Groups Recover Together | |
1501 S Main St Ste H London KY 40741-2091 | |
(606) 401-0482 | |
Not Available |
Full Name | Groups Recover Together |
---|---|
Speciality | Clinic/Center |
Location | 1501 S Main St Ste H, London, Kentucky |
Authorized Official Name and Position | Colleen Nicewicz (CEO) |
Authorized Official Contact | 4132813035 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Groups Recover Together 111 S Bedford St Ste 205 Burlington MA 01803-5145 Ph: (512) 439-3547 | Groups Recover Together 1501 S Main St Ste H London KY 40741-2091 Ph: (606) 401-0482 |
NPI Number | 1346736758 |
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Provider Enumeration Date | 07/09/2018 |
Last Update Date | 08/23/2022 |
Medicare PECOS PAC ID | 7810247533 |
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Medicare Enrollment ID | O20180830000516 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346736758 | NPI | - | NPPES |
Provider Name | Patricia Miller-canfield |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1467427500 PECOS PAC ID: 3577533439 Enrollment ID: I20040728000759 |
Provider Name | Shelba Jean Workman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477623015 PECOS PAC ID: 9335298991 Enrollment ID: I20090601000506 |
Provider Name | Kathryn Kahler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487729448 PECOS PAC ID: 4284525130 Enrollment ID: I20111025000890 |
Provider Name | Aisha Reikow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699196527 PECOS PAC ID: 6507099728 Enrollment ID: I20140423002002 |
Provider Name | Alexandria D Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114351202 PECOS PAC ID: 2860615077 Enrollment ID: I20140515001167 |
Provider Name | Christina Lea Phares |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689072605 PECOS PAC ID: 5092028787 Enrollment ID: I20150724009902 |
Provider Name | Mica T. Bentley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760833966 PECOS PAC ID: 1153619432 Enrollment ID: I20161019002789 |
Provider Name | Amanda R Lynch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255870036 PECOS PAC ID: 9335425420 Enrollment ID: I20170403001914 |
Provider Name | Kristen Predmore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518427459 PECOS PAC ID: 3779819610 Enrollment ID: I20190730002271 |
Provider Name | Nnemdi Kamanu Elias |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538369830 PECOS PAC ID: 5395046122 Enrollment ID: I20191206000194 |
Provider Name | Karen Sue Craig |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932667342 PECOS PAC ID: 8325471824 Enrollment ID: I20191212003020 |
Provider Name | Jennifer Jameson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457327413 PECOS PAC ID: 2668435710 Enrollment ID: I20200506000340 |
Provider Name | Teresa Marie Goodson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235895970 PECOS PAC ID: 7315334257 Enrollment ID: I20220425001117 |
Provider Name | Michelle L Gilberti |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942726211 PECOS PAC ID: 8820363930 Enrollment ID: I20220803000946 |
Provider Name | Janet Wenger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316306210 PECOS PAC ID: 8729386750 Enrollment ID: I20230619001289 |
Provider Name | Beverly Christine Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306452800 PECOS PAC ID: 5698142453 Enrollment ID: I20230628002131 |
Provider Name | Erica Rochelle Shumway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699288357 PECOS PAC ID: 7911264262 Enrollment ID: I20231101000697 |
Provider Name | Samantha Paradis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356903082 PECOS PAC ID: 1759619554 Enrollment ID: I20240110004999 |
Provider Name | Jose Maria Partida Corona |
---|---|
Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1477518801 PECOS PAC ID: 0941221873 Enrollment ID: I20240208002427 |
Provider Name | Richard Herlevi |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1811932700 PECOS PAC ID: 4688622079 Enrollment ID: I20240216002698 |
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