Rebecca Jeannine Blakley, CPNP | |
350 Hospital Way Ste 100, Somerset, KY 42503-1872 | |
(865) 207-3466 | |
Not Available |
Full Name | Rebecca Jeannine Blakley |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 350 Hospital Way Ste 100, Somerset, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346751013 | NPI | - | NPPES |
23410 | Other | TN | ADVANCED PRACTICE REGISTERED NURSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 3014537 (Kentucky) | Primary |
208000000X | Pediatrics | 23410 (Tennessee) | Secondary |
Entity Name | Lake Cumberland Regional Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861078685 PECOS PAC ID: 7214909456 Enrollment ID: O20040809001229 |
Mailing Address | Practice Location Address |
---|---|
Rebecca Jeannine Blakley, CPNP 350 Hospital Way Ste 100, Somerset, KY 42503-1872 Ph: (606) 451-2756 | Rebecca Jeannine Blakley, CPNP 350 Hospital Way Ste 100, Somerset, KY 42503-1872 Ph: (865) 207-3466 |
Cherice K Patterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 350 Langdon St, Somerset, KY 42503 Phone: 606-678-8155 Fax: 606-678-7548 | |
Harry Lee Greene, M. D. Pediatrics Medicare: Medicare Enrolled Practice Location: 205 Waitsboro Dr, Somerset, KY 42503 Phone: 561-317-3387 Fax: 606-451-9728 | |
Deanna Marie Grubbs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 350 Langdon St, Somerset, KY 42503 Phone: 606-678-8155 Fax: 606-678-7548 | |
Dr. Lisette Marie Garrett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 350 Langdon St, Somerset, KY 42503 Phone: 606-678-8155 Fax: 606-678-7548 | |
Dr. Sheeba M. Picard, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 350 Langdon Street, Somerset, KY 42503 Phone: 606-678-8155 Fax: 606-678-7548 | |
Melissa G Hansford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 350 Langdon St, Suite 1, Somerset, KY 42503 Phone: 606-678-8155 Fax: 606-678-7548 |