OrganizationMedical Center Internists, PscInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address225 Abraham Flexner Way, Suite 304, Louisville, KY 40202-1846(502) 585-1200PECOS EnrollmentBased on the most recent information from CMS, provider Medical Center Internists, Psc 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 3 days ago.Profile DetailsProvider ID1699767327Provider TypeOrganizationFull NameMedical Center Internists, PscSubpartNoEnumeration Date8/18/2005Last Updated8/31/2012Contact InformationPractice LocationPractice Address225 Abraham Flexner Way, Suite 304, Louisville, KY 40202-1846Phone(502) 585-1200Fax(502) 585-1207Mailing LocationMailing Address225 Abraham Flexner Way, Suite 304, Louisville, KY 40202-1846Phone(502) 585-1200Fax(502) 585-1207Authorized OfficialNameCarter, Keith B (Medical Doctor)Phone(502) 585-1200Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense24559 25176 32796KentuckyProvider IdentifiersIDDescriptionIssuerID1065802DescriptionOtherIssuerPASSPORTKentuckyID65923633DescriptionMedicaidIssuerUnlistedKentuckyID100461020ADescriptionOtherIssuerINDIANA MEDICAIDKentuckyIDCN6296DescriptionOtherIssuerRAILROAD MEDICAREKentucky