| Andrea Shawn Wise, AGACNP | |
|
3600 Frederica St, Owensboro, KY 42301-6981 | |
| (270) 684-0023 | |
| (270) 684-0065 |
| Full Name | Andrea Shawn Wise |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 3600 Frederica St, Owensboro, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376275578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3017990 (Kentucky) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 3017990 (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 | Concord Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20180503002233 |
| Entity Name | South Central Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20210126001625 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Shawn Wise, AGACNP 3600 Frederica St, Owensboro, KY 42301-6981 Ph: (270) 684-0023 | Andrea Shawn Wise, AGACNP 3600 Frederica St, Owensboro, KY 42301-6981 Ph: (270) 684-0023 |
Kim Ann Harley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2211 Mayfair Dr Ste 102, Owensboro, KY 42301 Phone: 270-688-1351 Fax: 270-688-3342 | |
Mrs. Catherine Elizabeth Bowlds, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 Pleasant Valley Rd, Owensboro, KY 42303 Phone: 270-929-5731 | |
Patricia A Koller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Breckenridge St, Owensboro, KY 42303 Phone: 270-685-8230 Fax: 270-685-8233 | |
Calla M Hass, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1325 Triplett St, # A, Owensboro, KY 42303 Phone: 270-686-8500 Fax: 270-685-5467 | |
Kimberly Michelle Gilstrap, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Frederica St, Owensboro, KY 42301 Phone: 270-684-0023 | |
Jennifer Erin Brenner, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 E Parrish Ave Ste 100, Owensboro, KY 42303 Phone: 270-688-1770 | |
Olivia Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3419 Wathens Xing, Owensboro, KY 42301 Phone: 270-313-8426 |