NPIMap

Bourbon Physician Practice LLC

A Medicare group practice based in Paris, KY: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8729226097), with 29 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8729226097The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
KY
Enrollments
2
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 4 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20130528000124 KY Part B Supplier - Clinic/Group Practice 1790195717
O20230125002135 KY Part A Provider - Rural Health Clinic 1962111716

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 29

Clinicians who reassign their Medicare benefits to this group (29) or whom Care Compare lists as members (11).

Sources for this page