DEMETRIUS KING (NPI# 1336686062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336686062 |
| Entity Type | Organization |
| Organization Name | DEMETRIUS KING |
| Other Organization Name | ASSUREDLINK CASE MANAGEMENT |
| Practice Address |
1990 Louisville Rd Ste 101 Bowling Green KY 42101-1202 |
| Practice Telephone | 2703034669 |
| Mailing Telephone | 2703034669 |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-03-02 |
| Authorized Official Name | DEMETRIUS KING (THERAPIST/OWNER) |
| Authorized Official Telephone | 2703034669 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | Y |
| Parent Organization Name | ASSUREDLINK CASE MANAGEMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
171431 | KY | Behavioral Health & Social Service Providers |
| Y | 302F00000X | Exclusive Provider Organization | 171431 | KY | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1336686062 | 05 | |
| KY | 1205267671 | 05 |
| Other Name | Type Code |
|---|---|
| AssuredLink Case Management | Other Name - Individual/Organization |
| Street Address |
1990 LOUISVILLE RD STE 101 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154869774 | Mygenetx Wellness, LLC | Exclusive Provider Organization | 525 W 5th St Ste 310, Covington, KY 41011-1200 | 2017-02-02 |
| 1659797405 | Samaritan Home | Exclusive Provider Organization | 95 Goodwater St, Jenkins, KY 41537-9749 | 2014-03-17 |
| 1811310626 | Dr. Robert Skiles Pllc | Exclusive Provider Organization | 1500 Poplar Level Rd, Suite 3, Louisville, KY 40217-1316 | 2014-01-30 |
| 1134427958 | Robert B Coutant Md Psc | Exclusive Provider Organization | 1003 Burlew Blvd Ste C, Owensboro, KY 42303-1799 | 2011-03-02 |
| 1043497167 | James T Dodge Do LLC | Exclusive Provider Organization | 919 Chambers Blvd Ste B, Bardstown, KY 40004-2574 | 2008-01-31 |
| 1063801363 | James R Wright PCs | Exclusive Provider Organization | 2004 Callie Way, Union, KY 41091-7521 | 2015-01-10 |
| 1528498318 | Kvc Behavioral Health | Exclusive Provider Organization | 900 Beasley St, Lexington, KY 40509-4266 | 2013-11-15 |
| 1821368499 | R Brooks Callihan Dmd Psc | Exclusive Provider Organization | 219 Main St, Greenup, KY 41144-1068 | 2012-01-12 |
| 1356625677 | Richard Barnett Dmd Psc | Exclusive Provider Organization | 106 S 10th St, Middlesboro, KY 40965-1058 | 2011-10-05 |
| 1760793764 | Dietary Consultants, Inc. | Exclusive Provider Organization | 229 Churchill Dr, Richmond, KY 40475-3209 | 2010-06-24 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.