Sandra Faye Pratt (NPI# 1699769919, PAC ID# 4486669322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED CLINICAL NURSE SPECIALIST (CNS).
| Nation Provider ID (NPI) | 1699769919 |
| PAC ID by PECOS | 4486669322 |
| Professional Enrollment ID | I20060214000019 |
| Full Name | Sandra Faye Pratt |
| Organization Legal Name | MOUNTAIN COMPREHENSIVE CARE CENTER INC |
| Address |
118 River Dr Pikeville KY 41501-1597 |
| Phone Number | 6064332303 |
| Gender | F |
| Credential | CNS |
| Graduation Year | 1995 |
| Primary Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
| Group Practice PAC ID | 5294720553 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181331 | MCDOWELL ARH HOSPITAL |
| 181305 | SAINT JOSEPH MARTIN |
| Address | Phone | Organization |
|---|---|---|
| 118 River Dr, Pikeville, KY 41501-1597 | 6064332303 | MOUNTAIN COMPREHENSIVE CARE CENTER INC |
| Organization Legal Name | MOUNTAIN COMPREHENSIVE CARE CENTER INC |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virgil Ryan Butcher | Clinical Social Worker | Mountain Comprehensive Care Center Inc | 104 S Front Ave, Prestonsburg, KY 41653-1614 |
| Charlotte Wells | Nurse Practitioner | Mountain Comprehensive Care Center Inc | 1110 S Mayo Trl, Paintsville, KY 41240-1273 |
| Peter S Oliver | Psychiatry | Mountain Comprehensive Care Center Inc | 838 S Mayo Trl, Paintsville, KY 41240-1384 |
| Manmohan Pratap Pothuloori | Psychiatry | Mountain Comprehensive Care Center Inc | 118 River Dr, Pikeville, KY 41501-1597 |
| Zelda F Mcintosh | Nurse Practitioner | Mountain Comprehensive Care Center Inc | 838 S Mayo Trl, Paintsville, KY 41240-1384 |
| Robin C Bilan | Clinical Social Worker | Mountain Comprehensive Care Center Inc | 104 S Front Ave, Prestonsburg, KY 41653-1614 |
| Angela M Campbell | Nurse Practitioner | Mountain Comprehensive Care Center Inc | 838 S Mayo Trl, Paintsville, KY 41240-1384 |
| Maranda May | Clinical Social Worker | Mountain Comprehensive Care Center Inc | 838 S Mayo Trl, Paintsville, KY 41240-1384 |
| Jessica Campbell | Nurse Practitioner | Mountain Comprehensive Care Center Inc | 838 S Mayo Trl, Paintsville, KY 41240-1384 |
| Tracy L Rowland | Nurse Practitioner | Mountain Comprehensive Care Center Inc | 838 S Mayo Trl, Paintsville, KY 41240-1384 |
| Street Address |
118 RIVER DR |
| City | PIKEVILLE |
| State | KY |
| Zip | 41501-1597 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manmohan Pratap Pothuloori | Psychiatry | Mountain Comprehensive Care Center Inc | 118 River Dr, Pikeville, KY 41501-1597 |
| Mary June Kubach | Clinical Social Worker | Mountain Comprehensive Care Center Inc | 118 River Dr, Pikeville, KY 41501-1597 |
| Kelly Kelley | Clinical Social Worker | Mountain Comprehensive Care Center Inc | 118 River Dr, Pikeville, KY 41501-1597 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal A Green | Nurse Practitioner | Pikeville Medical Center Inc | 6800 Us, Suite 3, Pikeville, KY 41501 |
| Sujata R Gutti | Neurology | 515 N Bypass Rd, Suite 101, Pikeville, KY 41501-1331 | |
| Meredith Jarvis Reed | Optometry | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | |
| Maleshea Y Hopkins | Family Medicine | Pikeville Medical Center Inc | 184 S Mayo Trail, Pikeville, KY 41501-1518 |
| William P Hoskins | Otolaryngology | Pikeville Medical Center Inc | 184 S Mayo Trail, Pikeville, KY 41501-1518 |
| Antoinette Justice | Family Medicine | Pikeville Medical Center Inc | 184 S Mayo Trail, Pikeville, KY 41501-1518 |
| Jennifer B Kingery | Family Medicine | Pikeville Medical Center Inc | 184 S Mayo Trail, Pikeville, KY 41501-1518 |
| Kristi L Tackett | Family Medicine | Pikeville Medical Center Inc | 184 S Mayo Trail, Pikeville, KY 41501-1518 |
| Edward G Stiles | Family Medicine | Pikeville Medical Center Inc | 184 S Mayo Trail, Pikeville, KY 41501-1518 |
| Elizabeth G Carter Maynard | Nurse Practitioner | Pikeville Medical Center Inc | 184 S Mayo Trail, Pikeville, KY 41501-1518 |
| Find all physicians in zip 41501 | |||
| City | PIKEVILLE |
| Zip Code | 41501 |
| Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
| City + Specialty | PIKEVILLE + CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
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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.