Olivia So, APRN | |
625 Chestnut Dr, Ste 106, Walton, KY 41094-7845 | |
(859) 485-7900 | |
Not Available |
Full Name | Olivia So |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 625 Chestnut Dr, Walton, Kentucky |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871983635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3009210 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Buc Newport Llc | 0446574339 | 3 |
Bluegrass Urgent Care Llc | 9830350685 | 4 |
Entity Name | Bluegrass Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104106954 PECOS PAC ID: 9830350685 Enrollment ID: O20120423000216 |
Entity Name | Buc Crescent Springs Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750635926 PECOS PAC ID: 5890934087 Enrollment ID: O20130619000427 |
Entity Name | Buc Newport Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679982250 PECOS PAC ID: 0446574339 Enrollment ID: O20150126000328 |
Entity Name | Buc Independence Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417330150 PECOS PAC ID: 3779884747 Enrollment ID: O20151216000859 |
Mailing Address | Practice Location Address |
---|---|
Olivia So, APRN 625 Chestnut Dr, Ste 106, Walton, KY 41094-7845 Ph: (859) 485-7900 | Olivia So, APRN 625 Chestnut Dr, Ste 106, Walton, KY 41094-7845 Ph: (859) 485-7900 |
Kayla R Slusher, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 62 Pine Top Dr, Walton, KY 41094 Phone: 606-776-4589 | |
Alexis S Goodridge, APRN, MSN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13260 Service Road, Walton, KY 41094 Phone: 859-301-5901 Fax: 859-301-5940 | |
Ms. Lauren Nicole Doolittle, CNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 635 Chestnut Dr, Walton, KY 41094 Phone: 859-669-1623 | |
Kimberly Bonvillain, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 625 Chestnut Dr, Walton, KY 41094 Phone: 859-485-7900 | |
Sandra Jean Alexander-lewis, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 635 Chestnut Dr, Walton, KY 41094 Phone: 859-379-0040 Fax: 859-379-0041 |