| 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 - Family | 
| Location | 207 N Carol Malone Blvd Ste 3, Grayson, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| 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 | 
| 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: Not Enrolled in Medicare 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  |