Ethel Darline Luster Caldwell, ARNP | |
870 Taylorsville Road, Taylorsville, KY 40071 | |
(502) 477-8888 | |
(502) 477-2300 |
Full Name | Ethel Darline Luster Caldwell |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 870 Taylorsville Road, Taylorsville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154375020 | NPI | - | NPPES |
4768P | Other | KY | ARNP LIC# |
000000524808 | Other | KY | ANTHEM |
71000363800 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3004768 (Kentucky) | Primary |
Entity Name | Baptist Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
Mailing Address | Practice Location Address |
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Ethel Darline Luster Caldwell, ARNP Po Box 950248, Louisville, KY 40295-0248 Ph: (502) 489-5730 | Ethel Darline Luster Caldwell, ARNP 870 Taylorsville Road, Taylorsville, KY 40071 Ph: (502) 477-8888 |
Melody A Presley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 83 W Main St, Taylorsville, KY 40071 Phone: 502-477-1955 Fax: 502-477-5524 | |
Sharon S Jamison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Taylorsville Rd, Taylorsville, KY 40071 Phone: 502-584-2992 | |
Lisa Michelle Keown, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 851 Mcintosh Dr, Taylorsville, KY 40071 Phone: 502-477-2911 | |
Lucretia Davis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 625 Taylorsville Rd, Taylorsville, KY 40071 Phone: 502-477-8838 Fax: 502-477-2273 | |
Rachel Weedman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Taylorsville Rd, Taylorsville, KY 40071 Phone: 502-477-8838 Fax: 502-477-2273 | |
Betsy Ann Ramey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 83 W Main St, Taylorsville, KY 40071 Phone: 502-477-1955 Fax: 502-477-5524 |