| Amanda R Owen, ARNP | |
|
1301 Ring Rd, Elizabethtown, KY 42701-8968 | |
| (270) 765-2107 | |
| (270) 769-9642 |
| Full Name | Amanda R Owen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1301 Ring Rd, Elizabethtown, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518158286 | NPI | - | NPPES |
| 50016143 | Other | KY | PASSPORT - CMA |
| 1567385 | Other | KY | FIRST HEALTH - CMA |
| 000000534238 | Other | KY | ANTHEM - CMA |
| 2861862000 | Other | KY | PASSPORT ADVTG - CMA |
| 7100014560 | Medicaid | KY | |
| 000023028W | Other | KY | HUMANA - CMA |
| 300056675 | Medicaid | IN | |
| K132010 | Other | KY | MEDICARE |
| 093346 | Other | KY | SIHO - CMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3005248 (Kentucky) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 3005248 (Kentucky) | Primary |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306983762 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
| Entity Name | Norton Childrens Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda R Owen, ARNP Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490 | Amanda R Owen, ARNP 1301 Ring Rd, Elizabethtown, KY 42701-8968 Ph: (270) 765-2107 |
Stephanie Rae Kelty, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 270-769-9642 | |
Christina M Wills, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701 Phone: 270-506-3300 Fax: 270-506-2843 | |
Lisa Christine Gaines, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W Dixie Ave, Elizabethtown, KY 42701 Phone: 502-644-9162 | |
Dr. Marguerite Vernette Mcbride, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3040 Dolphin Dr, Elizabethtown, KY 42701 Phone: 270-765-3488 | |
Mrs. Chelsea Danielle Thorn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701 Phone: 270-506-3300 Fax: 270-506-2843 | |
Elizabeth Anne Shelton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 N Dixie Ave, Elizabethtown, KY 42701 Phone: 270-737-1212 | |
Marlena O'neil, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 W Dixie Ave Ste 4, Elizabethtown, KY 42701 Phone: 270-445-9344 Fax: 502-410-6819 |