Jessica Joy Malonzo Samson, APRN | |
1930 Bishop Ln Fl 12, Louisville, KY 40218-1921 | |
(502) 272-5220 | |
(502) 272-5117 |
Full Name | Jessica Joy Malonzo Samson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1930 Bishop Ln Fl 12, Louisville, 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 |
---|---|---|---|
1770146979 | NPI | - | NPPES |
3012448 | Other | KY | LICENSE |
7100589690 | Medicaid | KY | |
71009170A | Other | IN | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3012448 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Medical Associates Inc | 7012811284 | 1179 |
Community Medical Associates Inc | 7012811284 | 1179 |
Entity Name | Community Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
Entity Name | Kiosk Medicine Kentucky Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205885035 PECOS PAC ID: 6002887510 Enrollment ID: O20040805001127 |
Mailing Address | Practice Location Address |
---|---|
Jessica Joy Malonzo Samson, APRN Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | Jessica Joy Malonzo Samson, APRN 1930 Bishop Ln Fl 12, Louisville, KY 40218-1921 Ph: (502) 272-5220 |
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 |