| Loretta Sue Wilson, NP | |
|
39 Cumberland Gap Plz, Gray, KY 40734-4536 | |
| (606) 526-9005 | |
| (606) 526-8606 |
| Full Name | Loretta Sue Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 39 Cumberland Gap Plz, Gray, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407002603 | NPI | - | NPPES |
| 7100089740 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3005770 (Kentucky) | Primary |
| 363L00000X | Nurse Practitioner | 1083291 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Corbin | Corbin, KY | Hospital |
| Knox County Hospital | Barbourville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grace Community Health Center, Inc. | 3870654064 | 54 |
| Entity Name | Grace Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568625648 PECOS PAC ID: 3870654064 Enrollment ID: O20081211000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Loretta Sue Wilson, NP 1019 Cumberland Falls Hwy, Suite B201, Corbin, KY 40701-2735 Ph: (606) 526-9005 | Loretta Sue Wilson, NP 39 Cumberland Gap Plz, Gray, KY 40734-4536 Ph: (606) 526-9005 |
Ms. Tammy L Freeman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10755 N Us Highway 25e, Gray, KY 40734 Phone: 606-258-8050 Fax: 606-258-8994 | |
Natasha Garrison, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3191 Ky 1232, Gray, KY 40734 Phone: 606-260-2246 | |
Mrs. Edna Eugenia Stewart, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 Cumberland Gap Plaza, Gray, KY 40734 Phone: 606-526-9005 Fax: 606-526-8606 | |
Mr. Vernon Eugene Taylor Jr., APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 Cumberland Gap Plz, Gray, KY 40734 Phone: 606-526-9005 Fax: 606-526-8607 | |
Mrs. Mary Beth Lopez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 Cumberland Gap Plz, Gray, KY 40734 Phone: 606-526-9005 Fax: 606-526-8607 | |
Mrs. Rita Carol Gilbert, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39 Cumberland Gap Plz, Gray, KY 40734 Phone: 606-275-3415 |