Marye B Dillon, NP | |
2103 Strathmoor Blvd, Louisville, KY 40205-2529 | |
(502) 303-8193 | |
(888) 400-7899 |
Full Name | Marye B Dillon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2103 Strathmoor Blvd, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477579803 | NPI | - | NPPES |
F1102031 | Other | KY | AANP/FNP CERTIFICATION |
085599 | Other | SIHO - NICC | |
000000541715 | Other | ANTHEM - NICC | |
P00362325 | Other | KY | RRMCR - NICC |
7100002500 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3003990 (Kentucky) | Primary |
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 |
Entity Name | Baptist Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942 |
Mailing Address | Practice Location Address |
---|---|
Marye B Dillon, NP 2103 Strathmoor Blvd, Louisville, KY 40205-2529 Ph: (502) 303-8193 | Marye B Dillon, NP 2103 Strathmoor Blvd, Louisville, KY 40205-2529 Ph: (502) 303-8193 |
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 |