| Deborah S Clark, APRN | |
|
210 N Main St, Morgantown, KY 42261-7919 | |
| (270) 526-3137 | |
| (270) 526-4829 |
| Full Name | Deborah S Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 210 N Main St, Morgantown, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144461559 | NPI | - | NPPES |
| 000000620424 | Other | KY | ANTHEM # WITH CHS, INC. |
| 7100082850 | Medicaid | KY | |
| 200975180 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3005972 (Kentucky) | Primary |
| Entity Name | Ohio County Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407049000 PECOS PAC ID: 3577477264 Enrollment ID: O20031117000774 |
| Entity Name | Ohio County Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902226590 PECOS PAC ID: 3577477264 Enrollment ID: O20141208001390 |
| Entity Name | Coffman Family Care And Wellness, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649997669 PECOS PAC ID: 1759751456 Enrollment ID: O20221221000317 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah S Clark, APRN Po Box 148, Hartford, KY 42347-0148 Ph: (270) 504-1300 | Deborah S Clark, APRN 210 N Main St, Morgantown, KY 42261-7919 Ph: (270) 526-3137 |
Shira Beth Hughes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 Porter St, Morgantown, KY 42261 Phone: 270-526-9652 Fax: 270-526-9655 | |
Andrea Terry Hampton, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 Porter St, Morgantown, KY 42261 Phone: 270-526-9652 | |
Amanda Smith-gaspar, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1116 S Main St, Morgantown, KY 42261 Phone: 270-288-5085 Fax: 270-288-5086 | |
Jessica Danielle Johnson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 West Porter St, Morgantown, KY 42261 Phone: 270-526-9652 | |
Marta Bogdzia, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10695 Bowling Green Rd, Morgantown, KY 42261 Phone: 224-637-5584 | |
Pamela Denise Phelps, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1132 Brooklyn Chapel Rd, Morgantown, KY 42261 Phone: 270-526-0875 Fax: 270-526-9655 |