| Wanda Raye Stidham, | |
|
181 Roy Campbell Dr, Hazard, KY 41701-9407 | |
| (606) 439-1316 | |
| Not Available |
| Full Name | Wanda Raye Stidham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 181 Roy Campbell Dr, Hazard, 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 |
|---|---|---|---|
| 1821982489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 4042301 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hazard Arh Regional Medical Center | Hazard, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Appalachian Regional Healthcare Inc | 0840107835 | 301 |
| Entity Name | Appalachian Regional Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417045998 PECOS PAC ID: 0840107835 Enrollment ID: O20031125000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Wanda Raye Stidham, 453 Old Ky 11, Booneville, KY 41314-9171 Ph: (606) 593-6400 | Wanda Raye Stidham, 181 Roy Campbell Dr, Hazard, KY 41701-9407 Ph: (606) 439-1316 |
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 |