| Tiffany L Gross, PMHNP-BC | |
|
1025 S Main Street, Monticello, KY 42633-2762 | |
| (606) 340-8870 | |
| (606) 340-9828 |
| Full Name | Tiffany L Gross |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1025 S Main Street, Monticello, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912638164 | NPI | - | NPPES |
| 15644251 | Other | CAQH | |
| 7100848360 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3018327 (Kentucky) | Primary |
| Entity Name | Cumberland Family Medical Center, Inc.. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany L Gross, PMHNP-BC Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Tiffany L Gross, PMHNP-BC 1025 S Main Street, Monticello, KY 42633-2762 Ph: (606) 340-8870 |
Melissa Vickery, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1025 S Main St, Monticello, KY 42633 Phone: 606-340-8870 Fax: 606-340-9828 | |
Raymond Bennett Speck, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 S Creek Dr Ste 102, Monticello, KY 42633 Phone: 603-348-3365 Fax: 606-348-8496 | |
Marguerite G Root, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1025 S Main Street, Monticello, KY 42633 Phone: 606-340-8870 Fax: 606-340-9828 | |
Teina R Thrasher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1025 S Main Street, Monticello, KY 42633 Phone: 606-340-8870 Fax: 606-340-9828 | |
Mrs. Deanna Neal, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 166 Hospital St, Monticello, KY 42633 Phone: 606-348-9343 | |
Stephanie Maggard, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 126 Franklin Rd, Monticello, KY 42633 Phone: 606-396-3534 Fax: 606-396-3535 | |
Vicki L. Sweet, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 166 Hospital St, Monticello, KY 42633 Phone: 772-538-1384 |