Specialistsmat Psc | |
110 Chase Way Ste 2 Elizabethtown KY 42701-7827 | |
(502) 212-0071 | |
(502) 530-5303 |
Full Name | Specialistsmat Psc |
---|---|
Speciality | Anesthesiology |
Location | 110 Chase Way Ste 2, Elizabethtown, Kentucky |
Authorized Official Name and Position | Cara Nicole Netherton (PRACTICE MANAGER) |
Authorized Official Contact | 8592486415 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Specialistsmat Psc 110 Chase Way Ste 2 Elizabethtown KY 42701-7827 Ph: (502) 212-0071 | Specialistsmat Psc 110 Chase Way Ste 2 Elizabethtown KY 42701-7827 Ph: (502) 212-0071 |
NPI Number | 1851998181 |
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Provider Enumeration Date | 10/09/2020 |
Last Update Date | 08/07/2024 |
Certification Date | 08/07/2024 |
Medicare PECOS PAC ID | 7810307634 |
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Medicare Enrollment ID | O20201106001396 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851998181 | NPI | - | NPPES |
Provider Name | Guy Mark Lerner |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1770671547 PECOS PAC ID: 5395977029 Enrollment ID: I20140411001665 |
Provider Name | Susan N Arias |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760776686 PECOS PAC ID: 3173828654 Enrollment ID: I20160222000405 |
Provider Name | Donald R Zinno |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750831137 PECOS PAC ID: 2567745755 Enrollment ID: I20170214001138 |
Provider Name | Elissa F Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912445057 PECOS PAC ID: 4284994500 Enrollment ID: I20180207000306 |
Provider Name | Lauren M Lanham |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821415449 PECOS PAC ID: 5597018283 Enrollment ID: I20181026000175 |
Provider Name | Amy Michelle Highfill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952984379 PECOS PAC ID: 7719380237 Enrollment ID: I20210721003012 |
Provider Name | Cynthia R Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710557038 PECOS PAC ID: 8426453911 Enrollment ID: I20210820003077 |
Provider Name | Kellye P Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285288357 PECOS PAC ID: 1557787512 Enrollment ID: I20220601001382 |
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