| Living Well Healthcare, Llc | |
|
200 N Crawford St Ste 3 Tompkinsville KY 42167-1617 | |
| (270) 407-5052 | |
| Not Available |
| Full Name | Living Well Healthcare, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 N Crawford St Ste 3, Tompkinsville, Kentucky |
| Authorized Official Name and Position | Deanna Hart (OWNER) |
| Authorized Official Contact | 2704075052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Healthcare, Llc 200 N Crawford St Ste 3 Tompkinsville KY 42167-1617 Ph: (270) 407-5052 | Living Well Healthcare, Llc 200 N Crawford St Ste 3 Tompkinsville KY 42167-1617 Ph: (270) 407-5052 |
| NPI Number | 1255609046 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 10/08/2012 |
| Medicare PECOS PAC ID | 9638339757 |
|---|---|
| Medicare Enrollment ID | O20120328000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255609046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Donald J Weidler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477577518 PECOS PAC ID: 1153213632 Enrollment ID: I20040329000785 |
| Provider Name | Deanna A Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750464517 PECOS PAC ID: 7810081833 Enrollment ID: I20070921000440 |
| Provider Name | Kyle B Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568775310 PECOS PAC ID: 9234357781 Enrollment ID: I20150615002215 |
| Provider Name | Chance Robertson Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811348204 PECOS PAC ID: 9931497088 Enrollment ID: I20161005002502 |
| Provider Name | Julie Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952765612 PECOS PAC ID: 4981992799 Enrollment ID: I20161012001301 |
| Provider Name | Josh L Vantrease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053864819 PECOS PAC ID: 8426338518 Enrollment ID: I20210326000754 |
| Provider Name | Lindsay Ann Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548663230 PECOS PAC ID: 4880816545 Enrollment ID: I20210928002806 |
Monroe County Medical Center Walk-in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 529 Capp Harlan Rd, Tompkinsville, KY 42167 Phone: 270-487-9231 | |
Monroe County Medical Center Medical Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 604 N Main St, Tompkinsville, KY 42167 Phone: 270-487-9231 Fax: 270-487-5784 | |
Timothy D. Hume M.d. Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 N Main St, Tompkinsville, KY 42167 Phone: 270-487-8667 Fax: 270-487-9505 | |
T J Health Tompkinsville Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 N Main St Ste B, Tompkinsville, KY 42167 Phone: 270-487-0720 Fax: 270-487-0712 | |
Monroe Convenient Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Crawford St, Tompkinsville, KY 42167 Phone: 270-634-2089 | |
Family Medical Healthcare Center Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 477 Capp Harlan Rd, Tompkinsville, KY 42167 Phone: 270-487-0701 Fax: 270-487-0800 |