| Angela Gipson, APRN | |
|
165 Natchez Trace Ave Ste 205, Bowling Green, KY 42103-7947 | |
| (270) 745-7246 | |
| (270) 282-2027 |
| Full Name | Angela Gipson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 165 Natchez Trace Ave Ste 205, Bowling Green, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316360159 | NPI | - | NPPES |
| 7100281220 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 3008501 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 3008501 (Kentucky) | Primary |
| Entity Name | Interventional Pain Specialists Of Bowling Green Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033356274 PECOS PAC ID: 6608931035 Enrollment ID: O20090218000135 |
| 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 | Extended Care Specialists, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20190703001141 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Gipson, APRN Po Box 21890, Belfast, ME 04915-4115 Ph: (270) 745-7246 | Angela Gipson, APRN 165 Natchez Trace Ave Ste 205, Bowling Green, KY 42103-7947 Ph: (270) 745-7246 |
Marcia Atherton, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1048 Ashley St Ste 103a, Bowling Green, KY 42103 Phone: 270-599-0958 | |
Mrs. Kamala Mechelle Brooks, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1777 Ashley Cir, Bowling Green, KY 42104 Phone: 270-781-4090 | |
Paula Devore, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 Natchez Trace Ave Ste 205, Bowling Green, KY 42103 Phone: 270-745-7246 Fax: 270-282-2027 | |
Mrs. Demara Andrea Goodrich, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Fairway St, Bowling Green, KY 42103 Phone: 270-781-3910 | |
Mrs. Shellie D Hardcastle, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-745-1808 Fax: 270-796-5516 | |
Louise Elizabeth Webb, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Park St, Bowling Green, KY 42101 Phone: 270-781-5111 | |
Dawn Garrett -wright, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Park Street Ste 204, Psychiatric Associates, Bowling Green, KY 42101 Phone: 270-843-5103 |