Athena Health And Wellness Pllc is a medicare enrolled "Nurse Practitioner - Women's Health" provider in Louisville, Kentucky. Their current practice location is
1169 Eastern Pkwy Ste 200, Louisville, Kentucky. You can reach out to their office (for appointments etc.) via phone at
(502) 425-7659.
Athena Health And Wellness Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Athena Health And Wellness Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1922492230.
Healthcare Provider's Profile
Full Name | Athena Health And Wellness Pllc |
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Type | Facility |
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Speciality | Nurse Practitioner - Women's Health |
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Location | 1169 Eastern Pkwy Ste 200, Louisville, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922492230
- Provider Enumeration Date: 03/25/2015
- Last Update Date: 02/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577881077
- Enrollment ID: O20150413002602
Medical Identifiers
Medical identifiers for Athena Health And Wellness Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922492230 | NPI | - | NPPES |
5679922 | Other | KY | AETNA |
7100351080 | Medicaid | KY | |
50086582 | Other | KY | PASSPORT |
000000932983 | Other | KY | ANTHEM |
50094140 | Other | KY | PASSPORT |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | BDNDTN00218429 (Kentucky) | Secondary |
133V00000X | Dietitian, Registered | 162884 (Kentucky) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 3005483 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | (* (Not Available)) | Primary |
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Athena Health And Wellness Pllc acts as a billing entity for following providers:
Provider Name | Taneka C Lindsay |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1912184714 PECOS PAC ID: 9537300355 Enrollment ID: I20130720000161 |
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Provider Name | Carrie L.y. Thonen |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1730299504 PECOS PAC ID: 5395063895 Enrollment ID: I20150413002614 |
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Provider Name | Ashley D Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1912154436 PECOS PAC ID: 4486972981 Enrollment ID: I20150413002617 |
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Provider Name | Joanne M Missi |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1215586029 PECOS PAC ID: 1355671793 Enrollment ID: I20190926002662 |
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Provider Name | Valenchia Quilleryne Brown |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1124661723 PECOS PAC ID: 2264867969 Enrollment ID: I20200125000233 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Athena Health And Wellness Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Athena Health And Wellness Pllc 1169 Eastern Pkwy Ste 200, Louisville, KY 40217-1417 Ph: (502) 425-7659 | Athena Health And Wellness Pllc 1169 Eastern Pkwy Ste 200, Louisville, KY 40217-1417 Ph: (502) 425-7659 |
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