| Sandra L Rogers, | |
|
1061 Kenwood Dr, Russell, KY 41169-1527 | |
| (606) 408-3143 | |
| (606) 325-8486 |
| Full Name | Sandra L Rogers |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1061 Kenwood Dr, Russell, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740888171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3015086 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters' Medical Center | Ashland, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ashland Hospital Corporation | 7719882521 | 158 |
| Entity Name | Ashland Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053748913 PECOS PAC ID: 7719882521 Enrollment ID: O20031204000877 |
| Entity Name | Ppl Therapeutic Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104323252 PECOS PAC ID: 8527323989 Enrollment ID: O20180606000408 |
| Entity Name | Behj Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639721202 PECOS PAC ID: 8921336116 Enrollment ID: O20191218001527 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra L Rogers, Po Box 1595, Ashland, KY 41105-1595 Ph: (606) 408-9571 | Sandra L Rogers, 1061 Kenwood Dr, Russell, KY 41169-1527 Ph: (606) 408-3143 |
Kimberly Ann Osborne, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1061 Kenwood Dr, Russell, KY 41169 Phone: 606-408-3143 | |
Jensyn Serene Whitehead, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 404 Ferry St, Russell, KY 41169 Phone: 606-388-2399 | |
Brittany Block, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 709 Red Devil Ln, Russell, KY 41169 Phone: 606-836-9658 |