| Jeneen C Haddix, APRN | |
| 1004 West Park Drive, Suites B & C, Lawrenceburg, KY 40342 | |
| (502) 353-4580 | |
| (502) 353-4112 | 
| Full Name | Jeneen C Haddix | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1004 West Park Drive, Lawrenceburg, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366153074 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3018775 (Kentucky) | Primary | 
| 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 | Kentucky Mso Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1164867883 PECOS PAC ID: 0749450633 Enrollment ID: O20110901000380 | 
| Entity Name | Signify Health Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210209002652 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jeneen C Haddix, APRN 1004 West Park Drive, Suites B & C, Lawrenceburg, KY 40342 Ph: () - | Jeneen C Haddix, APRN 1004 West Park Drive, Suites B & C, Lawrenceburg, KY 40342 Ph: (502) 353-4580 | 
| Mrs. Margaret Boyle Friel, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2265 Waddy Rd, Lawrenceburg, KY 40342 Phone: 502-839-8701 | |
| Alicia Husted, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 114 Cardinal Dr, Lawrenceburg, KY 40342 Phone: 502-319-1375 | |
| Angela Michele Buck, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Glensboro Rd Ste 8, Lawrenceburg, KY 40342 Phone: 502-604-1129 | |
| Crystal S Gilbert, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1080 Glensboro Rd, Lawrenceburg, KY 40342 Phone: 502-839-4091 Fax: 502-839-9650 | |
| Patrick Richardson,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1004 Bypass N, Lawrenceburg, KY 40342 Phone: 502-353-4220 | |
| Kimberly Dawn Phillips, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 Saffell St, Lawrenceburg, KY 40342 Phone: 502-227-2229 Fax: 502-227-1114 |