| Kathleen J Short, APRN | |
|
828 Lane Allen Rd Ste 219, Lexington, KY 40504 | |
| (502) 498-4071 | |
| (888) 423-5216 |
| Full Name | Kathleen J Short |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 828 Lane Allen Rd Ste 219, Lexington, 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 |
|---|---|---|---|
| 1790146926 | NPI | - | NPPES |
| 7100399360 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3010218 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Extended Care Specialists, Inc | 2466407713 | 271 |
| Entity Name | Advanced Healthcare Associates, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841225091 PECOS PAC ID: 0244219848 Enrollment ID: O20110307000730 |
| Entity Name | Extended Care Specialists, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20190703001141 |
| Entity Name | Travis J Ptacek Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265113260 PECOS PAC ID: 1658725692 Enrollment ID: O20240502001406 |
| Entity Name | Eventus Ecs, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073353496 PECOS PAC ID: 2163969650 Enrollment ID: O20240910001036 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen J Short, APRN Po Box 3299, Carson City, NV 89702-3299 Ph: (775) 222-0044 | Kathleen J Short, APRN 828 Lane Allen Rd Ste 219, Lexington, KY 40504 Ph: (502) 498-4071 |
Mrs. Amy Lauran Burnett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 740 Rose St, Wing D, 4th Floor, Lexington, KY 40536 Phone: 859-323-5643 | |
Ms. Yvonne P Rice, APRN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-218-1779 | |
Jasmine Howard, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Mn604, Lexington, KY 40536 Phone: 859-323-6047 Fax: 859-257-3873 | |
Leah Ray Yeager, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Cc417, Lexington, KY 40536 Phone: 859-257-1223 Fax: 859-323-2749 | |
Anna Kelly Hardin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 830 South Limestone, Lexington, KY 40536 Phone: 859-323-2778 | |
Malissa Claudette Contreras, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3301 Leestown Rd, Lexington, KY 40511 Phone: 859-255-6812 | |
Amanda Jane Reid, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1019 Majestic Dr Ste 210, Lexington, KY 40513 Phone: 859-277-3114 Fax: 859-277-0498 |