| Mr Christopher Todd Doolin, FNP-BC | |
|
542 Steve Dr, Russell Springs, KY 42642-4601 | |
| (270) 858-3636 | |
| (270) 858-3660 |
| Full Name | Mr Christopher Todd Doolin |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 542 Steve Dr, Russell Springs, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699090514 | NPI | - | NPPES |
| 7100200620 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3006418 (Kentucky) | Primary |
| 363L00000X | Nurse Practitioner | 3006418 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifeline Health Care Of Pulaski | Somerset, KY | Home health agency |
| Tj Health Columbia | Columbia, KY | Hospital |
| Russell County Hospital | Russell springs, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Physician Services Pc | 0042307852 | 529 |
| T J Health Columbia Inc | 7113224783 | 32 |
| Entity Name | Southeastern Emergency Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031219000755 |
| Entity Name | Kentucky Em-i Medical Services Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083869135 PECOS PAC ID: 8325001175 Enrollment ID: O20041111000775 |
| Entity Name | Taylor Regional Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174697601 PECOS PAC ID: 4880616622 Enrollment ID: O20051221000527 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150 |
| Entity Name | T J Health Columbia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164881132 PECOS PAC ID: 7113224783 Enrollment ID: O20160914001924 |
| Entity Name | T J Health Columbia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821454349 PECOS PAC ID: 7113224783 Enrollment ID: O20161005001888 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christopher Todd Doolin, FNP-BC 542 Steve Dr, Russell Springs, KY 42642-4601 Ph: (702) 858-3636 | Mr Christopher Todd Doolin, FNP-BC 542 Steve Dr, Russell Springs, KY 42642-4601 Ph: (270) 858-3636 |
Musa Mawanda, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Steve Drive, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Taylor Jones, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Wade Rd, Russell Springs, KY 42642 Phone: 270-585-0618 | |
Shannon Lee Brown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 456 Walls Rd, Russell Springs, KY 42642 Phone: 270-250-1040 | |
Shannon R Young, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 404 Steve Drive, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Alisha A Knight, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 Steve Dr, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Susan Bradshaw, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Dowell Road, Russell Springs, KY 42642 Phone: 270-866-2440 Fax: 270-866-2442 | |
Brandi Lynee Mullins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 139 Whicker Dr, Russell Springs, KY 42642 Phone: 606-219-0542 |