| William Blake, PMHNP-BC | |
|
110 E Obryan Ave, Bardstown, KY 40004-1636 | |
| (502) 890-9232 | |
| Not Available |
| Full Name | William Blake |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 110 E Obryan Ave, Bardstown, 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 |
|---|---|---|---|
| 1093683385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4047867 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healing Neurons Psychiatry Llc | 1052703824 | 5 |
| Entity Name | University of Louisville Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
| Entity Name | Healing Neurons Psychiatry LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790442218 PECOS PAC ID: 1052703824 Enrollment ID: O20220328000587 |
| Mailing Address | Practice Location Address |
|---|---|
| William Blake, PMHNP-BC 7816 Hepatica Dr, Louisville, KY 40258-2272 Ph: (502) 225-3299 | William Blake, PMHNP-BC 110 E Obryan Ave, Bardstown, KY 40004-1636 Ph: (502) 890-9232 |
Angela Marie Ballard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 S 5th St, Bardstown, KY 40004 Phone: 502-348-5968 Fax: 502-349-0963 |
Alexandra Hardin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 W John Rowan Blvd Ste E, Bardstown, KY 40004 Phone: 502-350-4799 |
Krystal Rall, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 W John Rowan Blvd, Bardstown, KY 40004 Phone: 502-337-7409 Fax: 502-337-7410 |
Mr. Justin William Davis, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 W John Rowan Blvd, Bardstown, KY 40004 Phone: 502-337-7409 |
Mrs. Shandrika Renee Feitelson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4305 New Shepherdsville Rd, Bardstown, KY 40004 Phone: 502-350-5000 |
Mrs. Michele Herbert, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4305 New Shepherdsville Rd, Bardstown, KY 40004 Phone: 502-350-5000 |
Mrs. Monica B Strenecky, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 S 5th St, Bardstown, KY 40004 Phone: 502-348-6309 Fax: 502-348-2793 |