| Nulease Medical Solutions Llc | |
|
5722 Outer Loop Louisville KY 40219-4156 | |
| (502) 492-7455 | |
| (502) 921-0222 |
| Full Name | Nulease Medical Solutions Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5722 Outer Loop, Louisville, Kentucky |
| Authorized Official Name and Position | Shannon Cales (OWNER) |
| Authorized Official Contact | 5024927455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nulease Medical Solutions Llc 5722 Outer Loop Louisville KY 40219-4156 Ph: (502) 492-7455 | Nulease Medical Solutions Llc 5722 Outer Loop Louisville KY 40219-4156 Ph: (502) 492-7455 |
| NPI Number | 1194254219 |
|---|---|
| Provider Enumeration Date | 06/12/2017 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 7618211434 |
|---|---|
| Medicare Enrollment ID | O20181205003187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194254219 | NPI | - | NPPES |
| 7100656380 | Medicaid | KY | |
| 50126591 | Other | KY | PASSPORT |
| 7100656070 | Medicaid | KY | |
| 000001064305 | Other | KY | ANTHEM |
| 7100498520 | Medicaid | KY |
| Provider Name | Richard H Cales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619932084 PECOS PAC ID: 4688662729 Enrollment ID: I20040505001373 |
| Provider Name | Bridget G Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275514408 PECOS PAC ID: 3577586767 Enrollment ID: I20060113000618 |
| Provider Name | Marisa Crenshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124295852 PECOS PAC ID: 4789732488 Enrollment ID: I20130116000568 |
| Provider Name | Jamie L Riles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780097691 PECOS PAC ID: 7416174487 Enrollment ID: I20140814002410 |
| Provider Name | Rhonda J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649644345 PECOS PAC ID: 6901107432 Enrollment ID: I20151229000172 |
| Provider Name | Teresa Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831721323 PECOS PAC ID: 5698105021 Enrollment ID: I20200424002584 |
| Provider Name | Christopher D Metcalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437782174 PECOS PAC ID: 8325479306 Enrollment ID: I20200506002270 |
| Provider Name | Allison Beth Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235721432 PECOS PAC ID: 0547675084 Enrollment ID: I20210216001912 |
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