Carol R Luckey, NP | |
120 E Church St, Lexington, TN 38351 | |
(731) 968-0146 | |
(731) 968-9398 |
Full Name | Carol R Luckey |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 120 E Church St, Lexington, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003858150 | NPI | - | NPPES |
0000000031363 | Other | TN | MEMPHIS MANAGED CARE (TLC |
156102 | Other | TN | UNISON |
39006861 | Medicaid | TN | |
4157526 | Other | BLUE CROSS BLUE SHIELD TN | |
3900686 | Medicaid | TN | |
4083540 | Other | TN | TN CARE SELECT |
4083540 | Other | TN | BLUE CROSS BLUE SHIELD TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | APN0000005691 (Tennessee) | Primary |
363L00000X | Nurse Practitioner | APN5691 (Tennessee) | Secondary |
Entity Name | Primary Care Clinic Of Jackson |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609309855 PECOS PAC ID: 6901173657 Enrollment ID: O20170530002269 |
Mailing Address | Practice Location Address |
---|---|
Carol R Luckey, NP P.o Box 11567, Jackson, TN 38308 Ph: (731) 661-0086 | Carol R Luckey, NP 120 E Church St, Lexington, TN 38351 Ph: (731) 968-0146 |
Pamela Clover Brunson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16570 Highway 104 N, Ste B, Lexington, TN 38351 Phone: 731-968-2233 | |
Hillary Blankenship, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1560 N Broad St, Lexington, TN 38351 Phone: 731-967-8813 | |
Mrs. Brandy Bartholomew, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 157 W Church St, Lexington, TN 38351 Phone: 731-968-8182 Fax: 731-968-8185 | |
Mrs. Janice Kay Mccormick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1560 North Broad St, Lexington, TN 38351 Phone: 731-967-8813 Fax: 731-967-8815 | |
Ashley Kate Melton, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10777 Highway 412 W, Lexington, TN 38351 Phone: 731-968-5558 Fax: 731-968-5567 | |
Mrs. Elizabeth Ann Snider, CPNP-PC, RN, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10777 Highway 412 W, Lexington, TN 38351 Phone: 731-968-5558 |