Michele Mcclure, APRN | |
120 Executive Park, Louisville, KY 40207-4201 | |
(502) 855-7200 | |
(502) 855-7201 |
Full Name | Michele Mcclure |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 120 Executive Park, 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 |
---|---|---|---|
1538672373 | NPI | - | NPPES |
300013667 | Medicaid | IN | |
CS1823600597 | Other | CARESOURCE PROVIDER ID NUMBER | |
PDZ000000076638 | Other | AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER | |
000001171736 | Other | ANTHEM PROVIDER ID NUMBER | |
6570412 | Other | AETNA PROVIDER ID NUMBER | |
7100533270 | Medicaid | KY | |
1594354 | Other | KY | WELLCARE OF KY PROVIDER ID NUMBER |
14216057 | Other | CAQH PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 71007764A (Indiana) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 3012101 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Commonwealth Pain Associates Pllc | 0941441919 | 112 |
Commonwealth Pain Associates Pllc | 0941441919 | 112 |
Entity Name | Commonwealth Pain Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20150504001876 |
Mailing Address | Practice Location Address |
---|---|
Michele Mcclure, APRN Po Box 21890, Belfast, ME 04915-4115 Ph: (502) 907-0356 | Michele Mcclure, APRN 120 Executive Park, Louisville, KY 40207-4201 Ph: (502) 855-7200 |
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 |