thomas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1750390415
PECOS PAC ID: 1951295898
Enrollment ID: I20040211000498
Provider NameJames L Browning
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1912011024
PECOS PAC ID: 8022008804
Enrollment ID: I20040513001383
Provider NameVictor Ramones Angeles
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1922003532
PECOS PAC ID: 1658362454
Enrollment ID: I20040520000804
Provider NameTed Benjamin Rogers
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1336142025
PECOS PAC ID: 3971578485
Enrollment ID: I20040828000194
Provider NameJames S Buck
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1164427555
PECOS PAC ID: 5395712178
Enrollment ID: I20040913000007
Provider NameGregory T Koo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205895943
PECOS PAC ID: 0547238107
Enrollment ID: I20040921000945
Provider NameRobert E Mcclure
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447253786
PECOS PAC ID: 0648207928
Enrollment ID: I20050719000265
Provider NameCraig A Johnson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154360394
PECOS PAC ID: 5890718654
Enrollment ID: I20060107000074
Provider NameMark J Lee
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1639116635
PECOS PAC ID: 4284632811
Enrollment ID: I20061115000194
Provider NameTodd E Bullock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104822360
PECOS PAC ID: 4385769462
Enrollment ID: I20100913000881
Provider NameLisa D Miller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538154687
PECOS PAC ID: 1052307238
Enrollment ID: I20110919000733
Provider NameCynthia G Veyel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386995538
PECOS PAC ID: 8224283288
Enrollment ID: I20130225000340
Provider NameClay D Vincent
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881026425
PECOS PAC ID: 3274431283
Enrollment ID: I20130930000291
Provider NameCari Beth Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811338858
PECOS PAC ID: 4880823236
Enrollment ID: I20140204001468
Provider NameLuke Portwood Fife
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1053601682
PECOS PAC ID: 5698912335
Enrollment ID: I20160811002215
Provider NameIsaac D Miller
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1134488539
PECOS PAC ID: 4880818632
Enrollment ID: I20160929001533
Provider NameJennifer Nicole Hughes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700307451
PECOS PAC ID: 9234401365
Enrollment ID: I20170823003768
Provider NameKimberly E Gowin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265956338
PECOS PAC ID: 1951675057
Enrollment ID: I20170927002681
Provider NameBryce A. Meredith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578971800
PECOS PAC ID: 1557678786
Enrollment ID: I20180810000111
Provider NameClinton Kaufman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1134566805
PECOS PAC ID: 2860621968
Enrollment ID: I20180906001644
Provider NameAaron M Smith
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1245673557
PECOS PAC ID: 6608017140
Enrollment ID: I20190506002741
Provider NameKristin Anne Buck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679902753
PECOS PAC ID: 7214270602
Enrollment ID: I20190529000860
Provider NameAshley Nicole Flener
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598311045
PECOS PAC ID: 4688904725
Enrollment ID: I20191002003029
Provider NameJamie M Niehaus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629611843
PECOS PAC ID: 8628401858
Enrollment ID: I20191202002623

Reviews and Comments


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Phone: 270-259-9316    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.