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 an authorized DME supplier for medicare equipment and products.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.
| Specialization | License Number | State | Status | |
| 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 Name | Medicare Entity Type |
| 6800797507 | O20150213000657 | Pinelake Physician Practice Llc | DME 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.