| Kevin Thomas Hartley, | |
|
7000 Dixie Hwy, Florence, KY 41042-2010 | |
| (859) 282-2024 | |
| (859) 282-6747 |
| Full Name | Kevin Thomas Hartley |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 7000 Dixie Hwy, Florence, 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 |
|---|---|---|---|
| 1396375952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3014140 (Kentucky) | Primary |
| 207Q00000X | Family Medicine | 3014140 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Interim Healthcare Of Northern Kentucky | Edgewood, KY | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eventus Ecs, Inc | 2163969650 | 243 |
| Extended Care Specialists, Inc | 2466407713 | 295 |
| Eventus Wholehealth Midwest Inc | 4183040470 | 120 |
| Extended Care Specialists, Inc | 2466407713 | 295 |
| Eventus Wholehealth Midwest Inc | 4183040470 | 120 |
| Entity Name | Robert Klickovich |
|---|---|
| Entity Type | Practitioner - Anesthesiology |
| Entity Identifiers | NPI Number: 1649204306 PECOS PAC ID: 9931106879 Enrollment ID: I20080214000023 |
| 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 | Eventus Wholehealth Midwest Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20211217001894 |
| 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 |
| Entity Name | Eventus Ecs - Kentucky, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396563276 PECOS PAC ID: 2567990617 Enrollment ID: O20250116002906 |
| Entity Name | Eventus WH Midwest Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588481717 PECOS PAC ID: 1456880632 Enrollment ID: O20260130001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Thomas Hartley, 7000 Dixie Hwy, Florence, KY 41042-2010 Ph: (859) 282-2024 | Kevin Thomas Hartley, 7000 Dixie Hwy, Florence, KY 41042-2010 Ph: (859) 282-2024 |
Alicia Krummen, APRN WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7505 Burlington Pike, Florence, KY 41042 Phone: 859-363-2060 Fax: 859-647-3594 |
Kristie L Thelen Mcmanus, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 59 Cavalier Blvd, Suite 330, Florence, KY 41042 Phone: 859-371-3232 Fax: 859-371-6943 |
Allen Norbert Kramer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8726 Us 42, Florence, KY 41017 Phone: 859-301-2663 Fax: 859-817-7848 |
Dixie Lee Zimmerman, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7459 Burlington Pike, Florence, KY 41042 Phone: 859-578-3200 |
Kelly Marcum, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7560 Us Highway 42, Florence, KY 41042 Phone: 859-283-2475 |
Justin T Carsley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7300 Woodspoint Dr, Florence, KY 41042 Phone: 502-262-2887 |
Mrs. Erin Schaeffer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7300 Turfway Road, Florence, KY 41042 Phone: 859-212-5025 |