MEDICARE: DR. ANN I POLLOCK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	22736	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C30629	OTHER	KY	RAILROAD MEDICARE
2	110024898	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	000000048739	OTHER	KY	ANTHEM BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518966209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN I POLLOCK MD

Provider Business Mailing Address
First Line	:	101 MEDICAL HEIGHTS DR
Second Line	:	SUITE M
City	:	FRANKFORT
State	:	KY
Zip	:	40601-4137
Country	:	US
Telephone Number	:	502-227-7538
Fax Number	:	502-227-9491

Provider Business Practice Location Address
First Line	:	101 MEDICAL HEIGHTS DR
Second Line	:	SUITE M
City	:	FRANKFORT
State	:	KY
Zip	:	40601-4137
Country	:	US
Telephone Number	:	502-227-7538
Fax Number	:	502-227-9491

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	01/20/2009

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Directions to “ DR. ANN I POLLOCK MD” Practice Location

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