| Jacquelyn R Blandford, APRN | |
|
325 W Walnut St Ste 600, Lebanon, KY 40033-1378 | |
| (270) 699-9500 | |
| (270) 795-4015 |
| Full Name | Jacquelyn R Blandford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 325 W Walnut St Ste 600, Lebanon, 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 |
|---|---|---|---|
| 1285452755 | NPI | - | NPPES |
| 16334812 | Other | KY | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1150702 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4028681 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cumberland Family Medical Center Inc | 6305947789 | 125 |
| 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 |
|---|---|
| Jacquelyn R Blandford, APRN 325 W Walnut St Ste 600, Lebanon, KY 40033-1378 Ph: (270) 699-9500 | Jacquelyn R Blandford, APRN 325 W Walnut St Ste 600, Lebanon, KY 40033-1378 Ph: (270) 699-9500 |
Abigail Porter, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 W High St, Lebanon, KY 40033 Phone: 270-692-9559 Fax: 270-692-9236 | |
Derhonda Mae Thompson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 W High St, Lebanon, KY 40033 Phone: 270-692-9559 | |
Beverly Ann Holbert, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 325 W Walnut St, Lebanon, KY 40033 Phone: 270-699-9500 Fax: 270-699-9550 | |
Mrs. Anne C Morley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 325 W Walnut St Ste 600, Lebanon, KY 40033 Phone: 270-699-9500 | |
Brittany Nicole Bright, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 N Depot St, Lebanon, KY 40033 Phone: 270-465-3561 | |
Stephanie Watson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 311 W High Street, Lebanon, KY 40033 Phone: 270-692-5811 Fax: 270-692-3863 | |
Constance Louise Mahin, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 757 W Main St, Lebanon, KY 40033 Phone: 270-972-4186 |