| Bridgette Loreen Carroll, APRN, FNP-C | |
|
6520 W Highway 22, Crestwood, KY 40014-9305 | |
| (502) 241-8488 | |
| (502) 241-7424 |
| Full Name | Bridgette Loreen Carroll |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 6520 W Highway 22, Crestwood, 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 |
|---|---|---|---|
| 1598991853 | NPI | - | NPPES |
| 113935 | Other | KY | SIHO NICC |
| 000000623052 | Other | KY | ANTHEM |
| 3737633000 | Other | KY | PASSPORT ADVANTAGE |
| 50025786 | Other | KY | PASSPORT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3006186 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health La Grange | La grange, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grace Primary Care Pllc | 6800130949 | 3 |
| Entity Name | Grace Primary Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679058804 PECOS PAC ID: 6800130949 Enrollment ID: O20181130001464 |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgette Loreen Carroll, APRN, FNP-C 6210 Camden Cir, Crestwood, KY 40014-8847 Ph: (502) 724-9325 | Bridgette Loreen Carroll, APRN, FNP-C 6520 W Highway 22, Crestwood, KY 40014-9305 Ph: (502) 241-8488 |
Michelle Baxter, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3811 Barbara Ann Blvd, Crestwood, KY 40014 Phone: 502-599-4158 |
Julia Elizabeth Pennington, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6813 W Highway 22, Crestwood, KY 40014 Phone: 502-243-2622 Fax: 502-243-2692 |
Madeleine Sofo Wardell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6411 Veterans Memorial Pkwy Ste 200, Crestwood, KY 40014 Phone: 502-394-6555 Fax: 502-394-3657 |
Denise Moore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4102 Deer Run Rd, Crestwood, KY 40014 Phone: 502-758-0795 |
Amy Nicole Head, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6580 Kenwood Crossing Rd, Crestwood, KY 40014 Phone: 502-243-3161 Fax: 502-243-3164 |
Elisabeth Burnett Sanderson, APRN PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8206 Highview Ct, Crestwood, KY 40014 Phone: 502-243-9559 |
Carrie Lynn Burchel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7101 W Highway 22, Crestwood, KY 40014 Phone: 502-241-6467 |