| Tyler Pennington, FNP-C | |
|
1033 N Highway 11, Manchester, KY 40962-5478 | |
| (731) 394-1145 | |
| Not Available |
| Full Name | Tyler Pennington |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1033 N Highway 11, Manchester, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427891001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4017489 (Kentucky) | Primary |
| Entity Name | Ultra Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20181109001113 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Pennington, FNP-C 34 Mccoy Ln, Hazard, KY 41701-8127 Ph: () - | Tyler Pennington, FNP-C 1033 N Highway 11, Manchester, KY 40962-5478 Ph: (731) 394-1145 |
Ashley Brooke Munn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 Glenndale Rd, Suite 1, Manchester, KY 40962 Phone: 606-599-2508 Fax: 606-599-2507 | |
Donna S Sandlin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Marie Langdon Dr, Manchester, KY 40962 Phone: 606-598-5104 Fax: 606-598-0983 | |
Cheri Lynn Wagers, APRN-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 90 Garrard Sq, Manchester, KY 40962 Phone: 606-658-2323 Fax: 606-658-6085 | |
Alma Asher, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Marie Langdon Dr, Manchester, KY 40962 Phone: 606-598-5104 | |
Mikayla H Collett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 515 Memorial Dr Ste 3, Manchester, KY 40962 Phone: 606-599-0169 Fax: 606-599-0297 | |
Gail Harkins, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 509 Memorial Dr, Manchester, KY 40962 Phone: 606-598-8813 Fax: 606-598-1688 | |
Tracy Sizemore, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Memorial Dr, Manchester, KY 40962 Phone: 606-598-4530 Fax: 606-599-2530 |