Mrs Mary Beth Lopez, APRN | |
39 Cumberland Gap Plz, Gray, KY 40734-4536 | |
(606) 526-9005 | |
(606) 526-8607 |
Full Name | Mrs Mary Beth Lopez |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 39 Cumberland Gap Plz, Gray, 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 |
---|---|---|---|
1396184255 | NPI | - | NPPES |
7100348960 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3008095 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Corbin | Corbin, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Champion Physical Therapy Kentucky, Llc | 3476818519 | 9 |
Grace Community Health Center, Inc. | 3870654064 | 59 |
Entity Name | Grace Community Health Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568625648 PECOS PAC ID: 3870654064 Enrollment ID: O20081211000571 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary Beth Lopez, APRN 10755 N Us Highway 25e, Gray, KY 40734-6529 Ph: (606) 258-8050 | Mrs Mary Beth Lopez, APRN 39 Cumberland Gap Plz, Gray, KY 40734-4536 Ph: (606) 526-9005 |
Ms. Tammy L Freeman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10755 N Us Highway 25e, Gray, KY 40734 Phone: 606-258-8050 Fax: 606-258-8994 | |
Natasha Garrison, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3191 Ky 1232, Gray, KY 40734 Phone: 606-260-2246 | |
Mrs. Edna Eugenia Stewart, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 Cumberland Gap Plaza, Gray, KY 40734 Phone: 606-526-9005 Fax: 606-526-8606 | |
Mr. Vernon Eugene Taylor Jr., APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 Cumberland Gap Plz, Gray, KY 40734 Phone: 606-526-9005 Fax: 606-526-8607 | |
Mrs. Rita Carol Gilbert, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 Cumberland Gap Plz, Gray, KY 40734 Phone: 606-275-3415 | |
Loretta Sue Wilson, N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39 Cumberland Gap Plz, Gray, KY 40734 Phone: 606-526-9005 Fax: 606-526-8606 |