| Trina R Mattingly, APRN | |
|
417 River Dr, Irvine, KY 40336-1272 | |
| (606) 723-0399 | |
| (606) 723-0379 |
| Full Name | Trina R Mattingly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 417 River Dr, Irvine, 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 |
|---|---|---|---|
| 1316993165 | NPI | - | NPPES |
| 6400 | Other | KY | GROUP MEDICARE # |
| 78901261 | Medicaid | KY | |
| 78009297 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 3003803 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Berea | Berea, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Joseph Health System Inc | 4183641400 | 33 |
| H2 Rehabilitation Services Of Kentucky, Llc | 5799682688 | 149 |
| Entity Name | Kentuckyone Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104875970 PECOS PAC ID: 8820993702 Enrollment ID: O20031204000080 |
| Entity Name | Saint Joseph Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659624435 PECOS PAC ID: 4183641400 Enrollment ID: O20051026000806 |
| Mailing Address | Practice Location Address |
|---|---|
| Trina R Mattingly, APRN Po Box 936, London, KY 40743-0936 Ph: (606) 330-7818 | Trina R Mattingly, APRN 417 River Dr, Irvine, KY 40336-1272 Ph: (606) 723-0399 |
Sherra Morgan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Stacy Lane Rd, Irvine, KY 40336 Phone: 606-723-0665 Fax: 606-723-0680 | |
Amy M Pendleton, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 365 River Drive, Irvine, KY 40336 Phone: 606-723-5181 Fax: 606-723-5254 | |
Julia D Browning, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 275 Court St, Irvine, KY 40336 Phone: 606-723-2167 Fax: 606-723-2112 | |
Mrs. Pamela Jones, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Richmond Rd, Irvine, KY 40336 Phone: 606-723-7706 Fax: 606-726-9410 | |
Elizabeth J Clark, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 275 Court St, Irvine, KY 40336 Phone: 606-723-2167 Fax: 606-723-2112 | |
Joyce Lynn Puckett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Richmond Rd, Irvine, KY 40336 Phone: 606-723-7771 | |
Sondra Jane Noble, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Richmond Rd, Irvine, KY 40336 Phone: 606-726-9410 |