| Maria Tackett, APRN | |
| 214 Beriah Blvd, Salyersville, KY 41465-7509 | |
| (606) 349-5126 | |
| (606) 349-5123 | 
| Full Name | Maria Tackett | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 214 Beriah Blvd, Salyersville, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215779368 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4022810 (Kentucky) | Primary | 
| Entity Name | Big Sandy Health Care, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104055805 PECOS PAC ID: 1951211218 Enrollment ID: O20040510000841 | 
| Entity Name | Big Sandy Health Care, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922594506 PECOS PAC ID: 1951211218 Enrollment ID: O20181008002523 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Maria Tackett, APRN 1709 Ky Route 321, Prestonsburg, KY 41653-9097 Ph: (606) 886-8546 | Maria Tackett, APRN 214 Beriah Blvd, Salyersville, KY 41465-7509 Ph: (606) 349-5126 | 
| Heather Blair, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 940 Parkway Dr, Salyersville, KY 41465 Phone: 606-298-3412 | |
| Samantha Nicole Mccarty, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 823 Wolfpen Br, Salyersville, KY 41465 Phone: 606-367-3334 | |
| Lacy D. Russell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 268 E Maple St, Salyersville, KY 41465 Phone: 606-349-5300 Fax: 606-349-5312 | |
| Christy Ann Allen, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3043 Down And Around Rd, Salyersville, KY 41465 Phone: 606-496-5243 Fax: 606-496-5243 | |
| Mrs. Patsy Jackson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 787 Parkway Dr, Salyersville, KY 41465 Phone: 606-889-3221 | |
| Kristen Predmore, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 842 E Mountain Pkwy, Salyersville, KY 41465 Phone: 606-349-8100 Fax: 606-349-8150 |