Michelle Hornbaker-park, MD | |
650 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223 | |
(270) 798-8106 | |
Not Available |
Full Name | Michelle Hornbaker-park |
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Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 650 Joel Dr, Fort Campbell, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265673263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 55237 (Tennessee) | Primary |
Entity Name | Mccd Psychiatry Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033750823 PECOS PAC ID: 4082049036 Enrollment ID: O20220727001459 |
Entity Name | Mccd Fl Psychiatry Services Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659003457 PECOS PAC ID: 4880064070 Enrollment ID: O20230123000950 |
Mailing Address | Practice Location Address |
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Michelle Hornbaker-park, MD 650 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223-5318 Ph: (270) 412-3247 | Michelle Hornbaker-park, MD 650 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223 Ph: (270) 798-8106 |
Dr. Balakrishna Mohan Rao, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-5931 | |
Dr. John Fernando Chaves, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Dr. Bret W. Logan, M.D, PLC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 Phone: 270-798-8372 Fax: 270-956-0180 | |
Dr. Christopher Lee Lange, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-956-0522 | |
Dr. Samuel Fam, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 318-680-6607 | |
Dr. Elizabeth Langley Martinez, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-412-3247 |