Mrs Gwendolynn Nicole Thomas, APRN | |
1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701-7280 | |
(270) 506-3300 | |
(270) 506-2843 |
Full Name | Mrs Gwendolynn Nicole Thomas |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1107 Crown Pointe Dr Ste 107, Elizabethtown, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205187333 | NPI | - | NPPES |
300009606 | Medicaid | IN | |
9228980 | Other | AETNA PIN | |
CS1805200102 | Other | CARESOURCE ID | |
7100222860 | Medicaid | KY | |
000001080865 | Other | ANTHEM ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3007643 (Kentucky) | Primary |
Entity Name | Ingram & Ball, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750022 PECOS PAC ID: 1557274263 Enrollment ID: O20031110000188 |
Entity Name | Norton Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073568879 PECOS PAC ID: 9830001528 Enrollment ID: O20031125000524 |
Entity Name | Cpo Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720090525 PECOS PAC ID: 1951200039 Enrollment ID: O20040107000828 |
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: O20130802000577 |
Entity Name | Capitol Pain Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548303985 PECOS PAC ID: 9436244522 Enrollment ID: O20180829001919 |
Mailing Address | Practice Location Address |
---|---|
Mrs Gwendolynn Nicole Thomas, APRN 120 Executive Park, Louisville, KY 40207-4201 Ph: (812) 962-7890 | Mrs Gwendolynn Nicole Thomas, APRN 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701-7280 Ph: (270) 506-3300 |
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 |