| Georgette Greene, APRN | |
|
101 N Main St, Stanton, KY 40380-2174 | |
| (606) 775-0515 | |
| (606) 552-0694 |
| Full Name | Georgette Greene |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 101 N Main St, Stanton, 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 |
|---|---|---|---|
| 1700322385 | NPI | - | NPPES |
| 7100457640 | Medicaid | KY | |
| 3010880 | Other | KY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3010880 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3010880 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Raven Rock Health Andwellness | 3173904174 | 2 |
| Entity Name | Raven Rock Health &wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144978594 PECOS PAC ID: 3173904174 Enrollment ID: O20220722000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Georgette Greene, APRN 101 N Main St, Stanton, KY 40380-2174 Ph: (606) 783-6400 | Georgette Greene, APRN 101 N Main St, Stanton, KY 40380-2174 Ph: (606) 775-0515 |
Tina A. Smith, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 638 E College Ave Ste B, Stanton, KY 40380 Phone: 606-318-3500 Fax: 606-318-3503 | |
Mrs. Sarah Crabtree, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 68 E Elkins St, Stanton, KY 40380 Phone: 606-663-2511 Fax: 606-663-0711 | |
Homer Couch, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 638 E College Ave Ste B, Stanton, KY 40380 Phone: 606-318-3500 Fax: 606-318-3503 | |
Makensee Corriveau, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 E Elkins St, Stanton, KY 40380 Phone: 859-404-7686 | |
Hannah E Patrick, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 68 E Elkins St, Stanton, KY 40380 Phone: 606-663-2511 Fax: 859-498-8160 | |
Dr. Herbert A. Couch, DNP, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 638 E College Ave, Suite B, Stanton, KY 40380 Phone: 606-318-3500 Fax: 606-318-3503 | |
Haley Berryman Bloom, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321c E College Ave, Stanton, KY 40380 Phone: 606-663-9797 Fax: 606-663-9470 |