| Vpa Pc | |
|
2452 Sir Barton Way Ste 303 Lexington KY 40509-2549 | |
| (859) 340-3233 | |
| (559) 988-5748 |
| Full Name | Vpa Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2452 Sir Barton Way Ste 303, Lexington, Kentucky |
| Authorized Official Name and Position | Jeffrey Stevens (OWNER) |
| Authorized Official Contact | 2488246000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vpa Pc Po Box 639295 Dept 93394 Cincinnati OH 45263-9295 Ph: (248) 824-6600 | Vpa Pc 2452 Sir Barton Way Ste 303 Lexington KY 40509-2549 Ph: (859) 340-3233 |
| NPI Number | 1639318520 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 04/26/2024 |
| Medicare PECOS PAC ID | 9234041948 |
|---|---|
| Medicare Enrollment ID | O20070720000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639318520 | NPI | - | NPPES |
| Provider Name | Jennifer Skorupa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295046688 PECOS PAC ID: 3476774068 Enrollment ID: I20141023002140 |
| Provider Name | Jennifer Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013107366 PECOS PAC ID: 7618064056 Enrollment ID: I20220210001007 |
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