| Joe Brian Middleton, APRN-FNP | |
|
310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | |
| (270) 659-5555 | |
| (270) 659-5566 |
| Full Name | Joe Brian Middleton |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 310 N L Rogers Wells Blvd, Glasgow, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982016630 | NPI | - | NPPES |
| 7100299500 | Medicaid | KY | |
| P01345178 | Other | RAILROAD MEDICARE | |
| 000000879197 | Other | KY | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3008673 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3008673 (Kentucky) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Joe Brian Middleton, APRN-FNP 1774 Spillman Rd, Cave City, KY 42127-9128 Ph: (270) 537-5451 | Joe Brian Middleton, APRN-FNP 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 Ph: (270) 659-5555 |
Mr. James Isenberg, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Professional Park Dr, Glasgow, KY 42141 Phone: 270-392-3661 Fax: 580-297-9310 | |
Mrs. Britney M. Jackson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Physicians Blvd Ste B, Glasgow, KY 42141 Phone: 270-629-6722 Fax: 270-629-6723 | |
Taryn Alycia Conrad, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 N Race St, Glasgow, KY 42141 Phone: 270-651-4444 | |
Mrs. Beverly Jo Mortimer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 N Race St, Glasgow, KY 42141 Phone: 270-629-5111 Fax: 270-783-3760 | |
Mr. Michael L Pendleton Sr., APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1412 N Race St, Glasgow, KY 42141 Phone: 270-629-6333 Fax: 270-629-6334 | |
Tarah Jo Mathews, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 S Broadway St, Glasgow, KY 42141 Phone: 270-861-0606 Fax: 270-629-2444 | |
Mrs. Kimberly A Bowman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 N Race St, Glasgow, KY 42141 Phone: 270-651-1888 Fax: 270-651-1889 |