Mercy Health Physicians Kentucky Llc | |
1530 Lone Oak Rd Paducah KY 42003-7901 | |
(270) 415-3886 | |
(270) 415-3885 |
Full Name | Mercy Health Physicians Kentucky Llc |
---|---|
Speciality | Family Medicine |
Location | 1530 Lone Oak Rd, Paducah, Kentucky |
Authorized Official Name and Position | Shane Hardy (CFO, MEDICAL GROUP) |
Authorized Official Contact | 5138695016 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mercy Health Physicians Kentucky Llc 1701 Mercy Health Pl Cincinnati OH 45237-6147 Ph: () - | Mercy Health Physicians Kentucky Llc 1530 Lone Oak Rd Paducah KY 42003-7901 Ph: (270) 415-3886 |
NPI Number | 1922243690 |
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Provider Enumeration Date | 12/10/2008 |
Last Update Date | 07/07/2020 |
Certification Date | 07/07/2020 |
Medicare PECOS PAC ID | 1153488648 |
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Medicare Enrollment ID | O20090327000434 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922243690 | NPI | - | NPPES |
7100287920 | Medicaid | KY | |
000000612866 | Other | KY | ANTHEM MULTI-SPECIALTY GROUP |
000000696360 | Other | KY | ANTHEM EMERGENCY MEDICINE GROUP |
7100287830 | Medicaid | KY | |
7100287720 | Medicaid | KY | |
000000745544 | Other | KY | ANTHEM EMERGENCY MEDICINE NP/PA GROUP |
DP1212 | Other | KY | RAILROAD MEDICARE PTAN |
Provider Name | Mae Fischer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518036177 PECOS PAC ID: 0749173888 Enrollment ID: I20040204000010 |
Provider Name | Laurie K Ballew |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639141948 PECOS PAC ID: 8224026034 Enrollment ID: I20040503000098 |
Provider Name | Byron Bradley Albertson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346228467 PECOS PAC ID: 1951373844 Enrollment ID: I20040811000321 |
Provider Name | Edwin Perez-lopez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447272299 PECOS PAC ID: 4587609417 Enrollment ID: I20050622000236 |
Provider Name | Pamela D Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134291743 PECOS PAC ID: 4486672961 Enrollment ID: I20051103000138 |
Provider Name | David Andrew Meyer |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811957459 PECOS PAC ID: 8729050604 Enrollment ID: I20051207000063 |
Provider Name | Kimberly E Bradley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104801166 PECOS PAC ID: 0143222760 Enrollment ID: I20070212000375 |
Provider Name | Staci W Kell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528084282 PECOS PAC ID: 2668570359 Enrollment ID: I20070604000451 |
Provider Name | Maegan M Moryl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881720720 PECOS PAC ID: 6709986151 Enrollment ID: I20070713000467 |
Provider Name | Willard Jason Fiessinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619010444 PECOS PAC ID: 6507967585 Enrollment ID: I20070720000156 |
Provider Name | Jessica M Lovett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205942414 PECOS PAC ID: 6305947151 Enrollment ID: I20070723000765 |
Provider Name | Darrell B Leslie |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588741755 PECOS PAC ID: 6507951761 Enrollment ID: I20080317000474 |
Provider Name | Shanna M Leslie |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730278920 PECOS PAC ID: 8325133580 Enrollment ID: I20080402000073 |
Provider Name | Cynthia A Bowman-stroud |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1912045527 PECOS PAC ID: 2466523592 Enrollment ID: I20080618000187 |
Provider Name | Meredith J Etheridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417128083 PECOS PAC ID: 3375604390 Enrollment ID: I20081210000084 |
Provider Name | Debra L Riley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427214832 PECOS PAC ID: 4082761721 Enrollment ID: I20090415000029 |
Provider Name | Polly J Lebuhn |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417026949 PECOS PAC ID: 6406903079 Enrollment ID: I20090416000713 |
Provider Name | Joseph M Pittard |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1629147574 PECOS PAC ID: 6709933120 Enrollment ID: I20090421000698 |
Provider Name | Charles David Hogancamp |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1609989698 PECOS PAC ID: 7315047826 Enrollment ID: I20100322000626 |
Provider Name | Joel D Talley |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1700999703 PECOS PAC ID: 9234219924 Enrollment ID: I20100322000693 |
Provider Name | Patricia Ann Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578880456 PECOS PAC ID: 3173654605 Enrollment ID: I20100628000824 |
Provider Name | Melissa L Purvis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710144746 PECOS PAC ID: 6204952344 Enrollment ID: I20100927001039 |
Provider Name | Catherine N Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629387972 PECOS PAC ID: 6901092063 Enrollment ID: I20101201000565 |
Provider Name | Regina E Robison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316269871 PECOS PAC ID: 4880726231 Enrollment ID: I20101216000615 |
Provider Name | Terri H Telle |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699772244 PECOS PAC ID: 2668654351 Enrollment ID: I20110406000588 |
Provider Name | Tara L Crumble |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801195466 PECOS PAC ID: 3678751500 Enrollment ID: I20110624000148 |
Provider Name | Brittany A Hunter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568740108 PECOS PAC ID: 0446429120 Enrollment ID: I20110815000495 |
Provider Name | Marissa Stewart |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316258437 PECOS PAC ID: 2668644386 Enrollment ID: I20110930000373 |
Provider Name | Gregory D Kingston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689710899 PECOS PAC ID: 5698833531 Enrollment ID: I20120131000871 |
Provider Name | Cari B Wildharber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134471113 PECOS PAC ID: 0042462293 Enrollment ID: I20121214000308 |
Provider Name | Emily A Flowers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932449121 PECOS PAC ID: 8820235278 Enrollment ID: I20130502000530 |
Provider Name | Rachel S Lowdenback |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1174841357 PECOS PAC ID: 6507009065 Enrollment ID: I20130830000695 |
Provider Name | Christy Y Overstreet |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164838975 PECOS PAC ID: 3678794278 Enrollment ID: I20141023002539 |
Provider Name | Kasey Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407246853 PECOS PAC ID: 0749506731 Enrollment ID: I20150310002431 |
Provider Name | Ross Jones |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1083856041 PECOS PAC ID: 8921243171 Enrollment ID: I20150818006188 |
Provider Name | Austin Alexander Beck |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245641273 PECOS PAC ID: 8022324631 Enrollment ID: I20150827001171 |
Provider Name | Darrell R New |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235505827 PECOS PAC ID: 8921314451 Enrollment ID: I20150828002332 |
Provider Name | Wederson Marcos Claudino |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1588977391 PECOS PAC ID: 7416249131 Enrollment ID: I20160715001369 |
Provider Name | Felicia Marie Cooper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508314212 PECOS PAC ID: 8527356948 Enrollment ID: I20161017002930 |
Provider Name | Sunny Mehrotra |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194103986 PECOS PAC ID: 6002194214 Enrollment ID: I20161021002145 |
Provider Name | William M Bruce |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1831184704 PECOS PAC ID: 5597034850 Enrollment ID: I20170630000986 |
Provider Name | Joshua Allen Scearce |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063861524 PECOS PAC ID: 2264704410 Enrollment ID: I20170822004112 |
Provider Name | Michael F Demeo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205121423 PECOS PAC ID: 9739307687 Enrollment ID: I20171025003320 |
Provider Name | Hannah Kate Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669987814 PECOS PAC ID: 4183982028 Enrollment ID: I20171221002182 |
Provider Name | Svetlana Famina |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053792515 PECOS PAC ID: 8921368127 Enrollment ID: I20180208001063 |
Provider Name | Kay Delphia Taylor |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1245293711 PECOS PAC ID: 5193792307 Enrollment ID: I20180613003348 |
Provider Name | Michael Mensah |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1205218948 PECOS PAC ID: 3678876182 Enrollment ID: I20180919004306 |
Provider Name | Milagros D Teves-mani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548256316 PECOS PAC ID: 3678547874 Enrollment ID: I20190429000811 |
Provider Name | Taylor Wrinkle Summarell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457916777 PECOS PAC ID: 6204179971 Enrollment ID: I20190521000871 |
Provider Name | Umberto Gaetano Fontana |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1033111315 PECOS PAC ID: 0749326601 Enrollment ID: I20190621002579 |
Provider Name | Nancy N Omorodion |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1013259720 PECOS PAC ID: 3678860194 Enrollment ID: I20190815002365 |
Provider Name | Sarah Lashae Petty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093361271 PECOS PAC ID: 3476885856 Enrollment ID: I20191105000585 |
Provider Name | Peggy Jo Hale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164054987 PECOS PAC ID: 1850714940 Enrollment ID: I20200708001397 |
Provider Name | Jeremy D Webb |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609307255 PECOS PAC ID: 7113250275 Enrollment ID: I20200811002706 |
Provider Name | Emily Huff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487277000 PECOS PAC ID: 2365862604 Enrollment ID: I20201026002083 |
Provider Name | Rosabel Manalo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194762229 PECOS PAC ID: 2365493723 Enrollment ID: I20210126003198 |
Provider Name | John-emmett Mahon |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1528555059 PECOS PAC ID: 7315348851 Enrollment ID: I20210622002231 |
Provider Name | Lindsey Nicole Lawrence |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407451289 PECOS PAC ID: 4082002324 Enrollment ID: I20211019002611 |
Provider Name | Casey L Forthman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568123180 PECOS PAC ID: 3870987696 Enrollment ID: I20220221002399 |
Provider Name | Ethan Pace Walker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124551809 PECOS PAC ID: 3072841493 Enrollment ID: I20220826003195 |
Provider Name | Maggie Denton Goode |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043937931 PECOS PAC ID: 9234508920 Enrollment ID: I20221220002260 |
Provider Name | Pamela A Fine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295901023 PECOS PAC ID: 0749318889 Enrollment ID: I20240329001921 |
Provider Name | Mary F Baker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750615282 PECOS PAC ID: 0143405399 Enrollment ID: I20240405002422 |
Summit Mental Wellness And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4630 Village Square Dr, Suite 202, Paducah, KY 42001 Phone: 270-777-4490 Fax: 866-824-4022 | |
Laurie K. Ballew Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 657 Lone Oak Rd Ste 2, Paducah, KY 42003 Phone: 270-558-4174 Fax: 270-534-5753 | |
Psychological Associates Of Paducah, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2315 Broadway St, Paducah, KY 42001 Phone: 270-442-8785 Fax: 270-443-1784 | |
Millstone Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Hansen Rd, Paducah, KY 42001 Phone: 270-554-9216 Fax: 270-554-8732 | |
Integrated Psychological Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 413 Broadway St Unit A, Paducah, KY 42001 Phone: 618-727-1913 | |
Purchase Neurology Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Medical Center Drive, Suite 402, Paducah, KY 42003 Phone: 270-441-4400 Fax: 270-441-4409 | |
Crossroads Treatment Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 327 Coleman Rd, Paducah, KY 42001 Phone: 800-805-6989 |