| Specialistsmat Psc | |
|
110 Chase Way Ste 2 Elizabethtown KY 42701-7827 | |
| (502) 212-0071 | |
| (502) 530-5303 |
| Full Name | Specialistsmat Psc |
|---|---|
| Speciality | Anesthesiology |
| Location | 110 Chase Way Ste 2, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Guy Lerner (OWNER) |
| Authorized Official Contact | 5022120071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialistsmat Psc 528 Barberry Ln Louisville KY 40206-2975 Ph: (502) 212-0071 | Specialistsmat Psc 110 Chase Way Ste 2 Elizabethtown KY 42701-7827 Ph: (502) 212-0071 |
| NPI Number | 1851998181 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 09/14/2021 |
| Certification Date | 09/14/2021 |
| Medicare PECOS PAC ID | 7810307634 |
|---|---|
| Medicare Enrollment ID | O20201106001396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851998181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 207LA0401X | Anesthesiology - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | Guy Mark Lerner |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1770671547 PECOS PAC ID: 5395977029 Enrollment ID: I20140411001665 |
| Provider Name | Susan N Arias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760776686 PECOS PAC ID: 3173828654 Enrollment ID: I20160222000405 |
| Provider Name | Donald R Zinno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750831137 PECOS PAC ID: 2567745755 Enrollment ID: I20170214001138 |
| Provider Name | Elissa F Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912445057 PECOS PAC ID: 4284994500 Enrollment ID: I20180207000306 |
| Provider Name | Lauren M Lanham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821415449 PECOS PAC ID: 5597018283 Enrollment ID: I20181026000175 |
| Provider Name | Amy Michelle Highfill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952984379 PECOS PAC ID: 7719380237 Enrollment ID: I20210721003012 |
| Provider Name | Cynthia R Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710557038 PECOS PAC ID: 8426453911 Enrollment ID: I20210820003077 |
| Provider Name | Kellye P Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285288357 PECOS PAC ID: 1557787512 Enrollment ID: I20220601001382 |
Baptist Health Hardin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 913 N Dixie Ave, Elizabethtown, KY 42701 Phone: 270-737-1212 Fax: 270-706-1141 | |
Communicare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Cranes Roost Ct, Elizabethtown, KY 42701 Phone: 270-765-2605 | |
Neurological Specialists Psc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1237 Woodlawn Drive, Elizabethtown, KY 42701 Phone: 270-769-6875 Fax: 270-737-9696 | |
Baptist Health Medical Group Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2413 Ring Rd Ste 100, Elizabethtown, KY 42701 Phone: 270-737-0077 Fax: 270-706-5549 | |
Tranquility Springs Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 Franklin Ave, Elizabethtown, KY 42701 Phone: 270-735-2626 | |
Seeds Of Hope Family Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Village Dr, Elizabethtown, KY 42701 Phone: 270-312-7752 | |
Unbound Life Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 100 Par Ln Ste 102, Elizabethtown, KY 42701 Phone: 270-506-3385 |