| Susan Sanford, | |
|
3505 Potomac Ct, La Grange, KY 40031-9650 | |
| (502) 693-5578 | |
| Not Available |
| Full Name | Susan Sanford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 3505 Potomac Ct, La Grange, Kentucky |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467803825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3010382 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carroll County Memorial Hospital | Carrollton, KY | Hospital |
| Baptist Health Lagrange | La grange, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Triad Health Systems, Inc. | 4082798699 | 17 |
| Entity Name | Triad Health Systems, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831311299 PECOS PAC ID: 4082798699 Enrollment ID: O20100806000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Sanford, 3505 Potomac Ct, La Grange, KY 40031-9650 Ph: (502) 693-5578 | Susan Sanford, 3505 Potomac Ct, La Grange, KY 40031-9650 Ph: (502) 693-5578 |
Mrs. Tonya Leann Martin, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2835 S Highway 393, La Grange, KY 40031 Phone: 502-525-0154 | |
Angela S. Burden, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1006 New Moody Ln, La Grange, KY 40031 Phone: 502-222-0028 Fax: 502-222-0029 | |
Abby C Hefner, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1023 New Moody Ln Ste 201, La Grange, KY 40031 Phone: 502-225-5520 | |
Lauren Nicole Wimsatt, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1808 Fort Pickens Rd, La Grange, KY 40031 Phone: 502-222-0028 Fax: 502-222-0029 | |
Jennifer Robin Gonsman, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2835 Ky-393, La Grange, KY 40031 Phone: 502-530-4812 | |
Christopher John Florio, APRN,RN, CADC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 N 1st St, Suite 1, La Grange, KY 40031 Phone: 502-716-0360 | |
Melanie Seay, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1786 Commerce Pkwy, La Grange, KY 40031 Phone: 502-222-3516 |