| Shannah Click, APRN | |
|
135 Wade Owens Rd N, Stanford, KY 40484-6528 | |
| (606) 669-6006 | |
| (606) 661-0141 |
| Full Name | Shannah Click |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 135 Wade Owens Rd N, Stanford, 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 |
|---|---|---|---|
| 1245841063 | NPI | - | NPPES |
| 7100699530 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 3014945 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3014945 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New Lexington Clinic Psc | 3476457532 | 291 |
| Entity Name | New Lexington Clinic Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803681 PECOS PAC ID: 3476457532 Enrollment ID: O20031121000103 |
| 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 | Advanced Family Medical Clinic Mount Vernon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578090403 PECOS PAC ID: 2062780810 Enrollment ID: O20171026003512 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannah Click, APRN Po Box 1080, Burkesville, KY 42717-1080 Ph: (859) 258-6200 | Shannah Click, APRN 135 Wade Owens Rd N, Stanford, KY 40484-6528 Ph: (606) 669-6006 |
Kristin Johnsen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 107 Metker Trl, Suite A, Stanford, KY 40484 Phone: 606-365-8338 Fax: 606-365-8142 | |
Jennifer Merrick, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 110 Metker Trl, Stanford, KY 40484 Phone: 606-365-3360 | |
Mrs. Jamie Lynn Atwood, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Jay St, Stanford, KY 40484 Phone: 606-365-1547 Fax: 606-365-8380 | |
Mrs. Tracy Michele Boller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 132 Frontier Blvd Ste 103, Stanford, KY 40484 Phone: 859-287-2949 Fax: 855-297-6367 | |
Mrs. Jesslyn Brianne Kelsey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Jay St, Stanford, KY 40484 Phone: 859-583-7870 Fax: 606-365-8380 | |
Taylor Graves, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Harmon Hts, Stanford, KY 40484 Phone: 606-365-2141 Fax: 606-365-9755 |