| Amanda Nicole Russell, FNP | |
|
419 N Seminary St, Madisonville, KY 42431-1515 | |
| (731) 394-1145 | |
| Not Available |
| Full Name | Amanda Nicole Russell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 419 N Seminary St, Madisonville, 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 |
|---|---|---|---|
| 1215428578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3012241 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Madisonville | Madisonville, KY | Hospital |
| Methodist Hospital Union County | Morganfield, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pineville Community Health Center Inc | 5698009157 | 26 |
| Ultra Health Llc | 6800186602 | 113 |
| Entity Name | Brock Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567 |
| Entity Name | Ultra Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20181109001113 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Nicole Russell, FNP Po Box 269084, Dept 1102, Oklahoma City, OK 73126 Ph: (731) 394-1145 | Amanda Nicole Russell, FNP 419 N Seminary St, Madisonville, KY 42431-1515 Ph: (731) 394-1145 |
Michael W. Rager, APRN, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7200 | |
Michelle Delane Davis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Ymca Dr Ste 1, Madisonville, KY 42431 Phone: 270-359-5254 Fax: 502-546-7016 | |
Sarah Ruth Peyton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 N Main St, Madisonville, KY 42431 Phone: 270-825-7268 Fax: 270-825-6615 | |
Ashleigh Dena Hickerson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-875-3502 Fax: 270-825-5551 | |
Ms. Rosa Lee Langley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3895 Brown Rd, Madisonville, KY 42431 Phone: 859-539-7014 | |
Amy Nicole Mercer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 N Main St, Madisonville, KY 42431 Phone: 270-825-7268 Fax: 270-825-6615 | |
Leslie Johnson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 N Main St, Madisonville, KY 42431 Phone: 270-245-2554 |