| Joshua W Sharp, | |
|
57 Hogue Rd, Pine Knot, KY 42635-7003 | |
| (606) 354-9444 | |
| (606) 354-9449 |
| Full Name | Joshua W Sharp |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 57 Hogue Rd, Pine Knot, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689282642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 238134 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3015666 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Cumberland Regional Hospital | Somerset, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cumberland Family Clinic, Pllc | 0749426047 | 3 |
| Southfork Medical Clinic Pllc | 7012815616 | 3 |
| Entity Name | Southfork Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295718757 PECOS PAC ID: 7012815616 Enrollment ID: O20040602001146 |
| Entity Name | Cumberland Family Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366703159 PECOS PAC ID: 0749426047 Enrollment ID: O20130411000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua W Sharp, Po Box 300, Pine Knot, KY 42635-0300 Ph: (606) 354-9444 | Joshua W Sharp, 57 Hogue Rd, Pine Knot, KY 42635-7003 Ph: (606) 354-9444 |
Madonna L Loudermilk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 57 Hogue Rd, Pine Knot, KY 42635 Phone: 606-354-9444 Fax: 606-354-9449 | |
Teresa White, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 58 Cal Hill Spur, Pine Knot, KY 42635 Phone: 606-354-3155 |