| Casa San Pio Clinics Of Appalachia, Llc | |
|
638 E College Ave Ste B Stanton KY 40380-2363 | |
| (606) 318-3500 | |
| (606) 318-3503 |
| Full Name | Casa San Pio Clinics Of Appalachia, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 638 E College Ave, Stanton, Kentucky |
| Authorized Official Name and Position | Taufik Kassis (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6063183500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa San Pio Clinics Of Appalachia, Llc 638 E College Ave Ste B Stanton KY 40380-2363 Ph: (606) 318-3500 | Casa San Pio Clinics Of Appalachia, Llc 638 E College Ave Ste B Stanton KY 40380-2363 Ph: (606) 318-3500 |
| NPI Number | 1982976700 |
|---|---|
| Provider Enumeration Date | 02/09/2012 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2668639485 |
|---|---|
| Medicare Enrollment ID | O20120207000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982976700 | NPI | - | NPPES |
| 7100221330 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Taufik E Kassis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174545628 PECOS PAC ID: 2264408608 Enrollment ID: I20040907001014 |
| Provider Name | Teri L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891780193 PECOS PAC ID: 5092900654 Enrollment ID: I20160412002830 |
| Provider Name | Amy Back Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558818401 PECOS PAC ID: 2860780657 Enrollment ID: I20161011001752 |
| Provider Name | Sherees C Darnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750690129 PECOS PAC ID: 5597045930 Enrollment ID: I20161201000470 |
| Provider Name | Monica Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861990228 PECOS PAC ID: 4486084803 Enrollment ID: I20200424002264 |
| Provider Name | Jessica Dawn Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760059497 PECOS PAC ID: 8628470937 Enrollment ID: I20210708003580 |
| Provider Name | Jessica Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922763929 PECOS PAC ID: 3375920655 Enrollment ID: I20220509000746 |
| Provider Name | Ashley Nicole Vanhoose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972259356 PECOS PAC ID: 2769856095 Enrollment ID: I20230822000681 |
Raven Rock Health &wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 N Main St, Stanton, KY 40380 Phone: 859-497-9508 | |
Sterling Health Solutions, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 642 Rose Way, Stanton, KY 40380 Phone: 859-404-7686 Fax: 859-274-4312 | |
Sterling Health Solutions Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 Breckenridge St, Stanton, KY 40380 Phone: 859-404-7686 Fax: 859-274-4312 | |
Casa San Pio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 E College Ave, Stanton, KY 40380 Phone: 606-693-0199 Fax: 606-666-9480 | |
Sterling Health Solutions Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 W College Ave, Stanton, KY 40380 Phone: 859-404-7686 Fax: 859-274-4312 | |
Sterling Health Solutions Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 68 E Elkins St, Stanton, KY 40380 Phone: 606-663-2511 | |
Powell County Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 68 East Elkins Street, Stanton, KY 40380 Phone: 606-663-8000 Fax: 606-663-8001 |