Glen R Standafer, APRN | |
732 Highway 36, Frenchburg, KY 40322-8123 | |
(606) 768-2191 | |
(606) 768-6130 |
Full Name | Glen R Standafer |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 732 Highway 36, Frenchburg, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669759064 | NPI | - | NPPES |
7100192030 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3007175 (Kentucky) | Primary |
Entity Name | New Lexington Clinic Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700803681 PECOS PAC ID: 3476457532 Enrollment ID: O20031121000103 |
Entity Name | Southern Medical Partners, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538109962 PECOS PAC ID: 8123923679 Enrollment ID: O20031206000036 |
Entity Name | Southeastern Emergency Services P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031219000755 |
Entity Name | Kentucky Em-i Medical Services Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083869135 PECOS PAC ID: 8325001175 Enrollment ID: O20041111000775 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
Entity Name | Acs Primary Care Physicians-midwest |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609811413 PECOS PAC ID: 3173435229 Enrollment ID: O20050816000693 |
Mailing Address | Practice Location Address |
---|---|
Glen R Standafer, APRN 732 Highway 36, Frenchburg, KY 40322-8123 Ph: (606) 768-2191 | Glen R Standafer, APRN 732 Highway 36, Frenchburg, KY 40322-8123 Ph: (606) 768-2191 |
Morgan Morris, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 732 Highway 36, Frenchburg, KY 40322 Phone: 606-768-2191 Fax: 606-768-6130 | |
Jennifer Richards Clark, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 784 Highway 36, Frenchburg, KY 40322 Phone: 606-768-9190 Fax: 606-768-9180 | |
Marion J Leach, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 784 Highway 36, Frenchburg, KY 40322 Phone: 606-768-9190 Fax: 606-768-9180 | |
Jamie Sheree Vance, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 784 Highway 36, Frenchburg, KY 40322 Phone: 606-768-9190 | |
Mrs. Karen Metler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 359 Wynn Flat Rd Rm 121, Frenchburg, KY 40322 Phone: 606-768-9190 Fax: 606-768-9180 | |
Amy Back Brown, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 784 Highway 36, Frenchburg, KY 40322 Phone: 606-768-9190 Fax: 606-768-9180 | |
Teresa Gevedon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Us Highway 460 E, Frenchburg, KY 40322 Phone: 606-768-3725 Fax: 606-464-0152 |