| Heather Craft Bull, APRN | |
|
404 Steve Dr, Russell Springs, KY 42642-4622 | |
| (270) 866-3161 | |
| (270) 866-3163 |
| Full Name | Heather Craft Bull |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 404 Steve Dr, Russell Springs, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851864797 | NPI | - | NPPES |
| 14388133 | Other | KY | CAQH |
| 7100577570 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3012836 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3012836 (Kentucky) | Primary |
| Entity Name | Gilbert Barbee Moore & Mcilvoy Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114948288 PECOS PAC ID: 4082511167 Enrollment ID: O20031217000136 |
| Entity Name | Cumberland Family Medical Center, Inc.. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Craft Bull, APRN Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Heather Craft Bull, APRN 404 Steve Dr, Russell Springs, KY 42642-4622 Ph: (270) 866-3161 |
Musa Mawanda, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Steve Drive, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Taylor Jones, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Wade Rd, Russell Springs, KY 42642 Phone: 270-585-0618 | |
Shannon Lee Brown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 456 Walls Rd, Russell Springs, KY 42642 Phone: 270-250-1040 | |
Shannon R Young, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 404 Steve Drive, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Alisha A Knight, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 Steve Dr, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Susan Bradshaw, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Dowell Road, Russell Springs, KY 42642 Phone: 270-866-2440 Fax: 270-866-2442 | |
Brandi Lynee Mullins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 139 Whicker Dr, Russell Springs, KY 42642 Phone: 606-219-0542 |