Shelly Ray Balliet, APRN | |
225 Medical Center Dr Ste 304, Paducah, KY 42003-7915 | |
(270) 538-5596 | |
(270) 538-5597 |
Full Name | Shelly Ray Balliet |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 225 Medical Center Dr Ste 304, Paducah, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184126260 | NPI | - | NPPES |
7100509320 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3012051 (Kentucky) | Primary |
Entity Name | Mercy Health Physicians Kentucky Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700408093 PECOS PAC ID: 1456777069 Enrollment ID: O20200813001096 |
Mailing Address | Practice Location Address |
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Shelly Ray Balliet, APRN 2200 Jefferson Ave, 5th Floor Mercy Pho/cvo, Toledo, OH 43604-7101 Ph: () - | Shelly Ray Balliet, APRN 225 Medical Center Dr Ste 304, Paducah, KY 42003-7915 Ph: (270) 538-5596 |
Mrs. Shay Lynn Kirk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Medical Center Dr, Suite 402, Paducah, KY 42003 Phone: 270-442-0103 Fax: 270-442-0109 | |
Mrs. Lisa Joi Oetjen, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4787 Alben Barkley Dr, Paducah, KY 42001 Phone: 270-442-9461 Fax: 270-441-0079 | |
Ms. Leslie Marie Ferguson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2501 Kentucky Ave, Paducah, KY 42003 Phone: 270-575-2100 | |
Jessie Meiser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 N 29th St, Paducah, KY 42001 Phone: 270-556-3290 | |
Belinda Jenkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2601 Kentucky Ave, Suite 301, Paducah, KY 42003 Phone: 270-759-4098 Fax: 270-737-3627 | |
Alexa T Payne, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Kentucky Ave, Suite 601, Paducah, KY 42003 Phone: 270-408-4368 Fax: 270-408-3272 | |
Lindsey Lamb, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 867 Mcguire Ave, Paducah, KY 42001 Phone: 731-394-1145 |