| Illena Y Boggs, APRN, FNP-BC | |
|
6572 Midland Trail Rd, Ashland, KY 41102-9286 | |
| (606) 928-7755 | |
| (606) 928-0052 |
| Full Name | Illena Y Boggs |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 6572 Midland Trail Rd, Ashland, 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 |
|---|---|---|---|
| 1790145191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3010111 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN-50349 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters' Med. Ctr. Hha | Ashland, KY | Home health agency |
| King's Daughters' Medical Center | Ashland, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Therapy And Health Centers Inc | 7416859574 | 189 |
| Lewis Family Care Inc | 7517984891 | 5 |
| Entity Name | Lewis Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750488961 PECOS PAC ID: 7517984891 Enrollment ID: O20160824000784 |
| Mailing Address | Practice Location Address |
|---|---|
| Illena Y Boggs, APRN, FNP-BC 6572 Midland Trail Rd, Ashland, KY 41102-9286 Ph: (606) 928-7755 | Illena Y Boggs, APRN, FNP-BC 6572 Midland Trail Rd, Ashland, KY 41102-9286 Ph: (606) 928-7755 |
Lisa Ellen Spencer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 230, Ashland, KY 41101 Phone: 606-324-4745 Fax: 606-324-4941 | |
Tomie Thompson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Ashland Dr, Ste G1, Ashland, KY 41101 Phone: 606-833-4043 | |
Susan Aliff, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 617 23rd St Ste 19, Ashland, KY 41101 Phone: 606-325-2221 Fax: 606-324-1326 | |
Tracy Ricewick, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 130, Ashland, KY 41101 Phone: 606-329-9335 | |
Rita Nicole Fletcher, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 399 Diederich Blvd, Ashland, KY 41101 Phone: 606-324-8060 Fax: 606-325-6889 | |
Darren Barker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 440, Ashland, KY 41101 Phone: 606-329-2888 | |
Martina Renate Myers, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 Fax: 606-408-6825 |