| Mrs Gwendolynn Nicole Thomas, APRN | |
|
1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701-7280 | |
| (270) 506-3300 | |
| (270) 506-2843 |
| Full Name | Mrs Gwendolynn Nicole Thomas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 1107 Crown Pointe Dr Ste 107, Elizabethtown, 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 |
|---|---|---|---|
| 1205187333 | NPI | - | NPPES |
| 300009606 | Medicaid | IN | |
| 9228980 | Other | AETNA PIN | |
| CS1805200102 | Other | CARESOURCE ID | |
| 7100222860 | Medicaid | KY | |
| 000001080865 | Other | ANTHEM ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3007643 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hardin Memorial Hospital | Elizabethtown, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capitol Pain Institute Pa | 9436244522 | 33 |
| Entity Name | Norton Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073568879 PECOS PAC ID: 9830001528 Enrollment ID: O20031125000524 |
| Entity Name | Commonwealth Pain Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20130802000577 |
| Entity Name | Capitol Pain Institute Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548303985 PECOS PAC ID: 9436244522 Enrollment ID: O20180829001919 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Gwendolynn Nicole Thomas, APRN 120 Executive Park, Louisville, KY 40207-4201 Ph: (812) 962-7890 | Mrs Gwendolynn Nicole Thomas, APRN 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701-7280 Ph: (270) 506-3300 |
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 |