Michelle Renee Gooslin, APRN | |
1401 Harrodsburg Rd Ste A540, Lexington, KY 40504-1720 | |
(859) 258-6760 | |
(859) 258-6512 |
Full Name | Michelle Renee Gooslin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1401 Harrodsburg Rd Ste A540, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992362982 | NPI | - | NPPES |
7100605260 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SF0001X | Clinical Nurse Specialist - Family Health | 3013025 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3013025 (Kentucky) | Primary |
Entity Name | Kiosk Medicine Kentucky Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205885035 PECOS PAC ID: 6002887510 Enrollment ID: O20040805001127 |
Entity Name | Anjum Bux, Md, Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780845347 PECOS PAC ID: 9234456674 Enrollment ID: O20150324002780 |
Entity Name | Brightview Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659769446 PECOS PAC ID: 9032426044 Enrollment ID: O20210202002412 |
Mailing Address | Practice Location Address |
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Michelle Renee Gooslin, APRN 1221 S Broadway, Lexington, KY 40504-2701 Ph: (859) 258-6200 | Michelle Renee Gooslin, APRN 1401 Harrodsburg Rd Ste A540, Lexington, KY 40504-1720 Ph: (859) 258-6760 |
Mrs. Amy Lauran Burnett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 740 Rose St, Wing D, 4th Floor, Lexington, KY 40536 Phone: 859-323-5643 | |
Ms. Yvonne P Rice, APRN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-218-1779 | |
Jasmine Howard, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Mn604, Lexington, KY 40536 Phone: 859-323-6047 Fax: 859-257-3873 | |
Leah Ray Yeager, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Cc417, Lexington, KY 40536 Phone: 859-257-1223 Fax: 859-323-2749 | |
Anna Kelly Hardin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 830 South Limestone, Lexington, KY 40536 Phone: 859-323-2778 | |
Malissa Claudette Contreras, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3301 Leestown Rd, Lexington, KY 40511 Phone: 859-255-6812 | |
Miranda Hagan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 E New Circle Rd Ste 205, Lexington, KY 40505 Phone: 859-303-5918 Fax: 859-303-5918 |