| Medoptions Of Kentucky Llc | |
|
421 W Main St Frankfort KY 40601-1815 | |
| (860) 788-6404 | |
| (860) 829-0495 |
| Full Name | Medoptions Of Kentucky Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 421 W Main St, Frankfort, Kentucky |
| Authorized Official Name and Position | Andrea Godfrey (CREDENTIALING & ENROLLMENT MANAGER) |
| Authorized Official Contact | 8607886404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medoptions Of Kentucky Llc Po Box 1595 Middletown CT 06457-8095 Ph: (860) 788-6404 | Medoptions Of Kentucky Llc 421 W Main St Frankfort KY 40601-1815 Ph: (860) 788-6404 |
| NPI Number | 1518412121 |
|---|---|
| Provider Enumeration Date | 08/24/2016 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Medicare PECOS PAC ID | 4385923101 |
|---|---|
| Medicare Enrollment ID | O20161118002170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518412121 | NPI | - | NPPES |
| Provider Name | Barbara Arnp Hignite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982617262 PECOS PAC ID: 1052398690 Enrollment ID: I20040701001107 |
| Provider Name | Anne S Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386893451 PECOS PAC ID: 2961564364 Enrollment ID: I20081218000569 |
| Provider Name | Leigh Ann Ford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891086427 PECOS PAC ID: 7618123183 Enrollment ID: I20120816000819 |
| Provider Name | Leslie Ann Acosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992191159 PECOS PAC ID: 2769799428 Enrollment ID: I20150914002327 |
| Provider Name | Cynthia Ann Geil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366874067 PECOS PAC ID: 8820399348 Enrollment ID: I20151228002184 |
| Provider Name | Rohan Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649611674 PECOS PAC ID: 0143522557 Enrollment ID: I20151231000614 |
| Provider Name | Sabrina Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760789101 PECOS PAC ID: 5597904706 Enrollment ID: I20160318000652 |
| Provider Name | Shaconya Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427417153 PECOS PAC ID: 2961796511 Enrollment ID: I20160804002330 |
| Provider Name | Lisamarie Pietragallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376946319 PECOS PAC ID: 0345564308 Enrollment ID: I20170207000340 |
| Provider Name | Erin Fulkerson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629272877 PECOS PAC ID: 0749579936 Enrollment ID: I20170719003122 |
| Provider Name | Erica L England |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265720890 PECOS PAC ID: 0446482756 Enrollment ID: I20190829004352 |
| Provider Name | Alicia Ottati |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174990972 PECOS PAC ID: 6204122187 Enrollment ID: I20220909000270 |
| Provider Name | Timothy Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740346253 PECOS PAC ID: 7810218658 Enrollment ID: I20230125002690 |
| Provider Name | Angela Ohene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811476914 PECOS PAC ID: 1254729171 Enrollment ID: I20230614001191 |
| Provider Name | Patricia Anne Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316549850 PECOS PAC ID: 9537520820 Enrollment ID: I20230802004300 |
| Provider Name | Tracey Litwin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649532714 PECOS PAC ID: 9032366687 Enrollment ID: I20240126003068 |
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