Kristy Kate Shutts, MD | |
4851 Ky Route 321, Prestonsburg, KY 41653-9113 | |
(606) 886-1173 | |
(606) 886-2193 |
Full Name | Kristy Kate Shutts |
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Gender | Female |
Speciality | Pediatrics |
Location | 4851 Ky Route 321, Prestonsburg, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407933187 | NPI | - | NPPES |
64126451 | Medicaid | KY | |
7100004160 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 39531 (Kentucky) | Primary |
Entity Name | Eastern Kentucky Tender Care Pediatrics, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043437254 PECOS PAC ID: 9537264262 Enrollment ID: O20110311000572 |
Entity Name | Frontier Medical Associates Of Prestonsburg Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447840798 PECOS PAC ID: 8123436219 Enrollment ID: O20210408001619 |
Mailing Address | Practice Location Address |
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Kristy Kate Shutts, MD Po Box 697, Prestonsburg, KY 41653-0697 Ph: (606) 886-1173 | Kristy Kate Shutts, MD 4851 Ky Route 321, Prestonsburg, KY 41653-9113 Ph: (606) 886-1173 |
Tiffany M Mills, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1709 Ky Route 321, Suite 3, Prestonsburg, KY 41653 Phone: 606-886-8546 Fax: 606-886-8548 | |
Dr. Antoin Hana, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4851 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-886-1173 Fax: 606-886-2193 | |
Mr. Mazen Jaafar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5000 Ky Route 321 Ste 3124, Prestonsburg, KY 41653 Phone: 606-886-7635 Fax: 606-886-7680 | |
Dr. Rakesh Sachdeva, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 |