Tri-state Family Healthcare - Medicare Primary Care in Middlesboro, KY

Tri-state Family Healthcare is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Middlesboro, Kentucky. The current practice location for Tri-state Family Healthcare is 3503 Cumberland Ave, Middlesboro, Kentucky. For appointments, you can reach them via phone at (606) 242-3100. The mailing address for Tri-state Family Healthcare is Po Box 217, Middlesboro, Kentucky and phone number is (606) 242-3100.

Tri-state Family Healthcare is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1649370719. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (606) 242-3100.

Contact Information

Tri-state Family Healthcare
3503 Cumberland Ave
Middlesboro
KY 40965-2611
(606) 242-3100
(606) 242-3984

Primary Care Clinic Profile

Full NameTri-state Family Healthcare
SpecialityClinic/Center
Location3503 Cumberland Ave, Middlesboro, Kentucky
Authorized Official Name and PositionLarry B Roark (NURSE PRACTITIONER/OWNER)
Authorized Official Contact6062423100
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tri-state Family Healthcare
Po Box 217
Middlesboro
KY 40965-0217

Ph: (606) 242-3100
Tri-state Family Healthcare
3503 Cumberland Ave
Middlesboro
KY 40965-2611

Ph: (606) 242-3100

NPI Details:

NPI Number1649370719
Provider Enumeration Date09/25/2006
Last Update Date01/31/2020

Medicare PECOS Information:

Medicare PECOS PAC ID5890713424
Medicare Enrollment IDO20051102000889

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Medical Identifiers

Medical identifiers for Tri-state Family Healthcare such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649370719NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (Not Available))Primary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tri-state Family Healthcare acts as a billing entity for following providers:
Provider NameLarry Brandon Roark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437281649
PECOS PAC ID: 6800989195
Enrollment ID: I20070831000321

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Provider NameRebecca Banfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124552369
PECOS PAC ID: 8224302963
Enrollment ID: I20170920000166

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Provider NameKristy Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427600790
PECOS PAC ID: 9537591094
Enrollment ID: I20191121001591

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Clinic/Center in Middlesboro, KY

Blue Mountain Medical Clinic, Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1814 Cumberland Ave, Middlesboro, KY 40965
Phone: 606-242-2519    Fax: 606-242-2520
Mobile Health Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1540 Us Highway 25 E, Middlesboro, KY 40965
Phone: 606-654-9450    
Rogelio Uy, M.d., P.s.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2032 Cumberland Ave, Middlesboro, KY 40965
Phone: 606-248-4833    Fax: 606-248-4836
Grace Community Health Center, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 4400 W Cumberland Ave, Middlesboro, KY 40965
Phone: 606-242-8880    Fax: 606-242-8885
Family Health Care Associates Of Corbin
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2801 Us Highway 25 E, Suite 98, Middlesboro, KY 40965
Phone: 606-248-8284    
Stallworth Internal Medicine And Pediatrics
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2010 Cumberland Ave, Middlesboro, KY 40965
Phone: 606-242-2077    Fax: 606-242-2027
First Care Clinics
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 239 N 12th St, Middlesboro, KY 40965
Phone: 270-632-1548    

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