OrganizationBellefonte Physician Services, Inc.(<Unavail>)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address2028 Winchester Ave, Ashland, KY 41101-7744(606) 326-9001(606) 833-4680PECOS 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 8 days ago.Profile DetailsProvider ID1659526960Provider TypeOrganizationFull NameBellefonte Physician Services, Inc.Other Name<Unavail>SubpartNoEnumeration Date12/1/2008Last Updated11/13/2018Contact InformationPractice LocationPractice Address2028 Winchester Ave, Ashland, KY 41101-7744Phone(606) 326-9001FaxUnlisted FaxMailing LocationMailing AddressPO Box 2155, Ashland, KY 41105-2155Phone(606) 833-4680FaxUnlisted FaxAuthorized OfficialNameConnett, Troy (Director Of Finance)Phone(606) 833-3333Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID7100115550DescriptionMedicaidIssuerUnlistedKentuckyID7100062530DescriptionMedicaidIssuerUnlistedKentuckyIDDN8303DescriptionOtherIssuerRR MEDICAREKentuckyID2913020DescriptionMedicaidIssuerUnlistedOhioID000000598118DescriptionOtherIssuerANTHEM BCBSKentucky