| Bon Secours Mercy Health Virtual Care Llc | |
|
225 Medical Center Dr Ste 201 Paducah KY 42003-7907 | |
| (513) 752-8000 | |
| Not Available |
| Full Name | Bon Secours Mercy Health Virtual Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 225 Medical Center Dr Ste 201, Paducah, Kentucky |
| Authorized Official Name and Position | Rodney Neill (COO, MEDICAL GROU) |
| Authorized Official Contact | 3307208546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Mercy Health Virtual Care Llc 1701 Mercy Health Pl Cincinnati OH 45237-6147 Ph: () - | Bon Secours Mercy Health Virtual Care Llc 225 Medical Center Dr Ste 201 Paducah KY 42003-7907 Ph: (513) 752-8000 |
| NPI Number | 1194432294 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 04/26/2023 |
| Medicare PECOS PAC ID | 4688044977 |
|---|---|
| Medicare Enrollment ID | O20230407001835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194432294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sarah Kuhnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730595414 PECOS PAC ID: 8729206248 Enrollment ID: I20140826000337 |
| Provider Name | Mary Nesius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023201944 PECOS PAC ID: 3870762289 Enrollment ID: I20150205000753 |
| Provider Name | Tiffany Malloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528549706 PECOS PAC ID: 0941554141 Enrollment ID: I20181106002268 |
| Provider Name | Anita Haney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528419223 PECOS PAC ID: 9436447281 Enrollment ID: I20230410001777 |
| Provider Name | Jessica Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922480276 PECOS PAC ID: 0143534578 Enrollment ID: I20250213002578 |
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Western Baptist Medical Ventures Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 Kentucky Ave, Suite 103, Paducah, KY 42003 Phone: 270-443-4311 Fax: 270-443-4145 | |
Baptist Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2603 Kentucky Ave Ste 201, Paducah, KY 42003 Phone: 270-443-1220 Fax: 270-443-0023 | |
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