| Mandissa Alicia Sealey, MD | |
|
732 Elizaville Ave, Flemingsburg, KY 41041 | |
| (606) 849-2323 | |
| (606) 846-2025 |
| Full Name | Mandissa Alicia Sealey |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 21 Years |
| Location | 732 Elizaville Ave, Flemingsburg, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760870778 | NPI | - | NPPES |
| 7100579310 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 51138 (Kentucky) | Secondary |
| 207R00000X | Internal Medicine | 51138 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifeline Health Care Of Pulaski | Somerset, KY | Home health agency |
| Amedisys Home Health | Columbia, KY | Home health agency |
| Hospice Of Lake Cumberland | Somerset, KY | Hospice |
| Lake Cumberland Regional Hospital | Somerset, KY | Hospital |
| Somerset Nursing And Rehabilitation Facility | Somerset, KY | Nursing home |
| Cumberland Nursing And Rehabilitation Center | Somerset, KY | Nursing home |
| Somerwoods Nursing And Rehabilitation Center | Somerset, KY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Cumberland Regional Hospital Llc | 7214909456 | 34 |
| Entity Name | Lake Cumberland Regional Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861078685 PECOS PAC ID: 7214909456 Enrollment ID: O20040809001229 |
| Entity Name | Meadowview Physician Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760893275 PECOS PAC ID: 9032276274 Enrollment ID: O20090316000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandissa Alicia Sealey, MD 330 Seven Springs Way, Brentwood, TN 37027-5098 Ph: (615) 920-7723 | Mandissa Alicia Sealey, MD 732 Elizaville Ave, Flemingsburg, KY 41041 Ph: (606) 849-2323 |
Larien D Kearns, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Foundation Dr, Flemingsburg, KY 41041 Phone: 606-849-2675 Fax: 606-849-2743 |