OrganizationBc Medical Llc(Convenient Care Clinic)Nurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1675 S Main St, London, KY 40741-2050(606) 330-1717PECOS EnrollmentBased on the most recent information from CMS, provider Bc Medical Llc 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 ID1992197867Provider TypeOrganizationFull NameBc Medical LlcOther NameConvenient Care ClinicSubpartNoEnumeration Date3/2/2015Last Updated3/2/2015Contact InformationPractice LocationPractice Address1675 S Main St, London, KY 40741-2050Phone(606) 330-1717Fax(606) 330-0061Mailing LocationMailing Address1675 S Main St, London, KY 40741-2050Phone(606) 330-1717Fax(606) 330-0061Authorized OfficialNameBrock, Nadine (Member/Np)Phone(606) 330-1717Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense3005556KentuckyProvider IdentifiersIDDescriptionIssuerID7100058050DescriptionMedicaidIssuerUnlistedKentucky