| Homer Couch, APRN, PMHNP-BC | |
|
638 E College Ave Ste B, Stanton, KY 40380-2363 | |
| (606) 318-3500 | |
| (606) 318-3503 |
| Full Name | Homer Couch |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 638 E College Ave Ste B, Stanton, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467251066 | NPI | - | NPPES |
| 7101052340 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4036163 (Kentucky) | Primary |
| Entity Name | Casa San Pio Clinics Of Appalachia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982976700 PECOS PAC ID: 2668639485 Enrollment ID: O20120207000409 |
| Entity Name | Montgomery Family Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659961431 PECOS PAC ID: 5890101471 Enrollment ID: O20210305001427 |
| Mailing Address | Practice Location Address |
|---|---|
| Homer Couch, APRN, PMHNP-BC Po Box 286, Lost Creek, KY 41348-0286 Ph: (606) 309-5729 | Homer Couch, APRN, PMHNP-BC 638 E College Ave Ste B, Stanton, KY 40380-2363 Ph: (606) 318-3500 |
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 | |
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: Accepting 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: Medicare Enrolled Practice Location: 321c E College Ave, Stanton, KY 40380 Phone: 606-663-9797 Fax: 606-663-9470 |