Brent Hasty, | |
140 Newcomb Ave, Mount Vernon, KY 40456-2725 | |
(606) 256-7466 | |
(606) 256-3562 |
Full Name | Brent Hasty |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 140 Newcomb Ave, Mount Vernon, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669941860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 253497 (Kentucky) | Primary |
Entity Name | Rockcastle County Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104890714 PECOS PAC ID: 6103727433 Enrollment ID: O20040119000523 |
Mailing Address | Practice Location Address |
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Brent Hasty, 140 Newcomb Ave, Mount Vernon, KY 40456-2725 Ph: (606) 256-7466 | Brent Hasty, 140 Newcomb Ave, Mount Vernon, KY 40456-2725 Ph: (606) 256-7466 |
Larry Paul Davenport, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 116 Progress Dr, Mount Vernon, KY 40456 Phone: 606-256-2143 | |
Elizabeth Loring, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 140 Newcomb Ave, Mount Vernon, KY 40456 Phone: 606-256-7466 Fax: 606-256-8065 | |
Mackenzie George, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 140 Newcomb Ave, Mount Vernon, KY 40456 Phone: 606-256-7466 Fax: 606-256-8065 |