Jacob Dudley Coffey, FNP-C | |
1 S Creek Dr Ste 102606, Monticello, KY 42633 | |
(606) 348-3365 | |
(606) 343-0067 |
Full Name | Jacob Dudley Coffey |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 1 S Creek Dr Ste 102606, Monticello, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1194232207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3011991 (Kentucky) | Primary |
Entity Name | Monticello Medical Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063007672 PECOS PAC ID: 2062409154 Enrollment ID: O20040429000965 |
Entity Name | Lake Cumberland Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811356892 PECOS PAC ID: 2567510464 Enrollment ID: O20090504000210 |
Mailing Address | Practice Location Address |
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Jacob Dudley Coffey, FNP-C 1 S Creek Dr Ste 102, Monticello, KY 42633-9472 Ph: (606) 348-3365 | Jacob Dudley Coffey, FNP-C 1 S Creek Dr Ste 102606, Monticello, KY 42633 Ph: (606) 348-3365 |
Raymond Bennett Speck, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 S Creek Dr Ste 102, Monticello, KY 42633 Phone: 603-348-3365 Fax: 606-348-8496 | |
Marguerite G Root, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1025 S Main Street, Monticello, KY 42633 Phone: 606-340-8870 Fax: 606-340-9828 | |
Teina R Thrasher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1025 S Main Street, Monticello, KY 42633 Phone: 606-340-8870 Fax: 606-340-9828 | |
Mrs. Deanna Neal, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 166 Hospital St, Monticello, KY 42633 Phone: 606-348-9343 | |
Stephanie Maggard, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 126 Franklin Rd, Monticello, KY 42633 Phone: 606-396-3534 Fax: 606-396-3535 | |
Vicki L. Sweet, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 166 Hospital St, Monticello, KY 42633 Phone: 772-538-1384 |