Dr Eliza Joyce Whitten-hoskins, MD | |
4235 Fort Campbell Blvd, Hopkinsville, KY 42240-9339 | |
(270) 885-8445 | |
Not Available |
Full Name | Dr Eliza Joyce Whitten-hoskins |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4235 Fort Campbell Blvd, Hopkinsville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477726354 | NPI | - | NPPES |
01435832 | Other | AMERIGROUP | |
0581079 | Other | TN | CIGNA |
4281374 | Other | TN | BLUE CROSS BLUE SHIELD |
7100562310 | Medicaid | KY | |
1525188 | Medicaid | TN | |
9201647 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 46881 (Tennessee) | Secondary |
208000000X | Pediatrics | 52035 (Kentucky) | Primary |
Entity Name | Vanderbilt Integrated Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982625091 PECOS PAC ID: 7012817919 Enrollment ID: O20040108001021 |
Mailing Address | Practice Location Address |
---|---|
Dr Eliza Joyce Whitten-hoskins, MD 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: () - | Dr Eliza Joyce Whitten-hoskins, MD 4235 Fort Campbell Blvd, Hopkinsville, KY 42240-9339 Ph: (270) 885-8445 |
Rachael-catherine Hartnett, APRN Pediatrics Medicare: Medicare Enrolled Practice Location: Vanderbilt Pediatric Associates, 4235 Fort Campbell Blvd, Hopkinsville, KY 42240 Phone: 270-885-8445 | |
Thomas H Price, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1717 High St, Suite 3a, Hopkinsville, KY 42240 Phone: 270-885-8445 Fax: 270-886-9106 | |
Adebukola Ajagunna, Pediatrics Medicare: Medicare Enrolled Practice Location: 4235 Fort Campbell Blvd, Hopkinsville, KY 42240 Phone: 270-885-8445 Fax: 270-886-9106 | |
Jan Floyd, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 222 W 18th St, Hopkinsville, KY 42240 Phone: 270-886-4625 | |
Duncan R Campbell, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4235 Fort Campbell Blvd, Hopkinsville, KY 42240 Phone: 270-885-8445 Fax: 270-886-9106 | |
Cristina R Cruz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1717 High St Ste 3a, Hopkinsville, KY 42240 Phone: 270-885-8445 Fax: 270-886-9106 |