Jerrina Gusler Aprn Pllc | |
107 N Mantle Ave Elizabethtown KY 42701-2453 | |
(502) 565-5660 | |
Not Available |
Full Name | Jerrina Gusler Aprn Pllc |
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Speciality | Clinic/Center |
Location | 107 N Mantle Ave, Elizabethtown, Kentucky |
Authorized Official Name and Position | Jerrina Gusler (MANAGER) |
Authorized Official Contact | 5025655660 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jerrina Gusler Aprn Pllc 107 N Mantle Ave Elizabethtown KY 42701-2453 Ph: () - | Jerrina Gusler Aprn Pllc 107 N Mantle Ave Elizabethtown KY 42701-2453 Ph: (502) 565-5660 |
NPI Number | 1740989326 |
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Provider Enumeration Date | 03/02/2023 |
Last Update Date | 03/02/2023 |
Certification Date | 03/02/2023 |
Medicare PECOS PAC ID | 3072972819 |
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Medicare Enrollment ID | O20230711002742 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740989326 | NPI | - | NPPES |
7100345720 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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