| Tammy L Whitehead, ARNP | |
|
725 S Main St, London, KY 40741-1903 | |
| (606) 770-5161 | |
| (606) 770-5168 |
| Full Name | Tammy L Whitehead |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 725 S Main St, London, 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 |
|---|---|---|---|
| 1326272493 | NPI | - | NPPES |
| 000000657974 | Other | KY | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 6097P (Kentucky) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3006097 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fuse Medical | 5294134938 | 3 |
| Entity Name | Southeastern Emergency Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031219000755 |
| Entity Name | Berea Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912054792 PECOS PAC ID: 2567485949 Enrollment ID: O20060111001073 |
| 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 | Empact Midwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841801784 PECOS PAC ID: 9436577517 Enrollment ID: O20200922002897 |
| Entity Name | Fuse Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164003125 PECOS PAC ID: 5294134938 Enrollment ID: O20210528001137 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy L Whitehead, ARNP 43 Waco Dr, London, KY 40741-8327 Ph: (606) 770-5161 | Tammy L Whitehead, ARNP 725 S Main St, London, KY 40741-1903 Ph: (606) 770-5161 |
Robin R House, APRN NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1406 W 5th St, Suite 201, London, KY 40741 Phone: 606-330-2377 Fax: 606-330-2369 | |
Mrs. Angela Jo Cain, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1374 Highway 192 E Ste 400, London, KY 40741 Phone: 606-770-5454 Fax: 606-770-5455 | |
Mrs. Stephanie Marie Sumner, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 London Mountain View Dr Fl 1, London, KY 40741 Phone: 859-275-5229 Fax: 859-977-2683 | |
Mrs. Ashley Barton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 421 W Highway 80, London, KY 40741 Phone: 606-657-2345 | |
Yalanda Dairlene Scalf, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 73 Thompson Poynter Rd Ste A, London, KY 40741 Phone: 606-657-5912 Fax: 606-657-5915 | |
Royale Brown, MSN, APRN, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Carrera Dr, London, KY 40741 Phone: 606-260-8962 | |
David Cody Dugger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 160 London Mountain View Dr, London, KY 40741 Phone: 606-864-0770 Fax: 606-864-1461 |