| Jessica Wallen, APRN | |
|
466 Burnley Rd, Scottsville, KY 42164-6355 | |
| (270) 618-3700 | |
| Not Available |
| Full Name | Jessica Wallen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 466 Burnley Rd, Scottsville, 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 |
|---|---|---|---|
| 1427670827 | NPI | - | NPPES |
| 1137080 | Other | KY | RN LICENSE |
| 3016353 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WM0705X | Registered Nurse - Medical-surgical | 1137080 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3016353 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Medical Center At Scottsville | Scottsville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Health Corporation, Inc. | 5496667628 | 391 |
| Bowling Green-warren County Community Hospital Corporation | 7719899947 | 65 |
| Entity Name | Bowling Green-warren County Community Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831112507 PECOS PAC ID: 7719899947 Enrollment ID: O20031231000033 |
| Entity Name | Commonwealth Health Corporation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881109304 PECOS PAC ID: 5496667628 Enrollment ID: O20040916000800 |
| Entity Name | Brock Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567 |
| 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 |
|---|---|
| Jessica Wallen, APRN 466 Burnley Rd, Scottsville, KY 42164-6355 Ph: (270) 618-3700 | Jessica Wallen, APRN 466 Burnley Rd, Scottsville, KY 42164-6355 Ph: (270) 618-3700 |
Mrs. Macey Elizabeth Weaver, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2393 New Glasgow Rd, Scottsville, KY 42164 Phone: 615-879-0128 | |
Katelyn Michelle Chandler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 466 Burnley Rd, Scottsville, KY 42164 Phone: 270-618-3700 | |
Amy Verst, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Burnley Rd, Scottsville, KY 42164 Phone: 270-618-1455 Fax: 270-618-2902 | |
Mrs. Emily Tabor Jessie, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1084 Veterans Memorial Hwy, Scottsville, KY 42164 Phone: 702-373-1232 Fax: 270-237-3139 | |
Jordan Beth Dillard, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 720 Oliver St, Scottsville, KY 42164 Phone: 270-618-3256 Fax: 270-618-3262 | |
Krystal Mckain, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 466 Burnley Rd, Scottsville, KY 42164 Phone: 270-618-3700 | |
Angela Brooke Marsh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1084 Veterans Memorial Hwy, Scottsville, KY 42164 Phone: 270-237-3123 Fax: 270-237-3139 |