Ms Pamela S Neal, BC-APRN, FNP | |
617 23rd St, Suite 445, Ashland, KY 41101-2880 | |
(606) 324-1070 | |
(606) 324-1071 |
Full Name | Ms Pamela S Neal |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 617 23rd St, Ashland, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548225881 | NPI | - | NPPES |
3810003940 | Medicaid | WV | |
78015427 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 35474 (West Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3007159 (Kentucky) | Primary |
Entity Name | Devaraj Behavioral Healthcare Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093362840 PECOS PAC ID: 9234565649 Enrollment ID: O20200204000161 |
Mailing Address | Practice Location Address |
---|---|
Ms Pamela S Neal, BC-APRN, FNP Po Box 2058, Ashland, KY 41105-2058 Ph: (606) 324-1070 | Ms Pamela S Neal, BC-APRN, FNP 617 23rd St, Suite 445, Ashland, KY 41101-2880 Ph: (606) 324-1070 |
Lisa Ellen Spencer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 230, Ashland, KY 41101 Phone: 606-324-4745 Fax: 606-324-4941 | |
Tomie Thompson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Ashland Dr, Ste G1, Ashland, KY 41101 Phone: 606-833-4043 | |
Susan Aliff, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 617 23rd St Ste 19, Ashland, KY 41101 Phone: 606-325-2221 Fax: 606-324-1326 | |
Tracy Ricewick, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 130, Ashland, KY 41101 Phone: 606-329-9335 | |
Rita Nicole Fletcher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 399 Diederich Blvd, Ashland, KY 41101 Phone: 606-324-8060 Fax: 606-325-6889 | |
Darren Barker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 613 23rd St Ste 440, Ashland, KY 41101 Phone: 606-329-2888 | |
Martina Renate Myers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 Fax: 606-408-6825 |