OrganizationFamily Medicine Center, PllcFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1101 Saint Christopher Dr, Suite 250, Ashland, KY 41101-7087(606) 836-3196PECOS EnrollmentBased on the most recent information from CMS, provider Family Medicine Center, Pllc 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 ID1679678619Provider TypeOrganizationFull NameFamily Medicine Center, PllcSubpartNoEnumeration Date9/14/2006Last Updated12/20/2016Contact InformationPractice LocationPractice Address1101 Saint Christopher Dr, Suite 250, Ashland, KY 41101-7087Phone(606) 836-3196Fax(606) 836-2564Mailing LocationMailing Address1101 Saint Christopher Dr, Suite 250, Ashland, KY 41101-7087Phone(606) 836-3196Fax(606) 836-2564Authorized OfficialNameKazee, Jackie R (Physician Partner)Phone(606) 836-3196Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID7100149760DescriptionMedicaidIssuerUnlistedKentucky