OrganizationBellefonte Physician Services, Inc.(<Unavail>)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address2222 Winchester Ave, Ashland, KY 41101-7847(606) 325-9644(606) 833-4922PECOS EnrollmentBased on the most recent information from CMS, provider Bellefonte Physician Services, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1508011131Provider TypeOrganizationFull NameBellefonte Physician Services, Inc.Other Name<Unavail>SubpartNoEnumeration Date11/24/2008Last Updated5/17/2019Contact InformationPractice LocationPractice Address2222 Winchester Ave, Ashland, KY 41101-7847Phone(606) 325-9644FaxUnlisted FaxMailing LocationMailing AddressPO Box 2155, Ashland, KY 41105-2155Phone(606) 833-4922FaxUnlisted FaxAuthorized OfficialNameConnett, Troy (Director Of Finance)Phone(606) 833-3333Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID000000578807DescriptionOtherIssuerANTHEM BCBSKentuckyID7100049600DescriptionMedicaidIssuerUnlistedKentuckyID7100442070DescriptionMedicaidIssuerUnlistedKentucky