Mr Craig Douglas Rouben, | |
110 Chase Way Ste 2, Elizabethtown, KY 42701-7827 | |
(502) 212-0071 | |
Not Available |
Full Name | Mr Craig Douglas Rouben |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 110 Chase Way Ste 2, Elizabethtown, Kentucky |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043562267 | NPI | - | NPPES |
1087566 | Other | KY | STATE LICENSE |
71004539A | Other | IN | STATE LICENSE |
IN3604006 | Other | IN | MEDICARE IN |
201212500 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3007663 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Russell County Hospital | 6204887243 | 22 |
Entity Name | North Clark Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376095711 PECOS PAC ID: 3971879354 Enrollment ID: O20171031000657 |
Mailing Address | Practice Location Address |
---|---|
Mr Craig Douglas Rouben, 2100 Market St, Charlestown, IN 47111-9535 Ph: (812) 246-9809 | Mr Craig Douglas Rouben, 110 Chase Way Ste 2, Elizabethtown, KY 42701-7827 Ph: (502) 212-0071 |
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 | |
Lisa Christine Gaines, DNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 W Dixie Ave, Elizabethtown, KY 42701 Phone: 502-644-9162 | |
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 |