Pinelake Physician Practice, Llc

Internal Medicine



  
  1029 Medical Center Cir, Mayfield
Kentucky, 42066-1189

 270-251-4590    270-251-4591
Pinelake Physician Practice, Llc is a Internal Medicine in Mayfield, Kentucky. It is located at 1029 Medical Center Cir, Mayfield and it's customer support contact number is 270-251-4590. The authorized person of Pinelake Physician Practice, Llc is Charlotte Lawrence who is Secretary of this DME and his contact number is 615-920-7000. Pinelake Physician Practice, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Pinelake Physician Practice, Llc is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


DME Supplier Details:
Pinelake Physician Practice, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
Name: Pinelake Physician Practice, Llc
Type: Internal Medicine
Location:1029 Medical Center Cir, Mayfield,
Kentucky, 42066-1189
Phone:270-251-4590
Fax:270-251-4591
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
Name: Charlotte Lawrence
Position: Secretary
Contact Number: 615-920-7000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
NPI Number: 1861563439
NPI Enumeration Date: 13 Nov, 2006
NPI Last Update On: 07 Jan, 2026

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pinelake Physician Practice, Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Internal Medicine Primary
Nurse Practitioner Secondary
Durable Medical Equipment & Medical Supplies Secondary
Cardiovascular Disease Secondary
Orthopaedic Surgery Secondary
Family Medicine Secondary
Facial Plastic Surgery Secondary
Foot & Ankle Surgery Secondary
Surgery Secondary
Vascular Surgery Secondary
Neurology Secondary
Physician Assistant Secondary
Diagnostic Radiology Secondary
Lactation Consultant Secondary
Nurse Anesthetist, Certified Registered Secondary
Medicare Enrollment:
Pinelake Physician Practice, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
6800797507O20150213000657Pinelake Physician Practice LlcDME SUPPLIER - PHYSICIAN - PODIATRY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 330 Seven Springs Way, Atten Provider Enrollment
Brentwood, Tennessee
Zip: 37027-5098
Phone Number: 615-920-7000
Fax Number: 615-920-8775
Patients can reach Pinelake Physician Practice, Llc at 1029 Medical Center Cir, Mayfield, Kentucky or can call on customer care at 270-251-4590.
Comments/ Reviews:
Read all the reviews posted for Pinelake Physician Practice, Llc below. You may also share your own experience with Pinelake Physician Practice, Llc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.