Physician Services Of Memorial Hospital - Medicare Mental Health Clinic in Manchester, KY

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Physician Services Of Memorial Hospital is a medicare enrolled mental health clinic (Specialist) in Manchester, Kentucky. The current practice location for Physician Services Of Memorial Hospital is 210 Marie Langdon Dr, Manchester, Kentucky. For appointments, you can reach them via phone at (606) 598-5104. The mailing address for Physician Services Of Memorial Hospital is 210 Marie Langdon Dr, Manchester, Kentucky and phone number is (606) 598-5104.

Physician Services Of Memorial Hospital is licensed to practice in Kentucky (license number ). The clinic also participates in the medicare program and its NPI number is 1831150119. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (606) 598-5104.

Contact Information

Physician Services Of Memorial Hospital
210 Marie Langdon Dr
Manchester
KY 40962-6388
(606) 598-5104
(606) 598-0983

Map and Direction


Mental Health Clinic Profile

Full NamePhysician Services Of Memorial Hospital
SpecialitySpecialist
Location210 Marie Langdon Dr, Manchester, Kentucky
Authorized Official Name and PositionSissel Jacob (CEO)
Authorized Official Contact6065985104
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Physician Services Of Memorial Hospital
210 Marie Langdon Dr
Manchester
KY 40962-6388

Ph: (606) 598-5104		Physician Services Of Memorial Hospital
210 Marie Langdon Dr
Manchester
KY 40962-6388

Ph: (606) 598-5104

NPI Details:

NPI Number1831150119
Provider Enumeration Date03/28/2006
Last Update Date02/09/2023
Certification Date10/20/2021

Medicare PECOS Information:

Medicare PECOS PAC ID4486616141
Medicare Enrollment IDO20041103001183

Medical Identifiers

Medical identifiers for Physician Services Of Memorial Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831150119NPI-NPPES
7100664020MedicaidKY
7100584470MedicaidKY
78905007MedicaidKY
7100427470MedicaidKY
74900804MedicaidKY
65934523MedicaidKY
7100644910MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
174400000XSpecialist (Kentucky)Primary
207P00000XEmergency Medicine (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology (* (Not Available))Secondary
324500000XSubstance Abuse Rehabilitation Facility (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
367500000XNurse Anesthetist, Certified Registered (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Physician Services Of Memorial Hospital acts as a billing entity for following providers:
Provider NameAnita F Cornett
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770553463
PECOS PAC ID: 5395659130
Enrollment ID: I20031121000491
Provider NameEmmanuel C Yumang
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1730135138
PECOS PAC ID: 5294639241
Enrollment ID: I20031121000504
Provider NameRajiv M Naval-srinivas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326122904
PECOS PAC ID: 7911894597
Enrollment ID: I20040228000378
Provider NameGregory C. Wilkens
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1134214596
PECOS PAC ID: 8224022959
Enrollment ID: I20040414000398
Provider NameVelupillai Wignakumar
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1265495063
PECOS PAC ID: 7214926922
Enrollment ID: I20040508000027
Provider NameCarolyn Mcfarland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093861874
PECOS PAC ID: 0840281606
Enrollment ID: I20040520000542
Provider NameBarbara A Fee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275591513
PECOS PAC ID: 0941282313
Enrollment ID: I20040601001327
Provider NameBarry Ralph Williams
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1639193766
PECOS PAC ID: 0244216588
Enrollment ID: I20040626000485
Provider NameJeffrey Newswanger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427097120
PECOS PAC ID: 1052398260
Enrollment ID: I20040720001518
Provider NameWilliam F Moran
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1154334365
PECOS PAC ID: 8123094810
Enrollment ID: I20040903000415
Provider NameShawn R. Gorden
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1851482947
PECOS PAC ID: 2466416011
Enrollment ID: I20041117000273
Provider NameDonna S Sandlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033159223
PECOS PAC ID: 0941241715
Enrollment ID: I20050523000143
Provider NameAngela Y Rice
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1134231822
PECOS PAC ID: 4789618463
Enrollment ID: I20050922000048
Provider NameAshwini Anand
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1811993280
PECOS PAC ID: 0345144218
Enrollment ID: I20051205000081
Provider NameRay Hays
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417994070
PECOS PAC ID: 1951205061
Enrollment ID: I20060112000769
Provider NameLaura D Wilkens
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1811947583
PECOS PAC ID: 9436056561
Enrollment ID: I20060605000152
Provider NameAngela R Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588634745
PECOS PAC ID: 3678574993
Enrollment ID: I20070129000483
Provider NameEdna Eugenia Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205905254
PECOS PAC ID: 3971605916
Enrollment ID: I20070222000391
Provider NameStephanie Dunkle-blatter
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1942276944
PECOS PAC ID: 8325080575
Enrollment ID: I20070510000324
Provider NameJonathan Ruby
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346395837
PECOS PAC ID: 3072522515
Enrollment ID: I20070607000170
Provider NameBijaya J Ghimire
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891975280
PECOS PAC ID: 7517048176
Enrollment ID: I20080122000088
Provider NameMichael Mwasumbi
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1306832514
PECOS PAC ID: 6901858521
Enrollment ID: I20080226000866
Provider NameKobkit Putrakul
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1699951558
PECOS PAC ID: 2961589387
Enrollment ID: I20080410000019
Provider NameDavid A Escalante
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1427096551
PECOS PAC ID: 5991600678
Enrollment ID: I20080516000161
Provider NameCecile C Del Mundo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669553749
PECOS PAC ID: 4486721974
Enrollment ID: I20080925000217
Provider NameMichael T Brashear
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1205086097
PECOS PAC ID: 6305908435
Enrollment ID: I20081223000501
Provider NameGiriraj Gupta
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1194916213
PECOS PAC ID: 2264596303
Enrollment ID: I20090204000186
Provider NameAaron A Jones
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1215015706
PECOS PAC ID: 7810948585
Enrollment ID: I20091028000242
Provider NameSuzann Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811220171
PECOS PAC ID: 2062550320
Enrollment ID: I20091107000018
Provider NameJackie D Maxey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073525861
PECOS PAC ID: 0840270708
Enrollment ID: I20091219000027
Provider NameElizabeth L Boggs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063723450
PECOS PAC ID: 1355473711
Enrollment ID: I20100722000544
Provider NameJeremie B Hays
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063611564
PECOS PAC ID: 7618091265
Enrollment ID: I20100902000909
Provider NameJerl D Stewart
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1689815110
PECOS PAC ID: 2062560758
Enrollment ID: I20110113000575
Provider NameRebecca A Rippetoe
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1881998813
PECOS PAC ID: 8426239955
Enrollment ID: I20110216000962
Provider NameAmy Fowler
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801051891
PECOS PAC ID: 9537332838
Enrollment ID: I20111102000311
Provider NameEric N Curvin
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1568438232
PECOS PAC ID: 5496777260
Enrollment ID: I20111130000620
Provider NameMarion L Shepherd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548532401
PECOS PAC ID: 2961661913
Enrollment ID: I20120309000547
Provider NameSam G Vorkpor
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700076874
PECOS PAC ID: 0345301008
Enrollment ID: I20120411000555
Provider NameEugenia Lynn Medley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669749503
PECOS PAC ID: 5799949251
Enrollment ID: I20120613000129
Provider NameJayme E Norman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972858306
PECOS PAC ID: 6406003300
Enrollment ID: I20120828000911
Provider NameChristie L Wooton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720333883
PECOS PAC ID: 3274783006
Enrollment ID: I20121101000092
Provider NameRamon Thomas
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1417025479
PECOS PAC ID: 6901050749
Enrollment ID: I20130204000270
Provider NameKeisha N Little
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922347558
PECOS PAC ID: 9234375718
Enrollment ID: I20130429000720
Provider NameCynthia S Maggard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659611622
PECOS PAC ID: 0941440580
Enrollment ID: I20130702000838
Provider NameNina A Hensley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699029207
PECOS PAC ID: 0840433900
Enrollment ID: I20130821000789
Provider NameTammy S Saylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821439746
PECOS PAC ID: 3971746850
Enrollment ID: I20130823001247
Provider NameAimee R Grace
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1831414341
PECOS PAC ID: 6608000716
Enrollment ID: I20131003000228
Provider NameAshley B Munn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003243858
PECOS PAC ID: 6002042694
Enrollment ID: I20131204002259
Provider NameAaron N Frye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083030860
PECOS PAC ID: 7911120803
Enrollment ID: I20140527000917
Provider NameSyed Tayyab
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780952994
PECOS PAC ID: 0345468815
Enrollment ID: I20140825001449
Provider NameTeresa Cole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588073886
PECOS PAC ID: 1456570662
Enrollment ID: I20140922001269
Provider NameBetty C Sizemore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215333133
PECOS PAC ID: 6800119900
Enrollment ID: I20141222001147
Provider NameTracy Sizemore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184015042
PECOS PAC ID: 2668799958
Enrollment ID: I20150325002044
Provider NameJudy M Hacker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770962961
PECOS PAC ID: 3173836442
Enrollment ID: I20150715000776
Provider NameNina Lum
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518217546
PECOS PAC ID: 9436466950
Enrollment ID: I20150916001769
Provider NameAshlei P Beverly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215306600
PECOS PAC ID: 9830407568
Enrollment ID: I20150930001038
Provider NameGinger M Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376916106
PECOS PAC ID: 3779883764
Enrollment ID: I20151123002884
Provider NameJohnnie S Dell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528430907
PECOS PAC ID: 0749581379
Enrollment ID: I20151223001458
Provider NameGloria A Zerbee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194195230
PECOS PAC ID: 2365743861
Enrollment ID: I20151228001733
Provider NameTommie L Fields
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962867325
PECOS PAC ID: 5193028751
Enrollment ID: I20160114002882
Provider NameKaitlyn E Shields
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164881959
PECOS PAC ID: 7810292992
Enrollment ID: I20160226002279
Provider NameJessica Helton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780060913
PECOS PAC ID: 4981996782
Enrollment ID: I20160715000239
Provider NameDavid Farler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497105001
PECOS PAC ID: 9830485713
Enrollment ID: I20160831002435
Provider NameKristina M Byrd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326498338
PECOS PAC ID: 0042598062
Enrollment ID: I20161026001650
Provider NameSherri L Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568919728
PECOS PAC ID: 7012296866
Enrollment ID: I20161117002610
Provider NameAmber Henson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205386786
PECOS PAC ID: 7517241466
Enrollment ID: I20170221002601
Provider NameTammie R Hacker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922541598
PECOS PAC ID: 2163707811
Enrollment ID: I20170321001830
Provider NameJustin D Hoskins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336673185
PECOS PAC ID: 5294002184
Enrollment ID: I20170524002342
Provider NameSuvas G Desai
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1144216318
PECOS PAC ID: 7618869272
Enrollment ID: I20170802000831
Provider NameEmily B Henson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1699196410
PECOS PAC ID: 2769754787
Enrollment ID: I20170824003395
Provider NameRyan K Napier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689183204
PECOS PAC ID: 6800152851
Enrollment ID: I20171108002211
Provider NameMichael K Donnelly
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1477789105
PECOS PAC ID: 2062659980
Enrollment ID: I20180219000587
Provider NameRobert A Hill
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124063177
PECOS PAC ID: 9537162888
Enrollment ID: I20180418002940
Provider NameWilliam P Wolfe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487144259
PECOS PAC ID: 6507114956
Enrollment ID: I20180801003294
Provider NameUtpal Kumar Bhanja
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1003801689
PECOS PAC ID: 2163410457
Enrollment ID: I20181015003097
Provider NameShonda L Tucker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528436334
PECOS PAC ID: 4789968819
Enrollment ID: I20190206001794
Provider NameJennifer Sunzanne Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205226172
PECOS PAC ID: 4688915275
Enrollment ID: I20190409000727
Provider NameTara Lee Griffitts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821575002
PECOS PAC ID: 2860728995
Enrollment ID: I20190729000409
Provider NameAmanda Radford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831757368
PECOS PAC ID: 4880921592
Enrollment ID: I20190802002074
Provider NameJessica Elisabeth Ison
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477949956
PECOS PAC ID: 2466789599
Enrollment ID: I20190812002235
Provider NameAshtin Danielle Nix
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1780065391
PECOS PAC ID: 8123335007
Enrollment ID: I20190813002268
Provider NameKayla N Gabbard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841851839
PECOS PAC ID: 4981936390
Enrollment ID: I20191104001223
Provider NameApril Michelle Couch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053968776
PECOS PAC ID: 9335571124
Enrollment ID: I20191115002972
Provider NameAnnie Bentley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447807045
PECOS PAC ID: 1355773078
Enrollment ID: I20191119002091
Provider NameJennifer Rehna Cedillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548809262
PECOS PAC ID: 5799110565
Enrollment ID: I20200124001606
Provider NameKarla Sizemore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659809473
PECOS PAC ID: 3173959558
Enrollment ID: I20200203001449
Provider NameAlma Asher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134778475
PECOS PAC ID: 3375970494
Enrollment ID: I20200228002315
Provider NameRachael Ann Gilbert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427680974
PECOS PAC ID: 1254761406
Enrollment ID: I20200430002509
Provider NameAllison Dawn Johnston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467084822
PECOS PAC ID: 1658792387
Enrollment ID: I20200604000335
Provider NameZachary Tyler Mcgeorge
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811413487
PECOS PAC ID: 8820401425
Enrollment ID: I20201228001326
Provider NameAndrew C Vaughn
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1972981439
PECOS PAC ID: 8325336167
Enrollment ID: I20210505000500
Provider NameOsama Ali
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1043591514
PECOS PAC ID: 2769775626
Enrollment ID: I20210521001232
Provider NameClark D Rogers
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1649408105
PECOS PAC ID: 4688811979
Enrollment ID: I20210602000954
Provider NameClark Diffendaffer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1174612337
PECOS PAC ID: 4082746714
Enrollment ID: I20210611002520
Provider NameKevin Michael Mclendon
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1720510837
PECOS PAC ID: 2466709787
Enrollment ID: I20210706001760
Provider NameJack Berger
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1710984240
PECOS PAC ID: 8729154869
Enrollment ID: I20210714002170
Provider NameNoah Scott Reid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114594645
PECOS PAC ID: 0042613697
Enrollment ID: I20210720003762
Provider NameRichard Beegle
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932335031
PECOS PAC ID: 1951545573
Enrollment ID: I20210803003615
Provider NameEsther Kanyeba Mwasumbi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902446941
PECOS PAC ID: 8325444052
Enrollment ID: I20210903002789
Provider NameAnthony Matthew Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265104194
PECOS PAC ID: 5092104711
Enrollment ID: I20211117002608
Provider NameKhercie Armelda Smith
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1629563747
PECOS PAC ID: 3173867926
Enrollment ID: I20211208002814
Provider NameKeshia Breanne Wagers
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1104496504
PECOS PAC ID: 4587055991
Enrollment ID: I20211220000627
Provider NameMacy Victoria Chambers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053063867
PECOS PAC ID: 5193118420
Enrollment ID: I20220210000088
Provider NameTammy Binder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770248452
PECOS PAC ID: 0244625218
Enrollment ID: I20220310000803
Provider NameAaron Richard Napier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649926866
PECOS PAC ID: 0446631238
Enrollment ID: I20220726001656
Provider NameLily Revena Sumner-burns
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1487309449
PECOS PAC ID: 5496123358
Enrollment ID: I20221126000093
Provider NameJohn Soter
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023645611
PECOS PAC ID: 4688042393
Enrollment ID: I20221129003493
Provider NameJean-phillip Okhovat
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1497103105
PECOS PAC ID: 0941595862
Enrollment ID: I20230810004255
Provider NameOmid Zad
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1083889083
PECOS PAC ID: 9133376395
Enrollment ID: I20230908000269
Provider NameMartin Cearras
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427259886
PECOS PAC ID: 4587807664
Enrollment ID: I20231106002299
Provider NameSoham Prakash Chaudhari
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1700265576
PECOS PAC ID: 1850670407
Enrollment ID: I20240503002746
Provider NameMelinda Dawn Garrett
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1649432519
PECOS PAC ID: 5890137699
Enrollment ID: I20240524001469
Provider NameMathew Joseph
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1245729433
PECOS PAC ID: 1254708225
Enrollment ID: I20240528003445
Provider NameJason Aaron Coffey
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1679916191
PECOS PAC ID: 0244660900
Enrollment ID: I20240604001735
Provider NameTerry David Pannell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659611655
PECOS PAC ID: 5496297384
Enrollment ID: I20240606003010

Reviews and Comments

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Practice Location: 21 Crestview Dr, Manchester, KY 40962
Phone: 606-594-1769    Fax: 606-596-0473

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.