Mrs Adriene Elizabeth Wilson, APRN | |
1704 W Stockton St, Edmonton, KY 42129-8137 | |
(270) 432-4800 | |
(270) 432-4804 |
Full Name | Mrs Adriene Elizabeth Wilson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 1704 W Stockton St, Edmonton, 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 |
---|---|---|---|
1710505912 | NPI | - | NPPES |
K346171 | Other | KY | MEDICARE |
7100695770 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3014875 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
T J Samson Community Hospital | Glasgow, KY | Hospital |
Tj Health Columbia | Columbia, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
T J Health Columbia Inc | 7113224783 | 26 |
Entity Name | Southeastern Emergency Services P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031219000755 |
Entity Name | T J Samson Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477609865 PECOS PAC ID: 0648182600 Enrollment ID: O20040318001777 |
Entity Name | T J Health Columbia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831555358 PECOS PAC ID: 7113224783 Enrollment ID: O20161004002436 |
Entity Name | Urgent Care Services Southeast Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427831759 PECOS PAC ID: 0345694766 Enrollment ID: O20231003002701 |
Mailing Address | Practice Location Address |
---|---|
Mrs Adriene Elizabeth Wilson, APRN 1704 W Stockton St, Edmonton, KY 42129-8137 Ph: (270) 432-4800 | Mrs Adriene Elizabeth Wilson, APRN 1704 W Stockton St, Edmonton, KY 42129-8137 Ph: (270) 432-4800 |
Natalie D Bruce, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1704 W Stockton St, Edmonton, KY 42129 Phone: 270-432-4800 Fax: 270-432-4804 | |
Mrs. Nancy Lee Barrett, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 Sartin Dr, Edmonton, KY 42129 Phone: 270-432-4951 Fax: 270-432-5054 | |
Elisabeth Burnett Sanderson, APRN PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Barlow Ln, Edmonton, KY 42129 Phone: 270-432-4466 | |
Constance R Prostko, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1704 W Stockton St, Edmonton, KY 42129 Phone: 270-432-4800 Fax: 270-432-4804 | |
Mrs. Angela M Jessie, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Sartin Dr, Edmonton, KY 42129 Phone: 270-432-2444 Fax: 270-432-2445 |