East Ky Health Service Center
A Medicare group practice based in Hindman, KY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6901844711), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6901844711
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- KY
- Enrollments
- 2
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050421001269 | KY | Part B Supplier - Clinic/Group Practice | 1376648139 |
| O20141124001774 | KY | Part A Provider - Rural Health Clinic | 1538736129 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
East Ky Health Service Center
- Primary Care Nurse Practitioner
- Hindman, KY
- NPI 1376648139
-
East Ky Health Service Center
- Federally Qualified Health Center (FQHC)
- Hindman, KY
- NPI 1538736129
Practice locations
- Hindman, KY2
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).
-
Jaimee Jones, APRN
- Family Nurse Practitioner
- Hindman, KY
- NPI 1730763988
-
Melissa Moore, APRN
- Primary Care Nurse Practitioner
- Hindman, KY
- NPI 1336571298
-
Christopher Warren Stumbo, MD
- Family Medicine Physician
- Hazard, KY
- NPI 1962962548
-
Warren Grady Stumbo, MD
- Family Medicine Physician
- Hindman, KY
- NPI 1336274596
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.