| Mrs Adriene Elizabeth Wilson, APRN | |
|
1704 W Stockton St, Edmonton, KY 42129-8137 | |
| (270) 432-4800 | |
| (270) 432-4804 |
| Full Name | Mrs Adriene Elizabeth Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1704 W Stockton St, Edmonton, 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 |
|---|---|---|---|
| 1710505912 | NPI | - | NPPES |
| K346171 | Other | KY | MEDICARE |
| 7100695770 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3014875 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| T J Samson Community Hospital | Glasgow, KY | Hospital |
| Tj Health Columbia | Columbia, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 | T J Samson Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477609865 PECOS PAC ID: 0648182600 Enrollment ID: O20040318001777 |
| Entity Name | T J Health Columbia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831555358 PECOS PAC ID: 7113224783 Enrollment ID: O20161004002436 |
| Entity Name | Urgent Care Services Southeast Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427831759 PECOS PAC ID: 0345694766 Enrollment ID: O20231003002701 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Adriene Elizabeth Wilson, APRN 1704 W Stockton St, Edmonton, KY 42129-8137 Ph: (270) 432-4800 | Mrs Adriene Elizabeth Wilson, APRN 1704 W Stockton St, Edmonton, KY 42129-8137 Ph: (270) 432-4800 |
Natalie D Bruce, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1704 W Stockton St, Edmonton, KY 42129 Phone: 270-432-4800 Fax: 270-432-4804 | |
Mrs. Nancy Lee Barrett, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 Sartin Dr, Edmonton, KY 42129 Phone: 270-432-4951 Fax: 270-432-5054 | |
Constance R Prostko, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1704 W Stockton St, Edmonton, KY 42129 Phone: 270-432-4800 Fax: 270-432-4804 | |
Kathy Lynn Moss, APRN, PMHNP, B-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 293 Joe Acree Rd, Edmonton, KY 42129 Phone: 270-579-1471 | |
Mrs. Angela M Jessie, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Sartin Dr, Edmonton, KY 42129 Phone: 270-432-2444 Fax: 270-432-2445 | |
Lindsay Jo Stice Huff, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 612 W Stockton St, Edmonton, KY 42129 Phone: 270-432-4320 Fax: 270-432-3662 |