Angela D Ethridge, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Coxs Creek, Kentucky. Her current practice location is
561 Ethridge Ln, Coxs Creek, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 262-7929.
Angela D Ethridge is licensed to practice in Kentucky (license number 3006302) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619206885.
Provider's Profile
Full Name | Angela D Ethridge |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 561 Ethridge Ln, Coxs Creek, Kentucky |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Angela D Ethridge attended and graduated from in
NPI Data:
- NPI Number: 1619206885
- Provider Enumeration Date: 12/16/2009
- Last Update Date: 05/08/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Angela D Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619206885 | NPI | - | NPPES |
000000746393 | Other | KY | ANTHEM |
7100109880 | Medicaid | KY | |
50036061 | Other | KY | PASSPORT HEALTH PLAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 3006302 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela D Ethridge is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Angela D Ethridge, ARNP Po Box 37271, Belfast, ME 04915-1214 Ph: (888) 488-8289 | Angela D Ethridge, ARNP 561 Ethridge Ln, Coxs Creek, KY 40013-8857 Ph: (502) 262-7929 |
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