| Angela Coffman, APRN-FNP-C | |
|
1221 N Main St, Beaver Dam, KY 42320-8955 | |
| (270) 775-6060 | |
| (270) 339-7791 |
| Full Name | Angela Coffman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1221 N Main St, Beaver Dam, Kentucky |
| 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 |
|---|---|---|---|
| 1811503410 | NPI | - | NPPES |
| 300044645 | Medicaid | IN | |
| CS2035300109 | Other | CARESOURCE PROVIDER ID NUMBER | |
| 12078066 | Other | PRIME HEALTH SERVICES PROVIDER ID NUMBER | |
| 7100703790 | Medicaid | KY | |
| 000001446476 | Other | ANTHEM PIN | |
| 7557009 | Other | UNITED HEALTHCARE PROVIDER ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3015137 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ohio County Hospital | Hartford, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coffman Family Care And Wellness, Pllc | 1759751456 | 4 |
| Entity Name | Ohio County Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407049000 PECOS PAC ID: 3577477264 Enrollment ID: O20031117000774 |
| Entity Name | Commonwealth Pain Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20130802000577 |
| Entity Name | Coffman Family Care And Wellness, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649997669 PECOS PAC ID: 1759751456 Enrollment ID: O20221221000317 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Coffman, APRN-FNP-C 1221 N Main St, Beaver Dam, KY 42320-8955 Ph: (270) 775-6060 | Angela Coffman, APRN-FNP-C 1221 N Main St, Beaver Dam, KY 42320-8955 Ph: (270) 775-6060 |
Mrs. Susan Smith Rice, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1219 North Main St, Norsworthy Medical Assoc., Psc, Beaver Dam, KY 42320 Phone: 270-274-0638 Fax: 270-274-5600 | |
Courtney Nicole Vincent, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1213 N Main St, Beaver Dam, KY 42320 Phone: 270-274-4771 Fax: 270-274-4884 | |
Bridget Colette Johnson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1313 N Main St, Beaver Dam, KY 42320 Phone: 270-274-9928 Fax: 270-274-0134 | |
Jessica Brianne Millay, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 N Main St, Beaver Dam, KY 42320 Phone: 270-775-6060 | |
Kasee Rashellle Paxton, WHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1313 N Main St, Beaver Dam, KY 42320 Phone: 270-274-9928 Fax: 270-274-0134 | |
Haley Lynn Rascoe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1213 N Main St, Beaver Dam, KY 42320 Phone: 270-274-4771 Fax: 270-274-4884 | |
Cynthia R Wilson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1313 N Main St, Beaver Dam, KY 42320 Phone: 270-298-9928 Fax: 270-274-0134 |