| Larry Wayne Childers, | |
|
37 Ball Park Rd, Harlan, KY 40831-1701 | |
| (606) 573-4520 | |
| (606) 573-6392 |
| Full Name | Larry Wayne Childers |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 37 Ball Park Rd, Harlan, 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 |
|---|---|---|---|
| 1588553283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4042781 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ppl Therapeutic Services Pllc | 8527323989 | 30 |
| Entity Name | Appalachian Regional Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417045998 PECOS PAC ID: 0840107835 Enrollment ID: O20031125000520 |
| Entity Name | Ppl Therapeutic Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104323252 PECOS PAC ID: 8527323989 Enrollment ID: O20180606000408 |
| Entity Name | Arh Tug Valley Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588328967 PECOS PAC ID: 4183953805 Enrollment ID: O20190905002344 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Wayne Childers, 37 Ball Park Rd, Harlan, KY 40831-1701 Ph: (606) 573-4520 | Larry Wayne Childers, 37 Ball Park Rd, Harlan, KY 40831-1701 Ph: (606) 573-4520 |
Michelle Renee Scearse, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-4520 Fax: 606-573-6392 |
Savanna Wynn, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 132 Village Center Rd, Harlan, KY 40831 Phone: 606-573-7771 |
Rachel Wilson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-4520 Fax: 606-573-6392 |
Misty Renee Turner, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-543-4520 |
Vanessa Lee Jaco, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-4520 |
Kimberly Lynn Rouse, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 Ivy St, Harlan, KY 40831 Phone: 606-524-9384 |
Patricia Howard, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1540 S Us Highway 421, Harlan, KY 40831 Phone: 606-573-9939 |