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Sam Gbutue Vorkpor

Family Medicine

Allopathic & Osteopathic Physicians

509 Memorial Dr Ste 2, Manchester, KY 40962-6196

PECOS Enrollment

This provider is enrolled in PECOS as SAM VORKPOR.

Based on the most recent information from CMS, provider Sam Gbutue Vorkpor 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 today at 11:36 AM.

Profile Details

Provider ID
1700076874
Provider Type
Individual
Full Name
Vorkpor, Sam Gbutue
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/25/2007
Last Updated
10/29/2013

Contact Information

Practice Location

509 Memorial Dr Ste 2, Manchester, KY 40962-6196

(606) 598-8813

Unlisted Fax

Mailing Location

509 Memorial Dr Ste 2, Manchester, KY 40962-6196

(606) 598-8813

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 0101243487 Virginia

Provider Identifiers

ID	Description	Issuer
ID 7100054150	Description Medicaid	Issuer Unlisted Kentucky

Sam Gbutue Vorkpor

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Irwin, Douglas G

Frontier Nursing Healthcare, Inc.

Memorial Hospital, Inc.

Rice, Angela Yvonne

Manchester Family Practice Clinic

Memorial Hospital, Inc.

Family Health Care Associates Of Kentucky, Inc.

Family Medical Care Of Manchester

Bell Medical Billing

Memorial Hospital, Inc.