| Hagan Health Llc | |
|
4010 Dupont Cir Ste 202 Louisville KY 40207-4847 | |
| (502) 326-3011 | |
| (502) 324-4577 |
| Full Name | Hagan Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4010 Dupont Cir Ste 202, Louisville, Kentucky |
| Authorized Official Name and Position | Terry Hagan (OWNER) |
| Authorized Official Contact | 5023263011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hagan Health Llc 4010 Dupont Cir Ste 202 Louisville KY 40207-4847 Ph: (502) 326-3011 | Hagan Health Llc 4010 Dupont Cir Ste 202 Louisville KY 40207-4847 Ph: (502) 326-3011 |
| NPI Number | 1891349833 |
|---|---|
| Provider Enumeration Date | 07/29/2019 |
| Last Update Date | 07/29/2019 |
| Medicare PECOS PAC ID | 5890129159 |
|---|---|
| Medicare Enrollment ID | O20191219003184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891349833 | NPI | - | NPPES |
| Provider Name | Terry M. Hagan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689663718 PECOS PAC ID: 4486608718 Enrollment ID: I20050309000437 |
| Provider Name | Vernon C Rickert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073566220 PECOS PAC ID: 1557365624 Enrollment ID: I20060901000047 |
| Provider Name | Clinton Rayhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700330008 PECOS PAC ID: 8123300837 Enrollment ID: I20170112001944 |
| Provider Name | Sheana J Pryor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750561304 PECOS PAC ID: 6305264623 Enrollment ID: I20200917001590 |
| Provider Name | Colleen Kidd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134892409 PECOS PAC ID: 6901293430 Enrollment ID: I20220429002101 |
| Provider Name | Suzanne Lancaster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891402640 PECOS PAC ID: 8921470915 Enrollment ID: I20230221003050 |
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