| 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 |
|---|---|
| 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 |
|---|---|
| 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: Accepting Medicare Assignments Practice Location: 1850 Bypass Rd, Winchester, KY 40391 Phone: 859-744-5111 Fax: 859-744-1177 | |
Amy Elizabeth Brubaker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments 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: May Accept Medicare Assignments Practice Location: 625 Tech Dr, Winchester, KY 40391 Phone: 859-310-3567 |