| Maryellen Tussey, NP | |
|
207 N Carol Malone Blvd Ste 3, Grayson, KY 41143-1566 | |
| (606) 225-8200 | |
| (888) 606-7354 |
| Full Name | Maryellen Tussey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 207 N Carol Malone Blvd Ste 3, Grayson, 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 |
|---|---|---|---|
| 1063026110 | NPI | - | NPPES |
| 1063026110 | Medicaid | KY | |
| 7100731360 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3015040 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fresh Start Health Psc | 6204184997 | 8 |
| Premier Therapy And Health Centers Inc | 7416859574 | 189 |
| Entity Name | Fresh Start Health Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487143806 PECOS PAC ID: 6204184997 Enrollment ID: O20180813003091 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryellen Tussey, NP 207 N Carol Malone Blvd Ste 3, Grayson, KY 41143-1566 Ph: (606) 225-8200 | Maryellen Tussey, NP 207 N Carol Malone Blvd Ste 3, Grayson, KY 41143-1566 Ph: (606) 225-8200 |
Maria Baker Sargent, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Bellefonte Dr, Grayson, KY 41143 Phone: 606-474-0669 | |
Brittany Gene Bond, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Bellefonte Dr, Grayson, KY 41143 Phone: 606-475-5505 Fax: 606-475-5506 | |
Mrs. Shelby Anne Hill, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 645 Interstate Dr, Grayson, KY 41143 Phone: 606-474-0669 | |
Savannah Oliver, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 645 Interstate Dr, Grayson, KY 41143 Phone: 606-474-0669 | |
Kellie Richelle Sparks, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 645 Interstate Dr, Grayson, KY 41143 Phone: 606-474-0669 | |
Tori Scott, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 N Carol Malone Blvd Ste 100, Grayson, KY 41143 Phone: 606-475-0152 Fax: 606-474-4240 |