| Mr Craig Douglas Rouben, | |
|
110 Chase Way Ste 2, Elizabethtown, KY 42701-7827 | |
| (502) 212-0071 | |
| Not Available |
| Full Name | Mr Craig Douglas Rouben |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 110 Chase Way Ste 2, Elizabethtown, 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 |
|---|---|---|---|
| 1043562267 | NPI | - | NPPES |
| 1087566 | Other | KY | STATE LICENSE |
| 71004539A | Other | IN | STATE LICENSE |
| IN3604006 | Other | IN | MEDICARE IN |
| 201212500 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3007663 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Specialistsmat Psc | 7810307634 | 4 |
| Entity Name | Specialistsmat Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851998181 PECOS PAC ID: 7810307634 Enrollment ID: O20201106001396 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Craig Douglas Rouben, 2100 Market St, Charlestown, IN 47111-9535 Ph: (812) 246-9809 | Mr Craig Douglas Rouben, 110 Chase Way Ste 2, Elizabethtown, KY 42701-7827 Ph: (502) 212-0071 |
Stephanie Rae Kelty, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 270-769-9642 | |
Christina M Wills, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701 Phone: 270-506-3300 Fax: 270-506-2843 | |
Lisa Christine Gaines, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W Dixie Ave, Elizabethtown, KY 42701 Phone: 502-644-9162 | |
Dr. Marguerite Vernette Mcbride, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3040 Dolphin Dr, Elizabethtown, KY 42701 Phone: 270-765-3488 | |
Mrs. Chelsea Danielle Thorn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701 Phone: 270-506-3300 Fax: 270-506-2843 | |
Elizabeth Anne Shelton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 N Dixie Ave, Elizabethtown, KY 42701 Phone: 270-737-1212 | |
Marlena O'neil, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 W Dixie Ave Ste 4, Elizabethtown, KY 42701 Phone: 270-445-9344 Fax: 502-410-6819 |