Payton York, | |
20 Medical Village Dr, Edgewood, KY 41017-5401 | |
(859) 578-5880 | |
Not Available |
Full Name | Payton York |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 20 Medical Village Dr, 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 |
---|---|---|---|
1609657527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4007446 (Kentucky) | Secondary |
363L00000X | Nurse Practitioner | 4007446 (Kentucky) | Primary |
Entity Name | Summit Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Payton York, 105 Hudson Ave, Lakeside Park, KY 41017-2105 Ph: () - | Payton York, 20 Medical Village Dr, Edgewood, KY 41017-5401 Ph: (859) 578-5880 |
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 |