| Lacy D Russell, APRN | |
|
268 E Maple St, Salyersville, KY 41465-8032 | |
| (606) 349-5300 | |
| (606) 349-5312 |
| Full Name | Lacy D Russell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 268 E Maple St, Salyersville, 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 |
|---|---|---|---|
| 1275001869 | NPI | - | NPPES |
| 7100600540 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3012873 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Salyersville Medical Center, Llc | 4385539501 | 3 |
| Entity Name | Aaron K. Jonan Memorial Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477569226 PECOS PAC ID: 5294632196 Enrollment ID: O20031218000126 |
| Entity Name | Salyersville Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215984711 PECOS PAC ID: 4385539501 Enrollment ID: O20040217000889 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacy D Russell, APRN 268 E Maple St, Salyersville, KY 41465-8032 Ph: (606) 349-5300 | Lacy D Russell, APRN 268 E Maple St, Salyersville, KY 41465-8032 Ph: (606) 349-5300 |
Heather Blair, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 940 Parkway Dr, Salyersville, KY 41465 Phone: 606-298-3412 | |
Maria Tackett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 Beriah Blvd, Salyersville, KY 41465 Phone: 606-349-5126 Fax: 606-349-5123 | |
Samantha Nicole Mccarty, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 823 Wolfpen Br, Salyersville, KY 41465 Phone: 606-367-3334 | |
Christy Ann Allen, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3043 Down And Around Rd, Salyersville, KY 41465 Phone: 606-496-5243 Fax: 606-496-5243 | |
Mrs. Patsy Jackson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 787 Parkway Dr, Salyersville, KY 41465 Phone: 606-889-3221 | |
Kristen Predmore, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 842 E Mountain Pkwy, Salyersville, KY 41465 Phone: 606-349-8100 Fax: 606-349-8150 |