| Heather Jan Matthies, | |
|
106 Market Place Cir, Georgetown, KY 40324-7400 | |
| (502) 868-6737 | |
| Not Available |
| Full Name | Heather Jan Matthies |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 106 Market Place Cir, Georgetown, 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 |
|---|---|---|---|
| 1457794646 | NPI | - | NPPES |
| 019763300 | Medicaid | FL | |
| H8TG8 | Other | FL | BCBSFL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3017695 (Kentucky) | Primary |
| 363L00000X | Nurse Practitioner | ARNP9450003 (Florida) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kiosk Medicine Kentucky Llc | 6002887510 | 160 |
| Entity Name | Ashland Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659328250 PECOS PAC ID: 7719882521 Enrollment ID: O20031204000877 |
| Entity Name | Kiosk Medicine Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205885035 PECOS PAC ID: 6002887510 Enrollment ID: O20040805001127 |
| Entity Name | Fast Pace Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Jan Matthies, 106 Market Place Cir, Georgetown, KY 40324-7400 Ph: () - | Heather Jan Matthies, 106 Market Place Cir, Georgetown, KY 40324-7400 Ph: (502) 868-6737 |
Amber Lynn Guy, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Bevins Ln Ste C, Georgetown, KY 40324 Phone: 502-868-0622 Fax: 502-868-9097 | |
Joann Carroll, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1154a Lexington Rd, Georgetown, KY 40324 Phone: 833-510-4357 | |
Jenna Bivins Green, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Showalter Dr, Georgetown, KY 40324 Phone: 502-868-6101 | |
Jill Ellen Crawford, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 Bevins Ln, Georgetown, KY 40324 Phone: 859-323-9333 Fax: 502-570-5322 | |
Adam Dwight Culbertson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1154a Lexington Rd, Georgetown, KY 40324 Phone: 513-834-7063 | |
Greta Coleman Barker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1215 | |
Peyton Madison Blanton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 Bevins Ln, Georgetown, KY 40324 Phone: 859-323-9333 Fax: 502-570-5063 |