Ms Lisa Rae Gergen, APRN | |
560 S Loop Rd, Edgewood, KY 41017-3405 | |
(859) 301-2663 | |
(859) 301-0655 |
Full Name | Ms Lisa Rae Gergen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 560 S Loop Rd, Edgewood, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497748263 | NPI | - | NPPES |
2442191 | Other | UHC | |
2535028 | Medicaid | OH | |
78008083 | Medicaid | KY | |
000000248062 | Other | ANTHEM | |
P65717 | Other | UPIN | |
500027765 | Other | MEDICARE RR |
Entity Name | Welden Medical, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306102 PECOS PAC ID: 9830144120 Enrollment ID: O20050321000071 |
Mailing Address | Practice Location Address |
---|---|
Ms Lisa Rae Gergen, APRN 560 S Loop Rd, Edgewood, KY 41017-3405 Ph: (859) 301-2663 | Ms Lisa Rae Gergen, APRN 560 S Loop Rd, Edgewood, KY 41017-3405 Ph: (859) 301-2663 |
Deborah Elaine Bliss, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Drive, St. Elizabeth Healthcare, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-301-6900 | |
Lyndsey Lang, MS, RN, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2423 Fax: 859-301-2554 | |
Mrs. Anita Kay Phillips, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945 | |
Kristin Legrand, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2250 | |
Louise M Cortland, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-757-2927 Fax: 859-341-0203 | |
Alexandra Michelle Wiesner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-426-4140 | |
Deanna Lynne Winter, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 Medical Village Drive, Edgewood, KY 41017 Phone: 859-331-3353 Fax: 859-331-3326 |