| Betty A Stanley, FNP | |
|
65 Center Ave, Whitley City, KY 42653-4380 | |
| (606) 376-2224 | |
| (606) 376-2205 |
| Full Name | Betty A Stanley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 65 Center Ave, Whitley City, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164492732 | NPI | - | NPPES |
| 33479421 | Medicaid | TN | |
| 78001302 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN5568 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3000474 (Kentucky) | Primary |
| Entity Name | Mountain Peoples Health Councils Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871594333 PECOS PAC ID: 7517945678 Enrollment ID: O20040713001525 |
| Entity Name | Family And Pediatric Care Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861844763 PECOS PAC ID: 3678853587 Enrollment ID: O20161212001916 |
| Mailing Address | Practice Location Address |
|---|---|
| Betty A Stanley, FNP 65 Center Ave, Whitley City, KY 42653-4380 Ph: (606) 376-2224 | Betty A Stanley, FNP 65 Center Ave, Whitley City, KY 42653-4380 Ph: (606) 376-2224 |
Theresa Sue Henderson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 N Highway 27, Whitley City, KY 42653 Phone: 606-376-5363 Fax: 606-376-9919 | |
Emily Ruthanne Ross, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 69 S Main St, Whitley City, KY 42653 Phone: 606-310-3314 Fax: 606-376-7216 | |
Jennifer J West, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 N Highway 27, Whitley City, KY 42653 Phone: 606-376-5391 Fax: 888-960-2041 | |
Mrs. Melissa Beth Cheng, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 71 Medical Ln, Whitley City, KY 42653 Phone: 606-376-7212 Fax: 606-687-3151 | |
Tammie L Emerson-johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 71 Medical Ln, Whitley City, KY 42653 Phone: 606-376-7212 | |
Daphne Ann Clark, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 N Highway 27, Whitley City, KY 42653 Phone: 606-376-3326 Fax: 888-960-2041 |