| Frontier Behavioral Health Center Pllc | |
|
838 E Mountain Pkwy Salyersville KY 41465-8378 | |
| (606) 349-7475 | |
| (606) 349-7476 |
| Full Name | Frontier Behavioral Health Center Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 838 E Mountain Pkwy, Salyersville, Kentucky |
| Authorized Official Name and Position | Antoin Hana (OWNER) |
| Authorized Official Contact | 6063497475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Behavioral Health Center Pllc Po Box 280 Prestonsburg KY 41653-0280 Ph: (606) 349-7475 | Frontier Behavioral Health Center Pllc 838 E Mountain Pkwy Salyersville KY 41465-8378 Ph: (606) 349-7475 |
| NPI Number | 1295287118 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 10/22/2021 |
| Medicare PECOS PAC ID | 7911284302 |
|---|---|
| Medicare Enrollment ID | O20170512001552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295287118 | NPI | - | NPPES |
| 7100439840 | Medicaid | KY | |
| 7100775640 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 800225 (Kentucky) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
| Provider Name | Jeffery S Potter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851313266 PECOS PAC ID: 1355247057 Enrollment ID: I20031212000009 |
| Provider Name | Christopher Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275602070 PECOS PAC ID: 4688645997 Enrollment ID: I20040802000904 |
| Provider Name | Joanna L Santiesteban |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700870078 PECOS PAC ID: 9638110315 Enrollment ID: I20050513000029 |
| Provider Name | Antoin Hana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669483830 PECOS PAC ID: 2365544327 Enrollment ID: I20070221000405 |
| Provider Name | Robin R Goble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154438984 PECOS PAC ID: 7911040779 Enrollment ID: I20100203000043 |
| Provider Name | Bethany S Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962740969 PECOS PAC ID: 3476708363 Enrollment ID: I20130226000219 |
| Provider Name | Susie M. Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386840270 PECOS PAC ID: 6709196116 Enrollment ID: I20151203002974 |
| Provider Name | Melissa Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174992382 PECOS PAC ID: 6709170343 Enrollment ID: I20160810000772 |
| Provider Name | Callie Jo Jervis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841739125 PECOS PAC ID: 0446534713 Enrollment ID: I20170306000533 |
| Provider Name | Kristen Predmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518427459 PECOS PAC ID: 3779819610 Enrollment ID: I20191001001924 |
| Provider Name | Lorna Isaac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942974282 PECOS PAC ID: 9133523400 Enrollment ID: I20210809002006 |
| Provider Name | Stacy Renee Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861070989 PECOS PAC ID: 7719375039 Enrollment ID: I20211019001541 |
| Provider Name | Trevor Scott Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962139535 PECOS PAC ID: 8224412622 Enrollment ID: I20220902002087 |
| Provider Name | Melissa Gay Slone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215083704 PECOS PAC ID: 6406204981 Enrollment ID: I20231121003243 |
| Provider Name | Vikki Bonyata |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851785430 PECOS PAC ID: 6709236052 Enrollment ID: I20231228001685 |
| Provider Name | Helen Renee Doan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902218951 PECOS PAC ID: 2961852983 Enrollment ID: I20240103000466 |
| Provider Name | Jennifer Howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831500792 PECOS PAC ID: 1456701432 Enrollment ID: I20240103002812 |
| Provider Name | Jessica K Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457004707 PECOS PAC ID: 6406208701 Enrollment ID: I20240123002128 |
Albaree Health Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 E Mountain Pkwy, Salyersville, KY 41465 Phone: 606-349-8100 Fax: 606-349-8150 | |
Salyersville Medical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 268 E Maple St, Salyersville, KY 41465 Phone: 606-349-5300 Fax: 606-349-5312 | |
Hope Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 835 Parkway Drive, Hope Family Medical Center, Salyersville, KY 41465 Phone: 606-349-5126 Fax: 606-349-5123 | |
Charles E. Hardin, Jr. M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 787 Parkway Drive, Hardin Medical Plaza, Salyersville, KY 41465 Phone: 606-349-1909 Fax: 606-349-8088 | |
Mountain Comprehensive Care Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Lakeville Rd, Salyersville, KY 41465 Phone: 606-886-8572 Fax: 606-886-4433 | |
Highlands Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 186 Breanna Boulevard, Suite 100, Salyersville, KY 41465 Phone: 606-349-3800 Fax: 606-263-5619 |