| Dr Amanda M Vickers, DO | |
|
309 11th St, Carrollton, KY 41008-1435 | |
| (502) 732-4321 | |
| Not Available |
| Full Name | Dr Amanda M Vickers |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 309 11th St, Carrollton, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770925794 | NPI | - | NPPES |
| 200064469 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2018036866 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | Q1323 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 05530 (Kentucky) | Primary |
| Entity Name | Concord Company Of Tennessee Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649743667 PECOS PAC ID: 0345588109 Enrollment ID: O20190221000097 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amanda M Vickers, DO 309 11th St, Carrollton, KY 41008-1435 Ph: (502) 732-4321 | Dr Amanda M Vickers, DO 309 11th St, Carrollton, KY 41008-1435 Ph: (502) 732-4321 |
Daniel A Shields, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-4321 | |
Cecil D Martin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-3272 Fax: 502-732-3284 | |
Mark L Miller, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 329 Floyd Dr, Carrollton, KY 41008 Phone: 502-732-1082 | |
Dr. Dhimitri Elicia Gross, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 329 Floyd Dr, Carrollton, KY 41008 Phone: 502-732-1082 | |
Karalee J Bessinger, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Marwill Dr Ste 1, Carrollton, KY 41008 Phone: 502-732-6956 Fax: 502-732-8219 | |
Dr. Sarah Ruth Hollis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Marwill Dr Ste 1, Carrollton, KY 41008 Phone: 502-732-6956 Fax: 502-732-8219 |