| Trina R Mattingly, APRN | |
|
305 Estill St Fl 4, Berea, KY 40403-1742 | |
| (859) 986-2343 | |
| (859) 986-2344 |
| Full Name | Trina R Mattingly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 305 Estill St Fl 4, Berea, 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 |
|---|---|---|
| Vna Health At Home | Lexington, KY | Home health agency |
| Saint Joseph Berea | Berea, KY | Hospital |
| Saint Joseph East | Lexington, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Joseph Health System Inc | 4183641400 | 37 |
| 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) 330-7835 | Trina R Mattingly, APRN 305 Estill St Fl 4, Berea, KY 40403-1742 Ph: (859) 986-2343 |
Colleen E Ambrose, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Legacy Dr, Berea, KY 40403 Phone: 859-986-2323 Fax: 859-986-7728 | |
Ms. Jillisa D Hawk, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 305 Estill St, Berea, KY 40403 Phone: 859-986-9521 Fax: 859-986-7369 | |
Stephanie Jane Warren, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 245 Prince Royal Dr Ste A, Berea, KY 40403 Phone: 859-986-0375 | |
Teresa Leigh Turner, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 208 Kidd Drive, Berea, KY 40403 Phone: 859-986-1500 | |
Mr. Adam Lee Deshong, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 Brenwood St, Berea, KY 40403 Phone: 859-985-0302 | |
Rebecca Brandenburg, APRN- CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Estill St, Berea, KY 40403 Phone: 859-985-1415 Fax: 859-986-6752 | |
Ms. Robin Kay Smith, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2750 Battlefield Memorial Hwy, Berea, KY 40403 Phone: 859-986-0302 Fax: 859-986-0315 |