| Maria Roidan Mckenzie, CNP | |
|
650 Joel Dr, Fort Campbell, KY 42223-5318 | |
| (270) 956-0299 | |
| (270) 956-0488 |
| Full Name | Maria Roidan Mckenzie |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 650 Joel Dr, Fort Campbell, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326790924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0030657 (Ohio) | Primary |
| Entity Name | Med Care Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467571976 PECOS PAC ID: 7113948092 Enrollment ID: O20051208000010 |
| Entity Name | Hni Medical Services Of Ohio, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356815922 PECOS PAC ID: 1759620735 Enrollment ID: O20190308002704 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Roidan Mckenzie, CNP 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8400 | Maria Roidan Mckenzie, CNP 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 956-0299 |
Mrs. Denise L Jones, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 605 Joel Drive, Fort Campbell, KY 42223 Phone: 270-798-4677 | |
Debra Jean Stubblefield, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-412-8940 | |
Mr. Tracy Lynn Saboy, MSN, ANP-BC, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8727 | |
Mrs. Jessica Elaine Lietz, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Laytheater Michelle Brown, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Leslie Marvene Gallon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-461-2868 | |
Ute Poepsel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Blanchfield Ach, Credentialing Office - Room 1eb01, Fort Campbell, KY 42223 Phone: 270-412-8983 Fax: 270-461-0243 |