| Ms Lisa Rae Gergen, APRN | |
|
560 S Loop Rd, Edgewood, KY 41017-3405 | |
| (859) 301-2663 | |
| (859) 301-0655 |
| Full Name | Ms Lisa Rae Gergen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 560 S Loop Rd, Edgewood, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497748263 | NPI | - | NPPES |
| 2442191 | Other | UHC | |
| 2535028 | Medicaid | OH | |
| 78008083 | Medicaid | KY | |
| 000000248062 | Other | ANTHEM | |
| P65717 | Other | UPIN | |
| 500027765 | Other | MEDICARE RR |
| Entity Name | Welden Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457306102 PECOS PAC ID: 9830144120 Enrollment ID: O20050321000071 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lisa Rae Gergen, APRN 560 S Loop Rd, Edgewood, KY 41017-3405 Ph: (859) 301-2663 | Ms Lisa Rae Gergen, APRN 560 S Loop Rd, Edgewood, KY 41017-3405 Ph: (859) 301-2663 |
Deborah Elaine Bliss, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Drive, St. Elizabeth Healthcare, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-301-6900 | |
Lyndsey Lang, MS, RN, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2423 Fax: 859-301-2554 | |
Mrs. Anita Kay Phillips, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945 | |
Alexandra Michelle Wiesner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-301-6910 | |
Jessica M Carbiener, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-757-2927 Fax: 859-341-0203 | |
Deanna Lynne Winter, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 Medical Village Drive, Edgewood, KY 41017 Phone: 859-331-3353 Fax: 859-331-3326 | |
Delia G Monroe, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Village Drive, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-426-4140 |