| Tyler Pennington, FNP-C | |
|
412 Roy Campbell Drive, Suite 2, Hazard, KY 41701 | |
| (606) 216-0488 | |
| Not Available |
| Full Name | Tyler Pennington |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 412 Roy Campbell Drive, Hazard, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427891001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4017489 (Kentucky) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 71018590A (Indiana) | Secondary |
| Entity Name | Ultra Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20181109001113 |
| Entity Name | Caremed Health Solutions of Kentucky, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326789462 PECOS PAC ID: 4880071299 Enrollment ID: O20220524000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Pennington, FNP-C 34 Mccoy Ln, Hazard, KY 41701-8127 Ph: Not Available | Tyler Pennington, FNP-C 412 Roy Campbell Drive, Suite 2, Hazard, KY 41701 Ph: (606) 216-0488 |
Jonathan D Combs, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1908 N Main St, Hazard, KY 41701 Phone: 606-439-2662 |
Sydney Roark, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-3952 |
Janie C Thompson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 279 E Main St, Hazard, KY 41701 Phone: 606-487-9505 Fax: 606-436-0071 |
Trena Preston, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 181 Roy Campbell Dr, Hazard, KY 41701 Phone: 606-487-7955 Fax: 606-487-7949 |
Chelsea Walker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Black Gold Blvd Ste 106, Hazard, KY 41701 Phone: 606-436-0711 Fax: 606-436-0848 |
Kristen Rae Fugate, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Airport Gardens Rd Ste 200, Hazard, KY 41701 Phone: 606-629-3121 |
Mrs. Robetta Melaine Baker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 Roy Campbell Dr, Hazard, KY 41701 Phone: 606-487-0776 Fax: 606-487-0777 |