| Justin Wayne Kauffman, MSN, ACNPC-AG, APRN | |
|
613 23rd St Ste G10, Ashland, KY 41101-2886 | |
| (606) 408-5864 | |
| (606) 408-6499 |
| Full Name | Justin Wayne Kauffman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 613 23rd St Ste G10, Ashland, 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 |
|---|---|---|---|
| 1619702644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 4046715 (Kentucky) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | 120808 (West Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charleston Area Medical Center Inc | 3375441637 | 859 |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Wayne Kauffman, MSN, ACNPC-AG, APRN 1428 Township Road 97, Willow Wood, OH 45696-8904 Ph: (740) 361-8220 | Justin Wayne Kauffman, MSN, ACNPC-AG, APRN 613 23rd St Ste G10, Ashland, KY 41101-2886 Ph: (606) 408-5864 |
Lisa Ellen Spencer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 230, Ashland, KY 41101 Phone: 606-324-4745 Fax: 606-324-4941 | |
Tomie Thompson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Ashland Dr, Ste G1, Ashland, KY 41101 Phone: 606-833-4043 | |
Susan Aliff, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 617 23rd St Ste 19, Ashland, KY 41101 Phone: 606-325-2221 Fax: 606-324-1326 | |
Tracy Ricewick, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 130, Ashland, KY 41101 Phone: 606-329-9335 | |
Rita Nicole Fletcher, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 399 Diederich Blvd, Ashland, KY 41101 Phone: 606-324-8060 Fax: 606-325-6889 | |
Darren Barker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 440, Ashland, KY 41101 Phone: 606-329-2888 | |
Martina Renate Myers, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 Fax: 606-408-6825 |