| Mr James Marvin Staples, ARNP | |
|
104 E Main St, Auburn, KY 42206-5106 | |
| (270) 542-8888 | |
| (270) 542-7335 |
| Full Name | Mr James Marvin Staples |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 104 E Main St, Auburn, 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 |
|---|---|---|---|
| 1386751709 | NPI | - | NPPES |
| 3003226 | Other | KY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3226P (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifeline Health Care Of Logan | Russellville, KY | Home health agency |
| Logan Memorial Hospital | Russellville, KY | Hospital |
| Greenview Regional Hospital | Bowling green, KY | Hospital |
| The Medical Center (bowling Green) | Bowling green, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Staples Health Clinic Llc | 6406152925 | 3 |
| Entity Name | Logan Physician Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265740765 PECOS PAC ID: 4880596592 Enrollment ID: O20040219000212 |
| Entity Name | Staples Health Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962867713 PECOS PAC ID: 6406152925 Enrollment ID: O20160309002476 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Marvin Staples, ARNP Po Box 66, Auburn, KY 42206-0066 Ph: (270) 542-8888 | Mr James Marvin Staples, ARNP 104 E Main St, Auburn, KY 42206-5106 Ph: (270) 542-8888 |
Cynthia Jo Bond, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Sugar Maple Dr, Auburn, KY 42206 Phone: 270-542-5500 | |
Janie Elizabeth Davis, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Sugar Maple Dr, Auburn, KY 42206 Phone: 270-344-5157 | |
Mrs. Brianah L Doeden, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Main St, Auburn, KY 42206 Phone: 270-542-8888 | |
Stacia Ashley Staples, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Main St, Auburn, KY 42206 Phone: 270-542-8888 Fax: 270-542-7335 | |
Mrs. Cynthia Jean Finley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 128 Sugar Maple Dr, Auburn, KY 42206 Phone: 270-542-5500 Fax: 270-542-5502 |