Wellington Provider Group Pc | |
535 Wellington Way Ste 330 Lexington KY 40503-1331 | |
(859) 439-0399 | |
Not Available |
Full Name | Wellington Provider Group Pc |
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Speciality | Family Medicine |
Location | 535 Wellington Way Ste 330, Lexington, Kentucky |
Authorized Official Name and Position | Brittany Dennis (BILLING/CREDENTIALING MANAGER) |
Authorized Official Contact | 8595188817 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellington Provider Group Pc 535 Wellington Way Ste 330 Lexington KY 40503-1331 Ph: () - | Wellington Provider Group Pc 535 Wellington Way Ste 330 Lexington KY 40503-1331 Ph: (859) 439-0399 |
NPI Number | 1457012205 |
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Provider Enumeration Date | 01/04/2022 |
Last Update Date | 05/18/2023 |
Medicare PECOS PAC ID | 8123412459 |
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Medicare Enrollment ID | O20220302000270 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457012205 | NPI | - | NPPES |
Provider Name | Dominique R Abell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528148749 PECOS PAC ID: 6002909934 Enrollment ID: I20070907000533 |
Provider Name | Kristin P Boothe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902118789 PECOS PAC ID: 8921122144 Enrollment ID: I20100825000257 |
Provider Name | Jeremy Stich |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1295027126 PECOS PAC ID: 7416133616 Enrollment ID: I20110524000746 |
Provider Name | Melissa Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740681766 PECOS PAC ID: 4789805284 Enrollment ID: I20141027001689 |
Provider Name | Kristin L Dawson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316192917 PECOS PAC ID: 4082930300 Enrollment ID: I20150304001860 |
Provider Name | Jacqueline Cassell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184095200 PECOS PAC ID: 1658671987 Enrollment ID: I20151118001456 |
Provider Name | Janice Mae Bullins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700243540 PECOS PAC ID: 7618271792 Enrollment ID: I20160210001486 |
Provider Name | Krista M. Elkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972954279 PECOS PAC ID: 0345533170 Enrollment ID: I20160801001205 |
Provider Name | Laura Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134672348 PECOS PAC ID: 8527356708 Enrollment ID: I20161004002708 |
Provider Name | Stacey Lynn Jacobs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295161933 PECOS PAC ID: 2860621364 Enrollment ID: I20161021002057 |
Provider Name | Christie Lynn Conley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912449760 PECOS PAC ID: 4284914912 Enrollment ID: I20161214002123 |
Provider Name | Lori Denison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750824116 PECOS PAC ID: 6709168420 Enrollment ID: I20170112002296 |
Provider Name | Sandra J Conn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265931851 PECOS PAC ID: 1456613652 Enrollment ID: I20180328002330 |
Provider Name | Karyn N Mcguire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033667159 PECOS PAC ID: 6800142837 Enrollment ID: I20180705002993 |
Provider Name | Cheryl Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730698341 PECOS PAC ID: 1456608785 Enrollment ID: I20180718001670 |
Provider Name | Susan Kelly Harvey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992275655 PECOS PAC ID: 1456698521 Enrollment ID: I20190128001551 |
Provider Name | Michael Mallin |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1730330788 PECOS PAC ID: 8224180989 Enrollment ID: I20190514002118 |
Provider Name | Dawn Sheehan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699237818 PECOS PAC ID: 5890025738 Enrollment ID: I20190919001860 |
Provider Name | Andrea Homer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104468164 PECOS PAC ID: 5890126411 Enrollment ID: I20200515000863 |
Provider Name | Christina Adele Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184230161 PECOS PAC ID: 6103246137 Enrollment ID: I20201013002887 |
Provider Name | Lori Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043830102 PECOS PAC ID: 8527478304 Enrollment ID: I20201105002505 |
Provider Name | Vanessa Flannery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396238218 PECOS PAC ID: 4688085053 Enrollment ID: I20201117000411 |
Provider Name | Lindsey Nicole Mcpherson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003409202 PECOS PAC ID: 5991110942 Enrollment ID: I20210224002793 |
Provider Name | Amber M Banovz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427476829 PECOS PAC ID: 1254730427 Enrollment ID: I20210520002801 |
Provider Name | Melissa D Stipp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922676204 PECOS PAC ID: 6103221353 Enrollment ID: I20210825003698 |
Provider Name | Katie Edmondson Bernero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194487017 PECOS PAC ID: 0648668905 Enrollment ID: I20211019003321 |
Provider Name | Tyler Layne Arvin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760059794 PECOS PAC ID: 2264825918 Enrollment ID: I20220202001021 |
Provider Name | Jennifer Rossi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386832442 PECOS PAC ID: 6709073224 Enrollment ID: I20220318002075 |
Provider Name | Melissa Michelle Clay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730778101 PECOS PAC ID: 3072908391 Enrollment ID: I20220322003057 |
Provider Name | Kyle George |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1982199519 PECOS PAC ID: 4688909690 Enrollment ID: I20220405002826 |
Provider Name | Julie Foucher |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1912433756 PECOS PAC ID: 8729355326 Enrollment ID: I20220411002173 |
Provider Name | Erin Donaldson |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1568873800 PECOS PAC ID: 4284956889 Enrollment ID: I20220411002569 |
Provider Name | Michael Stone |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043201262 PECOS PAC ID: 0143275016 Enrollment ID: I20220413002525 |
Provider Name | Thomas Mccoy |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1043493943 PECOS PAC ID: 5395900823 Enrollment ID: I20220420001215 |
Provider Name | Carl Seger |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1699957308 PECOS PAC ID: 1951455773 Enrollment ID: I20220422000335 |
Provider Name | Jeffrey Graham |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1609830918 PECOS PAC ID: 5395789507 Enrollment ID: I20220426002264 |
Provider Name | Jean Nicole Perkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700408671 PECOS PAC ID: 8426445180 Enrollment ID: I20220427001239 |
Provider Name | Christina Marie Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144819467 PECOS PAC ID: 1850774662 Enrollment ID: I20220811001496 |
Provider Name | Mark Goodman |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1609018860 PECOS PAC ID: 2668643008 Enrollment ID: I20220906000497 |
Provider Name | Tonya Carlette Eubanks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689133571 PECOS PAC ID: 2466789938 Enrollment ID: I20220912002987 |
Provider Name | Nicole Ashley Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659731644 PECOS PAC ID: 8628444114 Enrollment ID: I20221025002692 |
Provider Name | Stephanie Lauren Avdagic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003486804 PECOS PAC ID: 0840667747 Enrollment ID: I20221107000926 |
Provider Name | Marsha Ann Paul |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770067183 PECOS PAC ID: 5890120554 Enrollment ID: I20221227000292 |
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