Owensboro Health Twin Lakes Regional Medical Center, Inc
A Medicare group practice based in Leitchfield, KY: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 3779996558), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3779996558
- Provider type
- Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
- Enrolled in
- KY
- Enrollments
- 5
- Group size
- 3 clinicians
- Medicare assignment
- May accept Medicare assignment
- Practice locations
- 8
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20210115002143 | KY | Part A Provider - Hospital | 1265029425 |
| O20210128002561 | KY | Part A Provider - Rural Health Clinic | 1346846268 |
| O20210128002192 | KY | Part A Provider - Hospital | 1285221416 |
| O20250307001740 | KY | Part B Supplier - Clinic/Group Practice | 1346846268 |
| O20260331003032 | KY | Part B Supplier - Pharmacy | 1396615720 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Owensboro Health Twin Lakes Regional Medical Center, Inc
dba Owensboro Health Twin Lakes Medical Center Swing
- Medicare Defined Swing Bed Hospital Unit
- Leitchfield, KY
- NPI 1265029425
-
Owensboro Health Twin Lakes Regional Medical Center, Inc
dba Owensboro Health Twin Lakes Medical Center
- General Acute Care Hospital
- Leitchfield, KY
- NPI 1285221416
-
Owensboro Health Twin Lakes Regional Medical Center, Inc
dba Owensboro Health Twin Lakes Medical Center Family Medicine
- Rural Health Clinic/Center
- Caneyville, KY
- NPI 1346846268
-
Owensboro Health Twin Lakes Regional Medical Center, Inc
dba Twin Lakes Community Pharmacy
- Community/Retail Pharmacy
- Leitchfield, KY
- NPI 1396615720
Practice locations
- Leitchfield, KY6
- Caneyville, KY2
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (3).
-
Todd E Bullock, APRN
- Family Nurse Practitioner
- Caneyville, KY
- NPI 1104822360
-
Andrea H. Gay, APRN
- Family Nurse Practitioner
- Caneyville, KY
- NPI 1023532983
-
Robert E McClure, MD
- Family Medicine Physician
- Caneyville, KY
- NPI 1447253786
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.