| Oaks Behavioral Health Pllc | |
|
100 S Broadway St Glasgow KY 42141-2604 | |
| (270) 861-0606 | |
| (270) 629-2444 |
| Full Name | Oaks Behavioral Health Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 100 S Broadway St, Glasgow, Kentucky |
| Authorized Official Name and Position | Tarah Jo Mathews (OWNER) |
| Authorized Official Contact | 2708610606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oaks Behavioral Health Pllc 106 W Front St Glasgow KY 42141-2804 Ph: (270) 590-0622 | Oaks Behavioral Health Pllc 100 S Broadway St Glasgow KY 42141-2604 Ph: (270) 861-0606 |
| NPI Number | 1649744228 |
|---|---|
| Provider Enumeration Date | 01/16/2019 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 7416298948 |
|---|---|
| Medicare Enrollment ID | O20190410003131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649744228 | NPI | - | NPPES |
| Provider Name | Tarah J Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063763571 PECOS PAC ID: 3779728811 Enrollment ID: I20130320000723 |
| Provider Name | Lindsay S Wheat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366957920 PECOS PAC ID: 5597027094 Enrollment ID: I20180321001961 |
| Provider Name | Johnna S Marr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457995839 PECOS PAC ID: 0042641284 Enrollment ID: I20200504001202 |
| Provider Name | Joel Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619554128 PECOS PAC ID: 6305241159 Enrollment ID: I20210817004109 |
| Provider Name | Allsion Pedigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598387938 PECOS PAC ID: 5193104982 Enrollment ID: I20220624001961 |
| Provider Name | Jessie Michell Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285383828 PECOS PAC ID: 0446623938 Enrollment ID: I20230303000593 |
| Provider Name | Julie C Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639526221 PECOS PAC ID: 4284086778 Enrollment ID: I20240119003744 |
| Provider Name | Ellen Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114135712 PECOS PAC ID: 0345692661 Enrollment ID: I20240122004157 |
| Provider Name | Angel Hadley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558719179 PECOS PAC ID: 4688017122 Enrollment ID: I20240212002382 |
| Provider Name | John Rigney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871956904 PECOS PAC ID: 6406290535 Enrollment ID: I20240216002478 |
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