Tia Wilson, | |
105 Elk Fork Rd, Elkton, KY 42220-7218 | |
(270) 265-2574 | |
Not Available |
Full Name | Tia Wilson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 105 Elk Fork Rd, Elkton, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447985676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F11210786 (Kentucky) | Primary |
Entity Name | Geeta S Chavda Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750302865 PECOS PAC ID: 8628083870 Enrollment ID: O20060209000548 |
Entity Name | Bell Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790935997 PECOS PAC ID: 1153483581 Enrollment ID: O20081219000073 |
Entity Name | Fast Pace Kentucky Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913 |
Mailing Address | Practice Location Address |
---|---|
Tia Wilson, 1720 Us 31w Byp Apt 20b, Bowling Green, KY 42101-3004 Ph: () - | Tia Wilson, 105 Elk Fork Rd, Elkton, KY 42220-7218 Ph: (270) 265-2574 |
Mrs. Jennifer Lynne Henderson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 S Main St, Elkton, KY 42220 Phone: 270-265-5600 | |
Sheena Michele Blake, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 S Main St, Elkton, KY 42220 Phone: 270-265-5600 | |
Tanya L. Ferguson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Elk Fork Rd, Elkton, KY 42220 Phone: 270-265-2574 | |
Tiffany Humphrey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Elk Fork Rd, Elkton, KY 42220 Phone: 270-265-2574 Fax: 270-265-3098 | |
Carra Mayes, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Elk Fork Rd, Elkton, KY 42220 Phone: 270-265-2574 | |
Cagney Anne Meacham, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Greenville Rd, Elkton, KY 42220 Phone: 270-429-1300 Fax: 619-331-3592 | |
Dietta L Guess, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 713 W Main St, Elkton, KY 42220 Phone: 270-265-5353 Fax: 270-265-5350 |