Timothy Couch, | |
4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 | |
(855) 591-0092 | |
Not Available |
Full Name | Timothy Couch |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 4835 Poplar Level Rd Ste 110, Louisville, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285295113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3013512 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cumberland River Behavioral Health Inc | 4587561790 | 22 |
Entity Name | Cumberland River Behavioral Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902023526 PECOS PAC ID: 4587561790 Enrollment ID: O20031216000665 |
Mailing Address | Practice Location Address |
---|---|
Timothy Couch, 725 Grassy Branch Rd, Essie, KY 40827-7016 Ph: (606) 224-7071 | Timothy Couch, 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 Ph: (855) 591-0092 |
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