| Samaritan Family Care Llc | |
|
713 Broadway St Ste 301a Paintsville KY 41240-1465 | |
| (606) 372-1234 | |
| (606) 372-1240 |
| Full Name | Samaritan Family Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 713 Broadway St Ste 301a, Paintsville, Kentucky |
| Authorized Official Name and Position | Antoin N Hana (OWNER) |
| Authorized Official Contact | 6063498100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Family Care Llc Po Box 697 Prestonsburg KY 41653-0697 Ph: (606) 874-2300 | Samaritan Family Care Llc 713 Broadway St Ste 301a Paintsville KY 41240-1465 Ph: (606) 372-1234 |
| NPI Number | 1629536206 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 12/30/2021 |
| Certification Date | 12/30/2021 |
| Medicare PECOS PAC ID | 8921331117 |
|---|---|
| Medicare Enrollment ID | O20190603001286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629536206 | NPI | - | NPPES |
| 7100600430 | Medicaid | KY | |
| 7100600040 | Medicaid | KY | |
| 7100702010 | Medicaid | KY | |
| 7100712610 | Medicaid | KY | |
| 7100730130 | Medicaid | KY | |
| 7100706120 | Medicaid | KY | |
| 7100596740 | Medicaid | KY | |
| 7100727750 | Medicaid | KY | |
| 7100729800 | Medicaid | KY | |
| 7100600030 | Medicaid | KY | |
| 7100730140 | Medicaid | KY |
| Provider Name | Christopher Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275602070 PECOS PAC ID: 4688645997 Enrollment ID: I20040802000904 |
| Provider Name | Joanna L Santiesteban |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700870078 PECOS PAC ID: 9638110315 Enrollment ID: I20050513000029 |
| Provider Name | Antoin Hana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669483830 PECOS PAC ID: 2365544327 Enrollment ID: I20070221000405 |
| Provider Name | Robin R Goble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154438984 PECOS PAC ID: 7911040779 Enrollment ID: I20100203000043 |
| Provider Name | Susie M. Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386840270 PECOS PAC ID: 6709196116 Enrollment ID: I20151203002974 |
| Provider Name | Teresa J Bess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063883932 PECOS PAC ID: 7911208996 Enrollment ID: I20151216001108 |
| Provider Name | Melissa Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174992382 PECOS PAC ID: 6709170343 Enrollment ID: I20160810000772 |
| Provider Name | Christopher Michael Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659858256 PECOS PAC ID: 6608126719 Enrollment ID: I20180911003811 |
| Provider Name | Kristen Predmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518427459 PECOS PAC ID: 3779819610 Enrollment ID: I20191001001924 |
| Provider Name | Bethany Pennington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598310450 PECOS PAC ID: 3173854809 Enrollment ID: I20191011000171 |
| Provider Name | Rachel Nicole Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114547031 PECOS PAC ID: 3476978610 Enrollment ID: I20200804003246 |
| Provider Name | Jeremy C Bevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386254845 PECOS PAC ID: 5193142834 Enrollment ID: I20200826003526 |
| Provider Name | Emily Magan Hammons |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336307107 PECOS PAC ID: 6901216613 Enrollment ID: I20201109002898 |
| Provider Name | Amanda Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538790597 PECOS PAC ID: 8022422690 Enrollment ID: I20210122002329 |
| Provider Name | Ashley N Prater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548895535 PECOS PAC ID: 5193122018 Enrollment ID: I20210920003178 |
| Provider Name | Kimberlee Hensley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932871761 PECOS PAC ID: 4385032713 Enrollment ID: I20211103002560 |
| Provider Name | Ashley Hagans |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265888572 PECOS PAC ID: 0648662676 Enrollment ID: I20220124002742 |
| Provider Name | Kiristan Dials |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124752282 PECOS PAC ID: 1254716822 Enrollment ID: I20220917000320 |
| Provider Name | Leigh Ann Marquez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942982863 PECOS PAC ID: 3678936564 Enrollment ID: I20230824003249 |
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