| Dr Timothy Smallwood, DNP, APRN, FNP-BC | |
|
505 Shoppers Dr Ste 1, Winchester, KY 40391-2808 | |
| (859) 740-3376 | |
| (859) 740-3378 |
| Full Name | Dr Timothy Smallwood |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 505 Shoppers Dr Ste 1, Winchester, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437745163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3015597 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Modern Dermatology Of Kentucky Llc | 5496166308 | 14 |
| Entity Name | Modern Dermatology of Kentucky LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699382507 PECOS PAC ID: 5496166308 Enrollment ID: O20201125001868 |
| Entity Name | Vitale Dermatology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245191915 PECOS PAC ID: 6901382530 Enrollment ID: O20260113002518 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Smallwood, DNP, APRN, FNP-BC 505 Shoppers Dr Ste 1, Winchester, KY 40391-2808 Ph: (859) 740-3376 | Dr Timothy Smallwood, DNP, APRN, FNP-BC 505 Shoppers Dr Ste 1, Winchester, KY 40391-2808 Ph: (859) 740-3376 |
Katelynn Michelle Rogers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37 S Main St, Winchester, KY 40391 Phone: 859-345-1331 Fax: 859-762-1695 |
Mrs. Sara M Darmadji, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Bypass Rd, Winchester, KY 40391 Phone: 859-744-5111 Fax: 859-744-1177 |
Amber D Rudd, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 N Highland St, Suite A, Winchester, KY 40391 Phone: 859-744-1445 Fax: 859-744-1442 |
Mrs. Regina Ann Prewitt, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 Shoppers Dr, Winchester, KY 40391 Phone: 859-744-9866 |
Larry Omar Maggard, APRN - C, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Fontaine Blvd, Winchester, KY 40391 Phone: 859-749-8266 Fax: 859-749-8266 |
Michelle A Mcbrayer, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26 N Highland St, Winchester, KY 40391 Phone: 859-253-1686 Fax: 859-254-2743 |
Pascaline Jumbuin, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 625 Tech Dr, Winchester, KY 40391 Phone: 859-310-3567 |