| Alexey Acosta Quintana, | |
|
1000 Neighborhood Pl, Fairdale, KY 40118-9697 | |
| (502) 774-8631 | |
| Not Available |
| Full Name | Alexey Acosta Quintana |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1000 Neighborhood Pl, Fairdale, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639818867 | NPI | - | NPPES |
| 31-000052 | Medicaid | KY | |
| 7100964500 | Medicaid | KY | |
| 300093766 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4014131 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Health Centers Inc | 6901700053 | 52 |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexey Acosta Quintana, Po Box 950244, Louisville, KY 40295-0244 Ph: (502) 774-8631 | Alexey Acosta Quintana, 1000 Neighborhood Pl, Fairdale, KY 40118-9697 Ph: (502) 774-8631 |
Shamecka Sullivan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Neighborhood Pl, Fairdale, KY 40118 Phone: 502-361-2381 Fax: 502-996-8309 | |
Terrica Michelle Flowers, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Neighborhood Pl, Fairdale, KY 40118 Phone: 502-361-2381 Fax: 502-996-8309 | |
Dona J Meers, C.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Neighborhood Pl, Fairdale, KY 40118 Phone: 502-361-2381 Fax: 502-363-1463 |