| Mckenzie Lynn Blacketer, MSN, APRN, FNP | |
|
106 Winston Way, Campbellsville, KY 42718-4953 | |
| (270) 789-0034 | |
| (270) 789-0097 |
| Full Name | Mckenzie Lynn Blacketer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 106 Winston Way, Campbellsville, 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 |
|---|---|---|---|
| 1295431112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3018723 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifeline Health Care Of Pulaski | Somerset, KY | Home health agency |
| Taylor Regional Hospital | Campbellsville, KY | Hospital |
| Russell County Hospital | Russell springs, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| One Cross Health Clinic Inc | 2466790472 | 7 |
| Entity Name | One Cross Health Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942606454 PECOS PAC ID: 2466790472 Enrollment ID: O20200228000548 |
| Entity Name | One Cross Community Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215404082 PECOS PAC ID: 6406182781 Enrollment ID: O20230113001349 |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenzie Lynn Blacketer, MSN, APRN, FNP 505 Piney Grove Spur, Nancy, KY 42544-9068 Ph: (606) 425-7093 | Mckenzie Lynn Blacketer, MSN, APRN, FNP 106 Winston Way, Campbellsville, KY 42718-4953 Ph: (270) 789-0034 |
Ashlie Marie Judd, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Greenbriar Dr, Campbellsville, KY 42718 Phone: 270-789-6166 Fax: 270-789-6198 | |
Maci Mcqueary, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 Hotchkiss St, Campbellsville, KY 42718 Phone: 270-465-0191 Fax: 270-465-0463 | |
Samantha Shipp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-789-5794 | |
Dorothy Marie Dudley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-789-2788 Fax: 502-368-9820 | |
Jason Wright, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Greenbriar Dr, Campbellsville, KY 42718 Phone: 270-465-3595 | |
Jessica Nicole Browning, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 Old Lebanon Rd Ste 2a, Campbellsville, KY 42718 Phone: 270-789-0359 Fax: 270-789-1756 | |
Amanda Lauren Mattingly, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Winston Way, Campbellsville, KY 42718 Phone: 270-789-0034 |