Vineyard Primary Care Pllc | |
2851 New Hartford Rd Suite A Owensboro KY 42303-1320 | |
(270) 240-2305 | |
Not Available |
Full Name | Vineyard Primary Care Pllc |
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Speciality | Internal Medicine |
Location | 2851 New Hartford Rd, Owensboro, Kentucky |
Authorized Official Name and Position | Jeremy Lukett (OWNER) |
Authorized Official Contact | 2702402305 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vineyard Primary Care Pllc 2851 New Hartford Rd Suite A Owensboro KY 42303-1320 Ph: () - | Vineyard Primary Care Pllc 2851 New Hartford Rd Suite A Owensboro KY 42303-1320 Ph: (270) 240-2305 |
NPI Number | 1164802542 |
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Provider Enumeration Date | 06/01/2015 |
Last Update Date | 02/05/2018 |
Medicare PECOS PAC ID | 0547573933 |
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Medicare Enrollment ID | O20150714001279 |
Identifier | Type | State | Issuer |
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1164802542 | NPI | - | NPPES |
Provider Name | Sylvia L Sweatt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245237452 PECOS PAC ID: 2860520418 Enrollment ID: I20100503000425 |
Provider Name | Jeremy D Luckett |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770748667 PECOS PAC ID: 4284803297 Enrollment ID: I20110809000323 |
Provider Name | Kelsey Elizabeth Pedley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679930499 PECOS PAC ID: 2860796455 Enrollment ID: I20160202000496 |
Provider Name | Tasia Marie Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427680990 PECOS PAC ID: 8123458577 Enrollment ID: I20200427000302 |
Toyotetsu - Owensboro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3110 Airpark Dr, Owensboro, KY 42301 Phone: 270-685-3098 Fax: 270-685-3099 | |
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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 | |
Owensboro Health Medical Group - Cardiology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Pleasant Valley Rd, Owensboro, KY 42303 Phone: 270-417-7500 Fax: 270-417-7509 | |
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 | |
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