Celeste Magen White, APRN | |
8019 Dixie Hwy Ste 101, Louisville, KY 40258-1303 | |
(502) 333-3121 | |
(502) 531-9538 |
Full Name | Celeste Magen White |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 8019 Dixie Hwy Ste 101, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770256703 | NPI | - | NPPES |
3016129 | Other | KY | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3016129 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1114886 (Kentucky) | Primary |
Entity Name | Vascular Interventional & Pain Clinic-vip Clinic-vip Imaging Cen |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215433974 PECOS PAC ID: 3779847785 Enrollment ID: O20180427001083 |
Entity Name | Pmr Ky Holding Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740737709 PECOS PAC ID: 4789076688 Enrollment ID: O20220127000649 |
Mailing Address | Practice Location Address |
---|---|
Celeste Magen White, APRN 8019 Dixie Hwy Ste 101, Louisville, KY 40258-1303 Ph: (502) 333-3121 | Celeste Magen White, APRN 8019 Dixie Hwy Ste 101, Louisville, KY 40258-1303 Ph: (502) 333-3121 |
Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909 | |
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461 | |
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843 | |
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10798 Dixie Hwy Ste 102, Louisville, KY 40272 Phone: 502-449-6464 Fax: 502-449-6465 | |
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117 | |
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529 | |
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500 |