Monroe Medical Foundation, Inc.
Organization Active NPI Emergency Medicine Physician · Tompkinsville, KY
NPI 1114110202 · NPPES record last updated Jan 21, 2026
Key facts
- NPI
- 1114110202
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- MONROE MEDICAL FOUNDATION, INC.
- Practice address
- 529 Capp Harlan Rd
Tompkinsville, KY 42167-1808 - Phone
- (270) 487-9231
- Fax
- (270) 487-5784
- NPI assigned
- Aug 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Andrea L Rich-McLerran
- Title
- Ceo
- Phone
- (270) 487-9231
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 12
Practitioners 15
-
Jerry Neal Bean, M.D.
-
Kevin Lyn Burner, M.D.
-
Kimberly Yvonne Eakle, M.D.
-
Howard S Lefsky, M.D.
-
William Ronald Shanks, M.D.
-
Brian Chad Brill Jr., D.O.
-
Stephen B Eigles, M.D.
-
Edmund D Harris, MD
-
Tuan G. Nguyen, M.D.
-
Mark D Nowell, MD
-
Amjad Ali Safvi, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040428000177 | KY | Part B Supplier - Clinic/Group Practice | 5092702472 |
Receives reassigned benefits from 42 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Glasgow, KY; Tompkinsville, KY |
National Provider Directory
- Tax ID family
- Monroe Medical Foundation Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
529 Capp Harlan Rd
Tompkinsville, KY 42167-1808
Mailing address
529 Capp Harlan Rd
Tompkinsville, KY 42167-1808
Phone (270) 487-9231
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 484521 | Other | KY | ANTHEM |
| 65906687 | Medicaid | KY | |
| 4279110 | Medicaid | TN |
Other names
- Monroe County Medical Center
Other providers in Tompkinsville, KY
- Monroe Medical Foundation Inc
- Monroe Medical Foundation Inc
- Monroe Medical Foundation Inc
- Monroe Medical Foundation, Inc.
- Monroe Medical Foundation, Inc.
- Monroe Medical Foundation, Inc.
- Monroe Medical Foundation, Inc.
- Monroe Medical Foundation, Inc.
- Monroe Medical Foundation, Inc.
- Monroe Medical Foundation, Inc.
All providers in Tompkinsville, KY · Emergency Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.