Carol Bertram Peddicord


Address: 102 N Washington St, Albany, KY 42602-1302

Carol Bertram Peddicord (NPI# 1912990607, PAC ID# 2264628213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1912990607
PAC ID by PECOS 2264628213
Professional Enrollment ID I20101202000285
Full Name Carol Bertram Peddicord
Address 102 N Washington St
Albany
KY 42602-1302
Gender F
Medical School KENTUCKY SCHOOL OF MEDICINE
Graduation Year 1987
Primary Specialty FAMILY MEDICINE
Secondary Specialties INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
180106 CLINTON COUNTY HOSPITAL, INC
181317 CUMBERLAND COUNTY HOSPITAL
181321 WAYNE COUNTY HOSPITAL

Other Locations

Address Phone Organization
102 N Washington St, Albany, KY 42602-1302
252 Burkesville Rd, Albany, KY 42602-1604

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_2 Syndromic Surveillance Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 102 N WASHINGTON ST
City ALBANY
State KY
Zip 42602-1302

Physicians in the same zip code

Name Specialty Organization Address
Lacosta S Carver Nurse Practitioner Cumberland Family Medical Center, Inc. 127 Foothills Ave, Suite 1, Albany, KY 42602-1037
Terri Susanne Lee Optometry Associates In Eye Care, Inc. 127 Foothills Ave, Suite 3, Albany, KY 42602-1090
Michael Osborne Chiropractic 214 S Washington St, Albany, KY 42602-1226
Anthony C Carter Geriatric Medicine William Calvin Powell, Md Psc 106 N Cross St, Albany, KY 42602-1416
Ashley Dawn Logan Nurse Practitioner William Calvin Powell, Md Psc 106 N Cross St, Albany, KY 42602-1416
William Calvin Powell Family Practice William Calvin Powell, Md Psc 106 N Cross St, Albany, KY 42602-1416
Kimberly S Evans Nurse Practitioner Cumberland Family Medical Center, Inc. 606 Burkesville Rd, Albany, KY 42602-1612
Tammy L Brown Family Medicine Cumberland Family Medical Center, Inc. 606 Burkesville Rd, Albany, KY 42602-1612
Carol Denney Nurse Practitioner Cumberland Family Medical Center, Inc. 606 Burkesville Rd, Albany, KY 42602-1612
Mark D Nowell Emergency Medicine Southeastern Physician Services PC 723 Burkesville Rd, Albany, KY 42602-1654
Find all physicians in zip 42602

Competitor

Search similar physicians

City ALBANY
Zip Code 42602
Specialty FAMILY MEDICINE
City + Specialty ALBANY + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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