| Mrs Melissa J Baker, APRN | |
|
720 W Main St, Clarkson, KY 42726-7048 | |
| (270) 904-5104 | |
| (270) 201-5980 |
| Full Name | Mrs Melissa J Baker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 720 W Main St, Clarkson, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861443384 | NPI | - | NPPES |
| 7100221410 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3004685 (Kentucky) | Primary |
| Entity Name | Kiosk Medicine Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205885035 PECOS PAC ID: 6002887510 Enrollment ID: O20040805001127 |
| Entity Name | Fast Pace Kentucky, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Melissa J Baker, APRN 5966 Scottsville Rd Ste 3, Bowling Green, KY 42104-7908 Ph: (270) 904-5104 | Mrs Melissa J Baker, APRN 720 W Main St, Clarkson, KY 42726-7048 Ph: (270) 904-5104 |
Mrs. Diana Lynn Blair, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 619 W Main St, Clarkson, KY 42726 Phone: 502-287-4000 | |
Jenna Bratcher, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 722 W Main St, Clarkson, KY 42726 Phone: 270-971-1231 Fax: 270-971-1411 |