| Amy Burse, | |
|
322 Atlantic Ave, Oak Grove, KY 42262-9104 | |
| (270) 348-6288 | |
| Not Available |
| Full Name | Amy Burse |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 322 Atlantic Ave, Oak Grove, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083163737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3010696 (Kentucky) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Burse, 322 Atlantic Ave, Oak Grove, KY 42262-9104 Ph: () - | Amy Burse, 322 Atlantic Ave, Oak Grove, KY 42262-9104 Ph: (270) 348-6288 |
Ms. Jennifer Jean Johnson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1654 Hugh Hunter Rd #20, Oak Grove, KY 42262 Phone: 601-927-4791 | |
Dr. Kimberly Cecil-riddle, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Walter Garrett Lane, Oak Grove, KY 42262 Phone: 270-640-5821 Fax: 844-270-5587 | |
Mr. Eddie A Manley, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 175 Stateline Rd, Oak Grove, KY 42262 Phone: 931-302-9564 Fax: 844-750-0655 | |
Mrs. Sarrah Green, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12088 Palmyra Rd, Oak Grove, KY 42262 Phone: 931-338-8900 |