| Zachary Shane Cavins, MSN PMHNP-BC | |
|
645 Interstate Dr, Grayson, KY 41143-1704 | |
| (606) 474-0669 | |
| Not Available |
| Full Name | Zachary Shane Cavins |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 645 Interstate Dr, Grayson, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386492882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1162592 (Kentucky) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4021140 (Kentucky) | Primary |
| Entity Name | Lewis County Primary Care Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457303802 PECOS PAC ID: 1153311774 Enrollment ID: O20040515000278 |
| Entity Name | Infinity Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093119539 PECOS PAC ID: 8820322092 Enrollment ID: O20190620003491 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Shane Cavins, MSN PMHNP-BC 909 Lynwood St, Raceland, KY 41169-1430 Ph: (606) 371-4572 | Zachary Shane Cavins, MSN PMHNP-BC 645 Interstate Dr, Grayson, KY 41143-1704 Ph: (606) 474-0669 |
Maria Baker Sargent, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Bellefonte Dr, Grayson, KY 41143 Phone: 606-474-0669 | |
Brittany Gene Bond, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Bellefonte Dr, Grayson, KY 41143 Phone: 606-475-5505 Fax: 606-475-5506 | |
Mrs. Shelby Anne Hill, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 645 Interstate Dr, Grayson, KY 41143 Phone: 606-474-0669 | |
Maryellen Tussey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 207 N Carol Malone Blvd Ste 3, Grayson, KY 41143 Phone: 606-225-8200 Fax: 888-606-7354 | |
Savannah Oliver, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 645 Interstate Dr, Grayson, KY 41143 Phone: 606-474-0669 | |
Kellie Richelle Sparks, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 645 Interstate Dr, Grayson, KY 41143 Phone: 606-474-0669 | |
Tori Scott, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 N Carol Malone Blvd Ste 100, Grayson, KY 41143 Phone: 606-475-0152 Fax: 606-474-4240 |