Mary L Dillard (NPI# 1306880034, PAC ID# 1456356880) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED CLINICAL NURSE SPECIALIST (CNS).
Nation Provider ID (NPI) | 1306880034 |
PAC ID by PECOS | 1456356880 |
Professional Enrollment ID | I20060919000099 |
Full Name | Mary L Dillard |
Organization Legal Name | PENNYROYAL HEALTHCARE SERVICES, INC |
Address |
310 Hawthorne St Princeton KY 42445-1622 |
Phone Number | 2703650227 |
Gender | F |
Credential | CNS |
Graduation Year | 2005 |
Primary Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
Group Practice PAC ID | 6002076700 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180051 | JENNIE STUART MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
310 Hawthorne St, Princeton, KY 42445-1622 | 2703650227 | PENNYROYAL HEALTHCARE SERVICES, INC |
Organization Legal Name | PENNYROYAL HEALTHCARE SERVICES, INC |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elizabeth Scheidler | Nurse Practitioner | Pennyroyal Healthcare Services, Inc | 1102 S Virginia St, Hopkinsville, KY 42240-3579 |
Beth Ann Devine | Nurse Practitioner | Pennyroyal Healthcare Services, Inc | 739 B N Dr, Hopkinsville, KY 42240-2620 |
Amy E Wells | Nurse Practitioner | Pennyroyal Healthcare Services, Inc | 310 Hawthorne St, Princeton, KY 42445-1622 |
Tammy Dunaway | Nurse Practitioner | Pennyroyal Healthcare Services, Inc | 1102 S Virginia St, Hopkinsville, KY 42240-3579 |
Ellery H Naghtin | Nurse Practitioner | Pennyroyal Healthcare Services, Inc | 1102 S Virginia St, Hopkinsville, KY 42240-3579 |
Chelsey B Farless | Nurse Practitioner | Pennyroyal Healthcare Services, Inc | 310 Hawthorne St, Princeton, KY 42445-1622 |
Chelcia Moody | Nurse Practitioner | Pennyroyal Healthcare Services, Inc | 310 Hawthorne St, Princeton, KY 42445-1622 |
Street Address |
310 HAWTHORNE ST |
City | PRINCETON |
State | KY |
Zip | 42445-1622 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy E Wells | Nurse Practitioner | Pennyroyal Healthcare Services, Inc | 310 Hawthorne St, Princeton, KY 42445-1622 |
Chelsey B Farless | Nurse Practitioner | Pennyroyal Healthcare Services, Inc | 310 Hawthorne St, Princeton, KY 42445-1622 |
Chelcia Moody | Nurse Practitioner | Pennyroyal Healthcare Services, Inc | 310 Hawthorne St, Princeton, KY 42445-1622 |
Name | Specialty | Organization | Address |
---|---|---|---|
Justin Mathis | Chiropractic | 1011 W Mai St B, Caldwell County Chiropractic, Princeton, KY 42445-1219 | |
Anna Martz | Nurse Practitioner | Fast Pace Kentucky Pllc | 1023 W Main St, Princeton, KY 42445-1253 |
James P Rushing | Chiropractic | 505 W Main St, Princeton, KY 42445-1331 | |
Daniel A Talley | Optometry | 101 E Shepardson St, Princeton, KY 42445-1633 | |
Mary H James | Nurse Practitioner | 323 S Jefferson St C, Princeton, KY 42445-2100 | |
Ed Settle | Family Medicine | Baptist Health Medical Group Inc | 605 S Jefferson St, Suite B, Princeton, KY 42445-2173 |
David H Ramey | Chiropractic | 505 Hopkinsville St, Princeton, KY 42445-2226 | |
Carl B Hinton | General Surgery | 407 Us Hwy 62 W, Princeton, KY 42445-2409 | |
Adam Duley | Emergency Medicine | App of Kentucky Ed, Pllc | 100 Medical Ctr Dr, Princeton, KY 42445-2430 |
Brett F Bechtel | Emergency Medicine | App of Kentucky Ed, Pllc | 100 Medical Ctr Dr, Princeton, KY 42445-2430 |
Find all physicians in zip 42445 |
City | PRINCETON |
Zip Code | 42445 |
Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
City + Specialty | PRINCETON + CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
Please comment or provide details below to improve the information on Mary L Dillard.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.