| Melissa Boucher Dennison, MD | |
|
301 Professional Park Dr, Glasgow, KY 42141-3487 | |
| (270) 651-9696 | |
| (270) 651-0385 |
| Full Name | Melissa Boucher Dennison |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 41 Years |
| Location | 301 Professional Park Dr, Glasgow, 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 |
|---|---|---|---|
| 1659354892 | NPI | - | NPPES |
| 64285935 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | KY28593 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cumberland Family Medical Center, Inc.. | 6305947789 | 105 |
| Entity Name | Cumberland Family Medical Center, Inc.. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Boucher Dennison, MD Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 864-1472 | Melissa Boucher Dennison, MD 301 Professional Park Dr, Glasgow, KY 42141-3487 Ph: (270) 651-9696 |
Jennifer Wright Hopkins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Professional Park Dr, Glasgow, KY 42141 Phone: 270-651-9696 Fax: 270-651-8666 | |
Leticia Bravo, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1411 N Race St, Glasgow, KY 42141 Phone: 270-651-9755 Fax: 270-651-7562 | |
Laura Elizabeth Brooks, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 502-651-1111 | |
Hazel Lynnette Brooks, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Professional Park Dr, Glasgow, KY 42141 Phone: 270-651-9696 Fax: 270-651-0385 | |
Lucas Reed Ryan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 270-659-5885 Fax: 270-659-5852 | |
Donna Michelle Warren, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Professional Park, Glasgow, KY 42141 Phone: 270-651-9696 Fax: 270-651-0385 |