Linda Johnston, | |
718 Goodwin Ln, Leitchfield, KY 42754-1400 | |
(731) 394-1145 | |
Not Available |
Full Name | Linda Johnston |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 718 Goodwin Ln, Leitchfield, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992565303 | NPI | - | NPPES |
7100970130 | Medicaid | KY |
Entity Name | Ultra Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20181109001113 |
Mailing Address | Practice Location Address |
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Linda Johnston, Po Box 269084, Dept 1102, Oklahoma City, OK 73126 Ph: () - | Linda Johnston, 718 Goodwin Ln, Leitchfield, KY 42754-1400 Ph: (731) 394-1145 |
Cova Teresa Stidham, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1895 Elizabethtown Rd., Leitchfield, KY 42754 Phone: 270-230-0182 Fax: 270-230-0014 | |
Debra Ann Taylor, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 718 Goodwin Ln, Leitchfield, KY 42754 Phone: 731-394-1145 | |
Tanisha Monique Williams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9555 Fax: 270-259-1669 | |
Debra S Lusk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave, Suite 207, Leitchfield, KY 42754 Phone: 270-259-3593 Fax: 270-259-2714 | |
Cynthia G. Veyel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1895 Elizabethtown Rd, Leitchfield, KY 42754 Phone: 270-230-0182 Fax: 270-230-0014 | |
Laura Hunt, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-5641 Fax: 270-259-5309 | |
Mrs. Amie Joe Evans, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1895 Elizabethtown Rd, Leitchfield, KY 42754 Phone: 270-617-2058 |