| Allie Alexander-lusk, APRN | |
|
2003 S 7th St, Hickman, KY 42050-1841 | |
| (270) 236-3337 | |
| (270) 236-3340 |
| Full Name | Allie Alexander-lusk |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 2003 S 7th St, Hickman, 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 |
|---|---|---|---|
| 1831139054 | NPI | - | NPPES |
| 3004809 | Other | KY | KENTUCKY STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3004809 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifeline Home Health Care Of Fulton | Fulton, KY | Home health agency |
| Lifeline Of Jackson Purchase Home Health | Mayfield, KY | Home health agency |
| Jackson Purchase Medical Center | Mayfield, KY | Hospital |
| Baptist Memorial Hospital Union City | Union city, TN | Hospital |
| Baptist Health Paducah | Paducah, KY | Hospital |
| Volunteer Community Hospital | Martin, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pinelake Physician Practice Llc | 6800797507 | 45 |
| Entity Name | Pinelake Physician Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295960532 PECOS PAC ID: 6800797507 Enrollment ID: O20040115001094 |
| Mailing Address | Practice Location Address |
|---|---|
| Allie Alexander-lusk, APRN 2003 S 7th St, Hickman, KY 42050-1841 Ph: (270) 236-3337 | Allie Alexander-lusk, APRN 2003 S 7th St, Hickman, KY 42050-1841 Ph: (270) 236-3337 |
Brandi L Stacy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2003 S 7th St, Hickman, KY 42050 Phone: 270-236-3337 Fax: 270-236-3340 |