Somer K Mitchell, | |
9510 Ormsby Station Rd Ste 100, Louisville, KY 40223 | |
(502) 327-9100 | |
(855) 632-8329 |
Full Name | Somer K Mitchell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 9510 Ormsby Station Rd Ste 100, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902353980 | NPI | - | NPPES |
13972935 | Other | CAQH | |
7100521170 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 3010275 (Kentucky) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 3010275 (Kentucky) | Primary |
Entity Name | Shc Medical Partners Of Kentucky, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417132614 PECOS PAC ID: 1153406301 Enrollment ID: O20080312000024 |
Entity Name | Baptist Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518360296 PECOS PAC ID: 5597867184 Enrollment ID: O20150206000249 |
Entity Name | Isaiah House Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396086559 PECOS PAC ID: 7113262163 Enrollment ID: O20181219000602 |
Mailing Address | Practice Location Address |
---|---|
Somer K Mitchell, 9510 Ormsby Station Rd Ste 100, Louisville, KY 40223-4082 Ph: (502) 327-9100 | Somer K Mitchell, 9510 Ormsby Station Rd Ste 100, Louisville, KY 40223 Ph: (502) 327-9100 |
Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909 | |
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461 | |
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843 | |
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6617 Fax: 502-574-8666 | |
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117 | |
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529 | |
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500 |