Organization
PRESTONSBURG PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE R BURCHETT MD (MEMBER)
(606) 886-8466
Entity
Organization
Contact information
Practice address
535 N LAKE DR, PRESTONSBURG, KY 41653-1278
(606) 886-8466
(606) 886-0250
Mailing address
535 N LAKE DR, PRESTONSBURG, KY 41653-1278
(606) 886-8466
(606) 886-0250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
KY
363A00000X
Physician Assistant
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100223400
—
KY
01
—
K068190
MEDICARE PTAN
KY
Enumeration date
10/29/2012
Last updated
05/05/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us