Monticello Medical Associates, Inc.
A Medicare group practice based in Monticello, KY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2062409154), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2062409154
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- KY
- Enrollments
- 2
- Group size
- 11 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040429000965 | KY | Part B Supplier - Clinic/Group Practice | 1063007672 |
| O20210503002142 | KY | Part A Provider - Federally Qualified Health Center (FQHC) | 1063007672 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Monticello Medical Associates, Inc
dba Monticello Medical Associates
- Federally Qualified Health Center (FQHC)
- Monticello, KY
- NPI 1063007672
-
Phillips Pratt & McFarland PSC
dba Monticello Medical Associates
- Family Medicine Physician
- Monticello, KY
- NPI 1104963305
Practice locations
- Monticello, KY2
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (11).
-
Misty Gail Atkinson, APRN, MSN, FNP-C
- Family Nurse Practitioner
- Monticello, KY
- NPI 1619647658
-
Carl Don Coffey, APRN
- Nurse Practitioner
- Whitley City, KY
- NPI 1861811093
-
Jacob Dudley Coffey, FNP-C
- Nurse Practitioner
- Monticello, KY
- NPI 1194232207
-
Matthew T Eaton, DO
- Family Medicine Physician
- Monticello, KY
- NPI 1336494772
-
Robbi Ann Franks
- Family Medicine Physician
- Monticello, KY
- NPI 1023999067
-
Pamela R. Hancock, APRN
- Gerontology Nurse Practitioner
- Monticello, KY
- NPI 1285347112
-
Yanire C Martinez, MD
- Internal Medicine Physician
- Monticello, KY
- NPI 1093705311
-
Peter Petrenko, MD
- Family Medicine Physician
- Monticello, KY
- NPI 1770574147
-
Sheryl E Polk, ARNP
- Nurse Practitioner
- Monticello, KY
- NPI 1578554978
-
Sherrell L Roberts, MD
- Internal Medicine Physician
- Monticello, KY
- NPI 1780675801
-
Raymond Bennett Speck, APRN
- Family Nurse Practitioner
- Monticello, KY
- NPI 1063992956
-
Barry Todd White, M.D.
- Family Medicine Physician
- Somerset, KY
- NPI 1609879758
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.