Nulease Medical Solutions Llc | |
5722 Outer Loop Louisville KY 40219-4156 | |
(502) 492-7455 | |
(502) 921-0222 |
Full Name | Nulease Medical Solutions Llc |
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Speciality | Family Medicine |
Location | 5722 Outer Loop, Louisville, Kentucky |
Authorized Official Name and Position | Shannon Cales (OWNER) |
Authorized Official Contact | 5024927455 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Nulease Medical Solutions Llc 5722 Outer Loop Louisville KY 40219-4156 Ph: (502) 492-7455 | Nulease Medical Solutions Llc 5722 Outer Loop Louisville KY 40219-4156 Ph: (502) 492-7455 |
NPI Number | 1194254219 |
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Provider Enumeration Date | 06/12/2017 |
Last Update Date | 10/08/2024 |
Certification Date | 10/08/2024 |
Medicare PECOS PAC ID | 7618211434 |
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Medicare Enrollment ID | O20181205003187 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194254219 | NPI | - | NPPES |
7100656070 | Medicaid | KY | |
7100656380 | Medicaid | KY | |
50126591 | Other | KY | PASSPORT |
000001064305 | Other | KY | ANTHEM |
7100498520 | Medicaid | KY |
Provider Name | Richard H Cales |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619932084 PECOS PAC ID: 4688662729 Enrollment ID: I20040505001373 |
Provider Name | Bridget G Hart |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275514408 PECOS PAC ID: 3577586767 Enrollment ID: I20060113000618 |
Provider Name | Marisa Crenshaw |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124295852 PECOS PAC ID: 4789732488 Enrollment ID: I20130116000568 |
Provider Name | Jamie L Riles |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780097691 PECOS PAC ID: 7416174487 Enrollment ID: I20140814002410 |
Provider Name | Lacy Brook Ware |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801217898 PECOS PAC ID: 9931425535 Enrollment ID: I20150225001743 |
Provider Name | Rhonda J Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649644345 PECOS PAC ID: 6901107432 Enrollment ID: I20151229000172 |
Provider Name | Teresa Perkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831721323 PECOS PAC ID: 5698105021 Enrollment ID: I20200424002584 |
Provider Name | Christopher D Metcalf |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437782174 PECOS PAC ID: 8325479306 Enrollment ID: I20200506002270 |
Provider Name | Allison Beth Raymond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235721432 PECOS PAC ID: 0547675084 Enrollment ID: I20210216001912 |
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