OrganizationBluegrass Regional Foot & Ankle AssociatesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1105 W 5th St, #3, London, KY 40741-1610(606) 862-9900PECOS EnrollmentBased on the most recent information from CMS, provider Bluegrass Regional Foot & Ankle Associates 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 yesterday at 11:47 AM.Profile DetailsProvider ID1780837062Provider TypeOrganizationFull NameBluegrass Regional Foot & Ankle AssociatesSubpartNoEnumeration Date10/30/2008Last Updated10/30/2008Contact InformationPractice LocationPractice Address1105 W 5th St, #3, London, KY 40741-1610Phone(606) 862-9900Fax(606) 862-8901Mailing LocationMailing Address1105 W 5th St, #3, London, KY 40741-1610Phone(606) 862-9900Fax(606) 862-8901Authorized OfficialNameKrestik, Paul K (Physician/Owner)Phone(606) 862-9900Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5140PKentucky