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:
Map and Directions
Authorized official contact:
Name: Barry, Dana Rae
Phone: (859) 277-8560

Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164518130 NPPES
Kentucky Other 000000055841 ANTHEM
Kentucky MEDICAID 64253370 ANTHEM
Kentucky MEDICAID 65905234 ANTHEM

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