Mrs Mitzi Nicole Gardner, APRN | |
1010 Medical Center Dr, Powderly, KY 42367-5463 | |
(270) 377-1600 | |
(270) 377-1675 |
Full Name | Mrs Mitzi Nicole Gardner |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 1010 Medical Center Dr, Powderly, 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 |
---|---|---|---|
1245481811 | NPI | - | NPPES |
7100076140 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 5639P (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Madisonville | Madisonville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Health Deaconess Medical Group Inc | 6103220330 | 128 |
Entity Name | Baptist Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
Entity Name | Baptist Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942 |
Entity Name | Fast Pace Kentucky Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913 |
Entity Name | Baptist Health Deaconess Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437730942 PECOS PAC ID: 6103220330 Enrollment ID: O20210810000993 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mitzi Nicole Gardner, APRN 5200 Commerce Crossings Dr Fl 3, Louisville, KY 40229-2182 Ph: (502) 253-4924 | Mrs Mitzi Nicole Gardner, APRN 1010 Medical Center Dr, Powderly, KY 42367-5463 Ph: (270) 377-1600 |
Tracey E. Sloan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 W Everly Brothers Blvd Ste 1a, Powderly, KY 42367 Phone: 270-377-2600 Fax: 270-377-2610 | |
Mrs. Nancy M Powell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Medical Center Dr, Powderly, KY 42367 Phone: 270-377-1631 Fax: 270-377-1683 | |
Ashley J Houchin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 W Everly Brothers Blvd Suite 1a, Powderly, KY 42367 Phone: 270-377-2600 Fax: 270-377-2610 | |
Mrs. Tiffany Caudill, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 Medical Center Dr, Powderly, KY 42367 Phone: 270-377-1600 | |
Mrs. Cheri Lynn Fogle, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Medical Center Drive, Powderly, KY 42367 Phone: 270-377-1600 Fax: 270-338-0229 | |
Mrs. Jessica Leigh Anderson-brown, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Medical Center Dr, Powderly, KY 42367 Phone: 270-377-1600 |