Larry Omar Maggard, APRN - C, FNP | |
5 Fontaine Blvd, Winchester, KY 40391-9214 | |
(859) 749-8266 | |
(859) 749-8266 |
Full Name | Larry Omar Maggard |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 5 Fontaine Blvd, Winchester, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184140907 | NPI | - | NPPES |
7100495320 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3011468 (Kentucky) | Primary |
Entity Name | Mercy Health Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609151471 PECOS PAC ID: 2466592688 Enrollment ID: O20100624000061 |
Mailing Address | Practice Location Address |
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Larry Omar Maggard, APRN - C, FNP 5 Fontaine Blvd, Winchester, KY 40391-9214 Ph: (859) 749-8266 | Larry Omar Maggard, APRN - C, FNP 5 Fontaine Blvd, Winchester, KY 40391-9214 Ph: (859) 749-8266 |
Mrs. Sara M Darmadji, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 Bypass Rd, Winchester, KY 40391 Phone: 859-744-5111 Fax: 859-744-1177 | |
Amy Elizabeth Brubaker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 455 Bullion Blvd, Winchester, KY 40391 Phone: 859-744-2623 Fax: 859-744-9421 | |
Amber D Rudd, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 N Highland St, Suite A, Winchester, KY 40391 Phone: 859-744-1445 Fax: 859-744-1442 | |
Mrs. Regina Ann Prewitt, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 Shoppers Dr, Winchester, KY 40391 Phone: 859-744-9866 | |
Michelle A Mcbrayer, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26 N Highland St, Winchester, KY 40391 Phone: 859-253-1686 Fax: 859-254-2743 | |
Pascaline Jumbuin, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 625 Tech Dr, Winchester, KY 40391 Phone: 859-310-3567 |