Larry Trent Conley, PMHNP in Hazard, KY - Medicare Nurse Practitioner

Larry Trent Conley, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hazard, Kentucky. His current practice location is 1908 N Main St Ste 240, Hazard, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 439-2662.

Larry Trent Conley is licensed to practice in Kentucky (license number 3018666) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720798606.

Contact Information

	Larry Trent Conley, PMHNP
	1908 N Main St Ste 240, Hazard, KY 41701-2503
	(606) 439-2662
	Not Available

Map and Direction

Provider's Profile

Full Name	Larry Trent Conley
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1908 N Main St Ste 240, Hazard, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720798606
Provider Enumeration Date: 12/01/2022
Last Update Date: 12/01/2022

Medicare PECOS Information:

PECOS PAC ID: 2567833130
Enrollment ID: I20230118000585

Medical Identifiers

Medical identifiers for Larry Trent Conley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720798606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	3018666 (Kentucky)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Larry Trent Conley allows following entities to bill medicare on his behalf.

Entity Name	Mountain After Hours Clinic Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477638880 PECOS PAC ID: 0547170102 Enrollment ID: O20040506000973

Entity Name	Quantum Healthcare Associates Of Cumberland, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255603619 PECOS PAC ID: 0345403424 Enrollment ID: O20120530000361

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry Trent Conley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Larry Trent Conley, PMHNP 2451 Big Branch Road, Hindman, KY 41822 Ph: (606) 497-5828	Larry Trent Conley, PMHNP 1908 N Main St Ste 240, Hazard, KY 41701-2503 Ph: (606) 439-2662

Reviews and Comments

Nurse Practitioner Nurses in Hazard, KY

Jonathan D Combs, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1908 N Main St, Hazard, KY 41701 Phone: 606-439-2662
Sydney Roark, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-3952
Janie C Thompson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 279 E Main St, Hazard, KY 41701 Phone: 606-487-9505 Fax: 606-436-0071
Trena Preston, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 271 E Main St, Hazard, KY 41701 Phone: 606-439-1316 Fax: 606-435-0752
Chelsea Walker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Black Gold Blvd Ste 106, Hazard, KY 41701 Phone: 606-436-0711 Fax: 606-436-0848
Mrs. Robetta Melaine Baker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 Roy Campbell Dr, Hazard, KY 41701 Phone: 606-487-0776 Fax: 606-487-0777
Christina Ruth Martin, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Town And Country Ln Ste 100, Hazard, KY 41701 Phone: 606-439-1300 Fax: 606-439-1400

Larry Trent Conley, PMHNP - Medicare Nurse Practitioner in Hazard, KY