Bobbie Frederick, APRN | |
60 Phillips Branch Rd, Phelps, KY 41553-9061 | |
(731) 394-1145 | |
Not Available |
Full Name | Bobbie Frederick |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 60 Phillips Branch Rd, Phelps, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841958709 | NPI | - | NPPES |
1124253 | Other | KY | KENTUCKY BOARD OF NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 1124253 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4015323 (Kentucky) | Primary |
Entity Name | Ultra Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20181109001113 |
Mailing Address | Practice Location Address |
---|---|
Bobbie Frederick, APRN 282 Highway 2425, Harlan, KY 40831-7063 Ph: (859) 618-5520 | Bobbie Frederick, APRN 60 Phillips Branch Rd, Phelps, KY 41553-9061 Ph: (731) 394-1145 |
Ashley Brook Charles, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7617 Upper Johns Creek Rd, Phelps, KY 41553 Phone: 606-835-9333 Fax: 606-835-9997 | |
Geraline Hatfield, APRN,BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7617 Upper Johns Creek Rd, Suite 100, Phelps, KY 41553 Phone: 606-835-9333 Fax: 606-835-9997 | |
Traci Leeann Rowlett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Phillips Branch Rd, Phelps, KY 41553 Phone: 731-394-1145 | |
Euna Ann Roop, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7617 Upper Johns Creek Rd, Phelps, KY 41553 Phone: 606-835-9333 Fax: 606-835-9997 |