Jacqueline D Allen, APRN | |
210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 | |
(606) 436-0711 | |
(606) 435-1322 |
Full Name | Jacqueline D Allen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 210 Black Gold Blvd, Hazard, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730578121 | NPI | - | NPPES |
3009147 | Other | KY | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3009147 (Kentucky) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3009147 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Quantum Healthcare Associates Of Cumberland, Inc | 0345403424 | 6 |
Mountain After Hours Clinic Psc | 0547170102 | 20 |
Kentucky Mountain Health Alliance, Inc. | 8123112687 | 29 |
Entity Name | Appalachian Regional Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528148012 PECOS PAC ID: 0840107835 Enrollment ID: O20031125000520 |
Entity Name | Mountain After Hours Clinic Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477638880 PECOS PAC ID: 0547170102 Enrollment ID: O20040506000973 |
Entity Name | Quantum Health Care Associates Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972704179 PECOS PAC ID: 3971690173 Enrollment ID: O20071105000501 |
Entity Name | Quantum Healthcare Associates Of Cumberland, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255603619 PECOS PAC ID: 0345403424 Enrollment ID: O20120530000361 |
Entity Name | Kentucky Mountain Health Alliance, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407043979 PECOS PAC ID: 8123112687 Enrollment ID: O20140605001605 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline D Allen, APRN Po Box 959, Hazard, KY 41702-0959 Ph: (606) 436-0711 | Jacqueline D Allen, APRN 210 Black Gold Blvd, Ste 106, Hazard, KY 41701-2620 Ph: (606) 436-0711 |
Sydney Roark, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-3952 | |
Janie C Thompson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 279 E Main St, Hazard, KY 41701 Phone: 606-487-9505 Fax: 606-436-0071 | |
Trena Preston, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 271 E Main St, Hazard, KY 41701 Phone: 606-439-1316 Fax: 606-435-0752 | |
Chelsea Walker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Black Gold Blvd Ste 106, Hazard, KY 41701 Phone: 606-436-0711 Fax: 606-436-0848 | |
Mrs. Robetta Melaine Baker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 Roy Campbell Dr, Hazard, KY 41701 Phone: 606-487-0776 Fax: 606-487-0777 | |
Christina Ruth Martin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Town And Country Ln Ste 100, Hazard, KY 41701 Phone: 606-439-1300 Fax: 606-439-1400 | |
Kelsey Lowe, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Town And Country Ln, Hazard, KY 41701 Phone: 606-439-1300 Fax: 606-435-7516 |