Bridget Evans (NPI# 1841643525, PAC ID# 2466732052) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1841643525 |
PAC ID by PECOS | 2466732052 |
Professional Enrollment ID | I20161219001170 |
Full Name | Bridget Evans |
Organization Legal Name | ACK HEALTHCARE MANAGEMENT LLC |
Address |
1520 4th St Lewisport KY 42351-2529 |
Phone Number | 2702953890 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3072736602 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180038 | OWENSBORO HEALTH REGIONAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1520 4th St, Lewisport, KY 42351-2529 | 2702953890 | ACK HEALTHCARE MANAGEMENT LLC |
Organization Legal Name | ACK HEALTHCARE MANAGEMENT LLC |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Susan Renee Hicks | Nurse Practitioner | Ack Healthcare Management LLC | 1116 S Main St, Suite 5, Morgantown, KY 42261-9832 |
Tanya F Revor | Nurse Practitioner | Ack Healthcare Management LLC | 1520 4th St, Lewisport, KY 42351-2529 |
Alicia C Henning | Nurse Practitioner | Ack Healthcare Management LLC | 83 Ballpark Rd, Hardinsburg, KY 40143-4859 |
Delana Michelle Connors | Nurse Practitioner | Ack Healthcare Management LLC | 83 Ballpark Rd, Hardinsburg, KY 40143-4859 |
Albert F Ward Ii | Nurse Practitioner | Ack Healthcare Management LLC | 1116 S Main St, Suite 5, Morgantown, KY 42261-9832 |
Claire Elizabeth Knott | Nurse Practitioner | Ack Healthcare Management LLC | 2025 Bypass Rd, Suite 205, Brandenburg, KY 40108-1605 |
Brittany Major | Nurse Practitioner | Ack Healthcare Management LLC | 2025 Bypass Rd, Suite 205, Brandenburg, KY 40108-1605 |
Brenton A Hallden | Nurse Practitioner | Ack Healthcare Management LLC | 83 Ballpark Rd, Hardinsburg, KY 40143-4859 |
Street Address |
1520 4TH ST |
City | LEWISPORT |
State | KY |
Zip | 42351-2529 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tanya F Revor | Nurse Practitioner | Ack Healthcare Management LLC | 1520 4th St, Lewisport, KY 42351-2529 |
Name | Specialty | Organization | Address |
---|---|---|---|
Susan Evangline Piper | Nurse Practitioner | Estes Behavioral Health LLC | 1210 4th St, Lewisport, KY 42351-2526 |
Julie W Rice | Nurse Practitioner | 185 State Route 271 S, Lewisport, KY 42351-6701 | |
Cynthia J Emmick | Nurse Practitioner | 8070 Hwy Us 60 W, Lewisport, KY 42351-6723 |
City | LEWISPORT |
Zip Code | 42351 |
Specialty | NURSE PRACTITIONER |
City + Specialty | LEWISPORT + NURSE PRACTITIONER |
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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.