Bluegrass Medical Group Psc
LBN: Bluegrass Medical Group Psc
Bluegrass Medical Group Psc is an health care organization with primary practice located at 1451 Harrodsburg Rd Suite D 502, Lexington KY 40504-3758. The organization recently has 6 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Bluegrass Medical Group Psc can be contacted via phone (859) 277-8560, or through Barry, Dana Rae via phone (859) 277-8560.
Contact Information
Primary practice address
1451 Harrodsburg Rd Suite D 502
Lexington KY 40504-3758
Phone: (859) 277-8560
Fax: (859) 277-8866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25337 | Kentucky |
| Other Service Providers / Specialist | 174400000X | 26673 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 41917 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family Health | 364SF0001X | 3005655 | Kentucky |
Profile Details
| NPI number | 1164518130 |
|---|---|
| LBN Legal business name | Bluegrass Medical Group Psc |
| DBA Doing business as | |
| Authorized official | Barry, Dana Rae |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Dec 18th, 2014 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164518130 | NPPES |
| Kentucky | Other | 000000055841 | ANTHEM |
| Kentucky | MEDICAID | 64253370 | ANTHEM |
| Kentucky | MEDICAID | 65905234 | ANTHEM |
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