| Lindsey R Haukom, APRN | |
|
931 E Main St, Cecilia, KY 42724-7614 | |
| (844) 435-0900 | |
| (270) 858-4029 |
| Full Name | Lindsey R Haukom |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 931 E Main St, Cecilia, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548627458 | NPI | - | NPPES |
| 7100401190 | Medicaid | KY | |
| 13826899 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3010050 (Kentucky) | Primary |
| Entity Name | Cumberland Family Medical Center, Inc.. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Lindsey R Haukom, APRN Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Lindsey R Haukom, APRN 931 E Main St, Cecilia, KY 42724-7614 Ph: (844) 435-0900 |
Mrs. Mckayla Ashton Basham, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 599 Lone Oak Rd, Cecilia, KY 42724 Phone: 270-272-3997 | |
Autumn Hope Diehl, BSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 Templeman Ave, Cecilia, KY 42724 Phone: 270-734-6554 Fax: 270-734-6554 | |
Savannah B Nally, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 931 E Main Street, Cecilia, KY 42724 Phone: 844-435-0900 Fax: 270-858-4029 |