| Evan Patrick Seagraves, APRN | |
|
912 Park Ave, Ironton, OH 45638-1596 | |
| (740) 532-1100 | |
| (740) 534-0029 |
| Full Name | Evan Patrick Seagraves |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 912 Park Ave, Ironton, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265827844 | NPI | - | NPPES |
| 0169300 | Medicaid | OH | |
| 7100354700 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3009248 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 19126-NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters' Medical Center | Ashland, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ashland Hospital Corporation | 7719882521 | 158 |
| Ashland Hospital Corporation | 7719882521 | 158 |
| Entity Name | Ashland Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053748913 PECOS PAC ID: 7719882521 Enrollment ID: O20031204000877 |
| Entity Name | Sanjiv Gupta, M.d., P.s.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477562536 PECOS PAC ID: 7012970031 Enrollment ID: O20041110000275 |
| Entity Name | Kings Daughters Medical Specialties Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710215736 PECOS PAC ID: 6103968029 Enrollment ID: O20100217000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Patrick Seagraves, APRN Po Box 1595, Ashland, KY 41105-1595 Ph: (606) 408-6200 | Evan Patrick Seagraves, APRN 912 Park Ave, Ironton, OH 45638-1596 Ph: (740) 532-1100 |
Georgia Dillon, RNC,WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1723 Waldo Dr, Ironton, OH 45638 Phone: 740-550-1473 | |
Melissa Sue Callihan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2325 County Road 26 Unit C, Ironton, OH 45638 Phone: 740-643-8688 | |
Jennifer Maureen Gibson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1408 Campbell Dr Ste 200, Ironton, OH 45638 Phone: 740-534-9202 Fax: 740-532-4777 | |
Christopher Stephens, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2117 S 7th St, Ironton, OH 45638 Phone: 740-533-9922 | |
Corey Danielle Webb, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 912 Park Ave, Ironton, OH 45638 Phone: 740-532-1100 Fax: 740-534-0029 | |
Mrs. Jacqueline Nicole Stumbo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1408 Campbell Dr, Ironton, OH 45638 Phone: 740-534-9202 |