| Crysta Devine, APRN | |
|
2207 Rabbit Flat Rd, Caneyville, KY 42721-7700 | |
| (502) 533-9110 | |
| Not Available |
| Full Name | Crysta Devine |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 2207 Rabbit Flat Rd, Caneyville, 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 |
|---|---|---|---|
| 1457009169 | NPI | - | NPPES |
| 3017544 | Other | KY | APRN LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3017544 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Simplicity Health Nursing Home | 2668822891 | 2 |
| Gim Of Kentucky Pllc | 5294036521 | 3 |
| Entity Name | Gim Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326411026 PECOS PAC ID: 5294036521 Enrollment ID: O20151210001753 |
| Entity Name | Simplicity Health Nursing Home |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043095003 PECOS PAC ID: 2668822891 Enrollment ID: O20231229000968 |
| Entity Name | Provider Partners Care Management Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013348028 PECOS PAC ID: 9335379270 Enrollment ID: O20240424001833 |
| Mailing Address | Practice Location Address |
|---|---|
| Crysta Devine, APRN 2207 Rabbit Flat Rd, Caneyville, KY 42721-7700 Ph: (502) 533-9110 | Crysta Devine, APRN 2207 Rabbit Flat Rd, Caneyville, KY 42721-7700 Ph: (502) 533-9110 |
Andrea H. Marvel, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 301 Sunset Drive, Caneyville, KY 42721 Phone: 270-879-3711 | |
Todd E Bullock, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 301 Sunset Dr, Caneyville, KY 42721 Phone: 270-879-3711 Fax: 270-879-8674 |