2ND Chance
A Medicare group practice based in Lexington, KY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3274965272), with 14 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3274965272
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- KY
- Enrollments
- 1
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20191113000720 | KY | Part B Supplier - Clinic/Group Practice | 1215348214 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
2ND Chance
- Addiction Medicine (Internal Medicine) Physician
- Lexington, KY
- NPI 1215348214
-
2ND Chance
- Internal Medicine Physician
- Lexington, KY
- NPI 1568128957
Practice locations
- Lexington, KY1
Clinicians 14
Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (6).
-
Kenneth Brodsky, M.D.
- Family Medicine Physician
- Paris, KY
- NPI 1093764847
-
Angela Clark Durham, M.D.
- Psychiatry Physician
- Louisville, KY
- NPI 1265695407
-
Michael Hamilton, PA-C
- Physician Assistant
- Richmond, KY
- NPI 1548594716
-
Alysia Carol Harlow, MSW
- Clinical Social Worker
- Hazard, KY
- NPI 1306370325
-
Thomas William Howard, III, M.D.
- Rheumatology Physician
- Lexington, KY
- NPI 1457580003
-
Lisa A.M. Innes, CSW
- Clinical Social Worker
- Lexington, KY
- NPI 1588796668
-
Benjamin Marshall, M.D.
- Psychiatry Physician
- Somerset, KY
- NPI 1740574052
-
Rebekah Lynn Mattingly, APRN
- Family Nurse Practitioner
- Maysville, KY
- NPI 1578013587
-
Mallory Nicole Mullins
- Family Nurse Practitioner
- Lexington, KY
- NPI 1992209324
-
Jon Michael Ragland, MD
- Anesthesiology Physician
- Lexington, KY
- NPI 1376743203
-
Colleen Ryan, M.D.
- Psychiatry Physician
- Madison, IN
- NPI 1649292376
-
Sidney Gene Sebastian, LCSW
- Clinical Social Worker
- Lexington, KY
- NPI 1790452894
-
Kari R Wilson, MD
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1710322631
-
David A. Wrede, M.D.
- Emergency Medicine Physician
- Lexington, KY
- NPI 1104865674
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.