| Sandra Kaye Benham, APRN | |
|
850 Ky 191, Campton, KY 41301-8109 | |
| (731) 394-1145 | |
| Not Available |
| Full Name | Sandra Kaye Benham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 850 Ky 191, Campton, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922705334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3018897 (Kentucky) | Primary |
| Entity Name | Ultra Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20181109001113 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Kaye Benham, APRN Po Box 19599, Belfast, ME 04915-4090 Ph: (731) 394-1145 | Sandra Kaye Benham, APRN 850 Ky 191, Campton, KY 41301-8109 Ph: (731) 394-1145 |
Mrs. Georgana Cee Tudor, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Main St, Saint Luke's Family Clinic, Campton, KY 41301 Phone: 606-668-9076 | |
Mrs. Kristian Renee Allen, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 72 Allen Ln, Campton, KY 41301 Phone: 606-359-1440 | |
Aeriel Frederick, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 219 Mountain Parkway Spur Rd, Campton, KY 41301 Phone: 606-668-3120 | |
Jessi Jade Campbell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 592 Ky 15 South Suite 5, Campton, KY 41301 Phone: 606-205-3133 Fax: 866-718-4137 | |
Pamela Sue Dale, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31 Main St Ste 1, Campton, KY 41301 Phone: 606-668-9076 Fax: 606-668-6820 | |
Mrs. Samantha Gail Roberts, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 219 Mountain Parkway Spur Rd, Campton, KY 41301 Phone: 606-668-6932 Fax: 606-668-3125 | |
Mr. Michael Wayne Myers, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Main Street, Campton, KY 41301 Phone: 606-668-9076 |