| Patricia A Koller, APRN | |
|
1200 Breckenridge St, Owensboro, KY 42303-1089 | |
| (270) 685-8230 | |
| (270) 685-8233 |
| Full Name | Patricia A Koller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1200 Breckenridge St, Owensboro, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023101995 | NPI | - | NPPES |
| 78015211 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71005879A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3004717 (Kentucky) | Primary |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306983762 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
| Entity Name | Shc Medical Partners Of Kentucky, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417132614 PECOS PAC ID: 1153406301 Enrollment ID: O20080312000024 |
| Entity Name | Brock Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210209002652 |
| Entity Name | Abode Care Partners Ltc Vb, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447029798 PECOS PAC ID: 8325316516 Enrollment ID: O20240124001005 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia A Koller, APRN 1200 Breckenridge St, Owensboro, KY 42303-1089 Ph: (270) 685-8230 | Patricia A Koller, APRN 1200 Breckenridge St, Owensboro, KY 42303-1089 Ph: (270) 685-8230 |
Kim Ann Harley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2211 Mayfair Dr Ste 102, Owensboro, KY 42301 Phone: 270-688-1351 Fax: 270-688-3342 | |
Mrs. Catherine Elizabeth Bowlds, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 Pleasant Valley Rd, Owensboro, KY 42303 Phone: 270-929-5731 | |
Calla M Hass, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1325 Triplett St, # A, Owensboro, KY 42303 Phone: 270-686-8500 Fax: 270-685-5467 | |
Kimberly Michelle Gilstrap, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Frederica St, Owensboro, KY 42301 Phone: 270-684-0023 | |
Jennifer Erin Brenner, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 E Parrish Ave Ste 100, Owensboro, KY 42303 Phone: 270-688-1770 | |
Olivia Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3419 Wathens Xing, Owensboro, KY 42301 Phone: 270-313-8426 |