| Deaconess Clinic, Inc | |
|
1700 Us Highway 60 W Morganfield KY 42437-6242 | |
| (270) 389-0031 | |
| (270) 389-3707 |
| Full Name | Deaconess Clinic, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1700 Us Highway 60 W, Morganfield, Kentucky |
| Authorized Official Name and Position | Cheryl A Wathen (CFO) |
| Authorized Official Contact | 8124503296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Clinic, Inc Po Box 1510 Evansville IN 47706-1510 Ph: (270) 389-0031 | Deaconess Clinic, Inc 1700 Us Highway 60 W Morganfield KY 42437-6242 Ph: (270) 389-0031 |
| NPI Number | 1891941688 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 08/10/2017 |
| Medicare PECOS PAC ID | 3375610116 |
|---|---|
| Medicare Enrollment ID | O20081017000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891941688 | NPI | - | NPPES |
| Provider Name | Garah E Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295783884 PECOS PAC ID: 6406745355 Enrollment ID: I20040310001575 |
| Provider Name | Hisham Allababidi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710913470 PECOS PAC ID: 5597655043 Enrollment ID: I20040318000033 |
| Provider Name | Maqbool Ahmed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023022118 PECOS PAC ID: 7810989977 Enrollment ID: I20040331000448 |
| Provider Name | Yvonne Maddela Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255437463 PECOS PAC ID: 2163471152 Enrollment ID: I20050117000533 |
| Provider Name | William A White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275537243 PECOS PAC ID: 0143276766 Enrollment ID: I20050328000334 |
| Provider Name | Naghma S Mufti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982691622 PECOS PAC ID: 2961464532 Enrollment ID: I20060321000594 |
| Provider Name | Christie J Croft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841234051 PECOS PAC ID: 1658378328 Enrollment ID: I20061023000555 |
| Provider Name | Kelly L Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588638969 PECOS PAC ID: 8022111392 Enrollment ID: I20070307000584 |
| Provider Name | Lela K Marable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326096827 PECOS PAC ID: 7113008251 Enrollment ID: I20080115000640 |
| Provider Name | Charles H Futrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679751689 PECOS PAC ID: 0941371215 Enrollment ID: I20080612000906 |
| Provider Name | Scott A Watkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417905332 PECOS PAC ID: 6709957442 Enrollment ID: I20080624000223 |
| Provider Name | Kelly S Brauer |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1639376296 PECOS PAC ID: 8224101035 Enrollment ID: I20080725000584 |
| Provider Name | Paul E Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326002023 PECOS PAC ID: 8921002031 Enrollment ID: I20081006000329 |
| Provider Name | Heather T Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851549711 PECOS PAC ID: 9537227137 Enrollment ID: I20081027000489 |
| Provider Name | Gerald R Rightmyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265490114 PECOS PAC ID: 9537220322 Enrollment ID: I20081211000832 |
| Provider Name | Karen R Canlas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518185487 PECOS PAC ID: 6406947092 Enrollment ID: I20090204000602 |
| Provider Name | Gerri L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235379215 PECOS PAC ID: 1658429899 Enrollment ID: I20090428000377 |
| Provider Name | Karen Rebecca Brossman Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316915978 PECOS PAC ID: 6709895220 Enrollment ID: I20100116000001 |
| Provider Name | Debra J Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033186911 PECOS PAC ID: 3971639428 Enrollment ID: I20100413000056 |
| Provider Name | Joshua S Kitchens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386974004 PECOS PAC ID: 5092839035 Enrollment ID: I20100827000882 |
| Provider Name | William H Clapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912973173 PECOS PAC ID: 7911022330 Enrollment ID: I20100908001000 |
| Provider Name | Linda Boarman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003121302 PECOS PAC ID: 3173716032 Enrollment ID: I20101023000024 |
| Provider Name | Shauna Jere Keys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306152558 PECOS PAC ID: 3779778980 Enrollment ID: I20101113000189 |
| Provider Name | Janelle L Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962719351 PECOS PAC ID: 1557540549 Enrollment ID: I20110124000134 |
| Provider Name | Tisha M Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205133196 PECOS PAC ID: 4981887791 Enrollment ID: I20110331000262 |
| Provider Name | Jeremy D Luckett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770748667 PECOS PAC ID: 4284803297 Enrollment ID: I20110809000323 |
| Provider Name | Faryaal Aamir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649581778 PECOS PAC ID: 8123299955 Enrollment ID: I20110927000453 |
| Provider Name | Jennifer Marie Boes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992000525 PECOS PAC ID: 7012180011 Enrollment ID: I20111108000744 |
| Provider Name | Theresa K Peek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841593381 PECOS PAC ID: 4284800095 Enrollment ID: I20111228000705 |
| Provider Name | Rebecca D Hopper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174788756 PECOS PAC ID: 4587831680 Enrollment ID: I20120112000451 |
| Provider Name | Rachel E Farmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699822569 PECOS PAC ID: 5597903971 Enrollment ID: I20130523000639 |
| Provider Name | Kimberly A Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184957060 PECOS PAC ID: 2264672609 Enrollment ID: I20130709000460 |
| Provider Name | Sheryl L Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932389590 PECOS PAC ID: 0244471720 Enrollment ID: I20130725000499 |
| Provider Name | Sharon M Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770637589 PECOS PAC ID: 2466694468 Enrollment ID: I20130803000101 |
| Provider Name | Larry G Crick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821155532 PECOS PAC ID: 7719129311 Enrollment ID: I20130812000162 |
| Provider Name | Brittney Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538409743 PECOS PAC ID: 5799929436 Enrollment ID: I20130918000554 |
| Provider Name | Kimberly A Burrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689976193 PECOS PAC ID: 4486837713 Enrollment ID: I20130924000291 |
| Provider Name | Christina Chumley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043640659 PECOS PAC ID: 9234366386 Enrollment ID: I20131216001614 |
| Provider Name | Martha Y Ridley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720410327 PECOS PAC ID: 9537399118 Enrollment ID: I20140226001862 |
| Provider Name | Nicole L Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063727204 PECOS PAC ID: 6901090372 Enrollment ID: I20140324000889 |
| Provider Name | Iass El Lakkis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205065737 PECOS PAC ID: 0840419834 Enrollment ID: I20140924002290 |
| Provider Name | Brian D Wellington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336422955 PECOS PAC ID: 3173745668 Enrollment ID: I20141118001805 |
| Provider Name | Kathryn M Ekstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346493400 PECOS PAC ID: 4082865399 Enrollment ID: I20150219002466 |
| Provider Name | Armand Jules Rigaux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104929322 PECOS PAC ID: 6901890565 Enrollment ID: I20150223000327 |
| Provider Name | Courtney B Mccree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619276672 PECOS PAC ID: 7810174034 Enrollment ID: I20151027002912 |
| Provider Name | Sharon R Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366811796 PECOS PAC ID: 3971812199 Enrollment ID: I20151028002415 |
| Provider Name | Tabatha A Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740527555 PECOS PAC ID: 0143465096 Enrollment ID: I20151204001625 |
| Provider Name | Necia Jo Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710342456 PECOS PAC ID: 0648419861 Enrollment ID: I20160105000907 |
| Provider Name | Raven Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033577812 PECOS PAC ID: 4688979420 Enrollment ID: I20160216002547 |
| Provider Name | Jessica Ranes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033575402 PECOS PAC ID: 5496045692 Enrollment ID: I20160531001807 |
| Provider Name | Amber B Catlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912351701 PECOS PAC ID: 0345531067 Enrollment ID: I20160627001926 |
| Provider Name | Brian Maddox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588002554 PECOS PAC ID: 5395030399 Enrollment ID: I20160829002645 |
| Provider Name | Donna Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588043442 PECOS PAC ID: 8921312760 Enrollment ID: I20160927001542 |
| Provider Name | David B Greer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508869900 PECOS PAC ID: 8921175662 Enrollment ID: I20161011003117 |
| Provider Name | Peter J Lodico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225011828 PECOS PAC ID: 6103916234 Enrollment ID: I20161011003257 |
| Provider Name | Katie M Lawless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770031098 PECOS PAC ID: 4587943758 Enrollment ID: I20161110000665 |
| Provider Name | Narothama Reddy Aeddula |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255581641 PECOS PAC ID: 2264676691 Enrollment ID: I20161116002746 |
| Provider Name | Peter J Juran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780702266 PECOS PAC ID: 8921285834 Enrollment ID: I20161117001648 |
| Provider Name | Daren W Vertein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891972139 PECOS PAC ID: 5395902779 Enrollment ID: I20161229000820 |
| Provider Name | Michael A Roof |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043693658 PECOS PAC ID: 6002116068 Enrollment ID: I20170817003511 |
| Provider Name | Bradley Bilbro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659893337 PECOS PAC ID: 0941572283 Enrollment ID: I20170821002207 |
| Provider Name | William M Walker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184146078 PECOS PAC ID: 1951677046 Enrollment ID: I20171017002224 |
| Provider Name | Joy D Goben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649785759 PECOS PAC ID: 7315206885 Enrollment ID: I20180109002876 |
| Provider Name | Angela Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427545086 PECOS PAC ID: 9436414984 Enrollment ID: I20180730003476 |
| Provider Name | Samuel Gerhardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508351685 PECOS PAC ID: 1850649070 Enrollment ID: I20180803002956 |
| Provider Name | Macy L Clevidence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447738265 PECOS PAC ID: 4688924954 Enrollment ID: I20180906003063 |
| Provider Name | Nripesh Pradhan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487974267 PECOS PAC ID: 1557517364 Enrollment ID: I20181002002303 |
| Provider Name | Bethany L Morse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275074437 PECOS PAC ID: 1456637990 Enrollment ID: I20181017002348 |
| Provider Name | Jacqueline Nicole Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902387665 PECOS PAC ID: 8729330808 Enrollment ID: I20181018000958 |
| Provider Name | Courtney Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316234172 PECOS PAC ID: 9133345226 Enrollment ID: I20181119002998 |
| Provider Name | Amy S Stott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427420397 PECOS PAC ID: 3971805862 Enrollment ID: I20181126002145 |
| Provider Name | Mia Souheil Hindi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750582037 PECOS PAC ID: 1759536154 Enrollment ID: I20181213003077 |
| Provider Name | Kelli D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790168516 PECOS PAC ID: 8022322825 Enrollment ID: I20181214001542 |
| Provider Name | Tameem Al-aqtash |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164653804 PECOS PAC ID: 4981836228 Enrollment ID: I20181219003572 |
| Provider Name | Samantha Polk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417357542 PECOS PAC ID: 8426370388 Enrollment ID: I20190204002354 |
| Provider Name | Rubin Dhiraj Bahuva |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326200536 PECOS PAC ID: 9133287147 Enrollment ID: I20190214002422 |
| Provider Name | Crystal Cheri Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609330273 PECOS PAC ID: 7517206774 Enrollment ID: I20190305002998 |
| Provider Name | De'yonna C Kendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184144503 PECOS PAC ID: 8921371568 Enrollment ID: I20190401001352 |
| Provider Name | Nell M Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801344973 PECOS PAC ID: 2264711530 Enrollment ID: I20190401001430 |
| Provider Name | Farrah D Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174059216 PECOS PAC ID: 6406128651 Enrollment ID: I20190411001152 |
| Provider Name | Leslie S Hubert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043563497 PECOS PAC ID: 8628354255 Enrollment ID: I20190411001342 |
| Provider Name | Mir Fahad Faisal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609131614 PECOS PAC ID: 8820392764 Enrollment ID: I20190821003088 |
| Provider Name | Logan Scott Vansickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699335968 PECOS PAC ID: 3971832882 Enrollment ID: I20190830002802 |
| Provider Name | Victoria C Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568813418 PECOS PAC ID: 8325339039 Enrollment ID: I20190910004073 |
| Provider Name | Brenton A Hallden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992351290 PECOS PAC ID: 8224369327 Enrollment ID: I20191003001607 |
| Provider Name | Joseph T Lansden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518526227 PECOS PAC ID: 0244562940 Enrollment ID: I20191030001239 |
| Provider Name | Alicia Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275189037 PECOS PAC ID: 3779812995 Enrollment ID: I20191120002122 |
| Provider Name | Lorin P Mickelsen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689058356 PECOS PAC ID: 0244585958 Enrollment ID: I20191203000630 |
| Provider Name | Tyler L Tidwell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629462635 PECOS PAC ID: 2264766591 Enrollment ID: I20191211000997 |
| Provider Name | Garrett C Koon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366821746 PECOS PAC ID: 2860707023 Enrollment ID: I20200117000583 |
| Provider Name | Melissa L Mccrary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598310260 PECOS PAC ID: 9335470996 Enrollment ID: I20200211000724 |
| Provider Name | Jessica M Sale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659833093 PECOS PAC ID: 9638411127 Enrollment ID: I20200221001095 |
| Provider Name | Jennifer N Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942849351 PECOS PAC ID: 4880022714 Enrollment ID: I20200306002392 |
| Provider Name | Kristin Denise Bugg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023657988 PECOS PAC ID: 5991133324 Enrollment ID: I20200319000457 |
| Provider Name | Brittany M Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265077101 PECOS PAC ID: 2567890544 Enrollment ID: I20200325003179 |
| Provider Name | Tasia Marie Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427680990 PECOS PAC ID: 8123458577 Enrollment ID: I20200427000302 |
| Provider Name | Leslie L Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770116964 PECOS PAC ID: 3971932294 Enrollment ID: I20200516000127 |
| Provider Name | Sarah J Faxon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912551870 PECOS PAC ID: 8325471550 Enrollment ID: I20200623001387 |
| Provider Name | Tabicia Linn Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457987877 PECOS PAC ID: 0244653525 Enrollment ID: I20200702002181 |
| Provider Name | Carli B Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205287000 PECOS PAC ID: 8628491644 Enrollment ID: I20200709002625 |
| Provider Name | Evan Wu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891149126 PECOS PAC ID: 5799034773 Enrollment ID: I20200713002078 |
| Provider Name | Tabitha A Shults |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144608605 PECOS PAC ID: 8123337938 Enrollment ID: I20200722003230 |
| Provider Name | Carla Marie Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336768993 PECOS PAC ID: 2961826755 Enrollment ID: I20200727002553 |
| Provider Name | Ashtin M Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225421886 PECOS PAC ID: 2769700780 Enrollment ID: I20200731001225 |
| Provider Name | Kerrie R Suits |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629419908 PECOS PAC ID: 8729212725 Enrollment ID: I20200902000484 |
| Provider Name | Rachel Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821517921 PECOS PAC ID: 7416206826 Enrollment ID: I20200902001615 |
| Provider Name | Vanessa P Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912528001 PECOS PAC ID: 9335570001 Enrollment ID: I20200904000777 |
| Provider Name | Corinne L Mbakop |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003270257 PECOS PAC ID: 0749603017 Enrollment ID: I20200915000760 |
| Provider Name | Leigh Fromm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437632981 PECOS PAC ID: 0749525079 Enrollment ID: I20200929002469 |
| Provider Name | Tracy J Kinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467403584 PECOS PAC ID: 9032128244 Enrollment ID: I20200930001822 |
| Provider Name | Jared Vibbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588194138 PECOS PAC ID: 3173892130 Enrollment ID: I20201102002465 |
| Provider Name | Amber N Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518566017 PECOS PAC ID: 3870903636 Enrollment ID: I20201201002713 |
| Provider Name | Shara E Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023350048 PECOS PAC ID: 3678717477 Enrollment ID: I20201209002312 |
| Provider Name | Julie E Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538764451 PECOS PAC ID: 8123430170 Enrollment ID: I20201215002725 |
| Provider Name | Chase P Moran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700142106 PECOS PAC ID: 6406158906 Enrollment ID: I20201228002476 |
| Provider Name | Natasha A Jain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578981445 PECOS PAC ID: 6002178837 Enrollment ID: I20210104001811 |
| Provider Name | Tiffany N Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790381762 PECOS PAC ID: 6406269844 Enrollment ID: I20210104001849 |
| Provider Name | Sarah Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427652668 PECOS PAC ID: 8729491766 Enrollment ID: I20210111002893 |
| Provider Name | Kimberly A Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699001289 PECOS PAC ID: 7517094279 Enrollment ID: I20210210001375 |
| Provider Name | Lauren E Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629576368 PECOS PAC ID: 6800122243 Enrollment ID: I20210304002190 |
| Provider Name | Alyson Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164032298 PECOS PAC ID: 2668891425 Enrollment ID: I20210318001504 |
| Provider Name | Eula Geralyn Tetangco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639584014 PECOS PAC ID: 3375853542 Enrollment ID: I20210728002992 |
| Provider Name | Kara M Rumley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528340593 PECOS PAC ID: 3779755285 Enrollment ID: I20211014000475 |
| Provider Name | Jared Hutson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982133070 PECOS PAC ID: 0143599167 Enrollment ID: I20220303002080 |
| Provider Name | Chelsea Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043964927 PECOS PAC ID: 2668867326 Enrollment ID: I20220315002084 |
| Provider Name | Roderick Warren |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093719841 PECOS PAC ID: 0446295059 Enrollment ID: I20220422000771 |
| Provider Name | Kristie Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477160273 PECOS PAC ID: 9436562196 Enrollment ID: I20220425002681 |
| Provider Name | Amy Grogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063162790 PECOS PAC ID: 8729465026 Enrollment ID: I20220505002243 |
| Provider Name | Jon Davis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053549139 PECOS PAC ID: 2769617703 Enrollment ID: I20220506000835 |
| Provider Name | Courtney Blandford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528799913 PECOS PAC ID: 3971984782 Enrollment ID: I20220816002228 |
| Provider Name | Rashel Low |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407408412 PECOS PAC ID: 4688902224 Enrollment ID: I20220825004266 |
| Provider Name | Mckenzie Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215596036 PECOS PAC ID: 0547595779 Enrollment ID: I20221021002632 |
| Provider Name | Katie M Hopf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275294886 PECOS PAC ID: 7416340237 Enrollment ID: I20221117003428 |
| Provider Name | Heather Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457078214 PECOS PAC ID: 5597133017 Enrollment ID: I20221121002067 |
| Provider Name | Sabrina Lynn Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770050403 PECOS PAC ID: 4183022627 Enrollment ID: I20221121003278 |
| Provider Name | Kristi Kingsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093315608 PECOS PAC ID: 6608276746 Enrollment ID: I20221122003511 |
| Provider Name | Sarah Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811637358 PECOS PAC ID: 3577946144 Enrollment ID: I20221123002578 |
| Provider Name | Mackenzie Denton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275159337 PECOS PAC ID: 6608299920 Enrollment ID: I20230306001669 |
| Provider Name | Stephanie Dittmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790491546 PECOS PAC ID: 7012389661 Enrollment ID: I20230313002815 |
| Provider Name | Linnie Nicholls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891282083 PECOS PAC ID: 4688918410 Enrollment ID: I20230511001244 |
| Provider Name | Briana A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174275077 PECOS PAC ID: 9638542160 Enrollment ID: I20230612002456 |
| Provider Name | Kathryn Taylor Ayres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477268746 PECOS PAC ID: 5496111742 Enrollment ID: I20230705001798 |
| Provider Name | Sarah Rudkosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457079758 PECOS PAC ID: 1355725474 Enrollment ID: I20230705002353 |
| Provider Name | Cristina Chenoweth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639827744 PECOS PAC ID: 1153700570 Enrollment ID: I20230725000957 |
| Provider Name | Joseph H Wilson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679198436 PECOS PAC ID: 0749635605 Enrollment ID: I20231012001185 |
| Provider Name | Josiah Zachary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336757152 PECOS PAC ID: 5395169593 Enrollment ID: I20231024002636 |
| Provider Name | Hazem Albandar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134655491 PECOS PAC ID: 1355619081 Enrollment ID: I20231219003749 |
| Provider Name | Erika J Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326802182 PECOS PAC ID: 5193163590 Enrollment ID: I20240416001475 |
| Provider Name | Rajinder D Balasuriya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356710362 PECOS PAC ID: 7214282144 Enrollment ID: I20240417004102 |
| Provider Name | Mackenzie E Gaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023741402 PECOS PAC ID: 8820472608 Enrollment ID: I20240423000595 |
| Provider Name | Mitchell Mccord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740849553 PECOS PAC ID: 6800120403 Enrollment ID: I20240501003299 |
| Provider Name | Cayla D Darnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093370983 PECOS PAC ID: 3476887381 Enrollment ID: I20240515003142 |
| Provider Name | Shannon Onstott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851780191 PECOS PAC ID: 4385965912 Enrollment ID: I20240702001407 |
| Provider Name | Joanna Osterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518649391 PECOS PAC ID: 4486017266 Enrollment ID: I20240708002820 |
| Provider Name | Hope D Hoeing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487406153 PECOS PAC ID: 3779924733 Enrollment ID: I20240711003926 |
| Provider Name | Kimberley Pauline Rhode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457961773 PECOS PAC ID: 1254759665 Enrollment ID: I20240716001797 |
| Provider Name | Brittney A Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134901515 PECOS PAC ID: 5799135539 Enrollment ID: I20240722001801 |
| Provider Name | Dhruvin Mehta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871023556 PECOS PAC ID: 9739458795 Enrollment ID: I20240731000794 |
| Provider Name | Zachary Panzarella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306424486 PECOS PAC ID: 4981088382 Enrollment ID: I20240821002180 |
| Provider Name | Jonathan Robert Dowd |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205329489 PECOS PAC ID: 6901153261 Enrollment ID: I20240905003491 |
| Provider Name | Syed Musa Raza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295211563 PECOS PAC ID: 4688928344 Enrollment ID: I20241008001730 |
| Provider Name | Michelle D Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194158691 PECOS PAC ID: 5799913166 Enrollment ID: I20241022005167 |
| Provider Name | Kelly N Traylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477677540 PECOS PAC ID: 3476604935 Enrollment ID: I20241115002090 |
| Provider Name | Emma Martz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780178723 PECOS PAC ID: 4587910799 Enrollment ID: I20241125002700 |
| Provider Name | Graceanna Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619320975 PECOS PAC ID: 6305125931 Enrollment ID: I20250203002354 |
| Provider Name | Sarah E Wieligman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275367914 PECOS PAC ID: 2365975000 Enrollment ID: I20250213003271 |
| Provider Name | John Patrick Nanola Uy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578042032 PECOS PAC ID: 1759784705 Enrollment ID: I20250220003078 |
| Provider Name | Ethan Daniel Valinetz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427437482 PECOS PAC ID: 2769793298 Enrollment ID: I20250326002066 |
| Provider Name | Andrzej Zeglen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578092805 PECOS PAC ID: 6901142405 Enrollment ID: I20250327000594 |
| Provider Name | Pearl Naa Kwarley Quartey-kumapley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396001103 PECOS PAC ID: 3375831571 Enrollment ID: I20250327002866 |
| Provider Name | David Moore |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497198261 PECOS PAC ID: 5890098818 Enrollment ID: I20250515002898 |
Deaconess Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1284 Us Highway 60 W, Morganfield, KY 42437 Phone: 270-389-2323 Fax: 270-389-0526 | |
Deaconess Union County Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1284 Us Hwy 60 South, Morganfield, KY 42437 Phone: 270-389-2323 Fax: 270-389-0526 | |
Methodist Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1284 Us Highway 60 W, Morganfield, KY 42437 Phone: 270-389-2323 Fax: 270-389-0526 | |
Deaconess Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Us Highway 60 W, Morganfield, KY 42437 Phone: 270-389-0031 Fax: 270-389-3707 | |
Gibson General Hospital, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4604 Us Highway 60 W, Morganfield, KY 42437 Phone: 703-895-0002 Fax: 270-333-9292 | |
Regional Health Care Affiliates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 N Morgan St, Morganfield, KY 42437 Phone: 270-667-7017 |