Lisa Christine Gaines, DNP, APRN | |
300 W Dixie Ave, Elizabethtown, KY 42701-1704 | |
(502) 644-9162 | |
Not Available |
Full Name | Lisa Christine Gaines |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 300 W Dixie Ave, Elizabethtown, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003573635 | NPI | - | NPPES |
7100785110 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3016954 (Kentucky) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3016954 (Kentucky) | Primary |
Entity Name | Genesis Wellness Center Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851166813 PECOS PAC ID: 2567815061 Enrollment ID: O20240131004548 |
Mailing Address | Practice Location Address |
---|---|
Lisa Christine Gaines, DNP, APRN 4507 Meadowlark Manor Ln, Louisville, KY 40245-2702 Ph: (502) 644-9162 | Lisa Christine Gaines, DNP, APRN 300 W Dixie Ave, Elizabethtown, KY 42701-1704 Ph: (502) 644-9162 |
Stephanie Rae Kelty, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 270-769-9642 | |
Christina M Wills, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701 Phone: 270-506-3300 Fax: 270-506-2843 | |
Dr. Marguerite Vernette Mcbride, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3040 Dolphin Dr, Elizabethtown, KY 42701 Phone: 270-765-3488 | |
Mrs. Chelsea Danielle Thorn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701 Phone: 270-506-3300 Fax: 270-506-2843 | |
Ms. Kristen Renee Ryan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1230 Woodland Dr Ste 207, Elizabethtown, KY 42701 Phone: 270-600-7001 Fax: 270-600-7002 | |
Elizabeth Anne Shelton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 913 N Dixie Ave, Elizabethtown, KY 42701 Phone: 270-737-1212 |