| |
92 Plaza Drive Lawrenceburg KY 40342 | |
(502) 839-3805 | |
(502) 839-3806 |
Full Name | |
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Speciality | Clinic/Center |
Location | 92 Plaza Drive, Lawrenceburg, Kentucky |
Authorized Official Name and Position | Jessica Anne Shewmaker (PRESIDENT) |
Authorized Official Contact | 5028393805 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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92 Plaza Dr Lawrenceburg KY 40342-9056 Ph: (502) 839-3805 | 92 Plaza Drive Lawrenceburg KY 40342 Ph: (502) 839-3805 |
NPI Number | 1093199242 |
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Provider Enumeration Date | 07/17/2015 |
Last Update Date | 08/01/2024 |
Medicare PECOS PAC ID | 1355650300 |
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Medicare Enrollment ID | O20151014002265 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093199242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Kentucky) | Primary |
Provider Name | Shelli Elaine Conyers-votaw |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114052701 PECOS PAC ID: 5799713756 Enrollment ID: I20050801000252 |
Provider Name | Jessica A Shewmaker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780857250 PECOS PAC ID: 2163593310 Enrollment ID: I20080617000127 |
Provider Name | Laura Columbia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114158466 PECOS PAC ID: 2264570274 Enrollment ID: I20091112000156 |
Provider Name | Heather J Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730401878 PECOS PAC ID: 0648305136 Enrollment ID: I20100323000597 |
Provider Name | Linda K Maggard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336468529 PECOS PAC ID: 8729274162 Enrollment ID: I20101124000053 |
Provider Name | Diana S King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104129238 PECOS PAC ID: 5395926604 Enrollment ID: I20110221000011 |
Provider Name | Ruth H Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659789899 PECOS PAC ID: 2062736523 Enrollment ID: I20150112000971 |
Provider Name | Elizabeth T Grider |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639524903 PECOS PAC ID: 2668767880 Enrollment ID: I20160825002914 |
Provider Name | Marion J Simpson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487009080 PECOS PAC ID: 7214215722 Enrollment ID: I20161102002815 |
Provider Name | Tim Gooch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740635010 PECOS PAC ID: 8729367438 Enrollment ID: I20161122000109 |
Provider Name | Leslie Mcqueen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821581547 PECOS PAC ID: 3971850538 Enrollment ID: I20180727002012 |
Provider Name | Donna Marie Bragg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952879322 PECOS PAC ID: 9133464019 Enrollment ID: I20181220002862 |
Fast Pace Kentucky, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 W Park Dr, Lawrenceburg, KY 40342 Phone: 931-253-1110 | |
Cumberland Family Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1222 Alton Road, Lawrenceburg, KY 40342 Phone: 270-406-8805 Fax: 502-353-4218 | |
Vip Community Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Humston Dr, Lawrenceburg, KY 40342 Phone: 270-543-7557 |