| Taryn Alycia Conrad, | |
|
1301 N Race St, Glasgow, KY 42141-3483 | |
| (270) 651-4444 | |
| Not Available |
| Full Name | Taryn Alycia Conrad |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1301 N Race St, Glasgow, 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 |
|---|---|---|---|
| 1043980352 | NPI | - | NPPES |
| 7100783280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3016118 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3016118 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urgent Care Services Southeast Psc | 0345694766 | 17 |
| Southeastern Emergency Physicians Llc | 2466364997 | 627 |
| Entity Name | T J Samson Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477609865 PECOS PAC ID: 0648182600 Enrollment ID: O20040318001777 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | Fast Pace Kentucky, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913 |
| Entity Name | Urgent Care Services Southeast Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427831759 PECOS PAC ID: 0345694766 Enrollment ID: O20231003002701 |
| Mailing Address | Practice Location Address |
|---|---|
| Taryn Alycia Conrad, 2643 Royal Ct, Bowling Green, KY 42104-7492 Ph: (270) 799-3357 | Taryn Alycia Conrad, 1301 N Race St, Glasgow, KY 42141-3483 Ph: (270) 651-4444 |
Mr. James Isenberg, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Professional Park Dr, Glasgow, KY 42141 Phone: 270-392-3661 Fax: 580-297-9310 | |
Mr. Alexander Kaprian, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 122 Ensminger Dr, Glasgow, KY 42141 Phone: 270-904-5104 Fax: 270-201-5980 | |
Mrs. Britney M. Jackson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Physicians Blvd Ste B, Glasgow, KY 42141 Phone: 270-629-6722 Fax: 270-629-6723 | |
Mrs. Beverly Jo Mortimer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1330 N Race St, Glasgow, KY 42141 Phone: 270-629-5111 Fax: 270-783-3760 | |
Mr. Michael L Pendleton Sr., APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1412 N Race St, Glasgow, KY 42141 Phone: 270-629-6333 Fax: 270-629-6334 | |
Tarah Jo Mathews, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 S Broadway St, Glasgow, KY 42141 Phone: 270-861-0606 Fax: 270-629-2444 |