| Kentucky Post-acute Medical Services 1 Psc | |
|
55 Foundation Dr Flemingsburg KY 41041-9815 | |
| (606) 849-5000 | |
| Not Available |
| Full Name | Kentucky Post-acute Medical Services 1 Psc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 55 Foundation Dr, Flemingsburg, Kentucky |
| Authorized Official Name and Position | Randal L Dabbs (PRESIDENT) |
| Authorized Official Contact | 8652935210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Post-acute Medical Services 1 Psc Po Box 639287 Cincinnati OH 45263-9287 Ph: (800) 424-3672 | Kentucky Post-acute Medical Services 1 Psc 55 Foundation Dr Flemingsburg KY 41041-9815 Ph: (606) 849-5000 |
| NPI Number | 1831628783 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 08/24/2022 |
| Certification Date | 08/24/2022 |
| Medicare PECOS PAC ID | 9234471426 |
|---|---|
| Medicare Enrollment ID | O20190509000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831628783 | NPI | - | NPPES |
| Provider Name | Adrian Pellegrini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063415099 PECOS PAC ID: 4486547247 Enrollment ID: I20040205000291 |
| Provider Name | Takasha Stewart-hubbard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467423491 PECOS PAC ID: 3173418043 Enrollment ID: I20040219000050 |
| Provider Name | Jacqueline Chapman North |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609803550 PECOS PAC ID: 0446243497 Enrollment ID: I20040406000204 |
| Provider Name | Cory Ryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467443879 PECOS PAC ID: 9032106059 Enrollment ID: I20040429001230 |
| Provider Name | Jacqueline G Eugenio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790701456 PECOS PAC ID: 9739155250 Enrollment ID: I20040907000859 |
| Provider Name | John D Kilgallin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881679496 PECOS PAC ID: 9537111653 Enrollment ID: I20050217000358 |
| Provider Name | Sabrina Jo Grubbs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417033002 PECOS PAC ID: 7012958531 Enrollment ID: I20050516000269 |
| Provider Name | Randal Lee Dabbs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326095035 PECOS PAC ID: 1557275393 Enrollment ID: I20050624000834 |
| Provider Name | Tracy G Cross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699778423 PECOS PAC ID: 0446287494 Enrollment ID: I20050720001115 |
| Provider Name | Barton K Spurlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619917796 PECOS PAC ID: 0446215180 Enrollment ID: I20061115000298 |
| Provider Name | Kevin L Flowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093766073 PECOS PAC ID: 0749186955 Enrollment ID: I20070509000035 |
| Provider Name | Beth L Delozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669622874 PECOS PAC ID: 7214096924 Enrollment ID: I20081111000159 |
| Provider Name | Mark D Nowell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295765964 PECOS PAC ID: 6608818794 Enrollment ID: I20081211000135 |
| Provider Name | Mary Stiff Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699911396 PECOS PAC ID: 5698830149 Enrollment ID: I20090217000114 |
| Provider Name | William J Housworth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477559367 PECOS PAC ID: 0446305239 Enrollment ID: I20090831000367 |
| Provider Name | David B Mayer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245207349 PECOS PAC ID: 2062543200 Enrollment ID: I20100701000499 |
| Provider Name | Jonathan Manuel Rey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679745368 PECOS PAC ID: 1254529613 Enrollment ID: I20101229000507 |
| Provider Name | Simon Spilkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578728002 PECOS PAC ID: 6305017062 Enrollment ID: I20110929000270 |
| Provider Name | L Barrett Bernard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639163611 PECOS PAC ID: 1153359427 Enrollment ID: I20130829000822 |
| Provider Name | Phillip M Keeley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417190703 PECOS PAC ID: 8820257751 Enrollment ID: I20131106001917 |
| Provider Name | Michael H Deboer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780624809 PECOS PAC ID: 1052362738 Enrollment ID: I20140115000908 |
| Provider Name | Sheila Leanne Cooley-parker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407297997 PECOS PAC ID: 8123257573 Enrollment ID: I20140204001589 |
| Provider Name | Burton C Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629263454 PECOS PAC ID: 1557442761 Enrollment ID: I20140403000568 |
| Provider Name | Palmella N Haws |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912954538 PECOS PAC ID: 5092615229 Enrollment ID: I20140609001004 |
| Provider Name | Joshua A Pedigo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922391440 PECOS PAC ID: 4789828054 Enrollment ID: I20140808002168 |
| Provider Name | Michael Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912260662 PECOS PAC ID: 1456570928 Enrollment ID: I20140915002267 |
| Provider Name | Carlton A Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396150413 PECOS PAC ID: 8426279795 Enrollment ID: I20141030000934 |
| Provider Name | Sandra Teresa Mahoney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528327038 PECOS PAC ID: 7719209907 Enrollment ID: I20141124002441 |
| Provider Name | Ayman Khafagi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992017719 PECOS PAC ID: 7012145428 Enrollment ID: I20150113001340 |
| Provider Name | Valentina Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225404148 PECOS PAC ID: 8022325026 Enrollment ID: I20150923000488 |
| Provider Name | Jerri Molina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295119915 PECOS PAC ID: 1052629623 Enrollment ID: I20150930002807 |
| Provider Name | Ankit Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851650790 PECOS PAC ID: 6608186002 Enrollment ID: I20151116001487 |
| Provider Name | Jon C Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336589308 PECOS PAC ID: 2961628094 Enrollment ID: I20160902001648 |
| Provider Name | David B Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144490467 PECOS PAC ID: 8628155348 Enrollment ID: I20161020001269 |
| Provider Name | Desiree F Albritton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023550761 PECOS PAC ID: 0749565067 Enrollment ID: I20170328001612 |
| Provider Name | Motaz Baibars |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104121193 PECOS PAC ID: 7315105814 Enrollment ID: I20170425001054 |
| Provider Name | Sharlotte Ashley Sargent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821538745 PECOS PAC ID: 7517244015 Enrollment ID: I20170511000035 |
| Provider Name | Catrinia Druen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497161764 PECOS PAC ID: 2264701705 Enrollment ID: I20170627001405 |
| Provider Name | Dawn M. Kopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114307303 PECOS PAC ID: 4284945148 Enrollment ID: I20180910002600 |
| Provider Name | Leshia D Derringer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568930436 PECOS PAC ID: 6901140201 Enrollment ID: I20181127001658 |
| Provider Name | Danette M Barboza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598253072 PECOS PAC ID: 0749524668 Enrollment ID: I20181204002412 |
| Provider Name | Adewale Odukoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902268550 PECOS PAC ID: 1456643345 Enrollment ID: I20190117002420 |
| Provider Name | Bethany Criscillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326517483 PECOS PAC ID: 9234476078 Enrollment ID: I20190131002836 |
| Provider Name | William C Arnold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720407018 PECOS PAC ID: 6305145517 Enrollment ID: I20190812002765 |
| Provider Name | Denise Foster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225384100 PECOS PAC ID: 6002063666 Enrollment ID: I20200825002173 |
| Provider Name | Stephanie Atherton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285243477 PECOS PAC ID: 1951728245 Enrollment ID: I20200901002274 |
| Provider Name | Rebecca Jo Goin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336753748 PECOS PAC ID: 3173941986 Enrollment ID: I20200910002273 |
| Provider Name | Dorian Matzen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811337439 PECOS PAC ID: 5294029740 Enrollment ID: I20210524000998 |
| Provider Name | Christopher Paul Bondick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841710597 PECOS PAC ID: 1355611013 Enrollment ID: I20210622001549 |
| Provider Name | Laura A Fieser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083188668 PECOS PAC ID: 8527488642 Enrollment ID: I20210722002909 |
| Provider Name | Paul Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114422599 PECOS PAC ID: 5092139857 Enrollment ID: I20210817004085 |
| Provider Name | Mark Allen Clapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376592782 PECOS PAC ID: 6305838780 Enrollment ID: I20211026002871 |
| Provider Name | Jennifer Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013107366 PECOS PAC ID: 7618064056 Enrollment ID: I20220210001007 |
| Provider Name | Charles T Webster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346222429 PECOS PAC ID: 5799689519 Enrollment ID: I20220218001857 |
| Provider Name | Glenn W Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558347021 PECOS PAC ID: 4880652593 Enrollment ID: I20221006001793 |
| Provider Name | Kristina Michelle Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144387689 PECOS PAC ID: 4082083415 Enrollment ID: I20221207001420 |
| Provider Name | Rachel B Smith-langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265834998 PECOS PAC ID: 5799007779 Enrollment ID: I20230203001319 |
| Provider Name | Jessica Lenore True |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225735194 PECOS PAC ID: 0446624464 Enrollment ID: I20230314002704 |
| Provider Name | Melsah Riley-hazel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316282494 PECOS PAC ID: 3779711577 Enrollment ID: I20230405000381 |
| Provider Name | Natalie C Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154058675 PECOS PAC ID: 3678935335 Enrollment ID: I20230811000837 |
| Provider Name | Angela Marie Hackworth-comstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255116224 PECOS PAC ID: 4981059722 Enrollment ID: I20231013000630 |
| Provider Name | Jacqueline Hailey Cardin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083101190 PECOS PAC ID: 0244689636 Enrollment ID: I20231211002158 |
| Provider Name | Melanie D. Minteer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740361625 PECOS PAC ID: 8022469881 Enrollment ID: I20240105003794 |
| Provider Name | Gina W Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427828706 PECOS PAC ID: 4183077027 Enrollment ID: I20240127000261 |
| Provider Name | Cheryl Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467134411 PECOS PAC ID: 0941653679 Enrollment ID: I20240130001754 |
| Provider Name | Jenna Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760983191 PECOS PAC ID: 5294179420 Enrollment ID: I20240215003226 |
| Provider Name | Brittany Shingleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720836687 PECOS PAC ID: 4284178963 Enrollment ID: I20240705001466 |
| Provider Name | Justin Cole Meredith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033733605 PECOS PAC ID: 5991115487 Enrollment ID: I20240910002995 |
| Provider Name | Anitra La'trice Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740825603 PECOS PAC ID: 0749716595 Enrollment ID: I20241204001318 |
| Provider Name | Rhonda Hacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568289486 PECOS PAC ID: 9638605405 Enrollment ID: I20241204002252 |
| Provider Name | Tracy Lynn Rugg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356615918 PECOS PAC ID: 2062853534 Enrollment ID: I20250106003567 |
| Provider Name | Anthony Bernard Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891178109 PECOS PAC ID: 4981126539 Enrollment ID: I20250324002095 |
| Provider Name | Tasha L Corbett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497448344 PECOS PAC ID: 5991222556 Enrollment ID: I20250507000963 |
Sunrise Professional Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Clark St, Flemingsburg, KY 41041 Phone: 606-209-0036 Fax: 859-340-4528 |