| Hannah Nicole Champion, | |
|
200 Clinic Dr, Madisonville, KY 42431-1661 | |
| (270) 825-7258 | |
| (270) 825-7357 |
| Full Name | Hannah Nicole Champion |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 200 Clinic Dr, Madisonville, 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 |
|---|---|---|---|
| 1831923713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4025382 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jennie Stuart Medical Center Inc | 4183607252 | 103 |
| Baptist Health Deaconess Medical Group Inc | 6103220330 | 208 |
| Entity Name | Jennie Stuart Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235139312 PECOS PAC ID: 4183607252 Enrollment ID: O20040609001506 |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Nicole Champion, 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 825-7258 | Hannah Nicole Champion, 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 825-7258 |
Michael Wayne Rager, PRESIDENT & CEO Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1915 S Main St, Madisonville, KY 42431 Phone: 270-344-5473 Fax: 833-450-6370 | |
Michelle Delane Davis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Ymca Dr Ste 1, Madisonville, KY 42431 Phone: 270-359-5254 Fax: 502-546-7016 | |
Sarah Ruth Peyton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 N Main St, Madisonville, KY 42431 Phone: 270-825-7268 Fax: 270-825-6615 | |
Ashleigh Dena Hickerson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-875-3502 Fax: 270-825-5551 | |
Ms. Rosa Lee Langley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3895 Brown Rd, Madisonville, KY 42431 Phone: 859-539-7014 | |
Amy Nicole Mercer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 N Main St, Madisonville, KY 42431 Phone: 270-825-7268 Fax: 270-825-6615 | |
Leslie Johnson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 N Main St, Madisonville, KY 42431 Phone: 270-245-2554 |