| Glen R Standafer, APRN | |
|
732 Highway 36, Frenchburg, KY 40322-8123 | |
| (606) 768-2191 | |
| (606) 768-6130 |
| Full Name | Glen R Standafer |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 732 Highway 36, Frenchburg, Kentucky |
| 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 |
|---|---|---|---|
| 1669759064 | NPI | - | NPPES |
| 7100192030 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3007175 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3007175 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters' Medical Center | Ashland, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kentucky Em-i Medical Services Psc | 8325001175 | 8 |
| Entity Name | New Lexington Clinic Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803681 PECOS PAC ID: 3476457532 Enrollment ID: O20031121000103 |
| Entity Name | Southern Medical Partners, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538109962 PECOS PAC ID: 8123923679 Enrollment ID: O20031206000036 |
| Entity Name | Southeastern Emergency Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031219000755 |
| Entity Name | Kentucky Em-i Medical Services Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083869135 PECOS PAC ID: 8325001175 Enrollment ID: O20041111000775 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | Acs Primary Care Physicians-midwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609811413 PECOS PAC ID: 3173435229 Enrollment ID: O20050816000693 |
| Entity Name | Green Valley Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720755739 PECOS PAC ID: 4385035534 Enrollment ID: O20230926000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Glen R Standafer, APRN 732 Highway 36, Frenchburg, KY 40322-8123 Ph: (606) 768-2191 | Glen R Standafer, APRN 732 Highway 36, Frenchburg, KY 40322-8123 Ph: (606) 768-2191 |
Morgan Morris, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 732 Highway 36, Frenchburg, KY 40322 Phone: 606-768-2191 Fax: 606-768-6130 | |
Jennifer Richards Clark, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 784 Highway 36, Frenchburg, KY 40322 Phone: 606-768-9190 Fax: 606-768-9180 | |
Marion J Leach, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 784 Highway 36, Frenchburg, KY 40322 Phone: 606-768-9190 Fax: 606-768-9180 | |
Jamie Sheree Vance, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 784 Highway 36, Frenchburg, KY 40322 Phone: 606-768-9190 | |
Mrs. Karen Metler, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 359 Wynn Flat Rd Rm 121, Frenchburg, KY 40322 Phone: 606-768-9190 Fax: 606-768-9180 | |
Amy Back Brown, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 784 Highway 36, Frenchburg, KY 40322 Phone: 606-768-9190 Fax: 606-768-9180 | |
Teresa Gevedon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Us Highway 460 E, Frenchburg, KY 40322 Phone: 606-768-3725 Fax: 606-464-0152 |