| Pathway Mental Health | |
|
11 Mcleod Ln Madisonville KY 42431-3650 | |
| (270) 245-2413 | |
| (877) 302-0536 |
| Full Name | Pathway Mental Health |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 11 Mcleod Ln, Madisonville, Kentucky |
| Authorized Official Name and Position | Candace Hack (PRESIDENT) |
| Authorized Official Contact | 2702452413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Mental Health 11 Mcleod Ln Madisonville KY 42431-3650 Ph: (270) 245-2413 | Pathway Mental Health 11 Mcleod Ln Madisonville KY 42431-3650 Ph: (270) 245-2413 |
| NPI Number | 1982378436 |
|---|---|
| Provider Enumeration Date | 08/06/2021 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Medicare PECOS PAC ID | 2365840238 |
|---|---|
| Medicare Enrollment ID | O20211006002475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982378436 | NPI | - | NPPES |
| Provider Name | Candace Martina Hack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407445059 PECOS PAC ID: 5799190716 Enrollment ID: I20210224001202 |
| Provider Name | Kayla Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710665385 PECOS PAC ID: 1658732508 Enrollment ID: I20230725003500 |
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