| Stacy Kirby, PMHNP-BC | |
|
832 Highway 15 N, Jackson, KY 41339-8284 | |
| (606) 666-5142 | |
| (606) 666-4172 |
| Full Name | Stacy Kirby |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 832 Highway 15 N, Jackson, 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 |
|---|---|---|---|
| 1861070989 | NPI | - | NPPES |
| 7100773010 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3015980 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aaron K. Jonan Memorial Clinic, Inc. | 5294632196 | 2 |
| Pediatric Associates | 9436147048 | 7 |
| Entity Name | Aaron K. Jonan Memorial Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477569226 PECOS PAC ID: 5294632196 Enrollment ID: O20031218000126 |
| Entity Name | Salyersville Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215984711 PECOS PAC ID: 4385539501 Enrollment ID: O20040217000889 |
| Entity Name | Pediatric Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013954510 PECOS PAC ID: 9436147048 Enrollment ID: O20050211000269 |
| Entity Name | Frontier Behavioral Health Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295287118 PECOS PAC ID: 7911284302 Enrollment ID: O20170512001552 |
| Entity Name | Frontier Medical Associates Of Paintsville Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568070142 PECOS PAC ID: 2961820337 Enrollment ID: O20200916002859 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Kirby, PMHNP-BC 832 Highway 15 N, Jackson, KY 41339-8284 Ph: (606) 666-5142 | Stacy Kirby, PMHNP-BC 832 Highway 15 N, Jackson, KY 41339-8284 Ph: (606) 666-5142 |
Heather R Banks, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1484 Lakeside Dr, Jackson, KY 41339 Phone: 606-666-9950 Fax: 606-666-9136 | |
Mrs. Edna Elizabeth Williams, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 832 Highway 15 N, Jackson, KY 41339 Phone: 606-666-5142 Fax: 606-666-4172 | |
Brittney Denise Herald, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 Jett Dr, Jackson, KY 41339 Phone: 606-666-6000 | |
Rebecca Mae Holbrook-watkins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 424 Jett Dr, Jackson, KY 41339 Phone: 606-666-6600 Fax: 606-693-0534 | |
Courtney Brooke Addison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1484 Lakeside Dr, Jackson, KY 41339 Phone: 606-666-9950 Fax: 606-666-9136 | |
Ms. Beverly Dawn Ellis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1484 Lakeside Drive, Jackson, KY 41339 Phone: 606-666-9950 Fax: 606-666-9136 | |
Jacqueline Campbell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 Highway 15 S Ste 240, Jackson, KY 41339 Phone: 606-824-5037 Fax: 606-824-5042 |