| Pathrusim Levi Keaffaber, CNP | |
|
5000 Ky-321, Prestonsburg, KY 41653 | |
| (606) 886-8511 | |
| Not Available |
| Full Name | Pathrusim Levi Keaffaber |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 5000 Ky-321, Prestonsburg, Kentucky |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225993223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 82693 (West Virginia) | Secondary |
| 363L00000X | Nurse Practitioner | 4049598 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Whitesburg Arh Hospital | Whitesburg, KY | Hospital |
| Highlands Arh Regional Medical Center | Prestonsburg, KY | Hospital |
| Entity Name | Green Valley Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720755739 PECOS PAC ID: 4385035534 Enrollment ID: O20230926000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Pathrusim Levi Keaffaber, CNP 5000 Ky-321, Prestonsburg, KY 41653 Ph: Not Available | Pathrusim Levi Keaffaber, CNP 5000 Ky-321, Prestonsburg, KY 41653 Ph: (606) 886-8511 |
Zelda Mcintosh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 |
Loni Lucas, MSN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 859-533-8959 |
Mohammed Akhlack Hossain Mazumder, M.D. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 92 Pickett Ln, Prestonsburg, KY 41653 Phone: 606-874-0112 Fax: 606-874-0115 |
Lila Leigh Craig, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 723 S Lake Dr, Prestonsburg, KY 41653 Phone: 606-886-8175 Fax: 606-886-8176 |
Diana Lynn Herald, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 |
Mrs. Beverly Jane Daniel, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5230-ky-321#8, Prestonsburg, KY 41653 Phone: 606-789-7587 |
Carla Smith-joseph, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 |