Patricia A Koller, APRN | |
230 N Green St, Henderson, KY 42420-3109 | |
(270) 854-3196 | |
(270) 854-3197 |
Full Name | Patricia A Koller |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 230 N Green St, Henderson, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023101995 | NPI | - | NPPES |
78015211 | Medicaid | KY | |
000001071134 | Other | KY | ANTHEM-NHC |
115190 | Other | KY | SIHO-NHC |
Entity Name | Community Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
Entity Name | Shc Medical Partners Of Kentucky, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417132614 PECOS PAC ID: 1153406301 Enrollment ID: O20080312000024 |
Entity Name | Brock Medical, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567 |
Entity Name | Abode Care Partners Ltc Vb, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447029798 PECOS PAC ID: 8325316516 Enrollment ID: O20240124001005 |
Mailing Address | Practice Location Address |
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Patricia A Koller, APRN Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | Patricia A Koller, APRN 230 N Green St, Henderson, KY 42420-3109 Ph: (270) 854-3196 |
Kristin Denise Bugg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Merritt Dr, Henderson, KY 42420 Phone: 270-827-0064 Fax: 270-826-3338 | |
Lacey N Roberts, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Third St, Suite 250, Henderson, KY 42420 Phone: 270-826-0135 Fax: 270-827-8798 | |
Raven Whitney Ray, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 3rd St, Suite 180, Henderson, KY 42420 Phone: 270-827-3573 Fax: 270-827-1250 | |
Rebecca Lynn Braden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 N Gardenmile Rd, Henderson, KY 42420 Phone: 270-830-9186 | |
Raven Nicole Pirtle, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Glenshiel Dr, Henderson, KY 42420 Phone: 270-952-8391 | |
Melissa Joyce Owens, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1023 N Elm St, Henderson, KY 42420 Phone: 270-826-0838 Fax: 270-830-0371 |