| Hmps Internal Medicine Of West Louisville Pllc | |
|
927 W Main St Louisville KY 40202-2621 | |
| (502) 618-4298 | |
| Not Available |
| Full Name | Hmps Internal Medicine Of West Louisville Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 927 W Main St, Louisville, Kentucky |
| Authorized Official Name and Position | Jennifer A Haynes (APRN) |
| Authorized Official Contact | 5025487791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hmps Internal Medicine Of West Louisville Pllc 927 W Main St Louisville KY 40202-2621 Ph: (502) 618-4298 | Hmps Internal Medicine Of West Louisville Pllc 927 W Main St Louisville KY 40202-2621 Ph: (502) 618-4298 |
| NPI Number | 1689280216 |
|---|---|
| Provider Enumeration Date | 09/18/2020 |
| Last Update Date | 08/27/2021 |
| Medicare PECOS PAC ID | 8820405509 |
|---|---|
| Medicare Enrollment ID | O20210324002109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689280216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shavon T Prentice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962782128 PECOS PAC ID: 0446419253 Enrollment ID: I20120323000276 |
| Provider Name | Makulah Schweiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487006987 PECOS PAC ID: 8224316609 Enrollment ID: I20161107000835 |
| Provider Name | Jennifer Ann Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730696451 PECOS PAC ID: 6406116102 Enrollment ID: I20180126001893 |
| Provider Name | Kenquisha M Moorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437648789 PECOS PAC ID: 9133484439 Enrollment ID: I20180606002871 |
| Provider Name | Dana Singletary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518453075 PECOS PAC ID: 7810245495 Enrollment ID: I20180731000577 |
| Provider Name | Melissa Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215679345 PECOS PAC ID: 1557742418 Enrollment ID: I20220722003048 |
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