| Jody Coomer, APRN | |
|
325 W Walnut St, Ste. 600, Lebanon, KY 40033-1377 | |
| (270) 699-9500 | |
| Not Available |
| Full Name | Jody Coomer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 325 W Walnut St, 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 |
|---|---|---|---|
| 1962863407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3009967 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ephraim Mcdowell Regional Medical Center | Danville, KY | Hospital |
| The James B Haggin Memorial Hospital | Harrodsburg, KY | Hospital |
| Ephraim Mcdowell Fort Logan Hospital | Stanford, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ephraim Mcdowell Health Resource Inc | 7517876956 | 161 |
| Entity Name | Ephraim Mcdowell Health Resource Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487708533 PECOS PAC ID: 7517876956 Enrollment ID: O20031218000776 |
| Entity Name | Lake Cumberland Regional Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861078685 PECOS PAC ID: 7214909456 Enrollment ID: O20040809001229 |
| Entity Name | Waynesburg Clinic, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669670816 PECOS PAC ID: 3375635857 Enrollment ID: O20070829000132 |
| Entity Name | Lake Cumberland Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811356892 PECOS PAC ID: 2567510464 Enrollment ID: O20090504000210 |
| Entity Name | Advanced Family Medical Clinic Mount Vernon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578090403 PECOS PAC ID: 2062780810 Enrollment ID: O20171026003512 |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Coomer, APRN 325 W Walnut St, Ste. 600, Lebanon, KY 40033-1377 Ph: (270) 699-9500 | Jody Coomer, APRN 325 W Walnut St, Ste. 600, Lebanon, KY 40033-1377 Ph: (270) 699-9500 |
Michelle Waddles Crimes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 757 W Main St, Lebanon, KY 40033 Phone: 270-972-4186 |
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 |