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Daniel C Albertson

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1105 W 5th St, #3, London, KY 40741-1610

PECOS Enrollment

This provider is enrolled in PECOS as DANIEL ALBERTSON.

Based on the most recent information from CMS, provider Daniel C Albertson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1689701898
Provider Type
Individual
Full Name
Albertson, Daniel C
Title
Mr.
Credential
ARNP

Gender
Male
Sole Proprietor
No
Enumeration Date
2/27/2007
Last Updated
10/29/2019

Contact Information

Practice Location

1105 W 5th St, #3, London, KY 40741-1610

(606) 862-9900

(606) 862-8901

Mailing Location

1105 W 5th St, #3, London, KY 40741-1610

(606) 862-9900

(606) 862-8901

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 3003216 Kentucky
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 3216P Kentucky

Provider Identifiers

ID	Description	Issuer
ID 78004249	Description Medicaid	Issuer Unlisted Kentucky

Daniel C Albertson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Sjl Physician Management Services, Inc.

Physician Express Care Billing

Spray, Trisha A

Brock Medical, Llc

Fuse Medical

Cumberland Orthopaedic & Sports Medicine-Arnp

Prewitt, Adam

Wolfe, William Paul

Graves, Taylor

Pezzi, Melinda Mae