Michelle Delane Davis, | |
95 Ymca Dr Ste 1, Madisonville, KY 42431-9035 | |
(270) 359-5254 | |
(502) 546-7016 |
Full Name | Michelle Delane Davis |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 95 Ymca Dr Ste 1, Madisonville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1023847274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4025232 (Kentucky) | Primary |
Entity Name | Pioneer Family Medicine And Urgent Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629794631 PECOS PAC ID: 7810369238 Enrollment ID: O20230214000239 |
Mailing Address | Practice Location Address |
---|---|
Michelle Delane Davis, Po Box 994, Nortonville, KY 42442-0994 Ph: (270) 676-6063 | Michelle Delane Davis, 95 Ymca Dr Ste 1, Madisonville, KY 42431-9035 Ph: (270) 359-5254 |
Michael W. Rager, APRN, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7200 | |
Sarah Ruth Peyton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 N Main St, Madisonville, KY 42431 Phone: 270-825-7268 Fax: 270-825-6615 | |
Ashleigh Dena Hickerson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-875-3502 Fax: 270-825-5551 | |
Ms. Rosa Lee Langley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3895 Brown Rd, Madisonville, KY 42431 Phone: 859-539-7014 | |
Amy Nicole Mercer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 N Main St, Madisonville, KY 42431 Phone: 270-825-7268 Fax: 270-825-6615 | |
Leslie Johnson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 N Main St, Madisonville, KY 42431 Phone: 270-245-2554 |