Heidi Renae Frey (NPI# 1710063300, PAC ID# 2062517923) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1710063300 |
| PAC ID by PECOS | 2062517923 |
| Professional Enrollment ID | I20150413000658 |
| Full Name | Heidi Renae Frey |
| Organization Legal Name | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| Address |
30 Medpark Square Dr Suite 1 Somerset KY 42503-1709 |
| Phone Number | 6064510485 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2567510464 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181330 | RUSSELL COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 103 Hardin Ln, Suite A, Somerset, KY 42503-3814 | 6066770062 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| 104 Hardin Ln, Suite A, Somerset, KY 42503-3800 | 6066788323 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| 110 Hardin Ln, Suite 9, Somerset, KY 42503-3818 | 6066797316 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| 120 Tradepark Dr B, Somerset, KY 42503-3454 | 6064510300 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| 154 Bogle Office Park Dr, Suite B, Somerset, KY 42503-2810 | 6066760110 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| 26 Oxford Way B, Surgery Specialists, Somerset, KY 42503-2813 | 6064254298 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| 27 Imaging Dr, Suite B, Somerset, KY 42503-2869 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC | |
| 30 Medpark Square Dr, Suite 1, Somerset, KY 42503-1709 | 6064510485 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| 30 Tower Cir, Somerset, KY 42503-3476 | 6064518644 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| 301 Langdon St, Somerset, KY 42503-2750 | 6066789688 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| 305 Langdon St P, Somerset, KY 42503-2750 | 6066760206 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| 349 Bogle St A, Somerset, KY 42503-2895 | 6064516060 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| 350 Hospital Way, Suite 444, Somerset, KY 42503-1874 | 6064513890 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| 353 Bogle St C, Somerset, KY 42503-2888 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC | |
| 401 Bogle St, Suite 101, Somerset, KY 42503-2849 | 6066760275 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| 56 Tower Cir, Somerset, KY 42503-3476 | 6066772913 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| 75 Hail Knob Rd, Somerset, KY 42503-3434 | 6066789617 | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_204_overall | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet | 93% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 5% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 11% |
| Organization Legal Name | LAKE CUMBERLAND PHYSICIAN PRACTICES LLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamal Fazal Rabbi | Thoracic Surgery | Lake Cumberland Physician Practices LLC | 120 Tradepark Dr B, Somerset, KY 42503-3454 |
| Leslie Sue Chambers | Nurse Practitioner | Lake Cumberland Physician Practices LLC | 26 Oxford Way B, Surgery Specialists, Somerset, KY 42503-2813 |
| Molly Simmons | Nurse Practitioner | Lake Cumberland Physician Practices LLC | 353 Bogle St C, Somerset, KY 42503-2888 |
| Stephanie M Hutchinson | Nurse Practitioner | Lake Cumberland Physician Practices LLC | 301 Langdon St, Somerset, KY 42503-2750 |
| Kenneth E Ruby | Urology | Lake Cumberland Physician Practices LLC | 30 Medpark Square Dr, Suite 1, Somerset, KY 42503-1709 |
| Melissa Cheng | Nurse Practitioner | Lake Cumberland Physician Practices LLC | 30 Tower Cir, Somerset, KY 42503-3476 |
| Piyush D Patel | Neurology | Lake Cumberland Physician Practices LLC | 104 Hardin Ln, Suite A, Somerset, KY 42503-3800 |
| Harold H Rutledge | Interventional Pain Management | Lake Cumberland Physician Practices LLC | 305 Langdon St P, Somerset, KY 42503-2750 |
| Todd L Horn | Internal Medicine | Lake Cumberland Physician Practices LLC | 56 Tower Cir, Somerset, KY 42503-3476 |
| Benjamin C Bryson | Internal Medicine | Lake Cumberland Physician Practices LLC | 56 Tower Cir, Somerset, KY 42503-3476 |
| Street Address |
30 MEDPARK SQUARE DR SUITE 1 |
| City | SOMERSET |
| State | KY |
| Zip | 42503-1709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth E Ruby | Urology | Lake Cumberland Physician Practices LLC | 30 Medpark Square Dr, Suite 1, Somerset, KY 42503-1709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don L Richardson | Optometry | 246 Poplar Ave, Suite 1, Somerset, KY 42503-1701 | |
| Donna Birney | Clinical Social Worker | Quest Counseling | 600 Clifty St, Suite 2, Somerset, KY 42503-1710 |
| Kelli N Jordan | Clinical Social Worker | Quest Counseling | 600 Clifty St, Suite 2, Somerset, KY 42503-1710 |
| Eric D Johnson | Diagnostic Radiology | 607 Clifty St, Somerset, KY 42503-1765 | |
| Joseph G Weigel | Internal Medicine | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Lisa E Marcum | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Randall Elliot Dalton | Otolaryngology | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Julie K Stevens | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Autumn Z Richardson | Nurse Practitioner | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Jonathan B Dixon | Family Medicine | Lake Cumberland Regional Hospital LLC | 350 Hospital Way, Suite 100, Somerset, KY 42503-1873 |
| Find all physicians in zip 42503 | |||
| City | SOMERSET |
| Zip Code | 42503 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SOMERSET + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Heidi Renae Frey.
| 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.