| Andrea Deserae King, APRN | |
|
1661 State Route 522 Unit 2, Wheelersburg, OH 45694-8120 | |
| (740) 574-8728 | |
| (740) 574-8918 |
| Full Name | Andrea Deserae King |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1661 State Route 522 Unit 2, Wheelersburg, Ohio |
| 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 |
|---|---|---|---|
| 1376916361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3010987 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | COA.18373-NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters' Medical Center | Ashland, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ashland Hospital Corporation | 7719882521 | 158 |
| Ashland Hospital Corporation | 7719882521 | 158 |
| Entity Name | Ashland Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851346720 PECOS PAC ID: 7719882521 Enrollment ID: O20040205001138 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Deserae King, APRN 1661 State Route 522 Unit 2, Wheelersburg, OH 45694-8120 Ph: (740) 574-8728 | Andrea Deserae King, APRN 1661 State Route 522 Unit 2, Wheelersburg, OH 45694-8120 Ph: (740) 574-8728 |
Kayla M Tackett, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8991 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-716-7086 | |
Jennifer M Knapp, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8750 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9301 Fax: 740-574-1651 | |
Deanna Crawford, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8101 Hayport Rd, Wheelersburg, OH 45694 Phone: 740-355-8562 | |
Valerie Mash, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8770 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-356-4100 Fax: 740-355-4182 | |
Mr. Brennon E Giles, NURSE PRACTIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8770 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-356-4100 Fax: 740-355-4182 | |
Kristina Wilburn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8750 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9301 Fax: 740-574-1651 | |
Rachel Renee Butcher, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8991 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-716-7086 Fax: 000-000-0000 |