| Lorissa A Dias, APRN | |
|
713 W Main St, Elkton, KY 42220-9229 | |
| (270) 265-5353 | |
| (270) 265-5350 |
| Full Name | Lorissa A Dias |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 713 W Main St, Elkton, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609307743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 22446 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4012374 (Kentucky) | Primary |
| Entity Name | Pain Institute Of Nashville Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073049102 PECOS PAC ID: 6103186689 Enrollment ID: O20180131002665 |
| Entity Name | Montgomery Pain Institute Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891408191 PECOS PAC ID: 6800261868 Enrollment ID: O20230405002835 |
| Mailing Address | Practice Location Address |
|---|---|
| Lorissa A Dias, APRN 713 W Main St, Elkton, KY 42220-9229 Ph: (270) 265-5353 | Lorissa A Dias, APRN 713 W Main St, Elkton, KY 42220-9229 Ph: (270) 265-5353 |
Mrs. Jennifer Lynne Henderson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 S Main St, Elkton, KY 42220 Phone: 270-265-5600 | |
Sheena Michele Blake, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 S Main St, Elkton, KY 42220 Phone: 270-265-5600 | |
Carra Gorrell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Elk Fork Rd, Elkton, KY 42220 Phone: 270-265-2574 | |
Cagney Anne Meacham, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13000 Greenville Rd, Elkton, KY 42220 Phone: 270-429-1300 Fax: 619-331-3592 | |
Dietta L Guess, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 713 W Main St, Elkton, KY 42220 Phone: 270-265-5353 Fax: 270-265-5350 | |
Shelby Groves Sharp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 810 S Main St, Elkton, KY 42220 Phone: 270-265-5600 Fax: 270-265-5605 | |
Heather R Bryant, F09171015 Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 S Main St, Elkton, KY 42220 Phone: 270-265-5600 Fax: 270-265-5605 |