Amanda Dee Brock, APRN | |
350 Langdon St, Somerset, KY 42503-2786 | |
(606) 678-8155 | |
(606) 678-7548 |
Full Name | Amanda Dee Brock |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 350 Langdon St, Somerset, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013165786 | NPI | - | NPPES |
7100099690 | Medicaid | KY | |
11988299 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3005621 (Kentucky) | Primary |
163WG0000X | Registered Nurse - General Practice | 5621P (Kentucky) | Secondary |
Entity Name | Cumberland Family Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
Mailing Address | Practice Location Address |
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Amanda Dee Brock, APRN Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Amanda Dee Brock, APRN 350 Langdon St, Somerset, KY 42503-2786 Ph: (606) 678-8155 |
Patricia Davis Cunningham, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Southern School Rd, Somerset, KY 42501 Phone: 606-679-4782 | |
Kimberly Suzanne King, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 350 Langdon St, Somerset, KY 42503 Phone: 606-678-8155 Fax: 606-678-7548 | |
Brandi Weddle, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 177 Washington Dr, Somerset, KY 42501 Phone: 859-260-4385 Fax: 859-260-4386 | |
Elizabeth Erin Combs, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-425-8893 | |
Mrs. Rachel Aubree Chriswell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 Bogle St, Somerset, KY 42503 Phone: 606-678-0705 Fax: 606-678-2807 | |
Melinda Bess, APRN-FNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Mark Shopville Rd, Somerset, KY 42503 Phone: 606-485-4553 Fax: 606-485-4550 |