Alexis S Goodridge, APRN, MSN, PMHNP-BC | |
13260 Service Road, Walton, KY 41094 | |
(859) 301-5901 | |
(859) 301-5940 |
Full Name | Alexis S Goodridge |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 13260 Service Road, Walton, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205464617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3014449 (Kentucky) | Primary |
363L00000X | Nurse Practitioner | 3014449 (Kentucky) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Medical Group, Inc | 2163326240 | 712 |
Entity Name | Summit Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Alexis S Goodridge, APRN, MSN, PMHNP-BC Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 301-5901 | Alexis S Goodridge, APRN, MSN, PMHNP-BC 13260 Service Road, Walton, KY 41094 Ph: (859) 301-5901 |
Kayla R Slusher, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 62 Pine Top Dr, Walton, KY 41094 Phone: 606-776-4589 | |
Ms. Lauren Nicole Doolittle, CNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 635 Chestnut Dr, Walton, KY 41094 Phone: 859-669-1623 | |
Olivia So, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 625 Chestnut Dr, Ste 106, Walton, KY 41094 Phone: 859-485-7900 |