| Mrs Tracey Bullard, FNP | |
|
13523 Herndon Oak Grove Rd, Oak Grove, KY 42262-9369 | |
| (270) 839-9697 | |
| Not Available |
| Full Name | Mrs Tracey Bullard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 13523 Herndon Oak Grove Rd, Oak Grove, 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 |
|---|---|---|---|
| 1033463880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SE0003X | Clinical Nurse Specialist - Emergency | 3007747 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3007747 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jennie Stuart Medical Center | Hopkinsville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jennie Stuart Medical Center Inc | 4183607252 | 103 |
| Entity Name | Jennie Stuart Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235139312 PECOS PAC ID: 4183607252 Enrollment ID: O20040609001506 |
| Entity Name | App Of Kentucky Ed, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497157341 PECOS PAC ID: 0749502862 Enrollment ID: O20141201000389 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tracey Bullard, FNP 13523 Herndon Oak Grove Rd, Oak Grove, KY 42262-9369 Ph: (270) 839-9697 | Mrs Tracey Bullard, FNP 13523 Herndon Oak Grove Rd, Oak Grove, KY 42262-9369 Ph: (270) 839-9697 |
Ms. Jennifer Jean Johnson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1654 Hugh Hunter Rd #20, Oak Grove, KY 42262 Phone: 601-927-4791 | |
Amy Burse, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 322 Atlantic Ave, Oak Grove, KY 42262 Phone: 270-348-6288 | |
Dr. Kimberly Cecil-riddle, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Walter Garrett Lane, Oak Grove, KY 42262 Phone: 270-640-5821 Fax: 844-270-5587 | |
Mr. Eddie A Manley, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 175 Stateline Rd, Oak Grove, KY 42262 Phone: 931-302-9564 Fax: 844-750-0655 | |
Mrs. Sarrah Green, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12088 Palmyra Rd, Oak Grove, KY 42262 Phone: 931-338-8900 | |
Lydia Saina, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 244 Thompsonville Ln, Oak Grove, KY 42262 Phone: 270-632-6743 Fax: 270-632-6744 |