Wright Medical Pllc | |
242 Berger Rd Paducah KY 42003-4522 | |
(270) 366-0960 | |
(270) 554-1108 |
Full Name | Wright Medical Pllc |
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Speciality | Family Medicine |
Location | 242 Berger Rd, Paducah, Kentucky |
Authorized Official Name and Position | Alex Warren Wright (CEO/PHYSICIAN) |
Authorized Official Contact | 2703660960 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wright Medical Pllc 242 Berger Rd Paducah KY 42003-4522 Ph: (270) 366-0960 | Wright Medical Pllc 242 Berger Rd Paducah KY 42003-4522 Ph: (270) 366-0960 |
NPI Number | 1538999123 |
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Provider Enumeration Date | 08/07/2024 |
Last Update Date | 08/19/2024 |
Medicare PECOS PAC ID | 5496281693 |
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Medicare Enrollment ID | O20241211002957 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538999123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Alex W Wright |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407296999 PECOS PAC ID: 4486955283 Enrollment ID: I20160630002472 |
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