| Danielle Revert, APRN | |
|
140 Whittington Pkwy 100, Louisville, KY 40222-4930 | |
| (502) 327-9100 | |
| (855) 632-8329 |
| Full Name | Danielle Revert |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 140 Whittington Pkwy 100, 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 |
|---|---|---|---|
| 1962871327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3009715 (Kentucky) | Primary |
| Entity Name | T J Samson Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477609865 PECOS PAC ID: 0648182600 Enrollment ID: O20040318001777 |
| Entity Name | Hepatitis C Treatment Centers Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760667299 PECOS PAC ID: 9133114507 Enrollment ID: O20040415000986 |
| Entity Name | Faith Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053964965 PECOS PAC ID: 0840529335 Enrollment ID: O20190909002402 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Revert, APRN 140 Whittington Pkwy 100, Louisville, KY 40222-4930 Ph: (502) 327-9100 | Danielle Revert, APRN 140 Whittington Pkwy 100, Louisville, KY 40222-4930 Ph: (502) 327-9100 |
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: Accepting Medicare Assignments 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 |