Ms Miranda Diane Hall, APRN | |
645 Interstate Dr, Grayson, KY 41143-1704 | |
(606) 474-0669 | |
(606) 474-0376 |
Full Name | Ms Miranda Diane Hall |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 645 Interstate Dr, Grayson, 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 |
---|---|---|---|
1285999615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3007558 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
King's Daughters' Medical Center | Ashland, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lewis County Primary Care Center Inc | 1153311774 | 79 |
Entity Name | Lewis County Primary Care Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457303802 PECOS PAC ID: 1153311774 Enrollment ID: O20040515000278 |
Mailing Address | Practice Location Address |
---|---|
Ms Miranda Diane Hall, APRN 617 23rd St, Suite415, Ashland, KY 41101-2880 Ph: (606) 325-6888 | Ms Miranda Diane Hall, APRN 645 Interstate Dr, Grayson, KY 41143-1704 Ph: (606) 474-0669 |
Maria Baker Sargent, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Bellefonte Dr, Grayson, KY 41143 Phone: 606-474-0669 | |
Brittany Gene Bond, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Bellefonte Dr, Grayson, KY 41143 Phone: 606-475-5505 Fax: 606-475-5506 | |
Mrs. Shelby Anne Hill, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 645 Interstate Dr, Grayson, KY 41143 Phone: 606-474-0669 | |
Maryellen Tussey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 207 N Carol Malone Blvd Ste 3, Grayson, KY 41143 Phone: 606-225-8200 Fax: 888-606-7354 | |
Kellie Richelle Sparks, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 645 Interstate Dr, Grayson, KY 41143 Phone: 606-474-0669 | |
Tori Scott, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 N Carol Malone Blvd Ste 100, Grayson, KY 41143 Phone: 606-475-0152 Fax: 606-474-4240 | |
Stacy Holley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 E Main St, Grayson, KY 41143 Phone: 606-474-0244 Fax: 606-474-0412 |