| Mrs Mandy Jo Butler, FNP | |
|
215 Elm St, Cloverport, KY 40111-1324 | |
| (270) 788-3000 | |
| Not Available |
| Full Name | Mrs Mandy Jo Butler |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 215 Elm St, Cloverport, 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 |
|---|---|---|---|
| 1215935549 | NPI | - | NPPES |
| 78010758 | Medicaid | KY | |
| 000000311345 | Other | KY | BCBS |
| 50003764 | Other | KY | PASSPORT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4083P (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caretenders | Elizabethtown, KY | Home health agency |
| Breckinridge Memorial Hospital | Hardinsburg, KY | Hospital |
| Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
| Perry County Memorial Hospital | Tell city, IN | Hospital |
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Breckinridge Health, Inc. | 0941106454 | 17 |
| Entity Name | Breckinridge Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104828383 PECOS PAC ID: 0941106454 Enrollment ID: O20031208000333 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mandy Jo Butler, FNP 215 Elm St, Cloverport, KY 40111-1324 Ph: (270) 788-3000 | Mrs Mandy Jo Butler, FNP 215 Elm St, Cloverport, KY 40111-1324 Ph: (270) 788-3000 |
Susan Easley, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 516 Murray Ave, Cloverport, KY 40111 Phone: 270-863-1034 |