| Amanda Stagg, | |
| 
					828 Lane Allen Rd Ste 219, Lexington, KY 40504-3659  | |
| (260) 483-9081 | |
| Not Available | 
| Full Name | Amanda Stagg | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 828 Lane Allen Rd Ste 219, Lexington, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1891561585 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 28236174A (Indiana) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4015968 (Kentucky) | Primary | 
| Entity Name | Extended Care Specialists, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20190703001141  | 
| Entity Name | Eventus Wholehealth Midwest Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20211217001894  | 
| Entity Name | Eventus Ecs, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073353496 PECOS PAC ID: 2163969650 Enrollment ID: O20240910001036  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amanda Stagg, 5221 Oak Grove Rd, Evansville, IN 47715-2342 Ph: (620) 566-5392  | Amanda Stagg, 828 Lane Allen Rd Ste 219, Lexington, KY 40504-3659 Ph: (260) 483-9081  | 
Mrs. Amy Lauran Burnett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 740 Rose St, Wing D, 4th Floor, Lexington, KY 40536 Phone: 859-323-5643  | |
Ms. Yvonne P Rice, APRN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-218-1779  | |
Jasmine Howard, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Mn604, Lexington, KY 40536 Phone: 859-323-6047 Fax: 859-257-3873  | |
Leah Ray Yeager, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Cc417, Lexington, KY 40536 Phone: 859-257-1223 Fax: 859-323-2749  | |
Anna Kelly Hardin,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 830 South Limestone, Lexington, KY 40536 Phone: 859-323-2778  | |
Malissa Claudette Contreras, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3301 Leestown Rd, Lexington, KY 40511 Phone: 859-255-6812  | |
Amanda Jane Reid, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1019 Majestic Dr Ste 210, Lexington, KY 40513 Phone: 859-277-3114 Fax: 859-277-0498  |