Mr Randy Mahon, APRN-BC | |
85 Birch Rd Apt 2, Louisa, KY 41230-9220 | |
(304) 928-7387 | |
Not Available |
Full Name | Mr Randy Mahon |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 85 Birch Rd Apt 2, Louisa, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598956930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 59883 (West Virginia) | Primary |
Entity Name | App Of Tennessee Ed Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003230236 PECOS PAC ID: 8123251766 Enrollment ID: O20140506000159 |
Mailing Address | Practice Location Address |
---|---|
Mr Randy Mahon, APRN-BC Po Box 568, Williamson, WV 25661-0568 Ph: (304) 928-7387 | Mr Randy Mahon, APRN-BC 85 Birch Rd Apt 2, Louisa, KY 41230-9220 Ph: (304) 928-7387 |
Mr. Charlie James France Ii, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Three Rivers Medical Center, Hwy 644, Louisa, KY 41230 Phone: 606-638-9451 | |
Amanda Lee Parks, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 203 S Water St, Louisa, KY 41230 Phone: 606-649-2211 | |
Debra J Ansinelli, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2483 Highway 644, Suite 103, Louisa, KY 41230 Phone: 606-638-9954 Fax: 606-638-3595 | |
Lauren E Whitaker, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Tina Dulsena Turner, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Tyrone Morris, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 W Madison St, Louisa, KY 41230 Phone: 606-471-4184 | |
Audrey Ann Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 |