Patrice Beliveau, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · London, KY
NPI 1720036486 · NPPES record last updated May 6, 2019
Key facts
- NPI
- 1720036486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 32835 (KY)
- Practice address
- 160 London Mountain View Dr
London, KY 40741-6601 - Phone
- (606) 864-0770
- Fax
- (606) 864-1461
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kentuckyone Health Medical Group Inc
PT Pros, Inc
Practice addresses (Care Compare)
1 Trillium Way
Suite 306
Corbin, KY 40701-8426
Phone (606) 864-0770
1001 Saint Joseph LN
London, KY 40741-8345
Phone (606) 330-6000
1025 Saint Joseph LN
London, KY 40741-8345
Phone (606) 330-2370
109 N 3Rd St
Williamsburg, KY 40769-1123
Phone (606) 825-0009
1401 Harrodsburg Rd
Suite A300
Lexington, KY 40504-3787
Phone (859) 276-4429
160 London Mountain View Dr
London, KY 40741-6601
Phone (606) 864-0770
2750 Battlefield Memorial Hwy
Berea, KY 40403-8332
Phone (859) 968-0302
305 Estill St
Berea, KY 40403-1742
Phone (859) 986-8418
Hospital & facility affiliations
- Whitley County Home Health Agency
- Lifeline Health Care of Pulaski
- Saint Joseph London
- Baptist Health Corbin
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 18 |
| Knee replacement | 24 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040928001071 | KY | Practitioner - Orthopedic Surgery | 1355310202 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32835 | KY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentuckyone Health Medical Group, Inc. | Orthopaedic Surgery | Current |
Accepting new patients |
| Neurosurgical Associates PSC | Current | Accepting new patients | |
| Kentuckyone Health Medical Group, Inc. | Orthopaedic Surgery | Current |
Accepting new patients |
| Saint Joseph Health System, Inc | Past | Accepting new patients | |
| Cumberland Orthopaedics and Sports Medicine, PLLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
305 Estill St
Berea, KY 40403
Phone (859) 986-1415
470 Linden Ave
Ste 1
Harrodsburg, KY 40330
Phone (859) 733-4880
1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000
1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744
740 E Laurel Rd
London, KY 40741
Phone (606) 877-3931
160 London Mountain View Dr
London, KY 40741
Phone (606) 678-9617
1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000
1406 W 5th St
London, KY 40741
Phone (606) 526-4970
310 E 9th St
London, KY 40741
Phone (606) 878-2227
Interoperability endpoints
- pbeliveau275088@direct.stlukeshealth.org
- patricebeliveau@kysjhspe.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 32835 | KY | Yes |
Addresses
Primary practice location
160 London Mountain View Dr
London, KY 40741-6601
Mailing address
PO Box 936
London, KY 40743-0936
Phone (606) 330-7840
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64328354 | Medicaid | KY |
Other providers in London, KY
- James Thomas Bastin
- BC Medical LLC
- Vickie Begley
- Brian Behrendt
- Brittany Belcher
- Shaun Matthew Bellerson
- Sherry Renae Benge
- Annie Bentley
- Shailesh Y Bhopatkar
- Michel Bidros
All providers in London, KY · Orthopaedic Surgery 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 May 6, 2019. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.