| Richard D Basham, ARNP | |
|
332 S Main St, Leitchfield, KY 42754-1428 | |
| (270) 971-1388 | |
| (270) 297-7066 |
| Full Name | Richard D Basham |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 332 S Main St, Leitchfield, 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 |
|---|---|---|---|
| 1588921738 | NPI | - | NPPES |
| 12436388 | Other | KY | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3007397 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Twin Lakes Regional Medical Center | Leitchfield, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Kentucky, Pllc | 0143525998 | 180 |
| Tlbh Wellness | 6204285760 | 3 |
| 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 | Fast Pace Kentucky, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913 |
| Entity Name | Tlbh Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518553874 PECOS PAC ID: 6204285760 Enrollment ID: O20231208001378 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard D Basham, ARNP 112 Cedar Ridge Ln, Leitchfield, KY 42754-8002 Ph: (270) 971-1388 | Richard D Basham, ARNP 332 S Main St, Leitchfield, KY 42754-1428 Ph: (270) 971-1388 |
Cova Teresa Stidham, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1895 Elizabethtown Rd., Leitchfield, KY 42754 Phone: 270-230-0182 Fax: 270-230-0014 | |
Debra Ann Taylor, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 718 Goodwin Ln, Leitchfield, KY 42754 Phone: 731-394-1145 | |
Tanisha Monique Williams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9555 Fax: 270-259-1669 | |
Debra S Lusk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave, Suite 207, Leitchfield, KY 42754 Phone: 270-259-3593 Fax: 270-259-2714 | |
Cynthia G. Veyel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1895 Elizabethtown Rd, Leitchfield, KY 42754 Phone: 270-230-0182 Fax: 270-230-0014 | |
Laura Hunt, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-5641 Fax: 270-259-5309 | |
Mrs. Amie Joe Evans, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1895 Elizabethtown Rd, Leitchfield, KY 42754 Phone: 270-617-2058 |