2015 kentucky provider directory

Transcription

2015 kentucky provider directory
2015
KENTUCKY
PROVIDER DIRECTORY
Bath, Boyd, Bracken, Carter, Elliott, Fleming, Greenup, Lawrence,
Lewis, Mason, Menifee, Morgan, Robertson, Rowan
KY030524_CAD_PRD_MLT State Approved 12262013
©WellCare 2015 KY_06_15
KYCAD7PD68074M_0615
Table of Contents
Provider Directory
Introduction
How to Read Our Provider Listings
Icon Guide
I
II
II
List of Plan Providers
Primary Care Physicians
Bath
Boyd
Bracken
Carter
Elliott
Fleming
Greenup
Lawrence
Lewis
Mason
Menifee
Morgan
Rowan
Specialty Physicians
Bath
Boyd
Bracken
Carter
Elliott
Fleming
Greenup
Lawrence
Lewis
Mason
Menifee
Morgan
Rowan
Hospitals
Boyd
1
2
5
6
7
8
9
11
12
13
15
16
17
19
20
37
38
39
40
42
43
45
46
51
52
53
59
KYCAD7PD68074M_0615
Table of Contents
List of Plan Providers
Hospitals
Fleming
Mason
Morgan
Rowan
Behavioral Health
Boyd
Bracken
Carter
Elliott
Fleming
Greenup
Lawrence
Lewis
Mason
Menifee
Morgan
Robertson
Rowan
Ancillary Providers
All
Bath
Boyd
Bracken
Carter
Elliott
Fleming
Greenup
Lawrence
Lewis
Mason
Menifee
Morgan
Robertson
60
61
62
63
64
67
68
69
70
71
72
73
74
75
76
77
78
80
81
82
84
85
86
87
88
89
90
91
92
93
94
Table of Contents
List of Plan Providers
Ancillary Providers
Rowan
Allied Providers
Bath
Boyd
Bracken
Carter
Elliott
Fleming
Greenup
Lawrence
Lewis
Mason
Menifee
Morgan
Rowan
Pharmacy
Bath
Boyd
Bracken
Carter
Elliott
Fleming
Greenup
Lawrence
Lewis
Mason
Menifee
Morgan
Rowan
95
96
97
105
106
109
110
112
114
115
117
119
120
121
125
126
128
129
130
131
132
133
134
135
136
137
138
Indexes
Alternate Languages Index
Specialty Provider At-A-Glance
Extended Hours Index
139
140
144
Table of Contents
Indexes
Provider Index
148
Here is your WellCare of Kentucky provider directory. It lists all of the providers in our network.
These providers include:
• Primary care providers (PCPs) and specialists
• Hospitals
• Pharmacies
Each of these providers will make his or her own decisions about the care you need. WellCare
of Kentucky is not responsible for these decisions. Some providers may not perform certain
services due to their religious or moral beliefs.
We've listed all of the providers by county. Then we've grouped them together by the type of
care or services they give. We've also included:
• The providers' addresses and phone numbers
• Symbols to tell you whether the provider is accepting new patients, board certified or
wheelchair accessible
We have a provider look-up tool on our website. Go to kentucky.wellcare.com. Then click on
the "Find a Provider" icon. You'll be able to search for providers right in your area. This is the
best place to get our most current directory information.
Call us if you have questions about this directory. We can help you find a provider. We can
even help set up an appointment for you. Our toll-free number is 1-877-389-9457. TTY/TDD
users can call 1-877-247-6272. You can reach us Monday-Friday, 7 a.m. to 7 p.m.
We wish you good health.
kentucky.wellcare.com | I
How to Read Our Provider Listings
Indicates provider is board certified
Indicates provider has wheelchair access
Provider name
Smith, Joe, MD
Provider ID: 111111
Practice name
Your Family Medical Center
Provider gender
Male
Provider
address and
phone number
{
Indicates provider is not
accepting new patients
123 Main Street
Anytown, FL 12345
(555) 555-5555
00 Yrs/99 Yrs
Ages of patients seen by provider
Sunshine Hospital
Hospital the provider is associated with
Language: Spanish
Language spoken by provider or staff
9:00 am-5:00 pm
Hours of operation
PCMH: YES/NO. Level 1, 2, 3
Takes part in the PCMH* Model
Icon Guide
Indicates provider is board certified
Indicates provider has wheelchair access
Indicates provider is not accepting new patients
*PCMH stands for Patient Centered Medical Home. This is a way of giving care that
involves a team of health care professionals. The team works together to meet the needs
of each patient. Providers are placed in one of three levels; Level 1 (lowest), Level 2 and
Level 3 (highest).
kentucky.wellcare.com | II
Este es su directorio de proveedores de WellCare of Kentucky. Allí se listan todos los
proveedores en nuestra red. Estos proveedores incluyen:
• Proveedores de cuidado primario (PCP) y especialistas
• Hospitales
• Farmacias
Cada uno de estos proveedores tomará sus propias decisiones sobre el cuidado que usted
necesita. WellCare of Kentucky no es responsable de esas decisiones. Es posible que algunos
proveedores no proporcionen ciertos servicios debido a sus creencias religiosas y morales.
Hemos listado a todos los proveedores por condado. Luego los hemos agrupado por el tipo de
cuidado o servicios que ofrecen. También hemos incluido:
• Las direcciones y los números de teléfono de los proveedores
• Símbolos para indicarle si el proveedor está aceptando nuevos pacientes, si es certificado
por una junta o si cuenta con acceso para silla de ruedas
En nuestro sitio web contamos con una herramienta de búsqueda de proveedores. Visite
kentucky.wellcare.com. Luego haga clic en el icono “Find a Provider” (Buscar un proveedor).
Usted podrá buscar proveedores exactamente en su área. Este es el mejor lugar para obtener
nuestra información de directorio más actual.
Si tiene alguna pregunta sobre este directorio, llámenos. Podemos ayudarle a encontrar un
proveedor. Incluso podemos ayudarle a programar una cita. Nuestro número sin cargo es
1-877-389-9457. Los usuarios de TTY/TDD pueden llamar al 1-877-247-6272. Puede comunicarse
con nosotros de lunes a viernes de 7 a.m. a 7 p.m.
Le deseamos una buena salud.
kentucky.wellcare.com | III
Cómo leer nuestros listados de proveedores
Indica que el proveedor es certificado
por la junta médica
Indica que el proveedor tiene
acceso para silla de ruedas
Nombre del proveedor
Smith, Joe, MD
Provider ID: 111111
Nombre de la práctica
Your Family Medical Center
Sexo del proveedor
Male
Dirección y número
de teléfono del
proveedor
{
Indica que el proveedor no está
aceptando a nuevos pacientes
123 Main Street
Anytown, FL 12345
(555) 555-5555
00 Yrs/99 Yrs
Edades de pacientes vistos por el proveedor
Sunshine Hospital
Hospital con el que está asociado el proveedor
Language: Spanish
Idioma hablado por el proveedor o personal
9:00 am-5:00 pm
Horario de atención
PCMH: YES/NO. Level 1, 2, 3 Participa en el modelo PCMH*
Guía de íconos
Indica que el proveedor es certificado por la junta médica
Indica que el proveedor tiene acceso para silla de ruedas
Indica que el proveedor no está aceptando a nuevos pacientes
*PCMH se refiere a Hogar Médico Enfocado en el Paciente. Es una manera de proporcionar
cuidado que involucra a un equipo de profesionales de la salud. El equipo trabaja en
conjunto para satisfacer las necesidades de cada paciente. Los proveedores son asignados
a uno de tres niveles: Nivel 1 (el más bajo), Nivel 2 y Nivel 3 (el más alto).
kentucky.wellcare.com | IV
Spanish to English Provider Types*/Tipos de proveedores de español a inglés*
Español
Inglés
Español
Inglés
Acupuntura
Acupuncture
Psiquiatría de
adicciones
Medicina para
adolescentes
Addiction Psychiatry
Electrofisiología
cardíaca
Cardiac
Electrophysiology
Monitoreo cardíaco
Cardiac Monitoring
Cardiología
Cardiology
Servicios de
acompañante para
adultos
Cuidado diurno para
adultos
Hogar de cuidado
sustituto para adultos
Adult Companion
Services
Cuidado médico
diurno para adultos
Adult Medical Day
Care
Cuidado residencial
para adultos
Administración de
casos enfocados
en adultos
Adult Residential
Care Home
Adult Targeted Case
Management
Adolescent
Medicine
Adult Day Care
Adult Foster Care
Home
Centro para tratar
AIDS Center
el SIDA
Alergias e inmunología Allergy & Immunology
Centro de cirugía
ambulatoria
Servicios de vida
asistida
Audiología
Ambulatory Surgery
Center
Assisted Living
Services
Audiology
Asesoramiento
en salud del
comportamiento
Centro de salud del
comportameinto
Behavioral Health
Counseling
Behavioral Health
Facility
Centro de maternidad Birthing Center
Laboratorio de
Cardiac Cath
cateterismo cardíaco Laboratory
Cirugía cardiovascular Cardiovascular
Surgery
Cirugía cardiovascular Cardiovascular
Surgery
Servicios de
Case Management
administración
Services
de casos
Pediatría de abuso
Child Abuse
infantil
Pediatrics
Centro de desarrollo Child Development
para niños
Center
Administración de
Children Targeted
casos enfocados
Case Management
en niños
Niños con necesidades Children With
especiales de cuidado Special Health Care
de la salud
Needs
Quiropráctica
Chiropractic
Servicios de tareas
Chore/Housekeeping
domésticas y limpieza Services
del hogar
Clínica
Clinic
Neurofisiología
clínica
Cirugía de colon
y recto
Centro de salud
comunitario
Centro de salud
mental comunitario
Junta de servicios
a la comunidad
kentucky.wellcare.com | V
Clinical
Neurophysiology
Colon & Rectal
Surgery
Community Health
Center
Community Mental
Health Center
Community Service
Board
Español
Inglés
Español
Inglés
Cirugía cardíaca
congénita
Congenital Cardiac
Surgery
Servicios de
suministros médicos
descartables
Clínica de cuidado
conveniente
Hospital de acceso
crítico
Odontología
Consumable Medical
Supply Services
Planificación familiar
Medicina familiar
Servicios de
capacitación familiar
Family Planning
Family Practice
Family Training
Services
Convenient Care
Clinic
Critical Access
Hospital
Dentistry
Dermatología
Dermatology
Dermatopatología
Dermatopathology
Centro designado
para el sida
Educación sobre
la diabetes
Centro de diagnóstico
y tratamiento
Centro de diagnóstico
Designated Aids
Center
Diabetes Education
Diagnóstico por
imágenes
Diálisis
Diagnostic Imaging
Diagnostic And
Treatment Center
Diagnostic Center
Dialysis
Equipo médico
Durable Medical
duradero
Equipment
Otorrinolaringología Ear, Nose & Throat
Endocrinología,
diabetes,
metabolismo
Endodoncia
Servicios de
adaptaciones de
accesibilidad al
entorno
Servicios especiales
de EPSDT
Servicios de
acompañante
Endocrinology,
Diabetes,
Metabolism
Endodontics
Environmental
Accessibility
Adaptation Services
EPSDT Special
Services
Escort Services
Centro de salud con Federally Qualified
calificación federal
Health Center
Servicios de
Financial Risk
evaluación/reducción Assessment/Risk
de riesgos financieros Reduction Services
Centro de aptitud
física
Gastroenterología
Fitness Center
Gastroenterología
y hepatología
Gastroenterology &
Hepatology
Medicina general
General Practice
Cirugía general
General Surgery
Asesoramiento
genético
Genetic Counseling
Medicina geriátrica
Geriatric Medicine
Psiquiatría geriátrica
Geriatric Psychiatry
Oncología
ginecológica
Ginecología
Cirugía de la mano
Gynecological
Oncology
Gynecology
Hand Surgery
Oncología de cabeza
y cuello
Cirugía de cabeza
y cuello
Control de la
seguridad de la salud
Head & Neck
Oncology
Head & Neck
Surgery
Health Safety
Monitoring
Proveedor de
audífonos
Terapia y especialista
en audífonos
Hematología
Hearing Aid Supplier
kentucky.wellcare.com | VI
Gastroenterology
Hearing Aid Therapy
& Specialist
Hematology
Español
Inglés
Español
Inglés
Hematología
y oncología
Hematology &
Oncology
Mobile Diagnostic
VIH/SIDA
HIV/AIDS
Diagnóstico con
equipos portátiles
MRI, equipos abiertos
Medicina perinatal
neonatal
Nefrología
MRI Open
Neonatal Perinatal
Medicine
Nephrology
Neurooncología
Neuro Oncology
Discapacidades
del desarrollo
neurológico
Neurodiagnóstico
Neurodevelopmental
Disabilities
Neurodiagnostic
Neurología
Neurology
Comidas entregadas Home-Delivered
a domicilio
Meals
Cuidado de la salud Home Health Care
en el hogar
Hospicio
Hospice
Cuidado de hospicio Hospice & Palliative
y paliativo
Care
Hospital
Hospital
Servicios de limpieza Housekeeping/
del hogar y tareas
Chore Services
domésticas
Medicina hiperbárica Hyperbaric Medicine
Neurología/otología Neurology/Otology
Enfermedades
infecciosas
Terapia de infusión
Infectious Disease
Medicina
neuromuscular
Neurooncología
Infusion Therapy
Neuropsicología
Neuropsychology
Medicina interna
Internal Medicine
Neurorradiología
Neuroradiology
Neurocirugía
Neurosurgery
Pruebas de laboratorio Laboratory
de patología
Pathology Testing
Neuromuscular
Medicine
Neuro-Oncology
Agencia licenciada
de servicios de
cuidado en el hogar
Licensed Home Care
Service Agency
Servicios de transporte Non-Emergency
sin carácter de
Transportation
emergencia
Cardiología nuclear Nuclear Cardiology
Litotripsia
Lithotripsy
Medicina nuclear
Nuclear Medicine
Radiología nuclear
Nuclear Radiology
Enfermeras parteras
Nutrición
Obstetricia
Obstetricia/
Ginecología
Medicina ocupacional
Nurse Midwife
Nutrition
Obstetrics
Obstetrics/
Gynecology
Occupational
Medicine
Occupational Therapy
Ophthalmology
Imágenes por
Magnetic Resonance
resonancia magnética Imaging
Mamografía
Mammography
Masoterapia
Massage Therapy
Medicina
maternofetal
Genética médica
Maternal Fetal
Medicine
Medical Genetics
Oncología médica
Medical Oncology
Administración de
medicamentos
Medication
Administration
Terapia ocupacional
Oftalmología
kentucky.wellcare.com | VII
Español
Inglés
Español
Inglés
Óptico
Optometría
Cirugía oral y
maxilofacial
Ortodoncia
Cirugía ortopédica
Ortésica
Ortopedia y
prostética
Establecimiento
quirúrgico
para pacientes
ambulatorios
Tratamiento del
dolor
Apoyo para el
tratamiento del
el dolor
Alergias e inmunología
pediátricas
Medicina pediátrica
del comportamiento
Monitoreo cardíaco
pediátrico
Cardiología pediátrica
Cirugía cardiovascular
pediátrica
Dermatología
pediátrica
Otorrinolaringología
pediáatrica
Endocrinología
pediátrica
Gastroenterología
pediátrica
Optician
Optometry
Oral & Maxillofacial
Surgery
Orthodontics
Orthopaedic Surgery
Orthotics
Orthotics &
Prosthetics
Outpatient Surgical
Facility
Hematología/
Pediatric Hematology/
oncología pediátricas Oncology
Genética pediátrica
Pediatric Genetics
Enfermedades
Pediatric Infectious
infecciosas pediátricas Disease
Nefrología pediátrica Pediatric Nephrology
Neurología pediátrica Pediatric Neurology
Neurocirugía
pediátrica
Pediatric Neurosurgery
Oncología pediátrica Pediatric Oncology
Oftalmología
Pediatric
pediátrica
Ophthalmology
Ortopedia pediátrica Pediatric Orthopaedics
Pain Management
Cirugía ortopédica
pediátrica
Pain Management
Support
Psiquiatría pediátrica Pediatric Psychiatry
Pediatric Orthopedic
Surgery
Neumonología
pediátrica
Pediatric Pulmonology
Medicina de
rehabilitación
pediátrica
Pediatric Rehabilitation
Medicine
Pediatric Cardiac
Monitoring
Pediatric Cardiology
Pediatric Cardiovascular
Surgery
Pediatric Dermatology
Reumatología
pediátrica
Pediatric
Rheumatology
Medicina deportiva
pediátrica
Pediatric Sports
Medicine
Cirugía pediátrica
Pediatric Surgery
Pediatric Ear, Nose
& Throat
Pediatric
Endocrinology
Pediatric
Gastroenterology
Urología pediátrica
Pediatric Urology
Pediatría
Pediatrics
Comportamiento y
desarollo pediátrico
Pediatrics Behavioral
& Developmental
Pedodoncia
Periodoncia
Pedodontics
Periodontics
Pediatric Allergy
& Immunology
Pediatric Behavioral
Medicine
Hepatología pediátrica Pediatric Transplant
y trasplante
Hepatology
kentucky.wellcare.com | VIII
Español
Inglés
Servicios de cuidado Personal Care
personal
Services
Servicios personales
de respuesta de
emergencias
Personal Emergency
Response System
Farmacia
Pharmacy
Medicina física
y rehabilitación
Physical Medicine
& Rehabilitation
Terapia física
Physical Therapy
Laboratorio de
fisiología
Physiological Lab
Cirugía plástica y
reconstructiva
Plastic &
Reconstructive
Surgery
Podiatría
Podiatry
Medicina preventiva Preventive Medicine
Centro de cuidado
primario
Primary Care Center
Aparatos protésicos
Prosthetics
Prostodoncia
Prosthodontics
Psiquiatría
Psychiatry
Psicología
Psychology
Medicina
psicosomática
Psychosomatic
Medicine
Enfermedad
pulmonar
Oncología
radioterápica
Radioterapia
Pulmonary Disease
Centro de
radioterapia
Radiation Therapy
Center
Radiología
intervencional
y vascular
Radiology Interventional &
Vascular
Radiation Oncology
Radiation Therapy
Español
Inglés
Centro de
rehabilitación
Medicina de
rehabilitación
Terapia de
rehabilitación
Endocrinología
reproductiva
Terapia respiratoria
Rehabilitation
Facility
Rehabilitation
Medicine
Rehabilitation
Therapy
Reproductive
Endocrinology
Respiratory Therapy
Servicios de cuidado Respite Care
de relevo
Services
Reumatología
Rheumatology
Centro de salud rural Rural Health Center
Cuidado autodirigido Self-Directed Care
Centro de enfermería
especializada
Estudios de diagnóstico
del sueño
Medicina del sueño
Skilled Nursing
Facility
Sleep Diagnostic
Studies
Sleep Medicine
Cuidado diurno
social
Terapia del habla
Social Day Care
Medicina para
lesiones de médula
espinal
Medicina deportiva
Spinal Cord Injury
Medicine
Sports Medicine
Cuidado subagudo
Sub-Acute Care
Speech Therapy
Abuso de sustancias Substance Abuse
Oncología quirúrgica Surgical Oncology
Monitoreo
telecardíaco
Cirugía torácica
y cardiovascular
Tele-Cardiac
Monitoring
Thoracic &
Cardiovascular Surgery
Cirugía torácica
Thoracic Surgery
kentucky.wellcare.com | IX
Español
Inglés
Español
Inglés
Tórax/sistema
vascular
Hepatología de
trasplante
Thoracic/Vascular
Oncología urológica
Urology Oncology
Centro de cuidado
urgente
Urgent Care Center
Urología
Urology
Urología/ginecología Urology/Gynecology
Transplant
Hepatology
Laboratorio vascular Vascular Lab
Medicina vascular
Vascular Medicine
Cirugía vascular
Vascular Surgery
*These are only some of the provider types. You can find a specific kind of provider in the
Specialty Index. It can be found in the back of this book.
*Estos son solo algunos de los tipos de proveedores. Usted puede encontrar un tipo específico
de proveedor en el Índice de especialidades que encontrará en la parte posterior de este libro.
kentucky.wellcare.com | X
List of Plan Providers
05/28/2015
Primary Care Physicians
Bath
Family Practice
Hatton, Twana DO
Richard, John MD
Provider ID: 1062113
Provider ID: 624262
Conley, Amy MD
Gender: Female
Gender: Male
Provider ID: 1081168
St Claire Family Care
Bath Family Health
Gender: Female
Clinic
Services
St Claire Regional Family 632 Slate Ave
44 Water St
Medicine
Owingsville, KY 40360
Owingsville, KY 40360
632 Slate Ave
(606) 674-6386
(606) 674-9776
Owingsville, KY 40360
Fax: (606) 674-3096
Fax: (606) 674-9708
(606) 674-6386
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (606) 674-3096
St Claire Medical Center M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Robinson, Paula MD
M-F 8:00 AM - 5:00 PM
Matera, Elizabeth MD
Provider ID: 624109
Fagbemi, Ruth MD
Provider ID: 1031552
Gender: Female
Provider ID: 1046059
Gender: Female
Pediatric & Adolescent
Gender: Female
St Claire Medical Center Medic
Community Family Clinic Inc
44 Water St
PLLC
632 Slate Ave
Owingsville, KY 40360
17 Miller Dr
Owingsville, KY 40360
(606) 674-9776
Owingsville, KY 40360
(606) 674-6386
Fax: (606) 674-9708
(606) 674-3033
Fax: (606) 674-3096
00 Yrs/99 Yrs
Fax: (606) 674-3036
00 Yrs/99 Yrs
M-F 8:30 AM - 8:00 PM
00 Yrs/99 Yrs
St Claire Medical Center Sat 9:00 AM - 5:00 PM
M-W 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM
Womack, Glenn MD
Faughn, Laura MD
Melahn, William MD
Provider ID: 619952
Provider ID: 754139
Gender: Male
Gender: Female
Provider ID: 639258
Sharpsburg Medical
Bath Family Health
Gender: Male
Clinic
Services
Bath County Medical
601 Main St
44 Water St
Clinic
Sharpsburg, KY 40374
Owingsville, KY 40360
632 Slate Ave
(606) 247-5006
(606) 674-9776
Owingsville, KY 40360
Fax: (606) 247-3112
Fax: (606) 674-9708
(606) 674-6386
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (606) 674-3096
Languages: Hindi
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM
St
Claire
Medical
Center
F 8:30 AM - 12:00 PM
Goldstein, Lisa MD
M-F
8:30
AM
5:00
PM
Provider ID: 712974
Gender: Female
Bath County Medical
Clinic
632 Slate Ave
Owingsville, KY 40360
(606) 674-6386
Fax: (606) 674-3096
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 1
Yamraj, Bhawan MD
Provider ID: 627406
Gender: Male
Bath Family Health
Services
44 Water St
Owingsville, KY 40360
(606) 674-9776
Fax: (606) 674-9708
00 Yrs/99 Yrs
Frankfort Regional
Medical Center
M-F 8:00 AM - 5:00 PM
Federally Qualified
Health Center
Bath County Medical
Clinic
Provider ID: 642164
632 Slate Ave
Owingsville, KY 40360
(606) 783-6963
Fax: (606) 783-6966
M-F 8:00 AM - 5:00 PM
Internal Medicine
Kassis, Taufik MD
Provider ID: 800542
Gender: Male
Community Family Clinic
PLLC
17 Miller Dr
Owingsville, KY 40360
(606) 768-9190
Fax: (606) 768-9180
12 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
05/28/2015
Primary Care Physicians
Boyd
Family Practice
Cassity, Abbe DO
Detherage, James MD
Provider ID: 636095
Allen, Laura MD
Provider ID: 681746
Gender: Female
Provider ID: 632995
Gender: Male
Cornerstone Medical
Gender: Female
Plaza
Kings Daughters' Medical
Kdmc Cedar Knoll Family 1816 Carter Ave
Specialti
Care Center
2421 Winchester Ave
Ashland, KY 41101
10650 US Rte 60
Ashland, KY 41101
(606) 920-9595
Ashland, KY 41102
(606) 325-8485
Fax: (606) 920-9605
(606) 408-6301
Fax: (606) 324-1351
00 Yrs/99 Yrs
Fax: (606) 408-6350
Kings Daughters Medical 00 Yrs/99 Yrs
00 Yrs/99 Yrs
Center
Kings Daughters Medical
M-F 8:00 AM - 8:30 PM
Center
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 4:30 PM
Barker McCoy, Lisa MD
Craig, Ann MD
Elkins-Smith, Melinda
Provider ID: 647997
Provider ID: 667153
MD
Gender: Female
Gender: Female
Ashland Childrens Clinic Provider ID: 629560
Ashland Family Medicine 700 13th St
Gender: Female
2222 Winchester Ave
Bellefonte Physician
Ashland, KY 41101
Ashland, KY 41101
Services
(606) 329-0204
(606) 325-9644
2028 Winchester Ave
Fax: (606) 324-7770
Fax: (606) 329-1207
Ashland, KY 41101
00 Yrs/18 Yrs
00 Yrs/99 Yrs
(606) 326-9001
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Fax: (606) 324-7349
Sat 9:00 AM - 1:00 PM
00 Yrs/99 Yrs
Bond, John MD
Davis, Melissa MD
M-F 8:00 AM - 5:00 PM
Provider ID: 646774
Provider ID: 666996
Gender: Male
Fields, Larry MD
Gender: Female
John A. Bond, MD PSC
Ashland Family Medicine Provider ID: 650575
1200 Central Ave Ste 1
Gender: Male
2222 Winchester Ave
Ashland, KY 41101
Family Medicine Center
Ashland, KY 41101
(606) 329-0977
PLLC
(606) 325-9644
Fax: (606) 324-0541
1101 St Christopher Dr
Fax: (606) 329-1207
Ste 250
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Ashland, KY 41101
Kings Daughters Medical M-F 8:00 AM - 5:00 PM
Center
(606) 836-3196
M-F 8:00 AM - 5:00 PM
Fax: (606) 836-2564
00 Yrs/99 Yrs
Kings Daughters Medical
Center
Our Lady of Bellefonte
Hospital
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 2
Fugate, Lisa DO
Provider ID: 638058
Gender: Female
Family Medicine Center
1101 Saint Christopher Dr
Ste 250
Ashland, KY 41101
(606) 836-3196
Fax: (606) 836-2564
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Hannah, Rancie MD
Provider ID: 666992
Gender: Male
Family Medicine Center
1101 Saint Christopher Dr
Ste 250
Ashland, KY 41101
(606) 836-3196
Fax: (606) 836-2564
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hart, Timothy MD
Provider ID: 651547
Gender: Male
Timothy S. Hart, MD PSC
933 29th St
Ashland, KY 41101
(606) 325-7500
Fax: (606) 326-9136
00 Yrs/99 Yrs
Kings Daughters Medical
Center
M-F 8:00 AM - 5:00 PM
Hieneman-Connett,
Carrie DO
Provider ID: 670913
Gender: Female
Family Medicine Center
1101 Saint Christopher Dr
Ste 250
Ashland, KY 41101
(606) 836-3196
Fax: (606) 836-2564
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
05/28/2015
Primary Care Physicians
Boyd
Family Practice - cont.
Miller, Jeremiah DO
Provider ID: 636525
Jones, Derek DO
Gender: Male
Provider ID: 629859
Bellefonte Primary Care
Gender: Male
12470 US St Rt 60
Family Medicine Center
Ashland, KY 41102
1101 Saint Christopher Dr (606) 928-1881
Ste 250
Fax: (606) 928-1776
Ashland, KY 41101
00 Yrs/99 Yrs
(606) 836-3196
M-F 8:00 AM - 5:00 PM
Fax: (606) 836-2564
00 Yrs/99 Yrs
Miller, Lauren DO
M-F 8:00 AM - 5:00 PM
Provider ID: 720745
Gender: Female
King, Malcolm MD
Ashland Family Medicine
Provider ID: 644390
2222 Winchester Ave
Gender: Male
Ashland, KY 41101
Malcolm H King MD
(606) 325-9644
2301 Lexington Ave Ste
Fax: (606) 329-1207
205
00 Yrs/99 Yrs
Ashland, KY 41101
M-F 8:00 AM - 5:00 PM
(606) 325-9633
Fax: (606) 325-9634
Patton, Anna MD
00 Yrs/99 Yrs
Provider ID: 508573
M-F 9:00 AM - 5:00 PM
Gender: Female
Kdmc Catlettsburg
Lewis, Matthew DO
Family Care Center
Provider ID: 636286
4004 Louisa Rd
Gender: Male
Catlettsburg, KY 41129
Bellefonte Primary Care
(606) 739-6095
2910 Carter Ave
Fax: (606) 739-8252
Ashland, KY 41101
00 Yrs/99 Yrs
(606) 833-3333
Kings Daughters Medical
00 Yrs/99 Yrs
Center
M-F 8:00 AM - 6:00 PM
M-F 8:00 AM - 8:30 PM
Meadows, Rockford MD Saltz, Bryan MD
Provider ID: 667128
Provider ID: 636128
Gender: Male
Gender: Male
Ashland Family Medicine
Bellefonte Primary Care
2222 Winchester Ave
2910 Carter Ave
Ashland, KY 41101
Ashland, KY 41101
(606) 325-9644
(606) 833-3333
Fax: (606) 329-1207
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Short, William MD
Baldock, Kimberly MD
Provider ID: 676094
Provider ID: 636078
Gender: Male
Kdms Short Primary Care Gender: Female
Cornerstone Medical
2340 Carter Ave
Plaza
Ashland, KY 41101
1816 Carter Ave
(606) 325-9769
Ashland, KY 41101
Fax: (606) 329-9301
(606) 920-9595
00 Yrs/99 Yrs
Fax: (606) 920-9605
Our Lady of Bellefonte
12 Yrs/99 Yrs
Hospital
Kings Daughters Medical
M-F 9:00 AM - 4:30 PM
Center
Underwood, Zachary DO M-F 9:00 AM - 5:00 PM
Provider ID: 626116
Blevins, Marshall MD
Gender: Male
Provider ID: 659160
Bellefonte Primary Care
Gender: Male
12470 US St Rt 60
Marshall Blevins MD PSC
Ashland, KY 41102
6572 Midland Trl
(606) 928-1881
Ashland, KY 41102
Fax: (606) 928-1776
(606) 928-7755
00 Yrs/99 Yrs
Fax: (606) 928-0052
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Federally Qualified
M-F 9:00 AM - 5:00 PM
Health Center
Domingo, Maria MD
Kings Daughters Medical
Center
Provider ID: 633286
Provider ID: 812299
Gender: Female
10650 US Rt 60
Kdmc Hospitalists
Ashland, KY 41102
2201 Lexington Ave
(606) 408-7337
Ashland, KY 41101
00 Yrs/99 Yrs
(606) 408-2773
M-F 9:00 AM - 5:00 PM
Fax: (606) 408-3841
00 Yrs/99 Yrs
Internal Medicine
Kings Daughters Medical
Center
Ahmed, Mushtaque MD
Provider ID: 955854
Gender: Male
Mushtaque Ahmed MD
PSC
2201 Lexington Ave
Ashland, KY 41101
(606) 329-9414
Fax: (606) 329-9414
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 3
05/28/2015
Primary Care Physicians
Boyd
Internal Medicine - cont. Ford, Jason MD
Provider ID: 636519
Gupta, Sanjiv MD
Gender: Male
Provider ID: 903775
Bellefonte Primary and
Gender: Male
Pediatric Ca
Tri-State Primary Care
2028 Winchester Ave
101 Ashland Dr
Ashland, KY 41101
Ashland, KY 41101
(606) 324-7337
(606) 324-1996
Fax: (606) 324-7349
Fax: (606) 833-2430
00 Yrs/21 Yrs
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Kings Daughters Medical
Hennan-Hain, Pearl DO
Center
M-F 8:00 AM - 5:00 PM
Provider ID: 595619
Pediatrics
Gender: Female
Tri-State Pediatrics
Belcher, Barry DO
1000 Ashland Dr Ste 102
Provider ID: 633035
Ashland, KY 41101
Gender: Male
(606) 836-0919
Kdmc Cedar Knoll Peds
Fax: (606) 836-2847
10650 US Rte 60
00 Yrs/18 Yrs
Ashland, KY 41102
M-F 8:00 AM - 5:00 PM
(606) 408-7337
Fax: (606) 408-7798
00 Yrs/19 Yrs
M-F 8:00 AM - 8:30 PM
Bolden, Donna MD
Provider ID: 596604
Gender: Female
Bellefonte Physician
Services Inc D
1000 Ashland Dr Ste 102
Ashland, KY 41101
(606) 836-0919
Fax: (606) 836-2847
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
Cook, Cheryl MD
Provider ID: 596608
Gender: Female
Tri-State Pediatrics
1000 Ashland Dr Ste 102
Ashland, KY 41101
(606) 836-0919
Fax: (606) 836-2847
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
Khanna, Ashok MD
Provider ID: 628922
Gender: Male
Ashland Pediatrics
Associates, PSC
332 23rd St
Ashland, KY 41101
(606) 327-5437
Fax: (606) 329-1352
00 Yrs/18 Yrs
Kings Daughters Rehab
Dpu
M-F 8:00 AM - 5:00 PM
Maynard, Jonathan MD
Provider ID: 636304
Gender: Male
Kdmc
2201 Lexington Ave
Ashland, KY 41101
(606) 408-2773
Fax: (606) 408-3841
00 Yrs/19 Yrs
M-F 7:30 AM - 5:30 PM
Maynard, Jonathan MD
Provider ID: 638460
Gender: Male
Kings Daughter Medical
Specialties
399 Diederich Blvd
Ashland, KY 41101
(606) 326-0470
Fax: (606) 326-0474
00 Yrs/19 Yrs
M-F 7:30 AM - 5:30 PM
Menezes, Karem MD
Provider ID: 703726
Gender: Female
Bellefonte Primary &
Pediatric Care
2028 Winchester Ave
Ashland, KY 41101
(606) 326-9001
Fax: (606) 324-7349
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Potter, John MD
Provider ID: 647984
Gender: Male
Ashland Childrens Clinic
700 13th St
Ashland, KY 41101
(606) 329-0204
Fax: (606) 324-7770
00 Yrs/18 Yrs
M-F 9:00 AM - 5:00 PM
Stevens, Ishmael MD
Provider ID: 656904
Gender: Male
Ashland Children's Clinic
700 13th St
Ashland, KY 41101
(606) 329-0204
Fax: (606) 324-7770
00 Yrs/18 Yrs
Kings Daughters Medical
Center
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 4
Primary Care Center
Kings Daughters Medical
Center
Provider ID: 812299
10650 US Rt 60
Ashland, KY 41102
(606) 408-7337
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
05/28/2015
Primary Care Physicians
Bracken
Family Practice
Markesbery, Harold MD
Bailey, Betsy MD
Provider ID: 619623
Provider ID: 1028502
Gender: Male
Gender: Female
Lewis County Primary
Lewis County Primary
Care Center
Care Center In
1551 Augusta Chatham
1551 Augusta Chatham
Rd
Rd
Augusta, KY 41002
Augusta, KY 41002
(606) 756-2117
(606) 756-2117
Fax: (606) 756-2135
Fax: (606) 756-2135
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-W 8:00 AM - 5:00 PM
Fleming County Hospital
M-TH 8:00 AM - 7:00 PM Morris, James MD
Provider ID: 652960
F 8:00 AM - 5:00 PM
Gender: Male
Gray, Nina MD
Lewis County Primary
Provider ID: 940978
Care Center In
Gender: Female
1551 Augusta Chatham
Lewis County Primary
Rd
Care Center In
Augusta, KY 41002
1551 Augusta Chatham
(606) 756-2117
Rd
Fax: (606) 756-2135
Augusta, KY 41002
00 Yrs/99 Yrs
(606) 756-2117
M-TH 8:00 AM - 7:00 PM
Fax: (606) 756-2135
F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM Neus, Steven MD
Provider ID: 619624
Guttman, Nancy MD
Gender: Male
Provider ID: 619992
Lewis County Primary
Gender: Female
Care Center
Lewis County Primary
1551 Augusta Chatham
Care Center I
Rd
1551 Augusta Chatham
Augusta, KY 41002
Rd
(606) 756-2117
Augusta, KY 41002
Fax: (606) 756-2135
(606) 756-2117
00 Yrs/99 Yrs
Fax: (606) 756-2135
M-W 8:00 AM - 7:00 PM
00 Yrs/99 Yrs
TH 8:00 AM - 5:00 PM
M-TH 8:00 AM - 7:00 PM
F 8:00 AM - 5:00 PM
Federally Qualified
Health Center
Meyers, Thomas MD
Provider ID: 619617
Gender: Male
Lewis County Primary
Care Center-Augus
1551 Augusta-Chatham
Rd
Augusta, KY 41002
(606) 756-2117
Fax: (606) 756-2135
18 Yrs/99 Yrs
M-TH 8:00 AM - 7:00 PM
F 8:00 AM - 5:00 PM
Guttman, Nancy MD
Provider ID: 619992
Gender: Female
Lewis County Primary
Care Center I
1551 Augusta Chatham
Rd
Augusta, KY 41002
(606) 756-2117
Fax: (606) 756-2135
00 Yrs/99 Yrs
M-TH 8:00 AM - 7:00 PM Neus, Steven MD
F 8:00 AM - 5:00 PM
Provider ID: 619624
Gender: Male
Lewis County Primary
Lewis County Primary
Care Center Inc
Care Center
Provider ID: 619622
1551 Augusta Chatham
Lewis County Primary
Rd
Care Center
Augusta, KY 41002
1551 Augusta Chatham
(606) 756-2117
Rd
Fax: (606) 756-2135
Augusta, KY 41002
00 Yrs/99 Yrs
(606) 756-2117
M-W 8:00 AM - 7:00 PM
Fax: (606) 756-2135
TH 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-TH 8:00 AM - 7:00 PM
Internal Medicine
F 8:00 AM - 5:00 PM
Meyers, Thomas MD
Markesbery, Harold MD
Provider ID: 619617
Gender: Male
Provider ID: 619623
Lewis County Primary
Gender: Male
Care Center-Augus
Lewis County Primary
1551 Augusta-Chatham
Care Center
Rd
1551 Augusta Chatham
Augusta, KY 41002
Rd
(606) 756-2117
Augusta, KY 41002
Fax: (606) 756-2135
(606) 756-2117
18 Yrs/99 Yrs
Fax: (606) 756-2135
M-TH 8:00 AM - 7:00 PM
00 Yrs/99 Yrs
F 8:00 AM - 5:00 PM
M-W 8:00 AM - 5:00 PM
kentucky.wellcare.com | 5
05/28/2015
Primary Care Physicians
Carter
Family Practice
Moore, Carolyn MD
Provider ID: 631008
Adkins, Henry MD
Gender: Female
Provider ID: 643210
Carter County Medical
Gender: Male
Clinic
105 State Hwy 1947 Ste B 155 Bricklayer St
Grayson, KY 41143
Olive Hill, KY 41164
(606) 474-7808
(606) 286-4152
Fax: (606) 474-4654
Fax: (606) 286-2385
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Kings Daughters Medical M-F 9:00 AM - 5:00 PM
Center
M-F 9:00 AM - 5:00 PM Shields, Kari MD
Provider ID: 636358
Meadows, Rockford MD
Gender: Female
Bellefonte Primary Care
Provider ID: 636266
100 Bellefonte Dr
Gender: Male
Grayson, KY 41143
Bellefonte Primary Care
(606) 474-0669
100 Bellefonte Dr
Fax: (606) 474-0376
Grayson, KY 41143
00 Yrs/99 Yrs
(606) 474-0669
M-F 8:00 AM - 5:00 PM
Fax: (606) 474-0376
00 Yrs/99 Yrs
Stepp, Dara DO
M-F 8:00 AM - 5:00 PM
Provider ID: 647999
Gender: Female
Melahn, William MD
Kdmc Grayson Family
Care Center
Provider ID: 639250
609 N Carol Malone Blvd
Gender: Male
Grayson, KY 41143
Carter County Medical
(606) 474-7892
Clinic
Fax: (606) 474-0040
155 Bricklayer St
00 Yrs/99 Yrs
Olive Hill, KY 41164
Kings Daughters Medical
(606) 286-4152
Center
Fax: (606) 286-2385
MTWTHFSat 8:00 AM 00 Yrs/99 Yrs
8:30 PM
St Claire Medical Center
M-F 8:30 AM - 5:00 PM Underwood, Zachary DO
Provider ID: 636119
Gender: Male
Bellefonte Primary Care
100 Bellefonte Dr
Grayson, KY 41143
(606) 474-0669
Fax: (606) 474-0376
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Federally Qualified
Health Center
Holmes, Gregory MD
Provider ID: 987605
Gender: Male
St Claire Regional Family Bellefonte Primary Care
Provider ID: 639690
100 Bellefonte Dr
155 Bricklayer St
Grayson, KY 41143
Olive Hill, KY 41164
(606) 474-0669
(606) 286-4152
Fax: (606) 474-0376
Fax: (606) 286-2385
12 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Pediatrics
Internal Medicine
Maynard, Jonathan MD
Binion, Miranda MD
Provider ID: 1011522
Provider ID: 943873
Gender: Female
Gender: Male
Bellefonte Primary Care
Kdmc Grayson Familiy
100 Bellefonte Dr
Care Center
Grayson, KY 41143
609 N Carole Malone
(606) 474-0669
Blvd
Fax: (606) 474-0376
Grayson, KY 41143
12 Yrs/99 Yrs
(606) 474-7892
M-F 8:00 AM - 5:00 PM
Fax: (606) 474-0040
00 Yrs/19 Yrs
Gupta, Sanjiv MD
M-F 7:30 AM - 5:30 PM
Provider ID: 636276
Gender: Male
Menezes, Karem MD
Sanjiv Gupta, MD PSC
Provider ID: 712951
708 N Carol Malone Blvd Gender: Female
Grayson, KY 41143
Bellefonte Primary Care
(606) 474-2200
100 Bellefonte Dr
Fax: (606) 474-2205
Grayson, KY 41143
12 Yrs/99 Yrs
(606) 474-0669
Kings Daughters Medical Fax: (606) 474-0376
Center
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Gupta, Sanjiv MD
Provider ID: 903769
Gender: Male
Grayson Health Park
300 State Hywy 1947 A
Grayson, KY 41143
(606) 474-2200
Fax: (606) 474-2205
12 Yrs/99 Yrs
Kings Daughters Medical
Center
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 6
05/28/2015
Primary Care Physicians
Elliott
Family Practice
Rural Health Center
Goldstein, Lisa MD
Kings Daughters Medical
Center
Provider ID: 637027
Provider ID: 644103
Gender: Female
1908 N Ky 7
Elliott County Medical
Clinic
Sandy Hook, KY 41171
390 Ky Hwy 7 S
(606) 739-9339
Sandy Hook, KY 41171
Fax: (606) 739-6992
(606) 738-5155
00 Yrs/99 Yrs
Fax: (606) 738-5420
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
St Claire Medical Center
M-F 8:30 AM - 5:00 PM
Melahn, William MD
Provider ID: 639254
Gender: Male
Elliott County Medical
Clinic
390 Ky Hwy 7 S
Sandy Hook, KY 41171
(606) 738-5155
Fax: (606) 738-5420
00 Yrs/99 Yrs
St Claire Medical Center
M-F 8:30 AM - 5:00 PM
Federally Qualified
Health Center
St Claire Regional Fam
Me
Provider ID: 1018368
390 Ky Hwy 7S
Sandy Hook, KY 41171
(606) 738-5155
Fax: (606) 738-5420
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 7
05/28/2015
Primary Care Physicians
Fleming
Family Practice
Bacon, William MD
Provider ID: 628835
Gender: Male
Family Medicine
Associates of Flemi
935 Elizaville Ave
Flemingsburg, KY 41041
(606) 849-3374
Fax: (606) 845-0646
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Boyd, Michael MD
Provider ID: 628843
Gender: Male
Family Medicine
Associates of Flemi
935 Elizaville Ave
Flemingsburg, KY 41041
(606) 849-3374
Fax: (606) 845-0646
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Dunaway, Michael MD
Provider ID: 619722
Gender: Male
Lewis County Primary
Care Center
520 Elizaville Ave
Flemingsburg, KY 41041
(606) 845-0028
Fax: (606) 845-0263
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Womack, Glenn MD
Provider ID: 619945
Gender: Male
Buffalo Trace Family
Health Care
732 Elizaville Ave
Flemingsburg, KY 41041
(606) 849-2323
Fax: (606) 849-2025
00 Yrs/99 Yrs
Languages: Hindi
M-F 8:30 AM - 5:00 PM
Sat 5:00 AM - 12:00 PM
Federally Qualified
Bailey, Betsy MD
Health Center
Provider ID: 616558
Gender: Female
Bailey, Betsy MD
Lewis County Primary
Provider ID: 619719
Care Center In
Gender: Female
520 Elizaville Ave
Lewis County Primary
Flemingsburg, KY 41041
Care Center
(606) 845-0028
520 Elizaville Ave
Fax: (606) 845-0263
Flemingsburg, KY 41041
00 Yrs/99 Yrs
Gehring, Samuel MD
(606) 845-0028
Fleming County Hospital
Fax: (606) 845-0263
Provider ID: 596315
MTTH 8:00 AM - 6:00
00 Yrs/99 Yrs
PM
Gender: Male
M-F 8:30 AM - 5:00 PM
WF 8:00 AM - 5:00 PM
Samuel W Gehring MD
Dunaway, Michael MD
PSC
Bailey, Betsy MD
Provider ID: 619722
65 Energy Rd
Provider ID: 619719
Gender: Male
Flemingsburg, KY 41041
Gender: Female
Lewis County Primary
(606) 845-2931
Lewis County Primary
Care Center
Fax: (606) 849-2750
Care Center
520 Elizaville Ave
00 Yrs/99 Yrs
520 Elizaville Ave
Fleming County Hospital Flemingsburg, KY 41041
Flemingsburg, KY 41041
(606) 845-0028
M-F 9:00 AM - 5:00 PM
(606) 845-0028
Fax: (606) 845-0263
Fax: (606) 845-0263
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
kentucky.wellcare.com | 8
Internal Medicine
Applegate, Amanda MD
Provider ID: 628847
Gender: Female
Family Medicine
Associates of Flemi
935 Elizaville Ave
Flemingsburg, KY 41041
(606) 849-3374
Fax: (606) 845-0646
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Pediatrics
Applegate, Amanda MD
Provider ID: 628847
Gender: Female
Family Medicine
Associates of Flemi
935 Elizaville Ave
Flemingsburg, KY 41041
(606) 849-3374
Fax: (606) 845-0646
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
05/28/2015
Primary Care Physicians
Greenup
Family Practice
Hall, Luther DO
Lewis, Angela DO
Provider ID: 647995
Provider ID: 612007
Abbott, Lesley DO
Gender: Male
Gender: Female
Provider ID: 667073
Kdmc Flatwoods Medical Angela D Lewis PSC
Gender: Female
Specialties
1021 Kenwood Dr
Lesley Preston Abbott
1109 Bellefonte Rd
Russell, KY 41169
DO
Flatwoods, KY 41139
(606) 836-1954
903 Bellefonte Rd
(606) 836-8086
Fax: (606) 836-3878
Flatwoods, KY 41139
Fax: (606) 836-3743
04 Yrs/99 Yrs
(606) 836-0165
00 Yrs/99 Yrs
M-F 8:30 AM - 4:30 PM
Fax: (606) 836-0278
M-TH 8:00 AM - 6:30 PM
00 Yrs/99 Yrs
Lobach, Augustinus MD
F 8:00 AM - 4:30 PM
M-F 8:00 AM - 5:00 PM
Provider ID: 629519
Howard, Kevin DO
Gender: Male
Bailey, Betsy MD
Provider ID: 629585
Bellefonte Primary Care
Provider ID: 1028503
Gender: Male
2420 Argillite Rd
Gender: Female
Bellefonte Primary Care
Flatwoods, KY 41139
Lewis County Primary
2420 Argillite Rd
(606) 836-3900
Care Center In
Flatwoods, KY 41139
Fax: (606) 836-0205
142 Depot Dr
(606) 836-3900
21 Yrs/99 Yrs
South Shore, KY 41175
Fax: (606) 836-0205
M-F 8:00 AM - 5:00 PM
(606) 932-2271
00 Yrs/99 Yrs
Fax: (606) 756-2273
M-F 8:00 AM - 5:00 PM Lobach, Augustinus MD
00 Yrs/99 Yrs
Provider ID: 636102
Fleming County Hospital Lawentmann, Maggie MD Gender: Male
M 8:00 AM - 5:00 PM
Bellefonte Primary Care
Provider ID: 657080
TWTHF 8:30 AM - 5:00
US 23 Indianola Ave
PM
Gender: Female
South Shore, KY 41175
Bellefonte Primary Care
(606) 932-3150
Hall, Luther DO
South Shore
Fax: (606) 932-6896
Provider ID: 633051
US 23 Inidanola Ave
21 Yrs/99 Yrs
Gender: Male
South Shore, KY 41175
M-F 8:00 AM - 5:00 PM
Kdmc Flatwoods Medical (606) 932-3150
Specialties
Strader, Jane MD
Fax: (606) 932-6896
1109 Bellefonte Rd
Provider ID: 943874
00 Yrs/99 Yrs
Flatwoods, KY 41139
Gender: Female
M-F 8:00 AM - 5:00 PM
(606) 836-8086
Kdmc Flatwoods Medical
Fax: (606) 836-3743
Lawentmann, Maggie DO Specialties
00 Yrs/99 Yrs
1109 Bellefonte Rd
M-TH 8:00 AM - 6:30 PM Provider ID: 667387
Flatwoods, KY 41139
Gender: Female
F 8:00 AM - 4:30 PM
(606) 836-8086
Christ Care Pediatrics
Fax: (606) 836-3743
and Family M
00 Yrs/99 Yrs
137 State Rte 3117
M-F 7:30 AM - 5:30 PM
South Shore, KY 41175
(606) 932-2079
Fax: (606) 932-2313
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 9
Underwood, Zachary DO
Provider ID: 636103
Gender: Male
Bellefonte Primary Care
US 23 Indianola Ave
South Shore, KY 41175
(606) 932-3150
Fax: (606) 932-6896
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Underwood, Zachary DO
Provider ID: 636105
Gender: Male
Bellefonte Primary Care
2420 Argillite Rd
Flatwoods, KY 41139
(606) 836-3900
Fax: (606) 836-0205
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Federally Qualified
Health Center
Stevenson, Grant MD
Provider ID: 619649
Gender: Female
Lewis County Primary
Care
142 Depot Dr
South Shore, KY 41175
(606) 932-2271
Fax: (606) 932-2273
00 Yrs/99 Yrs
M 1:00 AM - 3:00 PM
General Practice
Stevenson, Grant MD
Provider ID: 619649
Gender: Female
Lewis County Primary
Care
142 Depot Dr
South Shore, KY 41175
(606) 932-2271
Fax: (606) 932-2273
00 Yrs/99 Yrs
M 1:00 AM - 3:00 PM
05/28/2015
Primary Care Physicians
Greenup
Internal Medicine
Christian, Kristina MD
Provider ID: 900108
Gender: Female
Bellefonte Primary Care
1629 Greenup Rd Ste 2
Greenup, KY 41144
(606) 473-0687
Fax: (606) 833-4668
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Querubin Jr, Jesus MD
Provider ID: 642992
Gender: Male
Bellefonte Medical
Center
401 US 23
Greenup, KY 41144
(606) 473-1501
Fax: (606) 473-1503
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pediatrics
Keys, Steven MD
Provider ID: 636502
Gender: Male
Christ Care Pedicatrics
and Family
137 State Rte 3117
South Shore, KY 41175
(606) 932-2079
Fax: (606) 932-2313
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
Ymalay, Chito MD
Provider ID: 628860
Gender: Male
Chito T. Ymalay, MD
908 Powell Ln Ste 101
Flatwoods, KY 41139
(606) 836-0263
Fax: (606) 836-0229
00 Yrs/21 Yrs
Kings Daughters Rehab
Dpu
Languages: Tagalog
M-F 9:00 AM - 5:00 PM
Brown, Kelli MD
Provider ID: 907915
Gender: Female
Bellefonte Pediatrics
Rusell
1061 Kenwood Dr
Russell, KY 41169
(606) 833-6750
Fax: (606) 833-6752
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
Hudson, Gregory MD
Provider ID: 626628
Gender: Male
Christ Care Pedicatrics
and Family
137 State Rte 3117
South Shore, KY 41175
(606) 932-2079
Fax: (606) 932-2313
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 10
05/28/2015
Primary Care Physicians
Lawrence
Family Practice
Harris, Spencer MD
Provider ID: 642568
Gender: Male
Three Rivers Medical
Clinic
2673 Hwy 644 Three
Rivers Plaza
Louisa, KY 41230
(606) 638-3323
Fax: (606) 638-3325
00 Yrs/99 Yrs
Three Rivers Medical
Center
M-F 8:00 AM - 5:00 PM
Klein, Jeremy MD
Provider ID: 692712
Gender: Male
Family Practice of Louisa
PLLC
40 Medical Heights
Louisa, KY 41230
(606) 638-0033
00 Yrs/99 Yrs
Three Rivers Medical
Center
M-F 8:00 AM - 5:00 PM
McCreary, Chad DO
Provider ID: 613127
Gender: Male
Chad A McCreary DO
412 N Lock Ave
Louisa, KY 41230
(606) 638-4595
Fax: (606) 638-0947
00 Yrs/99 Yrs
Three Rivers Medical
Center
M-F 9:00 AM - 5:00 PM
Workman, Marc MD
Ferrara, Alan MD
Provider ID: 670870
Provider ID: 931350
Gender: Male
Gender: Male
Alan A Ferrara MD
Marc Alan Workman MD Hwy 644 203
412 N Lock Ave
Louisa, KY 41230
Louisa, KY 41230
(606) 638-4888
(606) 638-4595
Fax: (606) 638-9003
Fax: (606) 638-9471
00 Yrs/99 Yrs
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM Three Rivers Medical
5:00 PM
Center
M-F 8:30 AM - 5:00 PM
Internal Medicine
Webb, Brandon DO
Provider ID: 627073
Gender: Male
Three Rivers Medical
Clinics Inc
203 S Water St
Louisa, KY 41230
(606) 638-4505
Fax: (606) 638-4186
00 Yrs/99 Yrs
Three Rivers Medical
Center
M-F 8:00 AM - 5:00 PM
Pediatrics
Ferrara, Alan MD
Provider ID: 596577
Gender: Male
Mountain Pediatrics
2489 Hwy 644 Three
Rivers Medical Plaza Ste
203
Louisa, KY 41230
(606) 638-4888
Fax: (606) 638-9003
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 11
05/28/2015
Primary Care Physicians
Lewis
Family Practice
General Practice
Porter, Sarah DO
Lewis County Primary
Care Center Inc
Provider ID: 653991
Bailey, Betsy MD
McKain, Christine MD
Provider ID: 619628
Gender: Female
Provider ID: 1028495
Provider ID: 592142
Lewis County Primary
207 Plummers Ln
Gender: Female
Gender: Female
Care Center
Vanceburg, KY 41179
Lewis County Primary
211 Ky 59
17521
W
Ky
9
(606) 796-0010
Care Center In
Vanceburg, KY 41179
Tollesboro, KY 41189
Fax: (606) 796-0011
211 Ky 59
(606) 796-3029
(606) 798-3151
00 Yrs/99 Yrs
Vanceburg, KY 41179
Fax: (606) 796-6627
Fleming County Hospital Fax: (606) 798-2222
(606) 796-3029
00 Yrs/99 Yrs
00
Yrs/99
Yrs
M-F 9:00 AM - 5:00 PM
Fax: (606) 796-6221
MTH 8:00 AM - 7:00 PM Southern Ohio Medical
00 Yrs/99 Yrs
Tingue-Poczatek, Patti
Center
TWF 8:00 AM - 5:00 PM
Fleming County Hospital MD
M-F 9:00 AM - 5:00 PM
Stevenson,
Grant
MD
Provider
ID:
619629
M-TH 8:00 AM - 8:00 PM
Stevenson, Grant MD
Provider ID: 619651
Gender: Female
F 8:00 AM - 5:00 PM
Provider ID: 619651
Gender: Male
Lewis County Primary
Sat 8:30 AM - 12:00 PM
Gender: Male
Care Center
Lewis County Primary
Barcelona, Ramon MD
Lewis County Primary
Care Center
17521 W Ky 9
Care Center
Provider ID: 619632
211 Ky 59
Tollesboro, KY 41189
211 Ky 59
Gender: Male
Vanceburg, KY 41179
(606) 798-3151
Vanceburg, KY 41179
Lewis County Primary
(606) 796-3029
Fax: (606) 798-2222
Care Center
(606) 796-3029
Fax: (606) 796-6221
00 Yrs/99 Yrs
211 Ky 59
Fax: (606) 796-6221
12 Yrs/99 Yrs
MW 8:00 AM - 7:00 PM
Vanceburg, KY 41179
M-TH 8:00 AM - 8:00 PM 12 Yrs/99 Yrs
TTH 8:00 AM - 5:00 PM
(606) 796-3029
M-TH 8:00 AM - 8:00 PM
F 8:00 AM - 5:00 PM
Federally Qualified
Fax: (606) 796-6221
F 8:00 AM - 5:00 PM
Sat 8:30 AM - 12:00 PM
Health Center
00 Yrs/99 Yrs
Sat 8:30 AM - 12:00 PM
Tingue-Poczatek,
Patti
M-W 8:00 AM - 8:00 PM
Barcelona, Ramon MD
MD
TH 8:00 AM - 12:00 PM
Provider ID: 619632
Provider ID: 619629
Gender: Male
Moss, Kelly MD
Gender: Female
Lewis County Primary
Provider ID: 724289
Lewis County Primary
Care Center
Gender: Female
Care Center
211 Ky 59
Lewis County Primary
17521 W Ky 9
Vanceburg, KY 41179
Care Center, I
Tollesboro, KY 41189
(606) 796-3029
211 Ky 59
(606) 798-3151
Fax: (606) 796-6221
Vanceburg, KY 41179
Fax: (606) 798-2222
00 Yrs/99 Yrs
(606) 796-3029
00 Yrs/99 Yrs
M-W 8:00 AM - 8:00 PM MW 8:00 AM - 7:00 PM
Fax: (606) 796-6627
TH 8:00 AM - 12:00 PM
00 Yrs/99 Yrs
TTH 8:00 AM - 5:00 PM
M-TH 8:00 AM - 8:00 PM
F 8:00 AM - 5:00 PM
Sat 8:30 AM - 12:00 PM
kentucky.wellcare.com | 12
05/28/2015
Primary Care Physicians
Mason
Family Practice
Federally Qualified
Guttman, Nancy MD
Ross, Shawn MD
Health Center
Provider ID: 619987
Provider ID: 625386
Bailey, Betsy MD
Gender: Female
Gender: Female
Provider ID: 1028483
Lewis County Primary
Ross Medical Associates Gillis, Anne DO
Provider ID: 619778
Gender: Female
Care Center I
PSC
Gender: Male
Lewis County Primary
927 Kenton Station Dr Fl 910 Kenton Station Dr
Care Center In
Lewis County Primary
1
Ste A
Care Center
927 Kenton Station Dr
Maysville, KY 41056
Maysville, KY 41056
927 Kenton Station Dr
Maysville, KY 41056
(606) 759-0433
(606) 759-9424
Maysville, KY 41056
(606) 759-0433
Fax: (606) 759-0058
Fax: (606) 759-9504
(606) 759-0433
Fax: (606) 759-0058
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (606) 759-0058
00 Yrs/99 Yrs
MTTH 8:00 AM - 7:00
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Fleming County Hospital PM
Spencer,
Audrey
MD
M 8:30 AM - 7:00 PM
MTTH 8:00 AM - 7:00
W 8:00 AM - 6:00 PM
PM
TWTH 8:30 AM - 5:00
F 8:00 AM - 5:00 PM
Provider ID: 596636
PM
W 8:00 AM - 6:00 PM
Morris, Joseph MD
Gender: Female
F 8:00 AM - 5:00 PM
Provider ID: 391174
Audrey Spencer MD PSC Grosser, Timothy MD
Provider ID: 619839
Bailey, Betsy MD
Gender: Male
910 Kenton Station Dr
Gender: Male
Provider ID: 1028663
Joseph F Morris MD PSC Ste D
Lewis County Primary
Gender: Female
Maysville, KY 41056
910 Kenton Station Dr
Care Center
Lewis County Primary
Ste C
(606) 759-0706
927 Kenton Station Dr
Care Center In
Maysville, KY 41056
Fax: (606) 759-8117
Maysville, KY 41056
1350 Medical Park Dr
(606) 759-0017
00 Yrs/99 Yrs
(606) 759-0433
Maysville, KY 41056
Fax: (606) 759-0573
Meadowview Reg Med
Fax: (606) 759-0058
(606) 759-0499
Center
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (606) 759-0499
M-TH 9:00 AM - 5:00 PM M-F 8:30 AM - 4:30 PM
MW 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
Womack,
Glenn
MD
Ross,
Shawn
MD
T 8:30 AM - 7:00 PM
Fleming County Hospital
Provider
ID:
619951
Provider
ID:
1062855
M-TH 8:00 AM - 6:00 PM
Guttman, Nancy MD
Gender: Male
Gender: Female
Grosser, Timothy MD
Mays Lick Medical Clinic Provider ID: 619987
Meadowview Physician
Gender: Female
Provider ID: 619839
Practices LLC
5568 US Hwy 68
Lewis County Primary
Gender: Male
991 Medical Park Dr Ste
Mayslick, KY 41055
Care Center I
Lewis County Primary
201
(606) 763-6363
927 Kenton Station Dr Fl
Care Center
Maysville, KY 41056
00 Yrs/99 Yrs
1
927 Kenton Station Dr
(606) 759-3585
Languages: Hindi
Maysville, KY 41056
Maysville, KY 41056
Fax: (606) 759-3514
M-F 8:30 AM - 5:00 PM
(606) 759-0433
(606) 759-0433
00 Yrs/99 Yrs
Fax: (606) 759-0058
Fax: (606) 759-0058
Languages: Spanish
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
MTTH 8:00 AM - 7:00
MW 8:30 AM - 5:00 PM
PM
T 8:30 AM - 7:00 PM
W 8:00 AM - 6:00 PM
F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 13
05/28/2015
Primary Care Physicians
Mason
Federally Qualified
Health Center - cont.
Lewis County Primary
Care Center Inc
Provider ID: 620014
Lewis County Primary
Care Center In
927 Kenton Station Dr
Maysville, KY 41056
(606) 759-0433
Fax: (606) 759-0058
00 Yrs/99 Yrs
M-TH 8:30 AM - 7:00 PM
F 8:30 AM - 5:00 PM
General Practice
Gillis, Anne DO
Provider ID: 619778
Gender: Male
Lewis County Primary
Care Center
927 Kenton Station Dr
Maysville, KY 41056
(606) 759-0433
Fax: (606) 759-0058
00 Yrs/99 Yrs
M 8:30 AM - 7:00 PM
TWTH 8:30 AM - 5:00
PM
Obstetrics/Gynecology
Olzeski, Samantha DO
Provider ID: 720601
Gender: Female
Lewis County Primary
Care Center In
927 Kenton Statioin Dr
Maysville, KY 41056
(606) 759-5331
Fax: (606) 759-5363
00 Yrs/99 Yrs
Meadowview Reg Med
Center
M-F 8:30 AM - 5:00 PM
Pediatrics
Coleman, Gary MD
Provider ID: 611900
Gender: Male
Kid Care PSC
1350 Medical Park Dr
Maysville, KY 41056
(606) 759-5437
Fax: (606) 759-9267
00 Yrs/21 Yrs
MW 8:30 AM - 7:30 PM
TTH 8:30 AM - 5:30 PM
Keeton, Casey MD
Provider ID: 611902
Gender: Male
Kid Care PSC
1350 Medical Park Dr
Maysville, KY 41056
(606) 759-5437
Fax: (606) 759-9267
00 Yrs/18 Yrs
M-TH 8:00 AM - 7:30 PM
F 8:00 AM - 5:30 PM
Zeigler, Adam DO
Provider ID: 936547
Gender: Male
1350 Medical Park Dr Ste
3
Maysville, KY 41056
(606) 759-5437
Fax: (606) 759-9267
00 Yrs/21 Yrs
Meadowview Reg Med
Center
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 14
05/28/2015
Primary Care Physicians
Menifee
Family Practice
Fagbemi, Ruth MD
Provider ID: 1036352
Gender: Female
Community Family Clinic
PLLC
784 Hwy 36
Frenchburg, KY 40322
(606) 768-9190
Fax: (606) 768-9180
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rucker, Dreama MD
Provider ID: 708821
Gender: Female
Menifee County Medical
Clinic
732 Hwy 36
Frenchburg, KY 40322
(606) 768-2191
Fax: (606) 768-6130
00 Yrs/99 Yrs
St Claire Medical Center
M-F 8:00 AM - 5:00 PM
Internal Medicine
Kassis, Taufik MD
Provider ID: 610100
Gender: Male
Community Family Clinic
784 Hwy 36
Frenchburg, KY 40322
(606) 768-9190
Fax: (606) 768-9180
00 Yrs/99 Yrs
MTTH 8:00 AM - 5:00
PM
W 8:00 AM - 6:00 PM
F 8:00 AM - 4:00 PM
kentucky.wellcare.com | 15
05/28/2015
Primary Care Physicians
Morgan
Family Practice
Internal Medicine
Wondafrash, Worku MD
Conrotto, Steven MD
Provider ID: 595512
Gender: Male
Steven A Conrotto MD
801 Main St
West Liberty, KY 41472
(606) 743-1422
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Cao, Luyen MD
Provider ID: 1045884
Gender: Male
476 Liberty Rd
West Liberty, KY 41472
(606) 743-3198
Fax: (606) 743-1655
12 Yrs/99 Yrs
Morgan Co Arh Hospital
M-F 8:00 AM - 4:30 PM
Provider ID: 761123
Gender: Male
Arh Morgan County
Clinic
476 Liberty Rd
West Liberty, KY 41472
(606) 743-3198
Fax: (606) 743-1655
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Desai, Jignesh MD
Provider ID: 1058842
Gender: Not Available
476 Liberty Rd
West Liberty, KY 41472
(606) 743-3198
Fax: (606) 743-1655
12 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Rural Health Center
Moore, Bradley DO
Provider ID: 755147
Gender: Male
Arh Morgan County
Clinic
476 Liberty Rd
West Liberty, KY 41472
(606) 743-3186
00 Yrs/99 Yrs
M 8:00 AM - 8:00 PM
Patel, Shilpan MD
Provider ID: 983743
Gender: Male
476 Liberty Rd
West Liberty, KY 41472
(606) 743-3198
Fax: (606) 743-9604
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Pretorius, Richard MD
Provider ID: 445907
Gender: Male
476 Liberty Rd
West Liberty, KY 41472
(606) 743-3198
Fax: (606) 743-1655
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Jonkam, Collette MD
Provider ID: 755163
Gender: Female
Arh Morgan County
Clinic
476 Liberty Rd
West Liberty, KY 41472
(606) 743-3198
00 Yrs/99 Yrs
M 8:30 AM - 8:00 PM
Frederick Medical Clinic
PSC
Provider ID: 612841
430 Liberty Rd
West Liberty, KY 41472
(606) 743-3114
Fax: (606) 743-1404
M-F 8:00 AM - 5:00 PM
Uy, Edilfavia Mae MD
Provider ID: 755144
Gender: Female
Arh Morgan County
Clinic
476 Liberty Rd
West Liberty, KY 41472
(606) 743-3198
00 Yrs/99 Yrs
Hazard Arh Regional
Medical Center
M 8:00 AM - 8:00 PM
kentucky.wellcare.com | 16
05/28/2015
Primary Care Physicians
Rowan
Family Practice
Detherage, James MD
Provider ID: 671989
Gender: Male
Kdms - Primary Care
220 Stone St
Morehead, KY 40351
(606) 780-1292
Fax: (606) 780-1435
00 Yrs/99 Yrs
M-F 9:00 AM - 4:30 PM
Hatton, Twana DO
Melahn, William MD
Provider ID: 639236
Blair, Donald MD
Provider ID: 637434
Gender: Female
Provider ID: 626694
Gender: Male
St Claire Family Care
Gender: Male
Clinic
St Claire Family Care
Donald E Blair MD PSC
Clinic
316 W 2nd St
301 E Main St
316 W 2nd St
Morehead, KY 40351
Morehead, KY 40351
Morehead, KY 40351
(606) 784-3771
(606) 784-8124
(606) 784-3771
Fax: (606) 783-6847
Fax: (606) 780-4874
Fax: (606) 783-6847
00 Yrs/99 Yrs
00 Yrs/99 Yrs
St Claire Medical Center 00 Yrs/99 Yrs
M-W 10:00 AM - 3:00 PM Detherage, James MD
St Claire Medical Center
M-F 8:30 AM - 5:00 PM
Provider ID: 672003
M-F 8:30 AM - 5:00 PM
Burrows, Craig MD
Humkey, Mary Jane MD
Gender: Male
Provider ID: 630974
Moore, Carolyn MD
Kdms - Primary Care
Gender: Male
Provider ID: 639100
Provider ID: 571050
255 Old Viking Dr
St Claire Family Care
Gender: Female
Gender: Female
Morehead, KY 40351
Clinic
St
Claire
Family
Care
St Claire Family Care
(606) 784-2774
316 W. 2nd St
Clinic
Clinic
Fax: (606) 207-1118
Morehead, KY 40351
316
W
2nd
St
316 W 2nd St
00 Yrs/99 Yrs
(606) 784-3771
Morehead, KY 40351
Morehead, KY 40351
M-F 9:00 AM - 4:30 PM
Fax: (606) 783-6847
(606) 784-3771
(606) 784-3771
00 Yrs/99 Yrs
Ellis, Laura MD
Fax: (606) 783-6847
Fax: (606) 783-6847
M-F 9:00 AM - 5:00 PM
Provider ID: 638808
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Gender: Female
St Claire Medical Center M-F 8:00 AM - 5:00 PM
Conley, Amy MD
St Claire Family Care
M-F 8:30 AM - 5:00 PM
Provider ID: 630980
Ramey, Amanda DO
Clinic
Gender: Female
Jones,
Derek
DO
Provider ID: 1022256
316 W 2nd St
St Claire Family Care
Gender: Female
Morehead, KY 40351
Clinic
Provider
ID:
750927
St Claire Family Care
(606) 784-3771
316 W 2nd St
Gender: Male
Clinic
Fax: (606) 783-6847
Morehead, KY 40351
150
Univ
Blvd
112
Allie
316 W 2nd St
00 Yrs/99 Yrs
(606) 784-3771
Young
Hall
Morehead, KY 40351
St Claire Medical Center
Fax: (606) 783-6847
Morehead,
KY
40351
(606) 784-3771
M-F 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
(606) 783-2055
Fax: (606) 783-6847
M-F 9:00 AM - 5:00 PM Goldstein, Lisa MD
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Provider ID: 638817
M 8:00 AM - 5:00 PM
St Claire Medical Center
Conley, Amy MD
Gender: Female
M-F 8:00 AM - 5:00 PM
Provider ID: 1081167
Lacock, James MD
St Claire Family Care
Gender: Female
Provider ID: 630966
Rucker, Dreama MD
Clinic
St Claire Family Care
Gender: Male
Provider ID: 630978
316 W 2nd St
Clinic
Morehead
Medical
Gender: Female
Morehead, KY 40351
316 W. 2nd St
Specialists
Morehead Medical
(606) 784-3771
Morehead, KY 40351
234
Medical
Cir
Specialists
Fax: (606) 783-6847
(606) 784-3771
Morehead,
KY
40351
234 Medical Cir
00 Yrs/99 Yrs
Fax: (606) 783-6847
(606)
784-6641
Morehead, KY 40351
St Claire Medical Center
00 Yrs/99 Yrs
Fax:
(606)
783-7281
(606) 784-6641
M-F 8:30 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Fax: (606) 783-7281
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 17
05/28/2015
Primary Care Physicians
Rowan
Family Practice - cont.
Birdwhistell, Matthew
Weigel, Christian MD
Henly, Nancy MD
DO
Provider ID: 619562
Provider ID: 636931
Rucker, Dreama MD
Provider ID: 636935
Gender: Male
Gender: Female
Provider ID: 722085
Gender: Male
Morehead Primary Care
Morehead Medical
Gender: Female
Morehead Medical
Specialists
333 Beacon Hill Rd Ste
St Claire Family Care
Specialists
201
234 Medical Cir Ste 1
Clinic
234 Medical Cir
Morehead, KY 40351
Morehead, KY 40351
316 W 2nd St
Morehead, KY 40351
(606) 780-0444
(606) 784-6641
Morehead, KY 40351
(606) 784-6641
Fax: (606) 784-2344
Fax: (606) 783-7281
(606) 784-3771
Fax: (606) 783-7281
00 Yrs/99 Yrs
00 Yrs/21 Yrs
Fax: (606) 783-6847
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
St Claire Medical Center
00 Yrs/99 Yrs
St Claire Medical Center
M-F 8:30 AM - 5:00 PM
Pediatrics
St Claire Medical Center M-F 8:30 AM - 5:00 PM
Jalalon, Seigfred MD
M-F 8:00 AM - 5:00 PM
Badger, Brian MD
Damron, Stephen MD
Provider ID: 794246
Weigel, Nancy MD
Provider ID: 594738
Gender: Male
Provider ID: 619573
Gender: Male
Provider ID: 635264
St Claire Family Care
Gender: Female
Mt Sterling Pediatrics
Gender: Male
Clinic
Morehead Primary Care
130 New Towne Square
Morehead Medical
316 W 2nd St
333 Beacon Hill Rd Ste
Morehead, KY 40351
Specialistsq
Morehead, KY 40351
201
(606) 740-0986
234 Medical Circle
(606) 784-3771
Morehead, KY 40351
Fax: (606) 780-9096
Morehead, KY 40351
Fax: (606) 783-6847
(606) 780-0444
00 Yrs/21 Yrs
(606) 784-6641
00 Yrs/21 Yrs
Fax: (606) 784-2344
Georgetown Community M-F 8:00 AM - 5:00 PM
Fax: (606) 783-7281
00 Yrs/99 Yrs
Hospital
18 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
St Claire Medical Center M-F 8:00 AM - 5:00 PM Sikorska, Miroslawa MD
M-F 8:30 AM - 5:00 PM Fouch, Brandy MD
Internal Medicine
Provider ID: 639092
Provider ID: 627558
Scott, Edward MD
Gender: Female
Arnold, James DO
Gender: Female
Provider ID: 631046
Morehead Medical
Provider ID: 780600
Mt Sterling Pediatrics
Gender: Male
Specialists
Gender: Male
130 New Towne Square
Morehead Medical
234 Medical Cir
Morehead Medical
Morehead, KY 40351
Specialists
Morehead, KY 40351
Specialists
(606) 740-0986
234 Medical Cir
(606) 784-6641
234 Medical Cir Ste 1
Fax: (606) 780-9096
Morehead, KY 40351
Fax: (606) 783-7281
Morehead, KY 40351
00 Yrs/21 Yrs
(606) 784-6641
00 Yrs/21 Yrs
(606) 784-6641
M-F 8:00 AM - 5:00 PM
Fax: (606) 783-7281
St Claire Medical Center
Fax: (606) 783-7281
18 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM Gill, Shaheen MD
M-F 8:00 AM - 5:00 PM
Provider ID: 1066057
Gender: Female
St Claire Medical
Counseling
445 Clinic Dr
Morehead, KY 40351
(606) 783-6805
Fax: (606) 783-6869
21 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 18
05/28/2015
Specialty Physicians
Bath
General Dentistry
Hamlin, Larry DMD
Provider ID: TPV3321-01
Gender: Male
135 Suddith St
Owingsville, KY 40360
(606) 674-6305
Fax: (606) 674-6306
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Orthodontics
Huang, John DMD
Provider ID:
TPV64118DM-04
Gender: Male
137 Old 36 Hwy
Owingsville, KY 40360
(859) 223-3939
Fax: (859) 219-0940
00 Yrs/99 Yrs
M 8:00 AM - 5:00 PM
TWTH 7:00 AM - 6:00
PM
F 9:00 AM - 1:00 PM
Durbin, Douglas DMD
Provider ID:
TPV64117DM-04
Gender: Male
137 Old 36 Hwy
Owingsville, KY 40360
(859) 223-3939
Fax: (859) 219-0940
00 Yrs/99 Yrs
M 8:00 AM - 5:00 PM
TWTH 7:00 AM - 6:00
PM
F 9:00 AM - 1:00 PM
Garner, Thomas DMD
Provider ID:
TPV47084DM-04
Gender: Male
137 Old 36 Hwy
Owingsville, KY 40360
(859) 223-3939
Fax: (859) 219-0940
00 Yrs/99 Yrs
M 8:00 AM - 5:00 PM
TWTH 7:00 AM - 6:00
PM
F 9:00 AM - 1:00 PM
kentucky.wellcare.com | 19
05/28/2015
Specialty Physicians
Boyd
Allergy & Immunology
Bush, David MD
Provider ID: 630564
Gender: Male
Kentucky Heart and
Vascular Physici
613 23rd St Ste 230
Ashland, KY 41101
(606) 324-4745
Fax: (606) 326-0165
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Klein, Roger MD
Rhodes, Charles MD
Provider ID: 671075
Provider ID: 667160
Carias, Katherine MD
Gender: Male
Gender: Male
Comprehensive Heart
Ashlandbellefonte
Provider ID: 677355
and Vascular Assoc
Cardiology
Gender: Female
613 23rd St Ste G10
800 St Christopher Dr
Katherine D Carias MD
Ashland, KY 41101
Ashland, KY 41101
Inc
(606) 324-4745
(606) 836-9613
2501 Lexington Ave
Fax: (606) 326-0165
Fax: (606) 836-0026
Ashland, KY 41101
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(606) 324-7704
Kings Daughters Medical M-F 8:00 AM - 5:00 PM
Fax: (606) 324-3985
Center
00 Yrs/99 Yrs
Epling, Christopher DO
M-F 8:00 AM - 5:00 PM Rhodes, Charles MD
Kings Daughters Medical
Provider ID: 796711
Center
Provider ID: 631063
Listerman, Jennifer MD
Gender: Male
Southern Ohio Medical
Gender: Male
Kings Daughters Medical
Center
Provider ID: 629169
Kentucky Heart and
Center
Languages: Spanish
Vascular Physici
Gender: Female
2201 Lexington Ave
M-TH 8:00 AM - 4:00 PM 613 23rd St Ste 230
Kentucky Heart Vascular Ashland, KY 41101
F 8:00 AM - 12:00 PM
Physicians
Ashland, KY 41101
(606) 408-4000
613 23rd St Ste 230
(606) 324-4745
Fax: (606) 327-7425
Lynch, Joan MD
Ashland, KY 41101
Fax: (606) 324-4941
00 Yrs/99 Yrs
Provider ID: 636595
(606) 324-4745
00 Yrs/99 Yrs
Kings Daughters Medical
Gender: Male
Fax: (606) 326-0165
M-F 8:00 AM - 5:00 PM
Center
Tri State Allergy
00 Yrs/99 Yrs
2301 Lexington Ave Ste Klein, Roger MD
Kings Daughters Medical Ross, Terence MD
105
Provider ID: 671075
Provider ID: 633009
Center
Ashland, KY 41101
Gender: Male
Gender: Male
M-F 8:00 AM - 5:00 PM
(606) 329-0464
Comprehensive Heart
Kdmc
Fax: (606) 329-1877
Prasad, Yogendra MD
and Vascular Assoc
613 23rd St Ste 230
00 Yrs/99 Yrs
Provider ID: 629604
2201 Lexington Ave Ste
Ashland, KY 41101
M-F 9:00 AM - 5:00 PM
G10
Gender: Male
(606) 324-4745
Ashland, KY 41101
Bellefonte Heart Care
Fax: (606) 326-0165
Cardiology
(606) 329-1997
1180 Saint Christopher Dr 00 Yrs/99 Yrs
Ste 2
Fax: (606) 329-1227
M-F 8:00 AM - 5:00 PM
Ansinelli, Richard MD
Ashland,
KY
41101
00
Yrs/99
Yrs
Provider ID: 630535
Ross, Terence MD
Kings Daughters Medical (606) 833-0144
Gender: Male
Provider ID: 633949
Fax: (606) 833-0113
Kings Daughters Medical Center
Gender: Male
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Specialties
Kentucky Heart Vascular
Baptist
Health
Corbin
613 23rd St Bldg B Ste
Physicians
M-F 8:00 AM - 5:00 PM
230
613 23rd St Ste 230,
Ashland, KY 41101
Medical Plaza B
(606) 324-4745
Ashland, KY 41101
Fax: (606) 326-0165
(606) 324-4745
00 Yrs/99 Yrs
Fax: (606) 326-0165
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Kings Daughters Medical
Center
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 20
05/28/2015
Specialty Physicians
Boyd
Cardiology - cont.
Chiropractic
Velury, Sriharsha MD
Scott, Mark DC
Provider ID: 648042
Provider ID: 610185
Ross, Terrance MD
Dillon, Gary DC
Gender: Male
Gender: Male
Provider ID: 636509
Kentucky Heart Institute Provider ID: 620620
M K Scott DC PSC
Gender: Male
Gender:
Male
613 23rd St Medical Plaza
1317 Montgomery Ave
Cumberland Cardiology
Dillon Chiropractic
B, Ste 230
Ashland, KY 41101
613 23rd St Ste 230
5936 Swanson Dr
Ashland, KY 41101
(606) 329-9311
Ashland, KY 41101
Ashland, KY 41102
(606) 329-1997
Fax: (606) 324-9493
(606) 324-4745
(606) 929-9667
Fax: (606) 329-1227
00 Yrs/99 Yrs
Fax: (606) 324-4941
Fax: (606) 929-9670
00 Yrs/99 Yrs
M 9:00 AM - 7:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
T 8:00 AM - 5:00 PM
Kings Daughters Medical
M-TH 8:00 AM - 6:00 PM W 8:00 AM - 6:00 PM
Velury, Sriharsha MD
Center
F 8:00 AM - 12:00 PM
TH 7:00 AM - 6:00 PM
Our Lady of Bellefonte
Provider ID: 648042
F 7:00 AM - 5:00 PM
Holmes, Jeremiah MD
Hospital
Gender: Male
M-F 8:00 AM - 5:00 PM
Kings Daughters Medical
Shelton, Charlie DC
Provider ID: 613758
Center
Provider ID: 610191
Sedghi, Yabiz MD
Gender: Male
2201 Lexington Ave
Gender: Female
Provider ID: 900264
Holmes Chiropractic PSC M K Scott DC PSC
Ashland, KY 41101
Gender: Male
155 W Central Ave
(606) 408-2773
1317 Montgomery Ave
Kentucky Heart Institute Fax: (606) 408-3841
Ashland, KY 41101
Ashland, KY 41101
613 23rd St Ste 230
(606) 326-1132
00 Yrs/99 Yrs
(606) 329-9311
Ashland, KY 41101
Fax: (606) 326-0114
M-F 8:00 AM - 5:00 PM
Fax: (606) 324-9493
(606) 329-1997
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Cardiovascular Surgery
Fax: (606) 324-1227
M-TH 7:00 AM - 6:00 PM M 9:00 AM - 6:00 PM
00 Yrs/99 Yrs
TW 9:00 AM - 5:00 PM
Razak, Muhummad MD
M-F 8:00 AM - 5:00 PM Bronstein, Eric MD
Provider ID: 629261
Swann, Justin DC
Vanderen, John MD
Gender: Male
Provider ID: 613803
Provider ID: 644011
Provider ID: 632758
Cardiothoracic Surgeons Gender: Male
Gender: Male
Gender: Male
of Kentucky
Holmes Chiropractic
Ashland Chiropractic
Kentucky Heart Vascular 613 23rd St Ste 210
155 W Central Ave
Center
Physicians
Ashland, KY 41101
Ashland, KY 41101
613 13th St
613 23rd St
(606) 326-9847
(606) 326-1132
Ashland, KY 41101
Ashland, KY 41101
Fax: (606) 324-3418
Fax: (606) 326-0114
(606) 329-8080
(606) 324-4745
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (606) 325-8550
Fax: (606) 324-4941
M-F 8:00 AM - 5:00 PM
M-TH 7:00 AM - 6:00 PM 00 Yrs/99 Yrs
00 Yrs/99 Yrs
MWF 9:00 AM - 6:00 PM
Kings Daughters Medical
TTH 9:00 AM - 5:00 PM
Center
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 21
05/28/2015
Specialty Physicians
Boyd
Dermatology
Brinkman, Jon DO
Provider ID: 631276
Gender: Male
King's Daughters'
Medical Specialti
2550 Carter Ave
Ashland, KY 41101
(606) 325-8561
Fax: (606) 325-3591
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Borst III, George MD
Canty, Michael MD
Provider ID: 722640
Provider ID: 633801
Gender: Male
Gender: Male
Borst Medical Clinic
Tri-State Digestive
613 23rd St Ste 340
Disease Assoc
Ashland, KY 41101
617 23rd St Ste 11
(606) 326-1101
Ashland, KY 41101
Fax: (606) 326-0404
(606) 324-3188
00 Yrs/99 Yrs
Kings Daughters Medical Fax: (606) 329-2237
00 Yrs/99 Yrs
Center
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Cooper, Carol MD
Provider ID: 676148
Gender: Female
Tri-State Dermatology
1200 Central Ave Ste 4
Ashland, KY 41101
(606) 324-1483
Fax: (606) 329-2612
00 Yrs/99 Yrs
Kings Daughters Medical
Van Beneden, William
Center
Grandison, Garfield MD
Yang, Hazel MD
M-F 8:00 AM - 5:00 PM MD
Provider ID: 631370
Provider ID: 629811
Ditty, Jack MD
Provider ID: 691146
Gender: Male
Gender: Female
Provider ID: 782189
Gender: Male
William J Vanbeneden
King's Daughters'
Gender: Male
DO PLLC
Kdms
Medical Specialti
Jack F Ditty Jr MD
2550 Carter Ave
617 23rd St Ste 425
1200 Central Ave Ste 3
100 St Christopher Dr
Ashland, KY 41101
Ashland, KY 41101
Ashland, KY 41101
Ashland, KY 41101
(606) 325-8561
(606) 327-1760
(606) 325-1894
(606) 836-3111
Fax: (606) 325-3591
Fax: (606) 327-1769
Fax: (606) 625-9193
Fax: (606) 833-5660
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Kings Daughters Medical M-F 9:00 AM - 5:00 PM
M-TH 9:00 AM - 5:00 PM
Center
Endocrinology, Diabetes, Languages: Burmese
Moore, Greg MD
Ear, Nose & Throat
Metabolism
Provider ID: 750064
M-F 8:00 AM - 5:00 PM
Gender: Male
Baker, Gregory MD
Borst III, George MD
Gastroenterology
Kdms Gastroenterology
Provider ID: 633042
Provider ID: 722640
617 23rd St St 425
Gender: Male
Gender: Male
Bascom, Cheryl MD
Ashland, KY 41101
Kings Daughters Medical Borst Medical Clinic
(606) 327-1760
Specialties
1201 St Christopher Dr
Provider ID: 601567
Fax: (606) 327-1769
613 23rd St Medical Plaza Ashland, KY 41101
Gender: Female
00 Yrs/99 Yrs
B, Ste 420
(606) 836-9634
Tri-State Digestive
M-F 9:00 AM - 5:00 PM
Ashland, KY 41101
Disease
Fax: (606) 836-3157
(606) 324-2600
617 23rd St Ste 11
00 Yrs/99 Yrs
Settles, Diane MD
Fax: (606) 324-2606
Kings Daughters Medical Ashland, KY 41101
Provider ID: 957916
00 Yrs/99 Yrs
Center
(606) 324-3188
Gender: Female
Kings Daughters Medical M-F 9:00 AM - 5:00 PM
Fax: (606) 329-2237
Bellefonte Digestive
Center
00 Yrs/99 Yrs
Disease Center
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
1101 St Christopher Dr
Ste 300
Ashland, KY 41101
(606) 833-6350
Fax: (606) 833-6352
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 22
05/28/2015
Specialty Physicians
Boyd
Gastroenterology - cont. Johnson, Edward DMD
Provider ID: TPV6755-01
Warrier, Rajkumar MD
Gender: Male
928 State Rte 716
Provider ID: 684578
Ashland, KY 41102
Gender: Male
(606) 928-3866
King's Daughters'
Fax: (606) 928-3848
Medical Specialti
00 Yrs/99 Yrs
617 23rd St Ste 425
M 11:00 AM - 8:00 PM
Ashland, KY 41101
TWTH 8:30 AM - 5:00
(606) 327-1760
PM
Fax: (606) 327-1769
00 Yrs/99 Yrs
Jordan-Webb, Christina
Kings Daughters Medical DMD
Center
Provider ID: TPV3885-01
Our Lady of Bellefonte
Gender: Female
Hospital
4330 13th St
M-F 8:00 AM - 5:00 PM
Ashland, KY 41102
(606) 326-1234
General Dentistry
Fax: (606) 326-0124
03 Yrs/10 Yrs
Beadle, Ralph DMD
M-W 8:00 AM - 4:30 PM
Provider ID: TPV3694-01
TH 10:00 AM - 7:00 PM
Gender: Male
16005 US 23 South
Montague, Charles DMD
Catlettsburg, KY 41129
(606) 739-0403
Provider ID: TPV3304-01
Fax: (606) 739-0405
Gender: Male
03 Yrs/21 Yrs
1330 Central Ave
beadle23dentistry@yahoo. Ashland, KY 41101
com
(606) 329-0919
Languages: Spanish
Fax: (606) 325-0655
M-TH 8:30 AM - 5:00 PM 00 Yrs/99 Yrs
M-F 10:00 AM - 5:00 PM
Frazier, Joseph DMD
Provider ID: TPV3215-01 Shelton, Ronnie DMD
Gender: Male
Provider ID: TPV3173-01
708 13th St
Gender: Male
Ashland, KY 41101
441 21st St
(606) 325-4231
Ashland, KY 41101
Fax: (606) 325-8782
(606) 324-8366
00 Yrs/99 Yrs
Fax: (606) 324-9512
M-TH 8:00 AM - 5:00 PM 00 Yrs/99 Yrs
F 8:00 AM - 12:00 PM
M 8:30 AM - 5:00 PM
TWTH 8:30 AM - 4:00
PM
Smith, Earl DMD
Provider ID: TPV3172-01
Gender: Male
441 21 St
Ashland, KY 41101
(606) 324-8366
Fax: (606) 324-9512
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:15 PM
Stewart, David DMD
Provider ID: TPV2894-01
Gender: Male
1616 Central Ave
Ashland, KY 41101
(606) 329-9929
Fax: (606) 324-4700
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Thorner, William DMD
Chadwick, Deborah MD
Provider ID: 636122
Gender: Female
Bellefonte Surgical
Associates
1150 Saint Christopher Dr
Ashland, KY 41101
(606) 833-0311
Fax: (606) 833-0318
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Jones, Timothy MD
Provider ID: 667175
Gender: Male
Timothy Jones MD
1101 St Christopher Dr
Ste 360
Ashland, KY 41101
(606) 833-9492
Fax: (606) 833-9453
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: TPV3866-01
Gender: Male
Martin Jr, James MD
1800 Carter Ave
Provider ID: 654715
Ashland, KY 41101
Gender: Male
(606) 324-3552
James H Martin Jr MD
PSC
Fax: (606) 324-2092
900 Saint Christopher Dr
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM Ste 202
Ashland, KY 41101
General Surgery
(606) 836-3770
Fax: (606) 836-3512
Chadwick, Deborah MD
00 Yrs/99 Yrs
Provider ID: 636122
M-F 8:30 AM - 4:30 PM
Gender: Female
Bellefonte Surgical
Associates
1101 St Christopher Dr
Ste 280
Ashland, KY 41101
(606) 833-0311
Fax: (606) 833-0318
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 23
Miller, John MD
Provider ID: 934760
Gender: Male
Kings Daughters Medical
Specialties
613 23rd St Ste 420
Ashland, KY 41101
(606) 324-7146
Fax: (606) 324-5165
00 Yrs/99 Yrs
Kings Daughters Medical
Center
M-F 8:00 AM - 4:30 PM
05/28/2015
Specialty Physicians
Boyd
General Surgery - cont.
Hematology
Infectious Disease
Murillo, Anna MD
Provider ID: 705104
Tompkins Jr, Roderick
Goebel, David MD
Villafuerta, Patrick MD
Gender: Female
MD
Provider ID: 415365
Tri-State Cancer Blood
Provider ID: 333835
Provider ID: 995814
Gender: Male
Specialists
Gender: Male
Gender: Male
Kdms-Tri State
2301 Lexington Ave Ste
Roderick J. Tompkins Jr.,
Hematology/Oncology
Kings Daughters Medical
135
MD
Center PRIM
617 23rd St Ste 19
Ashland, KY 41101
613 23rd St Ste 440
2201 Lexington Ave
Ashland, KY 41101
(606) 324-3333
Ashland, KY 41101
Ashland, KY 41101
(606) 325-2221
Fax: (606) 324-5515
(606) 329-2888
(606) 408-4452
Fax: (606) 324-1326
00 Yrs/99 Yrs
Fax: (606) 329-2890
00 Yrs/99 Yrs
Kings Daughters Medical Fax: (606) 408-7425
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Kings Daughters Medical Center
M-F 8:00 AM - 5:00 PM
Center
Kings Daughters Medical
M-F 9:00 AM - 5:00 PM
Center
M-F 8:00 AM - 5:00 PM
Wheeler, Timothy MD
Salem, Galena MD
Maternal Fetal Medicine
Vermani, Vinay MD
Provider ID: 901311
Provider ID: 337825
Provider ID: 642994
Gender: Female
How, Helen MD
Gender: Male
Gender: Male
Kings Daughters Medical Provider ID: 671690
Timothy M Wheeler MD Tri State Cancer and
Specialties
Gender: Female
PSC
Blood Speciali
617 23rd St Ste 19
Norton Maternal Fetal
613 23rd St Ste 440
2301 Lexington Ave Ste
Ashland, KY 41101
Medicine Spec
Ashland, KY 41101
135
(606) 325-2221
2201 Lexington Ave Ste
(606) 329-2888
Ashland, KY 41101
Fax: (606) 324-1326
G10
Fax: (606) 329-2890
(606) 324-3333
00 Yrs/99 Yrs
Ashland, KY 41101
00 Yrs/99 Yrs
Fax: (606) 324-5515
M-F 9:00 AM - 5:00 PM
(866) 574-4111
Kings Daughters Medical 00 Yrs/99 Yrs
Fax: (855) 855-4584
Center
Kings Daughters Medical Tarabolous, Chad MD
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Center
Provider ID: 995806
Languages: Chinese
M-F 8:00 AM - 5:00 PM
Gender: Male
Gynecology
Kings Daughters Medical M-F 8:00 AM - 4:30 PM
Hematology & Oncology Specialties
Laudenbach, Bonnie MD
Jamie, Whitney MD
617 23rd St Ste 19
Jain, Kirti MD
Provider ID: 671191
Ashland, KY 41101
Provider ID: 644030
Provider ID: 648114
Gender: Female
(606)
325-2221
Gender: Female
Gender: Male
Norton Mfm Specialists
Fax: (606) 324-1326
Ashland Women's Health Ashland-Bellefonte
2201 Lexington Ave Ste
00 Yrs/99 Yrs
841 29th St
Cancer Center
G10
Kings Daughters Medical Ashland, KY 41101
Ashland, KY 41101
122 St Christopher DR
Center
(606) 324-1170
Ashland, KY 41101
(866) 574-4111
M-F
9:00
AM
5:00
PM
Fax: (606) 324-1077
(606) 836-7377
Fax: (855) 855-4585
00 Yrs/99 Yrs
Fax: (606) 836-2189
13 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 24
05/28/2015
Specialty Physicians
Boyd
Medical Oncology
Neonatal Perinatal
Medicine
Hammonds, Donald DO
Lockard, Jerry DO
Provider ID: 633237
Gender: Male
Kings Daughters Medical
Specialties
432 16th St Ste B
Ashland, KY 41101
(606) 329-9335
Fax: (606) 324-6383
00 Yrs/99 Yrs
M-F 9:30 AM - 5:00 PM
Goebel, David MD
Provider ID: 638057
Sanders, Lynda MD
Provider ID: 415365
Gender: Male
Gender: Male
Tri State Nephrology
Provider ID: 630405
Kdms-Tri State
432 16th St
Gender: Female
Hematology/Oncology
Ashland, KY 41101
Pediatrix Medicalgroup
617 23rd St Ste 19
(606) 329-9335
of Kentucky
Ashland, KY 41101
Fax: (606) 324-6383
2201 Lexington Ave
(606) 325-2221
00 Yrs/99 Yrs
Ashland, KY 41101
Fax: (606) 324-1326
M-F 8:00 AM - 5:00 PM
(606) 408-4000
00 Yrs/99 Yrs
Neurology
Hammonds, Donald DO
Kings Daughters Medical 00 Yrs/01 Yrs
Cincinnati Childrens
Center
Bajorek, Joseph MD
Hospital Medical Center Provider ID: 633062
M-F 8:00 AM - 5:00 PM
Provider ID: 910181
MTWTHFSatSun 8:00
Gender: Male
Konala, Venu MD
Gender: Male
AM - 8:00 PM
King's Daughters'
Provider ID: 1032348
Tristate Neuro Solutions
Medical Specialti
Volk, Lauze MD
Gender: Male
2222 Winchester Ave Ste
617 23rd St Ste 130
Provider ID: 633040
Ashland Bellefonte
C
Ashland, KY 41101
Gender: Female
Cancer Center
Ashland, KY 41101
(606) 329-9335
Kings Daughters Medical Fax: (606) 324-6383
122 St Christopher Dr
(606) 325-8364
Specialties
Ashland, KY 41101
Fax: (606) 327-8893
00 Yrs/99 Yrs
2201 Lexington Ave
(606) 836-7377
00 Yrs/99 Yrs
M-F 9:30 AM - 5:00 PM
Ashland, KY 41101
Fax: (606) 836-2189
M-F 8:00 AM - 5:00 PM
(606) 408-4452
Kasey, John DO
00 Yrs/99 Yrs
Bhasin, Pramit MD
Provider ID: 633307
Kings Daughters Medical Fax: (606) 408-7425
Provider ID: 633153
00 Yrs/99 Yrs
Center
Gender: Male
Our Lady of Bellefonte
Kings Daughters Medical Gender: Male
Nephrology
Kings Daughters Medical
Hospital
Specialties
Specialties
M-F 8:00 AM - 5:00 PM Egel, James MD
432 16th St Ste B
617 23rd St Ste 5
Ashland, KY 41101
Provider ID: 676608
Vermani, Vinay MD
Ashland, KY 41101
(606) 329-9335
Gender: Male
(606) 326-0300
Kings Daughters Medical Fax: (606) 324-6383
Provider ID: 642994
Fax: (606) 326-0235
00 Yrs/99 Yrs
Specialti
Gender: Male
00 Yrs/99 Yrs
M-F 9:30 AM - 5:00 PM
432 16th St Ste B
Tri State Cancer and
M-F 8:30 AM - 5:00 PM
Ashland, KY 41101
Blood Speciali
Kendall, Jonathan MD
(606) 329-9335
2301 Lexington Ave Ste
Provider ID: 633193
Fax: (606) 324-6383
135
Gender: Male
00 Yrs/99 Yrs
Ashland, KY 41101
Kings Daughters Medical
Kings Daughters Medical Specialties
(606) 324-3333
Center
Fax: (606) 324-5515
432 16th St Ste B
M-F 9:30 AM - 5:00 PM
00 Yrs/99 Yrs
Ashland, KY 41101
Kings Daughters Medical
(606) 329-9335
Center
Fax: (606) 324-6383
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 9:30 AM - 5:00 PM
kentucky.wellcare.com | 25
05/28/2015
Specialty Physicians
Boyd
Neurology - cont.
Ophthalmology
James, Kelsey MD
Provider ID: 1031248
Fakhoury, Toufic MD
Cole, Matthew MD
Provider ID: 671499
Gender: Male
Gender: Male
Bellefonte Womens Care Provider ID:
Provider ID: 1064167
TPV10808-06
Norton Mfm Specialists
2001 Winchester Ave
Gender: Male
Gender: Male
2201 Lexington Ave Ste
Ashland, KY 41101
Ambulatory
2841 Lexington Ave
G10
(606) 324-7351
Neurological Services LL Ashland, KY 41101
Ashland, KY 41101
Fax: (606) 324-7359
1212 Bath Ave Ste 535
(859) 263-3900
(866) 574-4111
00 Yrs/99 Yrs
Ashland, KY 41101
Fax: (859) 971-1124
Fax: (855) 855-4584
M-F 8:00 AM - 5:00 PM
(888) 447-5904
00 Yrs/99 Yrs
00 Yrs/99 Yrs
02 Yrs/99 Yrs
Modi,
Navita
MD
MT 8:30 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Languages: French,
Provider ID: 628863
WTHF 8:00 AM - 5:00
Arabic
Dotson, Tony DO
PM
Gender: Female
M 10:00 AM - 3:00 PM
Provider ID: 614648
Women's Care Group
Dykhuizen, Matthew MD
Gender: Male
613 23rd St Ste 130
Neurosurgery
Tony W Dotson DO
Ashland, KY 41101
Provider ID: TPV16889-31
PLLC
(606) 324-6634
Powell, James MD
Gender: Male
617 23rd St Ste 415
Fax: (606) 326-9843
Provider ID: 644418
2841 Lexington Ave
Ashland, KY 41101
00 Yrs/99 Yrs
Gender: Male
Ashland, KY 41101
(606) 325-6888
Kings Daughters Medical (859) 263-3900
Tri State Christian
Fax: (606) 326-9368
Center
Neurosurgical A
Fax: (859) 263-3757
00
Yrs/99
Yrs
M-F 8:00 AM - 5:00 PM
617 23rd St Ste 15
00 Yrs/99 Yrs
M-TH 9:00 AM - 5:00 PM
Medical Plaza A
Tabb, Thomas MD
F 9:00 AM - 12:00 PM
Ashland, KY 41101
Fraser, Claire MD
Provider ID: 671495
(606) 324-7737
Provider ID: TPV9312-06
Ford, Richard MD
Gender: Male
Fax: (606) 324-7408
Gender: Female
Provider ID: 618564
Norton Mfm Specislists
00 Yrs/99 Yrs
2841 Lexington Ave
Gender: Male
2201 Lexington Ave Ste
M-F 9:00 AM - 5:00 PM
Ashland, KY 41101
Richard F Ford MD PSC
G10
(859) 263-3900
617 23rd St Ste 415
Ashland, KY 41101
Obstetrics/Gynecology
Fax: (859) 977-1124
Ashland, KY 41101
(866) 574-4111
00 Yrs/99 Yrs
Clark, Ann MD
(606) 325-6888
Fax: (855) 855-4584
M-F 8:30 AM - 5:00 PM
Provider ID: 675255
Fax: (606) 326-9368
00 Yrs/99 Yrs
Gender: Female
00 Yrs/99 Yrs
Norton Hospital
Gross, John MD
Norton Mfm Specialists
M-TH 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM
Provider ID: TPV5265-01
2201 Lexington Ave Ste
F 9:00 AM - 12:00 PM
Gender: Male
G10
2841 Lexington Ave
Jaenicke, Kurt MD
Ashland, KY 41101
Ashland, KY 41101
Provider ID: 667202
(866) 574-4111
(606) 324-2451
Gender: Male
Fax: (855) 855-4585
Fax: (606) 325-3266
Bellefonte Womens Care
00 Yrs/99 Yrs
00 Yrs/99 Yrs
2001 Winchester Ave
M-F 8:00 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
Ashland, KY 41101
(606) 324-7351
Fax: (606) 324-7359
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Cuthrell, William MD
kentucky.wellcare.com | 26
05/28/2015
Specialty Physicians
Boyd
Ophthalmology - cont.
Oakley, Maurice MD
Reams, Mary MD
Provider ID: TPV8847-01
Provider ID: TPV2838-01
Gussler, Carter MD
Gender: Male
Gender: Female
Provider ID: TPV5776-01
1901 Winchester Ave Ste 2430 Winchester Ave Ste
Gender: Male
102
B
2841 Lexington Ave
Ashland, KY 41101
Ashland, KY 41101
Ashland, KY 41101
(606) 329-2211
(606) 329-0799
(606) 324-2451
Fax: (606) 324-9207
Fax: (606) 329-0947
Fax: (606) 324-3266
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM M-F 8:00 AM - 4:00 PM
M-F 8:30 AM - 5:00 PM
F 8:30 AM - 2:30 PM
Stone, Thomas MD
Isernhagen, Ricky MD
Prescott, Daniel MD
Provider ID: TPV3445-07
Provider ID: TPV3610-07
Provider ID: TPV3488-05 Gender: Male
Gender: Male
Gender: Male
613 23rd St Ste 140
613 23rd St Ste 140
613 23rd St Ste 140
Ashland, KY 41101
Ashland, KY 41101
Ashland, KY 41101
(859) 263-3900
(859) 263-3900
(859) 263-3900
Fax: (859) 263-3757
Fax: (859) 263-3757
Fax: (859) 263-3757
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M 8:30 AM - 4:00 PM
M 8:30 AM - 4:00 PM
M 8:30 AM - 4:00 PM
Woods, William MD
Kitchens, John MD
Prescott, Daniel MD
Provider ID: TPV3540-07
Provider ID: TPV3659-07 Provider ID: TPV3488-08 Gender: Male
Gender: Male
Gender: Male
613 23rd St Ste 140
613 23rd St Ste 140
2841 Lexington Ave
Ashland, KY 41101
Ashland, KY 41101
Ashland, KY 41101
(859) 263-3900
(859) 263-3900
(859) 263-3900
Fax: (859) 263-3757
Fax: (859) 263-3757
Fax: (859) 977-1136
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M 8:30 AM - 4:00 PM
M 8:30 AM - 4:00 PM
Optometry
Purkiss, Todd MD
Kleinman, Mark MD
Provider ID: TPV2951-09
Adkins, Tiffany OD
Provider ID: TPV3485-07 Gender: Male
Provider ID: TPV14993-13
Gender: Male
2841 Lexington Ave
Gender: Female
2841 Lexington Ave
Ashland, KY 41101
500 Winchester Ave Ste
Ashland, KY 41101
(859) 263-3900
810
(859) 236-3900
Fax: (859) 263-3757
Ashland, KY 41101
Fax: (859) 977-1124
00 Yrs/99 Yrs
(606) 324-3672
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
MTWTHFSat 10:00 AM 9:00 PM
Sun 12:00 AM - 6:00 PM
kentucky.wellcare.com | 27
Ahmad, Bilal OD
Provider ID:
TPV23729-09
Gender: Male
500 Winchester Ave Ste
810
Ashland, KY 41101
(606) 324-3672
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM 9:00 PM
Sun 12:00 AM - 6:00 PM
Beauchamp, Johnathan
OD
Provider ID: TPV23732-09
Gender: Male
500 Winchester Ave Ste
810
Ashland, KY 41101
(606) 324-3672
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM 9:00 PM
Sun 12:00 AM - 6:00 PM
Bharadia, Mohamed OD
Provider ID: TPV103757-12
Gender: Male
500 Winchester Ave Ste
810
Ashland, KY 41101
(606) 324-3672
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Bowling, Aja OD
Provider ID: TPV3371-13
Gender: Female
500 Winchester Ave Ste
810
Ashland, KY 41101
(606) 324-3672
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM 9:00 PM
Sun 12:00 AM - 6:00 PM
05/28/2015
Specialty Physicians
Boyd
Optometry - cont.
Busey, Lannie OD
Crockett, Jason OD
Provider ID: TPV4869-13
Provider ID: TPV4717-15
Bowling, Joseph OD
Gender: Male
Gender: Male
Provider ID: TPV3527-01
500 Winchester Ave Ste 500 Winchester Ave Ste
Gender: Male
810
810
500 Winchester Ave Ste Ashland, KY 41101
Ashland, KY 41101
810
(606) 324-3672
(602) 324-3672
Ashland, KY 41101
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(606) 324-3672
MTWTHFSat 10:00 AM - MTWTHFSat 10:00 AM 00 Yrs/99 Yrs
9:00 PM
9:00 PM
MTWTHFSat 10:00 AM - Sun 12:00 AM - 6:00 PM
Sun 12:00 AM - 6:00 PM
9:00 PM
Edling, Marie OD
Sun 12:00 AM - 6:00 PM Case, Michael OD
Provider ID:
Provider ID: TPV3376-13
Brumit, Michael OD
TPV23297-08
Gender: Female
Provider ID:
Gender: Male
500 Winchester Ave Ste
TPV950000269-13
500 Winchester Ave Ste 810
Gender: Male
810
Ashland, KY 41101
500 Winchester Ave Ste Ashland, KY 41101
(606) 324-3672
810
(606) 324-3672
00 Yrs/99 Yrs
Ashland, KY 41101
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM (606) 324-3672
MTWTHFSat 10:00 AM - 9:00 PM
00 Yrs/99 Yrs
9:00 PM
Sun 12:00 AM - 6:00 PM
MTWTHFSat 10:00 AM - Sun 12:00 AM - 6:00 PM
9:00 PM
Eger, Michael OD
Sun 12:00 AM - 6:00 PM Coleman, Justin OD
Provider ID: TPV4975-13
Provider ID: TPV18437-17 Gender: Male
Buckner, James OD
Gender: Male
500 Winchester Ave Ste
Provider ID: TPV4689-14
500 Winchester Ave Ste 810
Gender: Male
810
Ashland, KY 41101
500 Winchester Ave Ste Ashland, KY 41101
(606) 324-3672
810
(606) 324-3672
00 Yrs/99 Yrs
Ashland, KY 41101
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM (606) 324-3672
MTWTHFSat 10:00 AM - 9:00 PM
00 Yrs/99 Yrs
9:00 PM
Sun 12:00 AM - 6:00 PM
MTWTHFSat 10:00 AM - Sun 12:00 AM - 6:00 PM
9:00 PM
Elliott, James OD
Cora,
Eduardo
OD
Sun 12:00 AM - 6:00 PM
Provider ID:
Provider ID: TPV4582-14
TPV1174688097WL
Burt, Kevin OD
Gender: Male
Gender: Male
Provider ID: TPV4845-13
500 Winchester Ave Ste 12504 US 60
Gender: Male
810
Ashland, KY 41102
500 Winchester Ave Ste Ashland, KY 41101
(606) 929-9510
810
(606) 324-3672
00 Yrs/99 Yrs
Ashland, KY 41101
00 Yrs/99 Yrs
(606) 324-3672
M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
Sat 9:00 AM - 5:30 PM
MTWTHFSat 10:00 AM - Sun 1:00 AM - 5:00 PM
9:00 PM
Sun 12:00 AM - 6:00 PM
kentucky.wellcare.com | 28
Epling, Kimberly OD
Provider ID: TPV5309-01
Gender: Female
2841 Lexington Ave
Ashland, KY 41101
(606) 324-2451
Fax: (606) 325-3266
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Ficarra, Anthony OD
Provider ID: TPV13354-13
Gender: Male
500 Winchester Ave Ste
810
Ashland, KY 41101
(606) 324-3672
Fax: (606) 324-4566
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM 9:00 PM
Sun 12:00 AM - 6:00 PM
Fleshman, Todd OD
Provider ID: TPV3382-13
Gender: Male
500 Winchester Ave Ste
810
Ashland, KY 41101
(606) 324-3672
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM 9:00 PM
Sun 12:00 AM - 6:00 PM
Gersh, Richard OD
Provider ID: TPV3379-13
Gender: Male
500 Winchester Ave Ste
810
Ashland, KY 41101
(606) 324-3672
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM 9:00 PM
Sun 12:00 AM - 6:00 PM
05/28/2015
Specialty Physicians
Boyd
Optometry - cont.
Jones, John OD
Leadingham, William OD Lynn, Mark OD
Provider ID: TPV5690-13
Provider ID: TPV3431-13
Glenn, Jason OD
Provider ID: TPV2842-01
Gender: Male
Gender: Male
Provider ID: TPV4719-13
500 Winchester Ave Ste Gender: Male
500 Winchester Ave Ste
Gender: Male
810
1330 Carter Ave Ste 3
810
500 Winchester Ave Ste Ashland, KY 41101
Ashland, KY 41101
Ashland, KY 41101
810
(606) 324-3672
(606) 329-8672
(606) 324-3672
Ashland, KY 41101
00 Yrs/99 Yrs
Fax: (606) 329-1259
00 Yrs/99 Yrs
(606) 324-3672
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM Klutts, Fred OD
00 Yrs/99 Yrs
M-TH 9:00 AM - 7:30 PM 9:00 PM
MTWTHFSat 10:00 AM - Provider ID: TPV3420-13
Sun 12:00 AM - 6:00 PM
F 9:00 AM - 5:00 PM
9:00 PM
Gender: Male
Sun 12:00 AM - 6:00 PM
500 Winchester Ave Ste Leadingham, William OD Lysandrou, Aristotle OD
810
Green, Rebecca OD
Ashland, KY 41101
Provider ID: TPV2842-02 Provider ID:
Provider ID: TPV18575-13 (606) 324-3672
TPV1750491189WL
Gender: Male
Gender: Female
Gender: Male
00 Yrs/99 Yrs
1330 Carter Ave Ste 1
500 Winchester Ave Ste MTWTHFSat 10:00 AM - Ashland, KY 41101
451 River Hill DR
810
Ashland, KY 41101
9:00 PM
(606) 325-9659
Ashland, KY 41101
(606) 329-2020
Sun 12:00 AM - 6:00 PM
Fax: (606) 329-1258
(606) 324-3672
Fax: (606) 329-2033
00 Yrs/99 Yrs
Lawrence, Stephen OD
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
MTWTHFSat 10:00 AM alysandrou@windstream.
Provider ID: TPV5184-14 Love, Marcus OD
9:00 PM
net
Gender: Male
Sun 12:00 AM - 6:00 PM
Provider ID: TPV3422-13
MWTH 9:00 AM - 6:00
500 Winchester Ave Ste Gender: Male
PM
Henderson, Richard OD
810
500 Winchester Ave Ste TF 9:00 AM - 3:00 PM
Ashland, KY 41101
810
Provider ID: TPV3387-13
Maroudis, Phillip OD
(606) 324-3672
Ashland, KY 41101
Gender: Male
Provider ID: TPV3286-01
00 Yrs/99 Yrs
(606) 324-3672
500 Winchester Ave Ste MTWTHFSat 10:00 AM - 00 Yrs/99 Yrs
Gender: Male
810
9:00 PM
MTWTHFSat 10:00 AM - 1201 13th St
Ashland, KY 41101
Sun 12:00 AM - 6:00 PM
Ashland, KY 41101
9:00 PM
(606) 324-3672
(606) 329-1404
Sun
12:00
AM
6:00
PM
Leadingham, John OD
00 Yrs/99 Yrs
Fax: (606) 325-7446
MTWTHFSat 10:00 AM - Provider ID: TPV2841-01 Luckett, James OD
00 Yrs/99 Yrs
9:00 PM
Gender: Male
Provider ID: TPV3427-13
M 9:00 AM - 5:00 PM
Sun 12:00 AM - 6:00 PM
1330 Carter Ave Ste 1
Gender: Male
T 8:30 AM - 6:00 PM
Ashland, KY 41101
500
Winchester
Ave
Ste
WTHF 8:30 AM - 5:00
Johnson, Douglas OD
(606) 325-9659
810
PM
Provider ID: TPV3408-13
Fax: (606) 329-1258
Ashland, KY 41101
Sat 8:00 AM - 12:00 PM
Gender: Male
00 Yrs/99 Yrs
(606) 324-3672
500 Winchester Ave Ste M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
810
MTWTHFSat 10:00 AM Ashland, KY 41101
9:00 PM
(606) 324-3672
Sun 12:00 AM - 6:00 PM
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM 9:00 PM
Sun 12:00 AM - 6:00 PM
kentucky.wellcare.com | 29
05/28/2015
Specialty Physicians
Boyd
Optometry - cont.
Maroudis, Socrates OD
Provider ID: TPV3287-01
Gender: Male
1201 13th St
Ashland, KY 41101
(606) 329-1404
Fax: (606) 325-7446
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Meyer, Victor OD
Provider ID: TPV3434-13
Gender: Male
500 Winchester Ave Ste
810
Ashland, KY 41101
(606) 324-3672
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM 9:00 PM
Sun 12:00 AM - 6:00 PM
Montalvo, Noemi OD
Provider ID: TPV3455-13
Gender: Female
500 Winchester Ave Ste
810
Ashland, KY 41101
(606) 324-3672
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM 9:00 PM
Sun 12:00 AM - 6:00 PM
Morton, John OD
Provider ID: TPV3298-01
Gender: Male
1201 13th St
Ashland, KY 41101
(606) 329-1404
Fax: (606) 325-7446
00 Yrs/99 Yrs
M 9:00 AM - 5:00 PM
T 8:30 AM - 6:00 PM
WTHF 8:30 AM - 5:00
PM
Sat 8:00 AM - 12:00 PM
Nagatoshi, Raymond OD Partain, Jeffrey OD
Provider ID: TPV4733-13
Provider ID: TPV3456-13
Gender: Male
Gender: Male
500 Winchester Ave Ste
500 Winchester Ave Ste 810
810
Ashland, KY 41101
Ashland, KY 41101
(606) 324-3672
(606) 324-3672
00 Yrs/99 Yrs
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM MTWTHFSat 10:00 AM - 9:00 PM
9:00 PM
Sun 12:00 AM - 6:00 PM
Sun 12:00 AM - 6:00 PM
Pearce, Ronald OD
Nolan-Rose, Laura OD
Provider ID: TPV5133-01
Gender: Male
Provider ID: TPV13482-13 1517 1/2 Winchester Ave
Gender: Female
Ashland, KY 41101
500 Winchester Ave Ste (606) 324-1220
810
00 Yrs/99 Yrs
Ashland, KY 41101
Price, Martin OD
(606) 324-3672
Provider ID: TPV3461-08
Fax: (606) 324-4566
Gender: Male
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM - 500 Winchester Ave Ste
810
9:00 PM
Ashland, KY 41101
Sun 12:00 AM - 6:00 PM
(606) 324-3672
Oliver, Heather OD
00 Yrs/99 Yrs
Provider ID: TPV18436-19 MTWTHFSat 10:00 AM Gender: Female
9:00 PM
500 Winchester Ave Ste Sun 12:00 AM - 6:00 PM
810
Pulliam, Mark OD
Ashland, KY 41101
Provider ID: TPV3462-17
(606) 324-3672
Gender: Male
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM - 500 Winchester Ave Ste
810
9:00 PM
Ashland, KY 41101
Sun 12:00 AM - 6:00 PM
(606) 324-3672
Omar, Rashid OD
00 Yrs/99 Yrs
Provider ID: TPV3459-13
MTWTHFSat 10:00 AM Gender: Male
9:00 PM
500 Winchester Ave Ste Sun 12:00 AM - 6:00 PM
810
Ashland, KY 41101
(606) 324-3672
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM 9:00 PM
Sun 12:00 AM - 6:00 PM
kentucky.wellcare.com | 30
Roberts, Keith OD
Provider ID: TPV4829-22
Gender: Male
500 Winchester Ave Ste
810
Ashland, KY 41101
(606) 324-3672
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Robertson, Paul OD
Provider ID: TPV5034-19
Gender: Male
500 Winchester Ave Ste
810
Ashland, KY 41101
(859) 625-1004
Fax: (859) 624-0907
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM 9:00 PM
Sun 12:00 AM - 6:00 PM
Rogers, Brian OD
Provider ID:
TPV24982-09
Gender: Male
500 Winchester Ave Ste
810
Ashland, KY 41101
(606) 324-3672
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM 9:00 PM
Sun 12:00 AM - 6:00 PM
Rubesh, Grant OD
Provider ID: TPV3465-11
Gender: Male
500 Winchester Ave Ste
810
Ashland, KY 41101
(606) 324-3672
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM 9:00 PM
Sun 12:00 AM - 6:00 PM
05/28/2015
Specialty Physicians
Boyd
Optometry - cont.
Orthopaedic Surgery
Spear, Steven OD
Taylor, Terri OD
Provider ID: TPV5206-11
Provider ID: TPV6241-13
Salee, Sarah OD
Cheung, Felix MD
Gender: Male
Gender: Female
Provider ID: TPV5151-13
500 Winchester Ave Ste 500 Winchester Ave Ste Provider ID: 649926
Gender: Female
Gender: Male
810
810
500 Winchester Ave Ste Ashland, KY 41101
University Orthopaedics
Ashland, KY 41101
810
613 23rd St Ste 350
(606) 324-3672
(606) 324-3672
Ashland, KY 41101
Ashland, KY 41101
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(606) 324-3672
MTWTHFSat 10:00 AM - MTWTHFSat 10:00 AM - (606) 327-0036
00 Yrs/99 Yrs
Fax: (606) 326-1159
9:00 PM
9:00 PM
MTWTHFSat 10:00 AM - Sun 12:00 AM - 6:00 PM
00 Yrs/99 Yrs
Sun 12:00 AM - 6:00 PM
9:00 PM
Cabell Huntington
Wolf, Nicholas OD
Sun 12:00 AM - 6:00 PM Stanis, Carl OD
Hospital
Provider ID: TPV3468-12
Provider ID: TPV13175-20 M-F 8:00 AM - 4:30 PM
Smith, Stephen OD
Gender: Male
Gender: Male
500 Winchester Ave Ste 500 Winchester Ave Ste Giangarra, Charles MD
Provider ID: TPV5187-09
810
810
Gender: Male
Provider ID: 909487
Ashland, KY 41101
Ashland, KY 41101
500 Winchester Ave Ste (606) 324-3672
Gender: Male
(606) 324-3672
810
University Orthopaedics
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Ashland, KY 41101
613 23rd St Ste 350
MTWTHFSat 10:00 AM - M-F 9:00 AM - 8:00 PM
(606) 324-3672
Ashland, KY 41101
9:00 PM
Sat 9:00 AM - 5:30 PM
00 Yrs/99 Yrs
(606) 327-0036
Sun 12:00 AM - 6:00 PM
Sun 1:00 AM - 5:00 PM
MTWTHFSat 10:00 AM Fax: (606) 326-1159
9:00 PM
Sydnor, Carl OD
Oral & Maxillofacial
00 Yrs/99 Yrs
Surgery
Sun 12:00 AM - 6:00 PM
Provider ID: TPV4434-24
Cabell Huntington
Gender: Male
Hospital
Snead, Kevin OD
500 Winchester Ave Ste Mayer, Jerry DMD
M-F 8:00 AM - 4:30 PM
Provider ID: TPV4850-10
Provider ID:
810
Gender: Male
TPV73635DM-01
Goodwin, Michael MD
Ashland, KY 41101
500 Winchester Ave Ste (606) 324-3672
Gender: Male
810
400 Saint Christopher
Provider ID: 646851
00 Yrs/99 Yrs
Ashland, KY 41101
DR
Gender: Male
M-F 8:00 AM - 5:00 PM
(606) 324-3672
Ashland, KY 41101
Michael J Goodwin MD
00 Yrs/99 Yrs
Tabassi, Bita OD
(606) 833-0303
PSC
MTWTHFSat 10:00 AM - Provider ID: TPV4405-15
00 Yrs/99 Yrs
1000 Ashland Dr Ste 103
9:00 PM
Gender: Female
M-F 8:00 AM - 5:00 PM
Ashland, KY 41101
Sun 12:00 AM - 6:00 PM
500 Winchester Ave Ste
(606) 325-0227
810
Fax: (606) 324-0126
Souleyrette, Dale OD
Ashland, KY 41101
00 Yrs/99 Yrs
Provider ID: TPV3467-13
(606) 324-3672
Kings Daughters Rehab
Gender: Male
00 Yrs/99 Yrs
Dpu
500 Winchester Ave Ste MTWTHFSat 10:00 AM Our Lady of Bellefonte
810
9:00 PM
Hospital
Ashland, KY 41101
Sun 12:00 AM - 6:00 PM
M-F 8:00 AM - 5:00 PM
(606) 324-3672
00 Yrs/99 Yrs
MTWTHFSat 10:00 AM 9:00 PM
Sun 12:00 AM - 6:00 PM
kentucky.wellcare.com | 31
05/28/2015
Specialty Physicians
Boyd
Orthopaedic Surgery cont.
Novotny, Steven MD
Friday, Michele MD
Leahy, Ryan MD
Provider ID: 633874
Provider ID: 631604
Provider ID: 813057
Gender: Female
Gender: Male
Jasko, John MD
Gender: Male
Bellefonte Heart Care
Ulrf Pediatric Cardiology
Provider ID: 654229
Ashland Ortho Office
1180 Saint Christopher Dr 2201 Lexington Ave Ste
Gender: Male
613 23rd St Ste 350
Ste 2
G-10
University Orthopaedics Ashland, KY 41101
Ashland, KY 41101
Ashland, KY 41101
613 23rd St Ste 350
(606) 327-0036
(606) 833-0144
(502) 585-4802
Ashland, KY 41101
Fax: (606) 326-1159
Fax: (606) 833-0113
Fax: (502) 589-1256
(606) 327-0036
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/18 Yrs
Fax: (606) 326-1159
Cabell Huntington
M-F 8:00 AM - 5:00 PM
Kosair Childrens Medical
18 Yrs/99 Yrs
Hospital
Center Brownsb
Cabell Huntington
M-F 8:00 AM - 4:30 PM Johnsrude, Christopher
M-F 8:00 AM - 5:00 PM
MD
Hospital
Provider ID: 601837
Matta, Jyothi MD
M-F 8:00 AM - 4:30 PM Rice, James MD
Provider ID: 751158
Gender: Male
Provider ID: 602336
Leith, Joseph MD
Gender: Male
Ulrf Pediatric Cardiology Gender: Female
Provider ID: 667414
Kings Daughters Medical 2201 Lexington Ave Ste
Ulrf Pediatric Cardiology
Gender: Male
Specialties
G10
2201 Lexington Ave Ste
Rivers Cities Bone Joint
613 23rd St Ste 350
Ashland, KY 41101
G-10
Center
Ashland, KY 41101
(502) 585-4802
Ashland, KY 41101
1000 Ashland Dr Ste 103
(606) 327-0036
Fax: (502) 589-1256
(502) 585-4802
Ashland, KY 41101
Fax: (606) 326-1159
00 Yrs/18 Yrs
Fax: (502) 589-1256
(606) 324-0097
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Fax: (606) 324-0126
Kings Daughters Medical
Kosair Childrens Medical
Keller, Bradley MD
00 Yrs/99 Yrs
Center
Center Brownsb
Provider ID: 631924
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 4:00 PM
M-F 8:00 AM - 5:00 PM
Gender: Male
Love, Thomas MD
Pediatric Cardiology
Ulrf Pediatric Cardiology Neal, Ashley MD
Provider ID: 671264
Provider ID: 1027382
2201 Lexington Ave Ste
Bullock, Smitha MD
Gender: Male
G10
Gender: Female
Provider ID: 727257
Thomas R Love MD
Ashland, KY 41101
Ulrf Pediatric Cardiology
Gender: Female
1100 St Christopher Dr
(502) 585-4802
2201 Lexington Ave Ste
Ulrf Pediatric Cardiology Fax: (502) 589-1256
Ashland, KY 41101
G10
2201 Lexington Ave Ste
(606) 836-0921
Ashland, KY 41101
00 Yrs/18 Yrs
G-10
Fax: (606) 836-8175
(502) 585-4802
M-F 8:00 AM - 5:00 PM
Ashland, KY 41101
00 Yrs/99 Yrs
Fax: (502) 589-1256
(502) 585-4802
Kim, Edward MD
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Fax: (502) 589-1256
Provider ID: 602973
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Gender: Male
M-F 8:00 AM - 5:00 PM
Ulrf Pediatric Cardiology
2201 Lexington Ave Ste
G10
Ashland, KY 41101
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/99 Yrs
Norton Hospital
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 32
05/28/2015
Specialty Physicians
Boyd
Pediatric Cardiology cont.
Pediatrics
Sanders, Lynda MD
Mussetter, Nancy DMD
Bullock, Smitha MD
Provider ID: 630405
Provider ID: TPV3836-02
Sobczyk, Walter MD
Provider ID: 727257
Gender: Female
Gender: Female
Provider ID: 604601
Gender: Female
Pediatrix Medicalgroup
1000 Saint Christopher
Gender: Male
Ulrf Pediatric Cardiology of Kentucky
Blvd
Ulrf Pediatric Cardiology 2201 Lexington Ave Ste
2201 Lexington Ave
Ashland, KY 41101
2201 Lexington Ave Ste
G-10
Ashland, KY 41101
(606) 833-4069
G10
Ashland, KY 41101
(606) 408-4000
Fax: (606) 833-4072
Ashland, KY 41101
(502) 585-4802
00 Yrs/01 Yrs
00 Yrs/99 Yrs
(502) 585-4802
Fax: (502) 589-1256
Cincinnati Childrens
M-F 8:00 AM - 5:00 PM
Fax: (502) 589-1256
00 Yrs/99 Yrs
Hospital Medical Center
Mussetter, Nancy DMD
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
MTWTHFSatSun 8:00
Jennie Stuart Medical
AM - 8:00 PM
Leahy, Ryan MD
Provider ID: TPV3836-03
Center
Provider
ID:
631604
Sparks,
Joshua
MD
Gender: Female
M-F 8:00 AM - 5:00 PM
Gender: Male
Provider ID: 723048
2201 Lexington Ave
Sparks, Joshua MD
Ulrf Pediatric Cardiology Gender: Male
Ashland, KY 41101
Provider ID: 723048
2201 Lexington Ave Ste
Ulrf Pediatric Cardiology (606) 327-4000
Gender: Male
G-10
2201 Lexington Ave Ste
Fax: (606) 327-5203
Ulrf Pediatric Cardiology Ashland, KY 41101
G10
00 Yrs/99 Yrs
2201 Lexington Ave Ste
(502) 585-4802
Ashland, KY 41101
M-F 8:00 AM - 5:00 PM
G10
Fax: (502) 589-1256
(502) 585-4802
Ashland, KY 41101
Spradlin, Glenn DMD
00 Yrs/18 Yrs
Fax: (502) 589-1256
(502) 585-4802
Provider ID: TPV3837-01
Kosair Childrens Medical 00 Yrs/99 Yrs
Fax: (502) 589-1256
Gender: Male
Center Brownsb
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
2000 Carter Ave
M-F 8:00 AM - 5:00 PM
Pedodontics
M-F 8:00 AM - 5:00 PM
Ashland, KY 41101
Matta, Jyothi MD
(606) 329-1440
Mussetter, Nancy DMD
Wright, Lucinda MD
Provider ID: 602336
Fax: (606) 329-2441
Provider ID: 601497
Gender: Female
00 Yrs/16 Yrs
Gender: Female
Ulrf Pediatric Cardiology Provider ID: TPV3836-01
M-F 8:00 AM - 5:00 PM
Gender: Female
Ulrf Pediatric Cardiology 2201 Lexington Ave Ste
2000 Carter Ave
Physical Medicine &
2201 Lexington Ave Ste
G-10
Ashland,
KY
41101
Rehabilitation
G10
Ashland, KY 41101
(606)
329-1440
Ashland, KY 41101
(502) 585-4802
Bell, Harry MD
Fax: (606) 329-2441
(502) 585-4802
Fax: (502) 589-1256
Provider ID: 667161
00 Yrs/99 Yrs
Fax: (502) 589-1256
00 Yrs/99 Yrs
00 Yrs/18 Yrs
Kosair Childrens Medical pediatricteeth@roadrunner. Gender: Male
Advanced Pain
com
Kosair Childrens Medical Center Brownsb
Physicians
M-TH
8:00
AM
6:00
PM
Center Brownsb
M-F 8:00 AM - 5:00 PM
1101 Saint Christopher Dr
Norton Hospital
Ste 200
M-F 8:00 AM - 5:00 PM
Ashland, KY 41101
(606) 833-6210
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 33
05/28/2015
Specialty Physicians
Boyd
Physical Medicine &
Rehabilitation - cont.
Pandya, Dhruv MD
Provider ID: 631302
Gender: Male
Ashland Physiatry And
Pain Manageme
617 23rd St Ste 8B Plaza
A
Ashland, KY 41101
(606) 408-7230
Fax: (606) 408-7426
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Patel, Ushma MD
Provider ID: 626168
Gender: Female
Ashland Physiatry And
Pain Manageme
617 23rd St Ste 8B
Ashland, KY 41101
(606) 408-7230
Fax: (606) 408-7426
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Walters, Chadwick DO
Provider ID: 912220
Gender: Male
Chad Walters DO LLC
2150 Carter Ave
Ashland, KY 41101
(502) 491-9590
Fax: (502) 491-9590
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
Plastic & Reconstructive
Surgery
Podiatry
Ehrie, Michael MD
Provider ID: 671437
Gender: Male
Michael G Ehrie Jr MD
1150 Saint Christopher Dr
Ashland, KY 41101
(606) 836-9622
Fax: (606) 836-1986
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Bailey, Brian DPM
Lackey, Phillip MD
Provider ID: 609120
Provider ID: 629590
Gender: Male
Gender: Male
Body Mind Spirit
Bellefonte Cosmetic &
Podiatric Center
Reconstructiv
500 14th St
2001 Winchester Ave Ste Ashland, KY 41101
2
(606) 324-3668
Ashland, KY 41101
Fax: (606) 324-0668
(606) 325-0753
00 Yrs/99 Yrs
Nelson, Scott MD
Fax: (606) 325-0757
M-F 9:00 AM - 5:00 PM
Provider ID: 633280
00 Yrs/99 Yrs
Gender: Male
M-F 8:00 AM - 5:00 PM Dowdy, Phillip DPM
Kings Daughters Medical
Provider ID: 636600
Specialties
Rogers, William MD
Gender: Male
613 23rd St Ste G30
Provider ID: 633328
Bellefonte Foot Care
Ashland, KY 41101
Gender: Male
1000 Ashland Dr Ste 104
(606) 329-1185
Kdmc Wound Care
Ashland, KY 41101
Fax: (606) 324-0585
Center
(606) 833-6260
00 Yrs/99 Yrs
617 23rd St Ste 215
Fax: (606) 833-6261
M-TH 8:30 AM - 5:00 PM
Ashland, KY 41101
00 Yrs/99 Yrs
F 8:30 AM - 3:00 PM
(606) 408-1260
Lake Cumberland
Fax: (606) 408-4063
Regional Hospital
Roberts, Sabrina MD
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 999501
M-F 8:00 AM - 4:30 PM
Gender: Female
Pulmonary Disease
Bellefonte Pulmonary
Rogers, William MD
Associates
Abul-Khoudoud,
Provider ID: 633328
1150 Saint Christopher Dr
Mohamed MD
Gender: Male
Ashland, KY 41101
Kings Daughters Medical Provider ID: 835271
(606) 833-2177
Gender: Male
Specialties
Kings Daughters Medical 00 Yrs/99 Yrs
613 23rd St Ste 420
Our Lady of Bellefonte
Specialti
Ashland, KY 41101
Hospital
613 23rd St Ste G30
(606) 324-7146
M-F 8:00 AM - 5:00 PM
Ashland, KY 41101
Fax: (606) 324-5165
(606) 329-1185
00 Yrs/99 Yrs
Fax: (606) 324-0585
M-F 8:00 AM - 4:30 PM
00 Yrs/99 Yrs
Kings Daughters Medical
Center
M-TH 8:30 AM - 5:00 PM
F 8:30 AM - 3:00 PM
kentucky.wellcare.com | 34
05/28/2015
Specialty Physicians
Boyd
Pulmonary Disease - cont. Justice, Terry MD
Provider ID: 632628
Stark, Gregory MD
Gender: Male
Provider ID: 681760
Ashland Radiation
Gender: Male
Oncology Ps
King's Daughters'
706 23rd St
Medical Specialti
Ashland, KY 41101
613 23rd St Ste G30
(606) 329-0060
Medcial Plaza B
Fax: (606) 325-9366
Ashland, KY 41101
00 Yrs/99 Yrs
(606) 329-1185
Kings Daughters Medical
Fax: (606) 324-0585
Center
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Kings Daughters Medical
Center
Lopez, Jeffrey MD
M-F 8:30 AM - 5:00 PM
Provider ID: 636335
Gender: Male
Thorarinsson, Bjorn MD
Ashland Radiation
Oncology Ps
Provider ID: 633351
706 23rd St
Gender: Male
Ashland, KY 41101
Kings Daughters Medical (606) 329-0060
Specialties
Fax: (606) 325-9366
613 23rd St Ste G30
00 Yrs/99 Yrs
Ashland, KY 41101
M-F 8:00 AM - 5:00 PM
(606) 329-1185
Fax: (606) 324-0585
O'Laughlin, Robert MD
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM Provider ID: 711448
F 8:30 AM - 3:00 PM
Gender: Male
Ashland-Bellefonte
Radiation Oncology
Cancer Center
122 St. Christopher Dr
Batoo, Sameer MD
Ashland, KY 41101
Provider ID: 1044641
(606) 836-7377
Gender: Male
Fax: (606) 836-2189
Ashland-Bellefonte
00 Yrs/99 Yrs
Cancer Center
122 Saint Christopher DR M-F 9:00 AM - 5:00 PM
Ashland, KY 41101
(606) 836-0202
Fax: (606) 836-2189
00 Yrs/99 Yrs
Kings Daughters Medical
Center
M-F 9:00 AM - 5:00 PM
Rheumatology
Urology
Samuel, Mathew MD
Chopra, Sonia MD
Provider ID: 644556
Provider ID: 707596
Gender: Male
Gender: Female
Tri State Arthritis Center Sonia Chopra MD PSC
2154 Carter Ave Ste D
336 29th St
Ashland, KY 41101
Ashland, KY 41101
(606) 325-9224
(606) 324-4404
Fax: (606) 325-4554
Fax: (606) 325-6822
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Kings Daughters Medical
Center
Sports Medicine
M-F 8:00 AM - 5:00 PM
Gilliland, Charles MD
Defade, Brian DO
Provider ID: 629552
Provider ID: 638445
Gender: Male
Gender: Male
Bellefonte Urological
Kings Daughters Medical Associates
Specialti
1101 Saint Christopher Dr
613 23rd St Ste G30
Ste 320
Ashland, KY 41101
Ashland, KY 41101
(606) 327-0036
(606) 833-6235
Fax: (606) 326-1159
Fax: (606) 833-4668
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M 9:00 AM - 12:00 PM
M-F 8:00 AM - 5:00 PM
Thoracic & Cardiovascular Dixon, Justin MD
Surgery
Provider ID: 899810
Gender: Male
Fried, Robert MD
Justin K Dixon MD PSC
Provider ID: 674713
336 29th St
Gender: Male
Kentucky Heart Institute Ashland, KY 41101
(606) 324-4404
613 23rd St Ste 230
Fax: (606) 324-5682
Ashland, KY 41101
00 Yrs/99 Yrs
(606) 326-9847
Kings Daughters Medical
Fax: (606) 326-0165
Center
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Kings Daughters Rehab
Dpu
Our Lady of Bellefonte
Hospital
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 35
05/28/2015
Specialty Physicians
Boyd
Urology - cont.
Dixon, Timothy MD
Provider ID: 675056
Gender: Male
Tk Dixon MD PSC
336 29th St
Ashland, KY 41101
(606) 324-4404
Fax: (606) 325-6822
00 Yrs/99 Yrs
Kings Daughters Rehab
Dpu
Our Lady of Bellefonte
Hospital
M-F 8:00 AM - 5:00 PM
Krick, James DO
Provider ID: 632800
Gender: Male
Ashland Urology, PSC
336 29th St
Ashland, KY 41101
(606) 329-1312
Fax: (606) 324-6736
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Thorndyke, William MD
Provider ID: 602057
Gender: Male
Wc Thorndyke Urology
336 29th St
Ashland, KY 41101
(606) 324-4404
Fax: (606) 325-6822
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Thorndyke, William MD
Provider ID: 671306
Gender: Male
Wc Thorndyke Urology
336 29th St
Ashland, KY 41101
(606) 324-4404
Fax: (606) 325-6822
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Abul Khoudoud, Omran
MD
Provider ID: 630481
Gender: Male
Kentucky Heart Institute
613 23rd St Ste 140
Ashland, KY 41101
(606) 326-1675
Fax: (606) 326-1436
00 Yrs/99 Yrs
Kings Daughters Medical
Unnikrishnan, Edakkunny Center
MD
M-F 8:00 AM - 5:00 PM
Provider ID: 644407
Alhalbouni, Saadi MD
Gender: Male
Provider ID: 930934
900 St Christopher Dr
Ste 201
Gender: Female
Ashland, KY 41101
Ashland Bellefonte
Cardiology
(606) 836-2311
800 Saint Christopher Dr
Fax: (606) 836-3616
Ashland, KY 41101
00 Yrs/99 Yrs
(606) 836-9613
M-F 9:00 AM - 5:00 PM
Fax: (606) 836-0026
Vascular Surgery
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Abul Khoudoud, Omran
MD
Hou, Alexander MD
Provider ID: 630481
Provider ID: 637278
Gender: Male
Gender: Male
Kdmc
Vascular Institute of
2201 Lexington Ave
Kentucky
Ashland, KY 41101
617-23rd St Ste 445
(606) 408-4452
Ashland, KY 41101
Fax: (606) 408-7426
(606) 324-1070
00 Yrs/99 Yrs
Fax: (606) 324-1071
Kings Daughters Medical 00 Yrs/99 Yrs
Center
Kings Daughters Medical
M-F 8:00 AM - 5:00 PM
Center
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 36
05/28/2015
Specialty Physicians
Bracken
General Dentistry
Jefferson, Tara DMD
Provider ID: TPV3911-01
Gender: Female
224 Frankfort St
Brooksville, KY 41004
(606) 735-3114
00 Yrs/99 Yrs
MWTH 9:00 AM - 5:00
PM
T 9:00 AM - 6:00 PM
McCord, Gary DMD
Provider ID: TPV3158-01
Gender: Male
224 Frankfort St
Brooksville, KY 41004
(606) 735-3114
00 Yrs/99 Yrs
MWTH 9:00 AM - 5:00
PM
T 9:00 AM - 6:00 PM
kentucky.wellcare.com | 37
05/28/2015
Specialty Physicians
Carter
Cardiology
Gastroenterology
Jordan, Kevin DMD
Provider ID: TPV3778-01
Bush, David MD
Warrier, Rajkumar MD
Gender: Male
Provider ID: 630564
154 Scott St
Provider ID: 684578
Gender: Male
Olive Hill, KY 41164
Kings Daughters Medical Gender: Male
(606) 286-4121
Specialties
Kings Daughters Medical 00 Yrs/99 Yrs
609 N Carol Malone Blvd Specialti
M-F 8:00 AM - 4:00 PM
Ste 105
609 N Carol Malone Blvd
Grayson, KY 41143
Grayson, KY 41143
Optometry
(606) 474-2235
(606) 474-7892
Fannin, Roger OD
Fax: (606) 326-0165
Fax: (606) 474-0040
Provider ID: TPV3252-01
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Kings Daughters Medical Gender: Male
313 South Carol Malone
Center
Klein, Roger MD
Blvd
Our Lady of Bellefonte
Provider ID: 671075
Grayson, KY 41143
Hospital
Gender: Male
(606) 474-7833
M-F 9:00 AM - 5:00 PM
King's Daughters'
Fax: (606) 474-3563
General Dentistry
Medical Specialti
00 Yrs/99 Yrs
609 N. Carol Malone
M 8:30 AM - 6:00 PM
Baker, Randall DMD
Blvd Ste 105
TF 8:30 AM - 5:00 PM
Provider ID: TPV3741-01
Grayson, KY 41143
W 8:30 AM - 12:00 PM
Gender: Male
(606) 474-2235
TH 9:00 AM - 5:00 PM
131 Jessica Lane Ste D
Fax: (606) 474-2236
Olive Hill, KY 41164
Kee, Anthony OD
00 Yrs/99 Yrs
(606)
286-5980
Provider ID: TPV3238-01
Kings Daughters Medical
00
Yrs/99
Yrs
Gender: Male
Center
M-TH 8:00 AM - 5:00 PM 166 South Carol Malone
M-F 8:00 AM - 5:00 PM
Blvd Ste A
Howard, Charles DMD
Chiropractic
Grayson, KY 41143
Provider ID: TPV4235-01
(606) 474-2940
Fischer, John DC
Gender: Male
Provider ID: 613008
500 North Carol Malone Fax: (606) 474-2944
00 Yrs/99 Yrs
Blvd
Gender: Male
MTWTHFSatSun 9:00
Grayson, KY 41143
Grayson Chiropractic
AM - 5:00 PM
Center
(606) 474-6655
308 Horton St Ste 2
Fax: (606) 474-9575
McCloud, Jason OD
Grayson, KY 41143
00 Yrs/99 Yrs
Provider ID: TPV3290-01
(606) 474-6445
MWTH 10:00 AM - 3:30
Gender: Male
PM
Fax: (606) 474-6445
107 East Main St
T 1:00 AM - 4:00 PM
00 Yrs/99 Yrs
Grayson, KY 41143
MWTH 8:30 AM - 6:00
(606) 474-5149
PM
Fax: (606) 474-0648
T 2:00 AM - 6:00 PM
00 Yrs/99 Yrs
F 8:30 AM - 12:00 PM
Languages: Spanish
M 9:00 AM - 7:00 PM
TWTHF 9:00 AM - 4:30
PM
Sat 9:00 AM - 2:00 PM
kentucky.wellcare.com | 38
West, Mary OD
Provider ID: TPV3303-01
Gender: Female
313 South Carol Malone
Blvd
Grayson, KY 41143
(606) 474-7833
Fax: (606) 474-3563
00 Yrs/99 Yrs
M 8:00 AM - 7:00 PM
TTHF 8:00 AM - 5:00 PM
W 8:00 AM - 12:00 PM
Sports Medicine
Gilliland, Charles MD
Provider ID: 638445
Gender: Male
Kings Daughters Medical
Specialties
609 N Carol Malone Blvd
Grayson, KY 41143
(606) 474-7892
Fax: (606) 474-0040
00 Yrs/99 Yrs
M 9:00 AM - 12:00 PM
05/28/2015
Specialty Physicians
Elliott
General Dentistry
Buckner, Kimberly DMD
Provider ID: TPV3634-01
Gender: Female
Hwy 7 & 32
Sandy Hook, KY 41171
(606) 738-5545
Fax: (606) 738-5405
00 Yrs/99 Yrs
MF 9:00 AM - 1:00 PM
TWTH 9:00 AM - 4:30
PM
Oliver, Garry DMD
Provider ID:
TPV83396DM-01
Gender: Male
437 South Kentucky Rte
706
Isonville, KY 41149
(606) 738-6904
Fax: (606) 738-6904
00 Yrs/99 Yrs
M-TH 7:00 AM - 4:00 PM
kentucky.wellcare.com | 39
05/28/2015
Specialty Physicians
Fleming
Allergy & Immunology
Wise, Marshall MD
Provider ID: 693617
Gender: Male
Allergy Partners of
Greater Cincinn
920 Elizaville Ave
Flemingsburg, KY 41041
(859) 746-8737
Fax: (859) 746-0128
00 Yrs/99 Yrs
M 8:00 AM - 5:00 PM
Spurlock, William DC
Provider ID: 641700
Gender: Male
Spurlock Chiropractic
Centre and Ke
101 Jb Shannon Dr Ste A
Flemingsburg, KY 41041
(606) 209-0020
Fax: (606) 209-0022
16 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
General Dentistry
Medical Oncology
Kalb, Kent DMD
Zaydan, Muhammad-Ali
MD
Provider ID:
TPV58484DM-01
Provider ID: 620634
Gender: Male
Gender: Male
813 Elizaville Ave
Fleming County Clinic
Flemingsburg, KY 41041
920 Elizaville Ave
(606) 845-3010
Flemingsburg, KY 41041
Fax: (606) 849-4004
(859) 499-1000
00 Yrs/99 Yrs
Fax: (859) 499-4181
M-TH 9:00 AM - 5:00 PM 00 Yrs/99 Yrs
Ear, Nose & Throat
MT 3:00 AM - 5:00 PM
Perkins, Thomas DMD
Cardiology
Obstetrics/Gynecology
Conrad, Paul MD
Provider ID:
TPV57643DM-01
Provider ID: 646272
Srinivasan, Raghuraman
Doty, David DO
Gender: Male
Gender: Male
MD
Provider ID: 619640
708 Elizaville Ave
Entlc PSC
Provider ID: 633260
Gender: Male
Flemingsburg, KY 41041
932 Elizaville Ave
Gender: Male
Lewis County Primary
(606) 849-2151
Flemingsburg, KY 41041
Heart Smart Plc
Care Center
Fax: (606) 845-0510
(606) 759-4852
932 Elizaville Ave Fleming Fax: (606) 759-0122
520 Elizabeth Ave
00 Yrs/99 Yrs
Co Specialty Clinic
M-TH 8:30 AM - 4:00 PM Flemingsburg, KY 41041
00 Yrs/99 Yrs
Flemingsburg, KY 41041
(606) 845-0028
Fleming County Hospital
General Surgery
(606) 845-9507
Fax: (606) 845-0263
M 8:00 AM - 11:30 PM
Fax: (606) 849-5046
12 Yrs/99 Yrs
Demoya, Jose MD
16 Yrs/99 Yrs
Lawson, Victor MD
M-F 8:00 AM - 5:00 PM
Provider ID: 677341
Fleming County Hospital
Gender: Male
Shower, Laura MD
M 9:00 AM - 12:00 PM
Provider ID: 600534
Fleming
County
Hospital
Provider ID: 619650
Gender: Male
Chiropractic
55
Foundation
Dr
Gender: Female
Central Kentucky Head
Flemingsburg,
KY
41041
Lewis County Primary
Neck Assoc
Spurlock, Tara DC
Care Center
(606) 849-2675
55 Foundation Dr
Provider ID: 995328
520 Elizaville Ave
Fax: (606) 849-2743
Flemingsburg, KY 41041
Gender: Female
Flemingsburg, KY 41041
00
Yrs/99
Yrs
(606) 845-9507
W Michael Spurlock DC
(606) 845-0028
Fleming
County
Hospital
Fax: (606) 849-5284
PSC
Fax: (606) 845-0263
Languages: Spanish
00 Yrs/99 Yrs
101 Jb Shannon Dr Ste A
12 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Bourbon Community
Flemingsburg, KY 41041
M-F 8:00 AM - 5:00 PM
Hospital
(606) 209-0020
M-F 9:00 AM - 5:00 PM
Fax: (606) 209-0022
00 Yrs/99 Yrs
M-TH 8:00 AM - 6:00 PM
F 8:00 AM - 4:00 PM
kentucky.wellcare.com | 40
05/28/2015
Specialty Physicians
Fleming
Obstetrics/Gynecology cont.
Wilson, Donald MD
Provider ID: 619653
Gender: Male
Lewis County Primary
Care Center
520 Elizaville Ave
Flemingsburg, KY 41041
(606) 845-0028
Fax: (606) 845-0263
12 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Orthopaedic Surgery
Chattha, Anup MD
Provider ID: 602050
Gender: Male
Integrity Orthopaedics
Sports Medi
101 Jb Shannon Dr Ste A
and B
Flemingsburg, KY 41041
(859) 497-4144
Fax: (859) 498-4137
00 Yrs/99 Yrs
MT 8:30 AM - 11:30 PM
Optometry
Rollins, James MD
Provider ID: 602080
Sherman, Keith OD
Gender: Male
Provider ID: TPV4830-02 Integrity Orthopaedics
Gender: Male
Sports Medi
104 North Main St
101 Jb Shannon Dr Ste A
Flemingsburg, KY 41041
and B
(606) 849-2348
Flemingsburg, KY 41041
Fax: (606) 849-2349
(859) 497-4144
00 Yrs/99 Yrs
Fax: (859) 498-4137
drtaylor@maysvilleky.net 00 Yrs/99 Yrs
M 9:00 AM - 5:00 PM
MT 8:30 AM - 11:30 PM
Taylor, Gregory OD
Podiatry
Provider ID: TPV4649-02
Kincaid, Crystal DPM
Gender: Male
Provider ID: 815285
104 North Main St
Gender: Female
Flemingsburg, KY 41041
Integrity Orthopaedics
(606) 849-2348
Sports Medic
Fax: (606) 849-2349
101 Jb Shannon Dr Ste
00 Yrs/99 Yrs
flemingsburgeyecare@w- A&B
Flemingsburg, KY 41041
indstream.net
(859) 497-4144
M 9:30 AM - 5:00 PM
Fax: (859) 498-4137
TW 8:30 AM - 5:30 PM
00 Yrs/99 Yrs
THF 9:00 AM - 5:30 PM
Clark Regional Medical
Center
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 41
05/28/2015
Specialty Physicians
Greenup
Cardiology
General Dentistry
Hematology & Oncology Morris, Richard OD
Provider ID: TPV3297-01
Challappa, Krishnan MD Baker, Robert DMD
Konala, Venu MD
Gender: Male
Provider ID:
Provider ID: 995777
1621 Ashland Rd Ste 3
Provider ID: 906587
TPV32680DM-01
Gender: Female
Greenup, KY 41144
Gender: Male
Gender: Male
Ashland Bellefonte
(606) 473-5322
Central Cardiology
1121 Seaton Ave
Cancer Center
Fax: (606) 473-5055
Associates
Greenup, KY 41144
122 St Christopher Dr
00 Yrs/99 Yrs
102 Public Square
(606) 473-5252
Flatwoods, KY 41139
M 8:30 AM - 7:00 PM
Greensburg, KY 42743
Fax: (606) 473-1603
(606) 836-7377
TWTH 8:30 AM - 5:00
(270) 932-2194
00 Yrs/99 Yrs
Fax: (606) 836-2189
PM
Fax: (270) 789-4294
MWTH 8:30 AM - 5:30
00 Yrs/99 Yrs
F 9:00 AM - 12:00 PM
00 Yrs/99 Yrs
PM
Kings Daughters Medical
Pedodontics
Jane Todd Crawford
T 9:00 AM - 5:30 PM
Center
Memorial Hospital
M-F 9:00 AM - 5:00 PM
Hughes, Jennifer DMD
Taylor County Hospital Callihan, R Brooks DMD
Neurology
Provider ID: TPV4308-01
Westlake Regional
Provider ID: TPV3742-01
Hospital
Gender: Female
Deitch,
S
MD
Gender:
Male
M-F 9:00 AM - 5:00 PM
972 Diederich Blvd
Provider ID: 633342
219 Main St
Russell, KY 41169
Chiropractic
Gender: Male
Greenup, KY 41144
(606) 833-5437
Tri-State Neurology
(606)
473-6322
Fax: (606) 833-0036
Carey, Daniel DC
PLLC
Fax:
(606)
473-0200
00 Yrs/99 Yrs
Provider ID: 620803
1450 Diedrich Blvd
00
Yrs/99
Yrs
M-F 8:00 AM - 5:00 PM
Gender: Male
Russell, KY 41169
M
11:00
AM
7:00
PM
Carey Chiropractic and
(606) 836-5565
Podiatry
T 9:00 AM - 5:00 PM
Rehab
Fax:
(606)
836-5567
WTH 8:00 AM - 5:00 PM
974 Diederich Blvd
Murray, Michelle DPM
00 Yrs/99 Yrs
Russell, KY 41169
Provider ID: 620224
Dean, Lisa DMD
M-F 8:00 AM - 4:30 PM
(606) 834-0055
Gender: Female
Provider ID:
Optometry
Fax: (606) 833-0101
Dr Michelle Murray DPM
TPV50141DM-01
00 Yrs/99 Yrs
1101 Saint Christopher Dr
Gender: Female
Brom, James OD
M-F 9:00 AM - 5:00 PM
Ste 280
1592 Diederich Blvd
Provider ID: TPV3230-01
Ashland, KY 41101
Russell,
KY
41169
Dermatology
Gender: Male
(606) 638-7427
(606) 836-9962
2135 Argillite Rd Ste J
Fax: (606) 638-7429
Fax: (606) 836-4668
Cooper, Carol MD
Flatwoods, KY 41139
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Provider ID: 676148
(606) 836-8153
M 7:00 AM - 12:00 PM
M-TH
8:00
AM
5:00
PM
Gender: Female
Fax: (606) 834-9420
Kdmc Flatwoods Medical Wagner, Robert DMD
00 Yrs/99 Yrs
Specialities
M-F 9:00 AM - 5:00 PM
Provider ID: TPV3262-01
1109 Bellefonte Rd
Gender: Male
Flatwoods, KY 41139
1402 Argillite Rd
(606) 836-8086
Flatwoods, KY 41139
00 Yrs/99 Yrs
Kings Daughters Medical (606) 836-1646
Fax: (606) 836-0030
Center
00 Yrs/99 Yrs
M-F 8:00 AM - 6:30 PM
M 1:00 AM - 8:30 PM
TTHF 8:30 AM - 5:00 PM
W 8:30 AM - 1:00 PM
kentucky.wellcare.com | 42
05/28/2015
Specialty Physicians
Lawrence
Cardiology
Veronneau, Mark DO
Provider ID: 786497
Ansinelli, Richard MD
Gender: Male
Provider ID: 630535
Three Rivers Medical
Gender: Male
Clinics Inc
Kings Daughters Medical 2483 Hwy 644 Ste 105
Specialties
Louisa, KY 41230
2483 Hwy 644 Ste 103
(606) 638-7488
Louisa, KY 41230
Fax: (606) 638-7345
(606) 638-9954
00 Yrs/99 Yrs
Fax: (606) 638-3595
Three Rivers Medical
00 Yrs/99 Yrs
Center
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Keihanian, Mana MD
Gastroenterology
Provider ID: 995763
Frazier, Thomas MD
Gender: Female
Kings Daughters Medical Provider ID: 647217
Specialties
Gender: Male
2483 State Rte 644
Three Rivers Medical
Clinics Inc
Louisa, KY 41230
40 Professional Park Dr
(606) 638-9954
Louisa, KY 41230
Fax: (606) 638-3595
(606) 638-4656
00 Yrs/99 Yrs
Kings Daughters Medical Fax: (606) 638-4658
Center
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Ear, Nose & Throat
Helton, William MD
Provider ID: 786492
Gender: Male
Three Rivers Medical
Clinics Inc
2483 Hwy 644 Ste 102
Louisa, KY 41230
(606) 638-7488
Fax: (606) 638-7345
00 Yrs/99 Yrs
Three Rivers Medical
Center
M-F 8:00 AM - 5:00 PM
Frazier, Thomas MD
Provider ID: 647217
Gender: Male
Three Rivers Medical
Clininc Inc
2483 Hwy 644
Louisa, KY 41230
(606) 638-4656
Fax: (606) 638-4658
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
General Dentistry
Obstetrics/Gynecology
Sammons, Charles DDS
Doshi, Palak DO
Provider ID: 908366
Gender: Female
Three Rivers Medical
Clinics Inc
2673 Hwy 644 Ste 2
Louisa, KY 41230
(606) 638-9572
Fax: (606) 638-9574
00 Yrs/99 Yrs
Three Rivers Medical
Center
M-F 8:00 AM - 5:00 PM
Provider ID: TPV3922-01
Gender: Male
202 Water St
Louisa, KY 41230
(606) 638-3400
Fax: (606) 638-3410
00 Yrs/99 Yrs
MT 9:00 AM - 5:00 PM
Woody, Lloyd DMD
Provider ID:
TPV66130DM-01
Optometry
Gender: Male
102 North Lock Ave
Bowling, Joseph OD
Louisa, KY 41230
Provider ID: TPV3527-03
(606) 638-9094
Gender: Male
Fax: (606) 638-1996
112 Vinson Blvd
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM Louisa, KY 41230
(606) 638-4731
Nephrology
Fax: (606) 638-3523
00 Yrs/99 Yrs
Arora, Robin MD
M 7:00 AM - 4:00 PM
Provider ID: 801124
TTH 7:30 AM - 5:00 PM
Gender: Male
W 7:30 AM - 4:00 PM
Three Rivers Medical
Clinics Inc
Desario, Elaine OD
2483 Hwy 644 Ste 204
Provider ID: TPV3241-01
Louisa, KY 41230
Gender: Female
(606) 638-7488
112 Vinson Blvd
Fax: (606) 638-7345
Louisa, KY 41230
00 Yrs/99 Yrs
(606) 638-4731
Three Rivers Medical
Fax: (606) 638-3523
Center
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-W 7:00 AM - 6:00 PM
kentucky.wellcare.com | 43
05/28/2015
Specialty Physicians
Lawrence
Optometry - cont.
Leadingham, James OD
Podiatry
Murray, Michelle DPM
Provider ID: 620224
Gender: Female
Dr Michelle Murray DPM
2483 Hwy 644 Trmp Ste
203
Louisa, KY 41230
(606) 638-7427
Fax: (606) 638-7429
00 Yrs/99 Yrs
MT 8:00 AM - 5:00 PM
Provider ID: TPV3283-01
Gender: Male
112 Vinson Blvd
Louisa, KY 41230
(606) 638-4731
Fax: (606) 638-3523
00 Yrs/99 Yrs
M 8:00 AM - 5:00 PM
T 8:00 AM - 7:00 PM
WTH 7:00 AM - 6:00 PM
Murray, Michelle DPM
F 7:00 AM - 12:00 PM
Provider ID: 620224
Orthopaedic Surgery
Gender: Female
Three Rivers Medical
Saleh, Ehab MD
Center Wound
Provider ID: 627097
92 Tourchlite Rd
Gender: Male
Louisa, KY 41230
Three Rivers Medical
(606) 673-3300
Clinic
Fax: (606) 673-3332
2483 Hwy 644 Ste 105
00 Yrs/99 Yrs
Louisa, KY 41230
M 1:00 AM - 4:00 PM
(606) 638-7488
Urology
Fax: (606) 638-7345
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Thorndyke, William MD
Pediatrics
Styer, Thomas MD
Provider ID: 526719
Gender: Male
Whitaker National
Corporation
2483 Hwy 644
Louisa, KY 41230
(606) 638-9451
00 Yrs/21 Yrs
Westlake Regional
Hospital
Provider ID: 602057
Gender: Male
King's Daughters'
Medical Specialti
5187 Ky Rt 321
Louisa, KY 41230
(606) 324-4404
Fax: (606) 325-6822
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 44
05/28/2015
Specialty Physicians
Lewis
General Dentistry
Optometry
Arnett, Shelia DMD
Bertram, Louis OD
Provider ID: TPV3755-02
Provider ID:
TPV1215044680WL
Gender: Female
Gender: Male
211 Ky 59
185 Commercial DR
Vanceburg, KY 41179
Vanceburg, KY 41179
(606) 796-9511
(606) 796-2632
Fax: (606) 796-6221
Fax: (606) 796-9285
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM 00 Yrs/99 Yrs
M-W 9:00 AM - 4:30 PM
Mays, Ronald DMD
Provider ID: TPV8718-02
Gender: Male
185 Commercial DR
Vanceburg, KY 41179
(606) 796-2636
Fax: (606) 796-9285
00 Yrs/82 Yrs
M 8:00 AM - 4:30 PM
Mays, Ronald DMD
Provider ID: TPV8718-03
Gender: Male
211 Ky 59
Vanceburg, KY 41179
(606) 796-9511
Fax: (606) 796-3921
00 Yrs/99 Yrs
bentleya@primaryplus.
net
M-TH 9:00 AM - 5:00 PM
O'Cull, John DMD
Provider ID:
TPV65131DM-01
Gender: Male
570 Clarksburg Rd
Vanceburg, KY 41179
(606) 796-3811
Fax: (606) 796-2221
00 Yrs/99 Yrs
MTWF 8:00 AM - 5:00
PM
TH 8:00 AM - 3:00 PM
kentucky.wellcare.com | 45
05/28/2015
Specialty Physicians
Mason
Allergy & Immunology
Ear, Nose & Throat
Srinivasan, Raghuraman Horsley, Sarah DC
MD
Provider ID: 1022698
Wise, Marshall MD
Asbury, Leslie MD
Provider ID: 633260
Gender: Female
Provider ID: 693617
Provider ID: 967407
Gender: Male
Maysville Family
Gender: Male
Gender: Female
Heart Smart Plc
Chiropractic
Allergy Partners of
ENT Associates of
450A Tucker Dr
1335 Southgate Plz
Boone County An
Central Kentucky
Maysville, KY 41056
Maysville, KY 41056
1 W. McDonald Pkwy
491 Tucker Dr
(606) 759-0339
(606) 564-4213
Maysville, KY 41056
Maysville, KY 41056
Fax: (606) 759-0139
Fax: (606) 564-4406
(859) 746-8737
(859) 340-1377
16 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (859) 746-0128
Fleming County Hospital MWF 9:00 AM - 6:00 PM Fax: (859) 759-0122
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
TTH 2:00 AM - 8:00 PM
M 2:00 AM - 6:00 PM
M 8:30 AM - 3:00 PM
Sat 9:00 AM - 12:00 PM
Child Abuse Pediatrics
Cardiology
Conrad, Paul MD
Sargent, Timothy DC
Buffalo Trace Childrens
Provider ID: 1001163
Provider ID: 711919
Lierl, Jerry MD
Advocacy Center
Gender: Male
Gender: Male
Provider ID: 667493
Provider ID: 1075995
Entlc
Ts Chiropractic
Gender: Male
Buffalo Trace Childrens
491 Tucker Dr
399 W Maple Leaf Rd
Meadowview Physician
Advocacy Center
Maysville, KY 41056
Maysville, KY 41056
Practice LLC
224 Limestone St
(606) 759-4852
(606) 564-9900
991 Medical Park Dr Ste
Maysville, KY 41056
Fax: (606) 759-0122
Fax: (606) 564-9901
107
(606) 563-0572
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Maysville, KY 41056
Fax: (606) 563-0574
Fleming County Hospital
MTTH 7:30 AM - 6:00
(606) 759-9353
00 Yrs/18 Yrs
M-TH 8:00 AM - 6:00 PM
PM
Fax: (606) 759-9702
M-F 8:00 AM - 5:00 PM
F 8:00 AM - 12:00 PM
W 12:00 AM - 5:30 PM
00 Yrs/99 Yrs
Chiropractic
M-F 9:00 AM - 5:00 PM
Conrad, Paul MD
Taylor, Landon DC
Provider ID: 629462
Provider ID: 923858
Lohman, Eric MD
Bettinger, Sara DC
Gender: Male
Gender: Male
Provider ID: 628994
Provider ID: 972936
Meadowview Physician
Maysville Family
Gender: Male
Gender: Female
Practice LLC
Chiropractic
Ohio Valley Heart
Bettinger Chiropractic
491 Tucker Dr
1335 Southgate Plz
Center PLLC
991 Medical Park Dr Ste
Maysville, KY 41056
Maysville, KY 41056
107
1907 Old Main St
(606) 759-4852
(606) 564-4213
Maysville, KY 41056
Maysville, KY 41056
Fax: (606) 759-0122
Fax: (606) 564-4406
(606) 759-9353
(606) 759-0090
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (606) 759-9702
Fax: (606) 759-0092
MWF 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM
12 Yrs/99 Yrs
00 Yrs/99 Yrs
TTH 2:00 AM - 8:00 PM
Fleming County Hospital MTH 8:30 AM - 5:30 PM
Sat 9:00 AM - 12:00 PM
Meadowview Reg Med
T 7:30 AM - 11:30 PM
Center
W 8:30 AM - 6:30 PM
M-F 8:00 AM - 5:00 PM
F 9:00 AM - 12:00 PM
kentucky.wellcare.com | 46
05/28/2015
Specialty Physicians
Mason
Ear, Nose & Throat - cont. Adkins, Alicia DMD
General Surgery
Obstetrics/Gynecology
Provider ID: TPV17500-01
Conrad, Paul MD
Spady, Richard MD
Doty, David DO
Gender: Female
Provider ID: 646272
Provider
ID:
778487
Provider ID: 619640
927 Kenton Station DR
Gender: Male
Gender: Male
Gender: Male
Maysville, KY 41056
Entlc PSC
Meadowview
General
Lewis County Primary
(606) 796-3029
Surgery
Care Center In
491 Tucker Dr
Fax: (606) 796-6221
991
Medical
Park
Dr
Ste
927 Kenton Station Dr
Maysville, KY 41056
00 Yrs/99 Yrs
201
1st Fl
(606) 759-4852
mccanem@primaryplus.
Maysville,
KY
41056
Maysville, KY 41056
Fax: (606) 759-0122
net
(606) 759-9011
(606) 759-0433
00 Yrs/99 Yrs
MTTHF 8:00 AM - 5:00
Fax: (606) 759-0676
Fax: (606) 759-0058
Fleming County Hospital PM
00
Yrs/99
Yrs
12 Yrs/99 Yrs
MW 8:00 AM - 5:00 PM
W 8:00 AM - 12:00 PM
M-F
9:00
AM
5:00
PM
MTTH 8:00 AM - 7:00
TTH 8:00 AM - 7:00 PM
Burns,
John
DMD
PM
F 8:00 AM - 12:00 PM
Nephrology
Provider ID:
W 8:00 AM - 6:00 PM
Gastroenterology
TPV47689DM-01
F 8:00 AM - 5:00 PM
Barrett, William MD
Gender: Male
Weller, Donald MD
Shower, Laura MD
1907 Old Main St
Provider ID: 602626
Provider ID: 628003
Provider ID: 620022
Maysville, KY 41056
Gender: Male
Gender: Male
Gender: Female
(606) 759-5401
Bluegrass Nephrology
Buffalo Trace
Lewis County Primary
Fax: (606) 759-7583
PSC
Gastroenterology
Care Center In
00 Yrs/99 Yrs
1340 Medical Park Dr Ste 927 Kenton Station Dr
991 Medical Park Dr Ste
M-TH 8:00 AM - 4:00 PM 7
203
Maysville, KY 41056
Maysville,
KY
41056
Maysville, KY 41056
Pope-Burns, Sally DMD
(606) 759-5331
(606) 759-0077
(606) 759-5157
Fax: (606) 759-5363
Fax: (606) 759-0111
Fax: (606) 759-5582
Provider ID:
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
TPV47688DM-01
M-F 8:30 AM - 5:00 PM
Meadowview Reg Med
Fleming County Hospital Gender: Female
Center
Wilson, Donald MD
Meadowview Reg Med
1907 Old Main St
M-F
9:00
AM
5:00
PM
Provider ID: 619653
Center
Maysville, KY 41056
Gender: Male
M-TH 8:00 AM - 5:00 PM (606) 759-5401
Neurology
Lewis County Primary
F 8:00 AM - 4:00 PM
Fax: (606) 759-7583
00 Yrs/99 Yrs
Landfield, Alexander MD Care Center In
General Dentistry
927 Kenton Station Dr
M-F 9:00 AM - 5:00 PM
1st Fl
Provider ID: 1053175
Adams, James DMD
Maysville, KY 41056
Gender: Male
Provider ID:
(606) 759-0433
Alexander Landfield
TPV75644DM-01
Fax: (606) 759-0058
PLLC
Gender: Male
12 Yrs/99 Yrs
1335 Southgate Plaza
19 East 3rd St
MTTH 8:00 AM - 7:00
Maysville, KY 41056
Maysville, KY 41056
PM
(325) 513-4360
(606) 564-9033
W 8:00 AM - 6:00 PM
Fax: (859) 223-3929
Fax: (606) 564-9035
F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Jewish Hospital
M-TH 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 47
05/28/2015
Specialty Physicians
Mason
Ophthalmology
Blandford, David MD
Provider ID: TPV3187-01
Gender: Male
1937 Old Main St Ste 1
Maysville, KY 41056
(606) 759-7883
Fax: (606) 759-0683
00 Yrs/99 Yrs
M-F 8:30 AM - 4:30 PM
Higgins, Eric MD
Provider ID: TPV3482-12
Gender: Male
1360 Medical Park Dr.
Maysville, KY 41056
(606) 759-5341
Fax: (606) 759-7393
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Minix, Jr, Micheal MD
Provider ID: TPV4986-01
Gender: Male
1360 Medical Park Dr.
Maysville, KY 41056
(606) 759-5341
Fax: (606) 759-7393
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Prater, Bryan MD
Provider ID: TPV4430-01
Gender: Male
1360 Medical Park Dr.
Maysville, KY 41056
(606) 759-5341
Fax: (606) 759-7393
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Optician
Orthodontics
Kirk, Alanna OD
Provider ID: TPV23757-01
Bradley, Adam Ldo
Naylor, Rachel DMD
Gender: Female
Provider ID: TPV18359-01 1360 Medical Park Dr.
Provider ID:
TPV71430DM-01
Gender: Male
Maysville, KY 41056
Gender: Female
1937 Old Main St Ste 2
(606) 759-5341
399 Maple Leaf Rd
Maysville, KY 41056
00 Yrs/99 Yrs
(606) 759-7311
eyenet2014@yahoo.com Maysville, KY 41056
(606) 564-9494
Fax: (606) 759-0610
M-F 8:00 AM - 5:00 PM
Fax: (606) 564-9495
00 Yrs/99 Yrs
Sherman, Keith OD
00 Yrs/99 Yrs
maverick@maysvilleky.
net
Provider ID: TPV4830-01
M-TH 8:00 AM - 5:00 PM
M-F 9:00 AM - 7:00 PM
Gender: Male
Orthopaedic Surgery
Sat 9:00 AM - 1:00 PM
15 East 3rd St
Maysville, KY 41056
Kumler III, William MD
Peck, Irving Ldo
(606) 564-3650
Provider ID: TPV4296-01
Fax: (606) 564-3650
Provider ID: 641328
Gender: Male
00 Yrs/99 Yrs
Gender: Male
1937 Old Main St Ste 2
iueyeguy@hotmail.com
Meadowview Ortho
Maysville, KY 41056
MTF 9:00 AM - 5:00 PM
Care Center
(606) 759-7311
WTH 7:30 AM - 6:00 PM 901 Kenton Station Dr
Fax: (606) 759-0610
Maysville, KY 41056
00 Yrs/99 Yrs
Taylor, Gregory OD
(606) 759-5337
M-F 9:00 AM - 7:00 PM
Provider ID: TPV4649-01
Fax: (606) 759-5340
Sat 9:00 AM - 1:00 PM
Gender: Male
00 Yrs/99 Yrs
15 East 3rd St
M-F 8:00 AM - 4:30 PM
Peck, Joyce Ldo
Maysville, KY 41056
Provider ID: TPV4295-01
(606) 564-3650
Pain Management
Gender: Female
Fax: (606) 564-3651
1937 Old Main St Ste 2
Chenthilmurugan,
00 Yrs/99 Yrs
Maysville, KY 41056
shermanandtaylor@may- Hemadevi MD
(606) 759-7311
Provider ID: 1046603
svilleky.net
Fax: (606) 759-0610
Gender: Female
MTTHF 8:00 AM - 5:00
00 Yrs/99 Yrs
Advanced Pain and Spine
PM
M-F 9:00 AM - 7:00 PM
Institute
W 7:30 AM - 5:30 PM
Sat 9:00 AM - 1:00 PM
906 US Hwy 68 Ste C
Sat 9:00 AM - 4:00 PM
Maysville, KY 41056
Optometry
Oral & Maxillofacial
(606) 564-9320
Surgery
Fax: (606) 564-9321
Awosika, Idowu OD
00 Yrs/99 Yrs
Provider ID:
Smith, Ballard DMD
TPV1427289248WL
Provider ID: TPV3824-02 M-F 8:00 AM - 5:00 PM
Gender: Male
Gender: Male
240 Wal-Mart Way
399 Mapleleaf Rd
Maysville, KY 41056
Maysville, KY 41056
(606) 759-5040
(606) 564-9495
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM
kentucky.wellcare.com | 48
05/28/2015
Specialty Physicians
Mason
Pain Management - cont. Wooten, Sally MD
Provider ID: 537666
Kerschner, Magdalena
Gender: Female
MD
Meadowview Hospitalist
Provider ID: 712908
989 Medical Park Dr
Gender: Female
Maysville, KY 41056
Advanced Pain and Spine (606) 759-3585
Institute
Fax: (606) 759-0676
906 US Hwy 68 Ste C
00 Yrs/99 Yrs
Maysville, KY 41056
MTWTHFSatSun 7:00
(606) 564-9320
AM - 7:00 PM
Fax: (606) 564-9321
00 Yrs/99 Yrs
Wooten, Sally MD
Meadowview Reg Med
Provider ID: 537666
Center
Gender: Female
M-F 8:00 AM - 6:00 PM
Meadowview Pulmonary
and Sleep Center
Pulmonary Disease
991 Medical Park Dr Ste
202
Dickerson, Jeffery MD
Maysville, KY 41056
Provider ID: 619267
(606) 759-5424
Gender: Male
Jeffery W Dickerson MD Fax: (606) 759-7314
00 Yrs/99 Yrs
LLC
M-F 8:00 AM - 5:00 PM
991 Medical Park Dr Ste
202
Radiation Oncology
Maysville, KY 41056
(606) 759-0466
Feddock, Jonathan MD
Fax: (606) 759-0461
18 Yrs/99 Yrs
Provider ID: 750579
M-F 8:00 AM - 5:00 PM
Gender: Male
Kentucky Medical
Dickerson, Jeffrey MD
Services
1115 Progress Way
Provider ID: 691975
Maysville, KY 41056
Gender: Male
(800) 759-4431
Meadowview Physician
Fax: (606) 759-4443
Practice LLC
00 Yrs/99 Yrs
989 Medical Park Dr
M-F 8:00 AM - 5:00 PM
Maysville, KY 41056
(606) 759-3585
Fax: (606) 759-0676
00 Yrs/99 Yrs
Meadowview Reg Med
Center
M-F 8:00 AM - 5:00 PM
Kudrimoti, Mahesh MD
Provider ID: 616069
Gender: Male
Kentucky Medical
Services
1115 Progress Way
Maysville, KY 41056
(800) 759-4431
Fax: (606) 759-4443
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McGarry, Ronald MD
Provider ID: 615651
Gender: Male
University of Kentucky
1115 Progress Way
Maysville, KY 41056
(800) 759-4431
Fax: (606) 759-4443
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Patel, Pushpa MD
Provider ID: 618632
Gender: Female
Kentucky Medical
Services
1115 Progress Way
Maysville, KY 41056
(800) 759-4431
Fax: (606) 759-4443
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Prabhu, Pramod MD
Provider ID: 601775
Gender: Male
Meadowview Oncology
Cancer Center
1115 Progress Way
Maysville, KY 41056
(606) 759-4442
Fax: (606) 759-4443
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 49
Prabhu, Pramod MD
Provider ID: 615592
Gender: Male
Uk Healthcare
1115 Progress Way
Maysville, KY 41056
(800) 759-4431
Fax: (606) 759-4443
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Randall, Marcus MD
Provider ID: 615862
Gender: Male
University of Kentucky
1115 Progress Way
Maysville, KY 41056
(800) 759-4431
Fax: (606) 759-4443
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Reams, Robin MD
Provider ID: 615768
Gender: Female
Kentucky Medical
Services Foundatio
1115 Progress Way
Maysville, KY 41056
(800) 759-4431
Fax: (606) 759-4443
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sellitti, Marguerite MD
Provider ID: 602247
Gender: Female
University of Kentucky
1115 Progress Way
Maysville, KY 41056
(800) 759-4431
Fax: (606) 759-4443
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Mason
Sleep Medicine
Dickerson, Jeffrey MD
Provider ID: 691975
Gender: Male
Meadowview Physician
Practice LLC
989 Medical Park Dr
Maysville, KY 41056
(606) 759-3585
Fax: (606) 759-0676
00 Yrs/99 Yrs
Meadowview Reg Med
Center
M-F 8:00 AM - 5:00 PM
Urology
Dennison, J MD
Provider ID: 602088
Gender: Male
Meadowview Physician
Practice LLC
991 Medical Park Dr Ste
201
Maysville, KY 41056
(606) 759-9011
Fax: (606) 759-0676
00 Yrs/99 Yrs
Meadowview Reg Med
Center
M-F 7:30 AM - 5:00 PM
Thoracic & Cardiovascular Dennison, J Randall MD
Surgery
Provider ID: 725849
Halpin, Dermot MD
Gender: Male
Meadowview Urology
Provider ID: 680700
Associates
Gender: Male
991 Medical Park Dr Ste
Sj Cardothoracic Surgical 201
Associate
Maysville, KY 41056
991 Medical Park Dr Ste
(606) 759-9011
107
Fax: (606) 759-0676
Maysville, KY 41056
00 Yrs/99 Yrs
(859) 278-2334
M-F 7:30 AM - 5:00 PM
Fax: (859) 278-0159
16 Yrs/99 Yrs
Continuing Care Hospital
Hazard Arh Regional
Medical Center
Saint Joseph Hospital
M 8:30 AM - 10:00 PM
Thoracic Surgery
Halpin, Dermot MD
Provider ID: 636242
Gender: Male
Maysville Clinic
901 Kenton Station Dr
Maysville, KY 41056
(859) 278-2334
Fax: (859) 278-0159
16 Yrs/99 Yrs
Baptist Health Lexington
M 9:00 AM - 12:00 PM
kentucky.wellcare.com | 50
05/28/2015
Specialty Physicians
Menifee
General Dentistry
Bausch Blevins, Emily
DMD
Provider ID: TPV18507-02
Gender: Female
732 Hwy 36
Frenchburg, KY 40322
(606) 768-6345
Fax: (606) 768-6130
00 Yrs/99 Yrs
clittle@st-claire.org
M-W 8:00 AM - 5:00 PM
TH 8:00 AM - 12:00 PM
Graham, David DMD
Provider ID: TPV5013-02
Gender: Male
732 Hwy 36
Frenchburg, KY 40322
(606) 783-7689
Fax: (606) 783-6877
06 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
F 8:00 AM - 12:00 PM
kentucky.wellcare.com | 51
05/28/2015
Specialty Physicians
Morgan
Cardiology
Gharad, Salahadin MD
General Dentistry
Bailey, Jeffrey DMD
Provider ID: TPV3627-01
Provider ID: 636929
Gender: Male
Gender: Male
629 Main St
Morehead Medical
West Liberty, KY 41472
Specialists
(606) 743-3200
476 Liberty Rd
Fax: (606) 743-3201
West Liberty, KY 41472
00 Yrs/99 Yrs
(606) 743-3186
MF 9:00 AM - 4:00 PM
00 Yrs/99 Yrs
TWTH 8:30 AM - 4:00
St Claire Medical Center PM
M-F 8:30 AM - 5:00 PM
Gunnell, Leigh DMD
Kahloon, Mansha MD
Provider ID: TPV3784-01
Provider ID: 636906
Gender: Female
Gender: Female
903 Main St
Morehead Medical
West Liberty, KY 41472
Specialists
(606) 743-7480
476 Liberty Rd
Fax: (646) 743-7481
West Liberty, KY 41472
00 Yrs/99 Yrs
(606) 743-3186
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
St Claire Medical Center Henderson, Robert DMD
M-F 8:30 AM - 5:00 PM
Provider ID: TPV3780-01
Marashdeh, Mohammad
Gender: Male
MD
903 Main St
Provider ID: 671429
West Liberty, KY 41472
Gender: Male
(606) 743-7480
Morehead Medical
Fax: (606) 743-7481
Specialists
00 Yrs/99 Yrs
476 Liberty Rd
M-F 8:00 AM - 5:00 PM
West Liberty, KY 41472
Hematology & Oncology
(606) 743-3186
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Bailey, Samuel MD
Provider ID: 999024
Gender: Male
Mustafa, Nowwar MD
9879 Rte 122
Provider ID: 638802
McDowell, KY 41472
Gender: Male
(606) 377-3427
Morehead Medical
Specialists
Fax: (606) 377-3461
476 Liberty Rd
00 Yrs/99 Yrs
West Liberty, KY 41472
Hazard Arh Regional
Medical Center
(606) 743-3186
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
St Claire Medical Center
M-F 8:30 AM - 5:00 PM
Neurology
Mehari, Enawgaw MD
Provider ID: 631609
Gender: Male
Morehead Medical
Specialists
476 Liberty Rd
West Liberty, KY 41472
(606) 743-3186
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Optometry
Nickell, Joel OD
Provider ID: TPV3299-04
Gender: Male
408 Main St
West Liberty, KY 41472
(606) 743-4111
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Steele, Harry OD
Provider ID: TPV3312-01
Gender: Male
408 Main St
West Liberty, KY 41472
(606) 743-4111
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Physical Medicine &
Rehabilitation
Spence, Philip DO
Provider ID: 755116
Gender: Male
Arh Morgan County
Clinic
476 Liberty Rd
West Liberty, KY 41472
(606) 743-3198
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 52
Spence, Phillip DO
Provider ID: 705845
Gender: Male
Arh Morgan County
Clinic
476 Liberty Rd
West Liberty, KY 41472
(606) 743-3198
00 Yrs/99 Yrs
Williamson Arh
M-F 8:00 AM - 4:30 PM
Pulmonary Disease
Koenig, Steven MD
Provider ID: 639651
Gender: Male
Morehead Medical
Specialists
476 Liberty Rd
West Liberty, KY 41472
(606) 743-3186
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Rowan
Cardiology
General Dentistry
Mustafa, Nowwar MD
Spurlock, Tara DC
Provider ID: 638802
Provider ID: 995328
Gharad, Salahadin MD
Arnett, Larry DMD
Gender: Male
Gender: Female
Provider ID:
Morehead Medical
W Michael Spurlock DC
Provider ID: 636929
TPV57771DM-02
Specialists
PSC
Gender: Male
Gender: Male
234 Medical Cir
1350 Flemingsburg Rd
Morehead Medical
232 Old Viking DR
Morehead, KY 40351
Morehead, KY 40351
Specialists
Morehead, KY 40351
(606) 784-6641
(606) 784-1115
234 Medical Cir
(606) 784-7033
Fax: (606) 783-7281
Fax: (606) 784-2794
Morehead, KY 40351
Fax: (606) 784-1273
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(606) 784-6641
St Claire Medical Center M-TH 8:00 AM - 6:00 PM 01 Yrs/10 Yrs
Fax: (606) 783-7281
arnettsdental@windstream.
M-F 8:30 AM - 5:00 PM
F 8:00 AM - 1:00 PM
00 Yrs/99 Yrs
net
St Claire Medical Center Child Abuse Pediatrics Spurlock, William DC
M-F 9:00 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
Provider ID: 641700
Arnett, Shelia DMD
Gateway Childrens
Gender: Male
Kahloon, Mansha MD
Advocacy Center
Provider ID: TPV3755-04
Spurlock Spine Center
Provider ID: 636906
Provider ID: 619145
Gender: Female
1350 Flemingsburg Rd
Gender: Female
Gateway Childrens
232 Old Viking DR
Morehead, KY 40351
Advocacy
Morehead Medical
Morehead, KY 40351
(606) 784-1115
Specialists
310 E Main St
(606) 754-7033
Fax: (606) 784-2794
234 Medical Cir
Morehead, KY 40351
Fax: (606) 784-1273
16 Yrs/99 Yrs
Morehead, KY 40351
(606) 780-7848
01 Yrs/10 Yrs
M-F 8:00 AM - 5:00 PM
(606) 784-6641
Fax: (606) 780-0648
arnettsdental@windstream.
Fax: (606) 783-7281
00 Yrs/99 Yrs
com
Stampers Kerns, Dana
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM DC
M-F 9:00 AM - 5:00 PM
St Claire Medical Center
Provider ID: 614483
Chiropractic
Bausch Blevins, Emily
M-F 8:30 AM - 5:00 PM
Gender: Female
DMD
Dana Stamper Kerns
O'Brien,
Timothy
DC
Provider ID: TPV18507-01
Marashdeh, Mohammad
1350 Flemingsburg Rd
Provider
ID:
670512
MD
Gender: Female
Morehead, KY 40351
Gender: Male
Provider ID: 671429
255 Beacon Hill DR
(606) 784-1115
547A W Main St
Gender: Male
Morehead, KY 40351
Fax: (606) 784-2794
Morehead, KY 40351
Morehead Medical
(606) 784-4340
00 Yrs/99 Yrs
(606) 780-7400
Specialists
Fax: (606) 780-7582
M-F 9:00 AM - 5:00 PM
Fax: (606) 783-0994
234 Medical Cir
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Morehead, KY 40351
Gastroenterology
M-TH 8:30 AM - 5:00 PM
M-TH 9:00 AM - 7:00 PM
(606) 784-6641
F 8:00 AM - 4:00 PM
F 9:00 AM - 1:00 PM
Cox, Thadis MD
Fax: (606) 783-7281
Bausch Blevins, Emily
Provider ID: 631801
00 Yrs/99 Yrs
Potts, Justin DC
DMD
Gender:
Male
M-F 8:30 AM - 5:00 PM
Provider ID: 603798
Provider ID: TPV18507-03
Morehead Medical
Gender: Male
Gender: Female
Specialists
Justin L Potts DC
222 Medical Circle
234 Medical Cir
336 Pine Crest Rd
Morehead, KY 40351
Morehead, KY 40351
Morehead, KY 40351
(606) 783-6500
(606) 784-6641
(606) 784-2520
00 Yrs/99 Yrs
Fax: (606) 783-7281
Fax: (866) 571-8313
M 8:00 AM - 12:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 7:00 AM - 6:00 PM
kentucky.wellcare.com | 53
05/28/2015
Specialty Physicians
Rowan
General Dentistry - cont. Kidd, Brent DMD
Provider ID: TPV8699-03
Betzing, Chassity DMD
Gender: Male
1275 Hallwood DR
Provider ID: TPV23506-01 Morehead, KY 40351
Gender: Female
(606) 784-8000
750 W. Main St
Fax: (606) 784-8004
Morehead, KY 40351
00 Yrs/99 Yrs
(606) 783-0182
moreheadpediatricdentiFax: (606) 783-0272
stry@gmail.com
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
chasdmd14@gmail.com
M-F 9:00 AM - 5:00 PM Loy, Carroll DMD
Provider ID: TPV3022-01
Frederick, Angela DMD
Gender: Male
255 Beacon Hill DR
Provider ID:
Morehead, KY 40351
TPV59665DM-01
(606) 784-6631
Gender: Female
Fax: (606) 780-7582
309 East Main St
00 Yrs/99 Yrs
Morehead, KY 40351
M-TH 8:30 AM - 5:30 PM
(606) 784-6436
Fax: (606) 784-1665
McLoney, Douglas DMD
00 Yrs/99 Yrs
M 8:30 AM - 5:00 PM
Provider ID:
TPV42256DM-01
TWTH 8:00 AM - 5:00
PM
Gender: Male
309 East Main St
Graham, David DMD
Morehead, KY 40351
Provider ID: TPV5013-01
(606) 784-6436
Gender: Male
Fax: (606) 784-1665
222 Medical Circle
00 Yrs/99 Yrs
Morehead, KY 40351
M 8:30 AM - 5:00 PM
(606) 783-6500
TWTH 8:00 AM - 5:00
00 Yrs/99 Yrs
PM
M 8:00 AM - 12:00 PM
Patton, Mitchell DMD
Graham, David DMD
Provider ID: TPV3095-01
Provider ID: TPV5013-03
Gender: Male
Gender: Male
400 Clinic DR
316 W. 2nd St
Morehead, KY 40351
Morehead, KY 40351
(606) 784-4363
(606) 783-7700
00 Yrs/99 Yrs
Fax: (606) 783-6877
M 9:00 AM - 12:00 PM
06 Yrs/99 Yrs
TWTH 9:00 AM - 5:00
cllittle@st-claire.org
PM
M-TH 8:00 AM - 5:00 PM
General Surgery
Pratt, Michael DMD
Provider ID: TPV4072-06
Burton, Jay MD
Gender: Male
Provider ID: 623765
1287 Hallwood DR
Gender: Male
Morehead, KY 40351
Cave Run Clinic
(606) 755-0242
425 Clinic Dr
00 Yrs/99 Yrs
Morehead, KY 40351
M-F 8:00 AM - 5:00 PM
(606) 784-7551
Settle, Emily DMD
Fax: (606) 784-2542
Provider ID: TPV3092-01
00 Yrs/99 Yrs
Gender: Female
M 12:30 AM - 3:45 PM
255 Beacon Hill DR
T 9:30 AM - 11:30 PM
Morehead, KY 40351
Burton, Jay MD
(606) 784-6631
Provider ID: 638799
Fax: (606) 780-7582
Gender: Male
00 Yrs/99 Yrs
M-W 8:30 AM - 5:00 PM Cave Run Surgical
Specialists
TH 8:30 AM - 4:00 PM
425 Clinic Dr
Shay, Karen DMD
Morehead, KY 40351
Provider ID: TPV5016-01
(606) 783-6866
Gender: Female
Fax: (606) 783-6941
165 East Main St
00 Yrs/99 Yrs
Morehead, KY 40351
St Claire Medical Center
(606) 784-4762
M-F 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
M-TH 9:00 AM - 5:00 PM Perry, Jacob MD
Provider ID: 631358
F 9:00 AM - 12:00 PM
Gender: Male
Tingle, Charles DMD
Cave Run Surgical
Specialists
Provider ID: TPV3087-01
425 Clinic Dr
Gender: Male
Morehead, KY 40351
255 Beacon Hill DR
(606) 784-7551
Morehead, KY 40351
Fax: (606) 784-2542
(606) 784-6631
00 Yrs/99 Yrs
Fax: (606) 780-7582
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Yates, Brandi DMD
Provider ID: TPV3777-02
Gender: Female
750 W. Main St
Morehead, KY 40351
(606) 783-0182
Fax: (606) 783-0182
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 54
05/28/2015
Specialty Physicians
Rowan
General Surgery - cont.
Lim, Allen MD
Provider ID: 631740
Gender: Male
Morehead Medical
Specialists
234 Medical Cir
Morehead, KY 40351
(606) 784-6641
Fax: (606) 783-7281
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Nephrology
Phillips, Mary MD
Kendall, Jonathan MD
Provider ID: 639095
Provider ID: 633193
Gender: Female
Gender: Male
Cave Run Surgical
Kings Daughters Medical
Specialists
Specialti
425 Clinic Dr
255 Old Viking Dr
Morehead, KY 40351
Morehead, KY 40351
(606) 784-7551
(606) 329-9335
Fax: (606) 784-2542
Fax: (606) 324-6383
00 Yrs/99 Yrs
00 Yrs/99 Yrs
St Claire Medical Center Lye, Adam MD
M-F 9:30 AM - 5:00 PM
Provider
ID:
631798
M-F 8:30 AM - 5:00 PM
Smith, Albert MD
Gender: Male
Proudfoot, Richard MD
St Claire Medical Center Provider ID: 671391
Gender: Male
Inc
Provider ID: 638810
St Claire Medical Center
222 Medical Cir
Gender: Male
Inc
Morehead, KY 40351
Cave Run Surgical
1028 E Main St
(606) 783-6500
Specialists
Morehead, KY 40351
Fax: (606) 783-6503
425 Clinic Dr
(606) 783-6866
00 Yrs/99 Yrs
Morehead, KY 40351
Fax: (606) 783-6941
M-F 9:00 AM - 5:00 PM
(606) 784-7551
00 Yrs/99 Yrs
Hospice and Palliative
Fax: (606) 784-2542
Languages: Spanish
Care
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
St Claire Medical Center
Neurology
M-F 8:30 AM - 5:00 PM Colbert, Ann MD
Provider ID: 631343
Mehari, Enawgaw MD
Hematology & Oncology Gender: Female
St Claire Medical Center Provider ID: 631609
Alqaisi, Abeer MD
Gender: Male
Inc
Provider ID: 1018019
Morehead Medical
201 Lyons Ave
Gender: Female
Specialists
Morehead, KY 40351
Morehead Medical
234 Medical Cir
(606) 783-6812
Specialists
Morehead, KY 40351
Fax: (606) 783-6906
234 Medical Cir Ste 1
(606) 784-6641
00 Yrs/99 Yrs
Morehead, KY 40351
Fax: (606) 783-7281
M-F 9:00 AM - 5:00 PM
(606) 784-6641
00 Yrs/99 Yrs
Fax: (606) 780-2373
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
St Claire Medical Center
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 55
Obstetrics/Gynecology
Baldwin, Lauren MD
Provider ID: 615680
Gender: Female
Kentucky Medical
Services
555 W Sun St
Morehead, KY 40351
(606) 207-2931
Fax: (606) 783-0964
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Forester, Corey MD
Provider ID: 1039500
Gender: Male
Uk Healthcare Morehead
Womens Care
555 W Sun St
Morehead, KY 40351
(606) 207-2931
Fax: (606) 783-0964
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fredericks, Tricia MD
Provider ID: 986849
Gender: Female
Kentucky Medical
Services Foundatio
555 W Sun St
Morehead, KY 40351
(606) 207-2931
Fax: (606) 783-0964
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Karmy, Robert MD
Provider ID: 615582
Gender: Male
Uk Healthcare
234 Medical Cir
Morehead, KY 40351
(606) 784-6641
Fax: (606) 783-0964
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Rowan
Obstetrics/Gynecology - Todd, Rebecca MD
cont.
Provider ID: 700567
Gender: Female
Labarbera, Frank MD
Kentucky Medical
Services
Provider ID: 899949
555 W Sun St
Gender: Male
Morehead, KY 40351
Kentucky Medical
(606) 207-2931
Services Foundatio
Fax: (606) 783-0964
555 W Sun St
00 Yrs/99 Yrs
Morehead, KY 40351
M-F 8:00 AM - 5:00 PM
(606) 207-2931
Fax: (606) 783-0964
Ophthalmology
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM Blackburn, Peter MD
Provider ID: TPV5042-25
Rone, Bryan MD
Gender: Male
Provider ID: 615869
333 Beacon Hill Rd Ste
Gender: Male
200
Kentucky Medical
Morehead, KY 40351
Services Foundatio
(606) 784-3393
555 W Sun St
Fax: (606) 784-3763
Morehead, KY 40351
00 Yrs/99 Yrs
(606) 207-2931
M-F 8:30 AM - 5:00 PM
Fax: (606) 783-0964
Evans, Johannes MD
00 Yrs/99 Yrs
Provider ID: TPV3245-04
M-F 8:00 AM - 5:00 PM
Gender: Male
Tilghman, Craig MD
333 Beacon Hill Rd Ste
Provider ID: 628752
200
Gender: Male
Morehead, KY 40351
Kentucky Medical
(606) 784-3393
Services
Fax: (606) 784-3763
555 W Sun St
00 Yrs/99 Yrs
Morehead, KY 40351
M-F 8:30 AM - 5:00 PM
(606) 207-2931
Fraser, Claire MD
Fax: (606) 783-0964
Provider ID: TPV9312-30
00 Yrs/99 Yrs
Gender: Female
M-F 8:00 AM - 5:00 PM
333 Beacon Hill Rd Ste
200
Morehead, KY 40351
(606) 784-3393
Fax: (606) 784-3763
00 Yrs/99 Yrs
Optometry
Nickell, Joel OD
Provider ID: TPV3299-02
Evans, Bryant OD
Gender: Male
Provider ID: TPV25413-03 333 Beacon Hill Rd Ste
Gender: Male
200
333 Beacon Hill Rd Ste
Morehead, KY 40351
200
(606) 784-3393
Morehead, KY 40351
Fax: (606) 784-3288
(606) 784-3393
00 Yrs/99 Yrs
Fax: (859) 278-0923
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
carol.milannich@kyeye. Spruiell, Lawson OD
com
Provider ID: TPV13592-06
M 9:00 AM - 4:00 PM
Gender: Male
200 Walmart Way
Mayo, Anthony OD
Morehead, KY 40351
Provider ID: TPV3289-01
(606) 784-2090
Gender: Male
00 Yrs/99 Yrs
129 W. Main St
M-F 8:00 AM - 5:00 PM
Morehead, KY 40351
(606) 784-5355
Steele, Harry OD
Fax: (606) 784-4864
Provider ID: TPV3312-02
00 Yrs/99 Yrs
Gender: Male
M-TH 8:00 AM - 5:00 PM 333 Beacon Hill Rd Ste
200
F 8:00 AM - 2:00 PM
Morehead, KY 40351
McHugh, Robert OD
(606) 784-3288
Provider ID: TPV3454-01
Fax: (606) 784-3288
Gender: Male
00 Yrs/99 Yrs
137 East First St
M-F 9:00 AM - 5:00 PM
Morehead, KY 40351
Oral & Maxillofacial
(606) 783-1575
Surgery
Fax: (606) 783-1576
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM Smith, Ballard DMD
Provider ID: TPV3824-01
Gender: Male
Muha, Kevin OD
709 W. Main St
Provider ID:
TPV1891817086WL
Morehead, KY 40351
Gender: Male
(606) 784-8983
200 Walmart Way
Fax: (606) 784-4408
Morehead, KY 40351
00 Yrs/99 Yrs
(806) 784-2090
M-W 8:00 AM - 4:30 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 56
05/28/2015
Specialty Physicians
Rowan
Orthopaedic Surgery
Pediatrics
Radiation Oncology
Crouse, Charles MD
Provider ID: 631692
Gender: Male
Cave Run Surgical
Specialists
425 Clinic Dr
Morehead, KY 40351
(606) 784-7551
Fax: (606) 784-2542
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Bacon, Matthew MD
Feddock, Jonathan MD
Provider ID: 631586
Provider ID: 750579
Gender: Male
St Claire Medical Center Gender: Male
Inc
Kentucky Medical
Services
222 Medical Cir
228 W 2nd St
Morehead, KY 40351
Morehead, KY 40351
(606) 783-6500
(606) 784-3443
Fax: (606) 783-6503
Fax: (606) 783-6757
00 Yrs/21 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Podiatry
Fossett, Ralph MD
Kudrimoti, Mahesh MD
Provider ID: 638807
Clayton, Clarence DPM
Gender: Male
Provider ID: 616069
Cave Run Surgical
Provider ID: 631809
Gender: Male
Specialists
Gender:
Male
Kentucky Medical
425 Clinic Dr
Cave
Run
Surgical
Services
Morehead, KY 40351
Specialists
228 W 2nd St
(606) 784-7551
1028 E Main St
Morehead, KY 40351
Fax: (606) 784-2542
Morehead,
KY
40351
(606) 784-3443
00 Yrs/99 Yrs
(606)
783-6866
Fax: (606) 783-6757
St Claire Medical Center
Fax:
(606)
783-6941
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pediatric Orthopaedics
M-F 9:00 AM - 5:00 PM
Patel, Pushpa MD
Preventive Medicine
Schneider, Cynthia MD
Provider ID: 618632
Rowan Co Middle School Gender: Female
Provider ID: 631718
Kentucky Medical
Gender: Female
Services
Provider ID: 634287
Cave Run Surgical
228 W 2nd St
555 Viking Dr
Specialists
Morehead, KY 40351
Morehead, KY 40351
425 Clinic Dr
(606) 784-3443
(606) 784-5792
Morehead, KY 40351
Fax: (606) 783-6757
Fax: (606) 783-0557
(606) 784-7551
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (606) 784-2542
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 57
Randall, Marcus MD
Provider ID: 615862
Gender: Male
Uk Healthcare
228 W 2nd St
Morehead, KY 40351
(606) 784-3443
Fax: (606) 783-6757
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Reams, Robin MD
Provider ID: 615768
Gender: Female
Kentucky Medical
Services Foundatio
228 W 2nd St
Morehead, KY 40351
(606) 784-3443
Fax: (606) 783-6757
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Urology
Greenberg, Eugene MD
Provider ID: 623783
Gender: Male
Cave Run Clinic
425 Clinic Dr
Morehead, KY 40351
(606) 784-7551
Fax: (606) 784-2542
00 Yrs/99 Yrs
MT 8:00 AM - 3:45 PM
W 8:00 AM - 11:30 PM
05/28/2015
Specialty Physicians
Rowan
Urology - cont.
Greenberg, Eugene MD
Provider ID: 671387
Gender: Male
Cave Run Surgical
Specialists
425 Clinic Dr
Morehead, KY 40351
(606) 784-7551
Fax: (606) 784-2542
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Vascular Surgery
Victor, David MD
Provider ID: 631614
Gender: Male
Cave Run Surgical
Specialists
425 Clinic Dr
Morehead, KY 40351
(606) 784-7551
Fax: (606) 784-2542
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Newcomb, Oliver MD
Provider ID: 618699
Gender: Male
Cave Run Clinic
425 Clinic Dr
Morehead, KY 40351
(606) 784-7551
Fax: (606) 784-2542
00 Yrs/99 Yrs
M 8:00 AM - 11:30 PM
TW 8:00 AM - 3:00 PM
Newcomb, Oliver MD
Provider ID: 671388
Gender: Male
Cave Run Surgical
Specialists
425 Clinic Dr
Morehead, KY 40351
(606) 784-7551
Fax: (606) 784-2542
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
kentucky.wellcare.com | 58
05/28/2015
Hospitals
Boyd
Hospital
Kings Daughters Medical
Center
Provider ID: 623651
2201 Lexington Ave
Ashland, KY 41101
(606) 408-5044
Fax: (606) 408-5476
Our Lady of Bellefonte
Hospital
Provider ID: 624024
1000 Saint Christopher
Dr
Ashland, KY 41101
(606) 833-3333
kentucky.wellcare.com | 59
05/28/2015
Hospitals
Fleming
Hospital
Fleming County Hospital
Provider ID: 244963
55 Foundation Dr
Flemingsburg, KY 41041
(606) 849-5107
Fax: (606) 849-5014
kentucky.wellcare.com | 60
05/28/2015
Hospitals
Mason
Hospital
Meadowview Reg Med
Center
Provider ID: 203989
989 Medical Park Dr
Maysville, KY 41056
(606) 759-3238
Fax: (606) 759-7702
kentucky.wellcare.com | 61
05/28/2015
Hospitals
Morgan
Critical Access Hospital
Morgan Co Arh Hospital
Provider ID: 593924
476 Liberty Rd
West Liberty, KY 41472
(606) 743-3186
Fax: (606) 743-3229
00 Yrs/99 Yrs
kentucky.wellcare.com | 62
05/28/2015
Hospitals
Rowan
Hospital
St Claire Reg Med
Center
Provider ID: 444270
222 Medical Cir
Morehead, KY 40351
(606) 783-6932
kentucky.wellcare.com | 63
05/28/2015
Behavioral Health
Boyd
Behavioral Health
Counseling
Clinical Social Work
Pathways Inc
Provider ID: 606917
Huff, Lisa LCSW
201 22nd St
The Rameyestep Homes Provider ID: 924384
Ashland, KY 41101
Gender: Female
(606) 324-1411
Provider ID: 1006527
Kings Daughters Medical Fax: (606) 325-8606
2901 Pigeon Roost Rd
Center
00 Yrs/99 Yrs
Rush, KY 41168
2201 Lexington Ave
M-F 8:30 AM - 5:00 PM
(606) 928-6648
Ashland, KY 41101
00 Yrs/99 Yrs
(606) 327-4452
Pathways Inc
M-F 9:00 AM - 5:00 PM
Fax: (606) 327-7425
Provider ID: 606917
00 Yrs/99 Yrs
2115 Moore St
Unified Psychiatry
Ashland, KY 41101
Provider ID: 1032787
Vest, Elisabeth LCSW
(606) 325-3631
401 22nd St
Provider ID: 907554
Fax: (606) 325-3631
Ashland, KY 41101
Gender: Female
00 Yrs/99 Yrs
(606) 329-0408
Kings Daughters Medical
Fax: (606) 329-0483
Center
Pathways Inc
00 Yrs/99 Yrs
2201 Lexington Ave
Provider ID: 606917
M-F 9:00 AM - 5:00 PM
Ashland, KY 41101
2165 Winchester Ave
(606) 327-4452
Ashland, KY 41101
Behavioral Health Facility Fax: (606) 327-7425
(606) 324-1141
00
Yrs/99
Yrs
00 Yrs/99 Yrs
Counselors Clinical
M-F 9:00 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
Cottage
Provider ID: 1031536
Community Mental
Pathways Inc
937 29th St
Health Center
Provider ID: 606917
Ashland, KY 41101
2634 Moore St
(606) 329-0727
Pathways Inc
Ashland, KY 41101
Fax: (606) 329-0727
Provider ID: 606917
(606) 324-1272
00 Yrs/99 Yrs
1128 2nd Circle Prospect
Fax: (606) 324-1272
M-F 9:00 AM - 5:00 PM
Ashland, KY 41101
00 Yrs/99 Yrs
(606) 324-1173
Hand of Hope
Fax: (606) 324-1173
Pathways Inc
Provider ID: 1031464
00 Yrs/99 Yrs
Provider ID: 606917
1212 Bath Ave Ste 101
308 W Woodmont Dr
Ashland, KY 41101
Pathways Inc
Ashland, KY 41102
(606) 393-5926
Provider ID: 606917
(606) 324-0412
Fax: (606) 393-5613
1308 Grandview Dr
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Ashland, KY 41101
M-F 9:00 AM - 5:00 PM
(606) 324-1127
Pathways Inc
Fax: (606) 324-1127
Provider ID: 606917
00 Yrs/99 Yrs
3174 St Rd 1458
Ashland, KY 41102
(606) 834-9646
Fax: (606) 834-9646
00 Yrs/99 Yrs
kentucky.wellcare.com | 64
Pathways Inc
Provider ID: 606917
3701 Landsdowne Dr
Ashland, KY 41102
(606) 324-3005
Fax: (606) 329-1530
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Pathways Inc
Provider ID: 606917
451 Marcia St
Ashland, KY 41101
(606) 324-1272
Fax: (606) 324-1272
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
456 Blackburn Ave
Ashland, KY 41101
(606) 324-3863
Fax: (606) 324-3863
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
57 Dora Ln
Ashland, KY 41105
(606) 473-7333
Fax: (606) 473-7335
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Pathways Inc
Provider ID: 606917
840 Interstate Dr
Ashland, KY 41105
(606) 329-8588
Fax: (606) 329-8195
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
05/28/2015
Behavioral Health
Boyd
Licensed Clinical Social
Worker
Kazee, Stephanie LCSW
Provider ID: 978081
Gender: Female
2901 Pigeon Roost Rd
Rush, KY 41168
(606) 928-6648
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Krivchenia, Paula LCSW
Provider ID: 714535
Gender: Female
Unified Psychiatry PSC
401 22nd St
Ashland, KY 41101
(606) 329-0408
Fax: (606) 329-0483
00 Yrs/99 Yrs
M 9:00 AM - 5:30 PM
TW 8:00 AM - 6:00 PM
TH 9:00 AM - 6:30 PM
F 9:00 AM - 1:00 PM
Licensed Professional
Counselor
Anderson, Virginia LPC
Provider ID: 978111
Gender: Female
2901 Pigeon Roost Rd
Rush, KY 41168
(606) 928-6648
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Caldwellmccomas,
Colleen LPC
Provider ID: 978020
Gender: Female
2901 Piegon Roost Rd
Rush, KY 41168
(606) 928-6648
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Chapman, Jessica CNP
Hill, Jenna LPC
Smith, Amy LPC
Provider ID: 1003563
Provider ID: 1060546
Provider ID: 978046
Gender: Female
Gender: Female
Gender: Female
The Ramey Estep Homes Lighthouse Professional
2901 Pigeon Roost Rd
Inc
Counseling
Rush, KY 41168
2901 Pigeon Roost Rd
700 Wheatley Rd
(606) 928-6648
Rush, KY 41168
Ashland, KY 41101
00 Yrs/99 Yrs
(606) 928-6648
(606) 369-0139
M-F 9:00 AM - 5:00 PM
Fax: (606) 928-8678
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Languages: Hindi
Dennis, Lakeisha LPC
M-F 8:00 AM - 8:00 PM
M-F 9:00 AM - 5:30 PM
Provider ID: 1005639
Sat 10:00 AM - 1:00 PM
Gender: Female
Maddox, Paula LPC
The Ramey Estep Homes Provider ID: 1000902
Sperry, Joel LPC
Inc
Gender: Female
Provider ID: 978095
2901 Pigeon Roost Rd
Jade A Maddox
Gender: Male
Rush, KY 41168
937 29th St
2901 Pigeon Roost Rd
(606) 928-6648
Ashland, KY 41101
Rush, KY 41168
Fax: (606) 928-8678
(606) 329-0727
(606) 928-6648
00 Yrs/99 Yrs
Fax: (606) 329-0727
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M 9:00 AM - 6:00 PM
Griffith, Lauren PA
Vance, Terry LPC
T 12:00 AM - 8:00 PM
Provider ID: 978051
Provider ID: 1020892
W 2:00 AM - 9:00 PM
Gender: Female
Gender: Male
TH 8:00 AM - 8:00 PM
2901 Pigeon Roost Rd
Hand of Hope Inc
F 5:00 AM - 7:00 PM
Rush, KY 41168
1212 Bath Ave Ste 101
(606) 928-6648
McCormick, Kelli LPC
Ashland, KY 41101
00 Yrs/99 Yrs
Provider ID: 978091
(606) 393-5926
M-F 9:00 AM - 5:00 PM
Gender: Female
Fax: (606) 393-5613
2901 Pigeon Roost Rd
00 Yrs/99 Yrs
Griswold, Misty LPC
Rush, KY 41168
M-F 8:30 AM - 6:00 PM
Provider ID: 978059
(606) 928-6648
Gender: Female
Vance, Terry LPC
00 Yrs/99 Yrs
2901 Pigeon Roost Rd
Provider ID: 978099
M-F 9:00 AM - 5:00 PM
Rush, KY 41168
Gender: Male
(606) 928-6648
Simpson, Cassandra LPC 2901 Pigeon Roost Rd
00 Yrs/99 Yrs
Rush, KY 41168
M-F 9:00 AM - 5:00 PM
Provider ID: 995993
(606) 928-6648
Gender: Female
00 Yrs/99 Yrs
The Ramey Estep Homes M-F 9:00 AM - 5:00 PM
Inc
Wiley, Christa LPC
2901 Pigeon Roost Rd
Provider ID: 978106
Rush, KY 41168
Gender: Female
(606) 928-6648
2901 Pigeon Roost Rd
Fax: (606) 928-8678
Rush, KY 41168
00 Yrs/99 Yrs
(606) 928-6648
M-F 8:00 AM - 8:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 65
05/28/2015
Behavioral Health
Boyd
Licensed Professional
Counselor - cont.
Wilks, Jessica LPC
Provider ID: 1046223
Gender: Female
2901 Pigeon Roost Rd
Rush, KY 41168
(606) 928-6648
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 8:00 PM
Psychiatry
Akhtar, Naeem MD
Provider ID: 994225
Gender: Male
Bellefonte Behavioral
Health Associ
1000 St Christopher Dr
Ashland, KY 41101
(606) 833-3555
Fax: (606) 833-3595
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Davenport, Lana MD
Provider ID: 633154
Gender: Female
Kdmc Behavioral
Medicine Unit
2201 Lexington Ave
Ashland, KY 41101
(606) 408-7331
Fax: (606) 408-4806
00 Yrs/99 Yrs
Eze, Emmanuel MD
Provider ID: 721531
Gender: Male
Ultimate Care Medical
Services
3655 Winchester Ave
Ashland, KY 41101
(606) 329-4632
Fax: (888) 411-4131
00 Yrs/99 Yrs
M-F 5:30 AM - 1:00 PM
Sat-Sun 6:00 AM - 9:00
PM
Lance, Scott MD
Provider ID: 636285
Gender: Male
Regional Psychotherapy
Services
1000 Ashland Dr Ste 301
Ashland, KY 41101
(606) 326-0322
Fax: (606) 326-9809
00 Yrs/99 Yrs
Kings Daughters Medical
Center
Our Lady of Bellefonte
Hospital
M-F 8:00 AM - 5:00 PM
Parikh, Manish MD
Provider ID: 633394
Gender: Male
Kings Daughters Medical
Center
2201 Lexington Ave
Ashland, KY 41101
(606) 408-4331
Fax: (606) 408-6353
00 Yrs/99 Yrs
Saroch, Sandeep MD
Provider ID: 606988
Gender: Male
Unified Psychiatrty PSC
401 22nd St
Ashland, KY 41101
(606) 329-0408
Fax: (606) 329-0483
06 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Oloworaran, Ayobola
MD
Provider ID: 994221
Gender: Male
Bellefonte Behavioral
Health Associ
1000 St Christopher Dr
Ashland, KY 41101
(606) 833-3555
Fax: (606) 833-3595
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 66
05/28/2015
Behavioral Health
Bracken
Community Mental
Health Center
Comprehend Inc
Provider ID: 606918
134 Grandview Dr
Brooksville, KY 41004
(606) 735-3611
00 Yrs/99 Yrs
M-F 8:30 AM - 6:00 PM
kentucky.wellcare.com | 67
05/28/2015
Behavioral Health
Carter
Community Mental
Health Center
Pathways Inc
Provider ID: 606917
100 Ruth St
Grayson, KY 41143
(606) 474-2596
Fax: (606) 474-2596
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
515 W Main St
Grayson, KY 41143
(606) 474-0025
Fax: (606) 474-0025
00 Yrs/99 Yrs
kentucky.wellcare.com | 68
05/28/2015
Behavioral Health
Elliott
Community Mental
Health Center
Pathways Inc
Provider ID: 606917
374 N Ky 7
Sandy Hook, KY 41171
(606) 738-6163
Fax: (606) 738-5030
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
kentucky.wellcare.com | 69
05/28/2015
Behavioral Health
Fleming
Community Mental
Health Center
Comprehend Inc
Provider ID: 606918
610 Elizabeth Rd
Flemingsburg, KY 41041
(606) 849-2212
00 Yrs/99 Yrs
M-F 8:30 AM - 6:00 PM
Licensed Professional
Counselor
Toller, Maribeth LPC
Provider ID: 1000111
Gender: Female
Sunrise Professional
Counseling Ser
89 2nd St
Flemingsburg, KY 41041
(606) 748-2648
00 Yrs/99 Yrs
M-F 5:00 AM - 7:00 PM
Sat 10:00 AM - 3:00 PM
kentucky.wellcare.com | 70
05/28/2015
Behavioral Health
Greenup
Community Mental
Health Center
Pathways Inc
Provider ID: 606917
1801 Callihan St
Flatwoods, KY 41139
(606) 833-8836
Fax: (606) 833-8836
00 Yrs/99 Yrs
Parikh, Manish MD
Provider ID: 621418
Gender: Male
Manish Parikh MD PSC
1451 Diederich Blvd
Russell, KY 41169
(606) 547-4536
Fax: (866) 511-5587
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Pathways Inc
Provider ID: 606917
2320 Long St
Flatwoods, KY 41139
(606) 833-5611
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
925 Daniels Dr
Flatwoods, KY 41139
(606) 836-1886
Fax: (606) 836-1886
00 Yrs/99 Yrs
Psychiatry
Lance, Scott MD
Provider ID: 613671
Gender: Male
Regional Psychotherpy
Services Inc
1000 Ashland Dr Ste 301
Ashland, KY 41101
(606) 326-0322
Fax: (606) 326-9809
21 Yrs/99 Yrs
M-TH 8:30 AM - 4:30 PM
F 8:30 AM - 12:00 PM
kentucky.wellcare.com | 71
05/28/2015
Behavioral Health
Lawrence
Community Mental
Health Center
Pathways Inc
Provider ID: 606917
1036 Kennedy St
Louisa, KY 41230
(606) 638-0803
Fax: (606) 638-0803
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
428 N Lock Ave
Louisa, KY 41230
(606) 638-9332
Fax: (606) 638-9332
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
56 Lara Ln
Louisa, KY 41230
(606) 638-0470
Fax: (606) 638-0470
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
60 Professional Park Dr
Louisa, KY 41230
(606) 638-4332
Fax: (606) 638-4394
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Licensed Clinical Social
Worker
Pinson, Abigail LCSW
Provider ID: 1076904
Gender: Female
Cornerston Christian
Counseling
332 River Bend Rd
Louisa, KY 41230
(606) 638-0222
Fax: (606) 638-0222
00 Yrs/99 Yrs
Whitesburg Arh Hospital
M-W 9:00 AM - 5:00 PM
Psychiatry
Ali, Rizwan MD
Provider ID: 935585
Gender: Male
Three Rivers Medical
Clinics Inc
2485 Hwy 644
Louisa, KY 41230
(606) 638-1154
Fax: (606) 638-4502
00 Yrs/99 Yrs
Three Rivers Medical
Center
Languages: Urdu
M-F 8:00 AM - 5:00 PM
Light, Michael MD
Provider ID: 709877
Gender: Male
Three Rivers Medical
Clinics Inc
2483 Hwy 644 Ste 106
Louisa, KY 41230
(606) 638-1154
Fax: (606) 638-3325
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wozniak, Tanya MD
Provider ID: 1078881
Gender: Female
Three Rivers Medical
Clinics Inc
2485 Hwy 644
Louisa, KY 41230
(606) 638-1154
Fax: (606) 638-4502
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 72
05/28/2015
Behavioral Health
Lewis
Community Mental
Health Center
Comprehend Inc
Provider ID: 606918
83 Second St
Vanceburg, KY 41179
(606) 796-0572
00 Yrs/99 Yrs
M-F 8:30 AM - 6:00 PM
kentucky.wellcare.com | 73
05/28/2015
Behavioral Health
Mason
Behavioral Health Facility
New Hope
Provider ID: 1034173
901 US Hwy 68 Ste 900
Maysville, KY 41056
(606) 584-7055
Fax: (866) 533-4929
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Community Mental
Health Center
Comprehend Inc
Provider ID: 606918
611 Forest Ave
Maysville, KY 41056
(606) 564-4016
00 Yrs/99 Yrs
M-F 8:30 AM - 6:00 PM
Licensed Clinical Social
Worker
Weber, Deborah LCSW
Provider ID: 821669
Gender: Female
Lewis County Primary
Care Center
1350 Medical Park Dr
Maysville, KY 41056
(606) 759-0490
Fax: (606) 759-0499
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 74
05/28/2015
Behavioral Health
Menifee
Community Mental
Health Center
Pathways Inc
Provider ID: 606917
70 Main St
Frenchburg, KY 40322
(606) 768-2131
Fax: (606) 768-2134
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
kentucky.wellcare.com | 75
05/28/2015
Behavioral Health
Morgan
Community Mental
Health Center
Pathways Inc
Provider ID: 606917
767 Main St
West Liberty, KY 41472
(606) 743-3139
Fax: (606) 743-4336
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Psychology
Cantrell, Mary CP
Provider ID: 1074489
Gender: Female
ML Cantrell
Psychotherapeutic Servi
1219 W Main St
West Liberty, KY 41472
(606) 743-2407
05 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Cantrell, Mary CP
Provider ID: 1074489
Gender: Female
ML Cantrell
Psychotherapeutic Servi
849 Hwy 191
West Liberty, KY 41472
(606) 743-2407
05 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 76
05/28/2015
Behavioral Health
Robertson
Community Mental
Health Center
Comprehend Inc
Provider ID: 606918
8150 Blue Licks Pike
Mount Olivet, KY 41064
(606) 724-5213
00 Yrs/99 Yrs
M-F 8:30 AM - 6:00 PM
kentucky.wellcare.com | 77
05/28/2015
Behavioral Health
Rowan
Community Mental
Health Center
Pathways Inc
Provider ID: 606917
100 Horizon Way
Morehead, KY 40351
(606) 783-7293
Fax: (606) 784-3383
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
1111 US Hwy 60 W
Morehead, KY 40351
(606) 783-0404
Fax: (606) 783-0422
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
1490 Flemingsburg Rd
Morehead, KY 40351
(606) 784-3062
Fax: (606) 784-3072
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
321 E Main St
Morehead, KY 40351
(606) 784-4161
Fax: (606) 783-9952
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Pathways Inc
Provider ID: 606917
325 E Main St
Morehead, KY 40351
(606) 784-4161
Fax: (606) 784-2379
00 Yrs/99 Yrs
M-F 8:30 AM - 3:30 PM
Pathways Inc
Provider ID: 606917
411 Bishop Ct
Morehead, KY 40351
(606) 784-2096
Fax: (606) 784-5886
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
607 Dry Creek Rd
Clearfield, KY 40313
(606) 780-4257
Fax: (606) 780-4257
00 Yrs/99 Yrs
Licensed Clinical Social
Worker
Barnett, Carol LCSW
Provider ID: 750617
Gender: Female
150 University Blvd 112
Allie Young Hall
Morehead, KY 40351
(606) 783-2055
Fax: (606) 783-9106
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Barnett, Carol LCSW
Provider ID: 935076
Gender: Female
St Claire Medical
Counseling
445 Clinic Dr
Morehead, KY 40351
(606) 783-6805
Fax: (606) 783-6337
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Garcia Labarbera, Anna
LCSW
Provider ID: 974099
Gender: Female
St Claire Medical
Counseling
445 Clinic Dr
Morehead, KY 40351
(606) 783-6805
Fax: (606) 783-6337
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pediatric Psychiatry
Cruser, Marc MD
Provider ID: 651925
Gender: Male
St Claire Medical
Counseling
445 Clinic Dr
Morehead, KY 40351
(606) 783-6505
Fax: (606) 783-6869
00 Yrs/99 Yrs
St Claire Medical Center
M-F 8:30 AM - 5:00 PM
Johnson, Jennifer LCSW
Provider ID: 908739
Psychiatry
Gender: Female
St Claire Medical
Fennell, Christopher MD
Counseling
445 Clinic Dr
Provider ID: 701785
Morehead, KY 40351
Gender: Male
(606) 783-6805
St Claire Counseling
Fax: (606) 783-6337
445 Clinic Dr
00 Yrs/99 Yrs
Morehead, KY 40351
MWF 9:00 AM - 5:00 PM (606) 783-6505
TTH 11:00 AM - 7:00 PM
Fax: (606) 783-6869
00 Yrs/99 Yrs
Neuropsychology
M-F 8:00 AM - 5:00 PM
Ashfaq, Muhammad MD
Salyers, Laura MD
Provider ID: 637377
Provider ID: 1021173
Gender: Female
Gender: Male
St Claire Medical
St Claire Medical
Counseling
Counseling
445 Clinic Dr
445 Clinic Dr
Morehead, KY 40351
Morehead, KY 40351
(606) 783-6505
(606) 783-6805
Fax: (606) 783-6869
Fax: (606) 783-6869
00 Yrs/99 Yrs
00 Yrs/99 Yrs
St Claire Medical Center St Claire Medical Center
M-F 8:30 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 78
05/28/2015
Behavioral Health
Rowan
Psychology
Young, Rodney PsyD
Provider ID: 994243
Gender: Male
St Claire Medical Center
Inc
222 Medical Cir
Morehead, KY 40351
(606) 783-6661
Fax: (606) 783-6337
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 79
05/28/2015
Ancillary Providers
All
Laboratory Pathology
Testing
Labcorp
For Additional Providers
and Locations Please
Call:
(888) 522-2677
Quest Diagnostics
For Additional Providers
and Locations Please
Call:
(866) 697-8378
kentucky.wellcare.com | 80
05/28/2015
Ancillary Providers
Bath
Community Health
Center
Bath County Health
Center
Provider ID: 644889
68 Oberline St
Owingsville, KY 40360
(606) 674-2731
Fax: (606) 674-9646
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Durable Medical
Equipment
Bath Hometown
Pharmacy Inc
Provider ID: 611374
Bath Hometown
Pharmacy
19 Miller Dr
Owingsville, KY 40360
(606) 674-2423
Fax: (606) 674-2451
00 Yrs/99 Yrs
M-F 8:30 AM - 6:00 PM
Sat 8:30 AM - 2:00 PM
kentucky.wellcare.com | 81
05/28/2015
Ancillary Providers
Boyd
Dialysis
BMA Ashland
Provider ID: 631171
432 16th St Ste A
Ashland, KY 41101
(606) 325-5268
Fax: (606) 324-3638
00 Yrs/99 Yrs
MTWTHFSat 6:00 AM 3:30 PM
FMC Central Ashland
Provider ID: 633640
Biomedical Applications
of Kentucky
424 River Hill Dr
Ashland, KY 41101
(606) 329-0363
Fax: (606) 329-0364
MTWTHFSat 6:00 AM 5:00 PM
Durable Medical
Equipment
Advocate Medical
Services, Inc
Provider ID: 296247
2508 Center St
Catlettsburg, KY 41129
(813) 280-6541
Fax: (606) 433-9022
00 Yrs/99 Yrs
Languages: Spanish,
German
M-F 9:00 AM - 5:00 PM
Bailey, Brian DPM
Provider ID: 609120
Gender: Male
Body Mind Spirit
Podiatric Center
500 14th St
Ashland, KY 41101
(606) 324-3668
Fax: (606) 324-0668
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Hanger Prosthetics &
Orthotics Inc
Provider ID: 657473
336 29th St Ste 203
Ashland, KY 41101
(606) 324-5461
Fax: (606) 329-0393
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Infusion Solutions
Provider ID: 613848
200 Mall Rd Ste 3
Ashland, KY 41101
(606) 325-1115
Fax: (606) 324-4663
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Our Lady of Bellefonte
Hospital Durable
Provider ID: 749515
Our Lady of Bellefonte
Hospital Dur
118 Saint Christopher Dr
Ashland Prosthetics And Ashland, KY 41101
(606) 833-6241
Orthotic Service
Fax: (606) 833-3998
Provider ID: 638948
00 Yrs/99 Yrs
2816 Carter Ave
M-F 8:00 AM - 5:00 PM
Ashland, KY 41101
(606) 324-5786
Fax: (606) 324-5876
M-F 8:30 AM - 4:30 PM
S and N Medical
Solutions LLC
Provider ID: 688900
2116 13th St
Ashland, KY 41101
(606) 393-5314
Fax: (606) 393-5318
00 Yrs/99 Yrs
M-F 9:00 AM - 4:00 PM
Wecare Medical LLC
Provider ID: 632059
2826 Holt St
Ashland, KY 41101
(606) 325-0692
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Womens Center
Boutique
Provider ID: 759582
1000 Ashland Dr
Ashland, KY 41101
(606) 325-0692
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Epsdt Special Services
Pathways Inc
Provider ID: 606917
1128 2nd Circle Prospect
Ashland, KY 41101
(606) 324-1173
Fax: (606) 324-1173
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
1308 Grandview Dr
Ashland, KY 41101
(606) 324-1127
Fax: (606) 324-1127
00 Yrs/99 Yrs
kentucky.wellcare.com | 82
Pathways Inc
Provider ID: 606917
201 22nd St
Ashland, KY 41101
(606) 324-1411
Fax: (606) 325-8606
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Pathways Inc
Provider ID: 606917
2115 Moore St
Ashland, KY 41101
(606) 325-3631
Fax: (606) 325-3631
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
2165 Winchester Ave
Ashland, KY 41101
(606) 324-1141
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Pathways Inc
Provider ID: 606917
2634 Moore St
Ashland, KY 41101
(606) 324-1272
Fax: (606) 324-1272
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
308 W Woodmont Dr
Ashland, KY 41102
(606) 324-0412
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
3174 St Rd 1458
Ashland, KY 41102
(606) 834-9646
Fax: (606) 834-9646
00 Yrs/99 Yrs
05/28/2015
Ancillary Providers
Boyd
Epsdt Special Services cont.
Pathways Inc
Provider ID: 606917
3701 Landsdowne Dr
Ashland, KY 41102
(606) 324-3005
Fax: (606) 329-1530
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Pathways Inc
Provider ID: 606917
451 Marcia St
Ashland, KY 41101
(606) 324-1272
Fax: (606) 324-1272
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
456 Blackburn Ave
Ashland, KY 41101
(606) 324-3863
Fax: (606) 324-3863
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
57 Dora Ln
Ashland, KY 41105
(606) 473-7333
Fax: (606) 473-7335
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Pathways Inc
Provider ID: 606917
840 Interstate Dr
Ashland, KY 41105
(606) 329-8588
Fax: (606) 329-8195
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Home Health Care
Infusion Therapy
Amedisys Home Health
Care-Ashland
Provider ID: 608055
Amedisys Home Health
Care Ashland
1200 Bath Ave Ste 301
Ashland, KY 41101
(606) 324-2491
Fax: (606) 324-7676
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Infusion Solutions
Provider ID: 613848
200 Mall Rd Ste 3
Ashland, KY 41101
(606) 325-1115
Fax: (606) 324-4663
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Kings Daughters Home
Health
Provider ID: 698506
Kings Daughters Home
Health
10730 Midland Trail
Ashland, KY 41105
(606) 408-9700
Fax: (606) 408-9701
M-F 9:00 AM - 5:00 PM
Hanger Pros and Orth
East Inc
Provider ID: 134894
1901 Winchester Ave Ste
103
Ashland, KY 41101
(606) 324-5461
Fax: (606) 329-0393
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Hospice
Hanger Pros and Orth
East Inc
Provider ID: 134894
336 29th St Ste 203
Ashland, KY 41101
(606) 324-5461
Fax: (606) 329-0393
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Walgreens Infusion
Services
Provider ID: 671912
Bellefonte Home Health Walgreens Infusion
Care Agency
Services Ashland
Provider ID: 678285
4380 13th St
700 Saint Christopher Dr Ashland, KY 41102
Ste 105 Medical Bldg III
(866) 324-4427
Ashland, KY 41101
Fax: (866) 221-1916
(606) 833-3545
00 Yrs/99 Yrs
Fax: (606) 833-3546
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Orthotics & Prosthetics
M-F 9:00 AM - 5:00 PM
Community Hospice Inc
Provider ID: 599008
Ky Hospice Network
Group
1538 Central Ave
Ashland, KY 41101
(606) 329-1890
Fax: (606) 329-0018
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 83
Urgent Care Center
Kdmc Urgent Care
Provider ID: 636939
Ashland Urgent Care
Center
2245 Winchester Ave
Ashland, KY 41101
(606) 408-2600
Fax: (606) 408-2603
00 Yrs/99 Yrs
MTWTHFSatSun 10:00
AM - 10:00 PM
05/28/2015
Ancillary Providers
Bracken
Dialysis
12th Street Covington
Dialysis
Provider ID: 666450
1500 James Simpson Jr
Way Ste 1100
Germantown, KY 41044
(859) 261-4345
Fax: (859) 261-4378
18 Yrs/99 Yrs
M-W 6:00 AM - 4:30 PM
Family Planning
Bracken Co Health Dept
Provider ID: 645522
429 Frankfort St
Brooksville, KY 41004
(606) 735-2157
Fax: (606) 735-2159
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 84
05/28/2015
Ancillary Providers
Carter
Dialysis
FMC Grayson
Provider ID: 634009
Biomedical Applications
of Kentucky
286 State Hwy 1947
Grayson, KY 41143
(606) 474-0475
Fax: (606) 474-0426
M-W 6:00 AM - 5:00 PM
Sanjiv Gupta MD PSC
Provider ID: 760067
Grayson Health Park
300 State Hwy 1947A
Grayson, KY 41143
(606) 474-2200
Fax: (606) 474-2205
M-F 8:30 AM - 4:30 PM
Epsdt Special Services
Pathways Inc
Provider ID: 606917
100 Ruth St
Grayson, KY 41143
Carter Pharmacist Group (606) 474-2596
LLC
Fax: (606) 474-2596
Provider ID: 655387
00 Yrs/99 Yrs
Carter Pharmcay Group
136 Jessica Ln Ste E
Pathways Inc
Olive Hill, KY 41164
Provider ID: 606917
(606) 286-2029
515 W Main St
Fax: (606) 286-2307
Grayson, KY 41143
00 Yrs/99 Yrs
(606) 474-0025
Languages: Spanish
Fax: (606) 474-0025
MTWTHFSat 8:00 AM 00 Yrs/99 Yrs
8:00 PM
Family Planning
Grayson Family Drug
Carter County Health
Center
Provider ID: 712577
Provider ID: 645693
131 Carol Malone Blvd
Ste E
US 60 East
Grayson, KY 41143
Grayson, KY 41143
(606) 475-0232
(606) 282-5588
Fax: (606) 745-0254
Fax: (606) 286-0185
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
M-F 8:00 AM - 4:30 PM
Sat 9:00 AM - 2:00 PM
Durable Medical
Equipment
Urgent Care Center
Kdmc Urgent Care
Provider ID: 636939
Grayson Urgent Care
Center
105 State Hwy 1957 Ste B
Grayson, KY 41143
(606) 475-0152
Fax: (606) 474-0040
00 Yrs/99 Yrs
MTWTHFSatSun 10:00
AM - 10:00 PM
Medi Home Care-Boyd
Provider ID: 615316
Medi Home Care
118 S Hord St
Grayson, KY 41143
(606) 474-6684
Fax: (606) 474-7655
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 85
05/28/2015
Ancillary Providers
Elliott
Epsdt Special Services
Pathways Inc
Provider ID: 606917
374 N Ky 7
Sandy Hook, KY 41171
(606) 738-6163
Fax: (606) 738-5030
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Family Planning
Elliott County Health
Center
Provider ID: 645068
109 David Blair Blvd
Sandy Hook, KY 41171
(606) 738-5205
Fax: (606) 738-6530
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 86
05/28/2015
Ancillary Providers
Fleming
Durable Medical
Equipment
Fch Home Medical
Equipment and Supplies
Provider ID: 653938
Fch Home Medical
777 Elizaville Ave
Flemingsburg, KY 41041
(606) 849-0000
Fax: (606) 845-9029
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
Wilson, Donald MD
Provider ID: 619653
Gender: Male
Lewis County Primary
Care Center
520 Elizaville Ave
Flemingsburg, KY 41041
(606) 845-0028
Fax: (606) 845-0263
12 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Total Care Pharmacy
Provider ID: 618001
118 Clark St
Flemingsburg, KY 41041
(606) 845-3421
Fax: (606) 845-0113
00 Yrs/99 Yrs
M-F 9:00 AM - 7:00 PM
Sat 9:00 AM - 3:30 PM
Federally Qualified
Health Center
Doty, David DO
Provider ID: 619640
Gender: Male
Lewis County Primary
Care Center
520 Elizabeth Ave
Flemingsburg, KY 41041
(606) 845-0028
Fax: (606) 845-0263
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 87
05/28/2015
Ancillary Providers
Greenup
Epsdt Special Services
Pathways Inc
Provider ID: 606917
1801 Callihan St
Flatwoods, KY 41139
(606) 833-8836
Fax: (606) 833-8836
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
2320 Long St
Flatwoods, KY 41139
(606) 833-5611
00 Yrs/99 Yrs
Home Health Care
Kings Daughters Medical
Center Home Health
Provider ID: 661082
399 Diederich Blvd
Russell, KY 41169
(606) 329-2000
Fax: (606) 408-6482
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Pathways Inc
Provider ID: 606917
925 Daniels Dr
Flatwoods, KY 41139
(606) 836-1886
Fax: (606) 836-1886
00 Yrs/99 Yrs
Family Planning
Greenup County Health
Department
Provider ID: 645544
425 James Hannah Dr Ste
2
South Shore, KY 41175
(606) 932-4546
00 Yrs/99 Yrs
M-W 8:00 AM - 4:00 PM
Greenup County Health
Department
Provider ID: 645544
Greenup County Health
Dept
806 Seaton Ave
Greenup, KY 41144
(606) 473-9838
Fax: (606) 473-6405
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 88
05/28/2015
Ancillary Providers
Lawrence
Community Health
Center
Blaine Elementary
School
Provider ID: 700413
600 Hwy 2562
Blaine, KY 41124
(606) 638-4389
Fax: (606) 638-3008
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Dialysis
Louisa Dialysis
Provider ID: 751327
2145 Hwy 2565
Louisa, KY 41230
(606) 638-3403
Fax: (606) 638-3404
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Durable Medical
Equipment
James Medical
Equipment, LTD
Provider ID: 610639
207 E. Madison St
Louisa, KY 41230
(606) 638-4040
Fax: (606) 638-4711
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Medi Home Care-Boyd
Provider ID: 615316
Medi Home Care
102 E Franklin St
Louisa, KY 41230
(606) 638-9482
Fax: (606) 638-9483
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Epsdt Special Services
Pathways Inc
Provider ID: 606917
1036 Kennedy St
Louisa, KY 41230
(606) 638-0803
Fax: (606) 638-0803
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
428 N Lock Ave
Louisa, KY 41230
(606) 638-9332
Fax: (606) 638-9332
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
56 Lara Ln
Louisa, KY 41230
(606) 638-0470
Fax: (606) 638-0470
00 Yrs/99 Yrs
Pathways Inc
Provider ID: 606917
60 Professional Park Dr
Louisa, KY 41230
(606) 638-4332
Fax: (606) 638-4394
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Family Planning
Lawrence Co Health
Dept
Provider ID: 644968
1080 Meadowbrook Ln
Rte Ste 2
Louisa, KY 41230
(606) 638-4389
Fax: (606) 638-3008
00 Yrs/99 Yrs
M-W 7:30 AM - 4:30 PM
TH 7:30 AM - 6:30 PM
F 7:30 AM - 1:30 PM
kentucky.wellcare.com | 89
05/28/2015
Ancillary Providers
Lewis
Durable Medical
Equipment
Osman Pharmacy
Provider ID: 760222
Antis Pharmacy Inc DBA
Osman Pharma
89 Second St
Vanceburg, KY 41179
(606) 796-2932
Fax: (606) 796-2124
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 3:00 PM
Family Planning
Lewis Co Health Dept
Provider ID: 645043
905 Fairlane DR
Vanceburg, KY 41179
(606) 796-2632
Fax: (606) 796-9285
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Physical Therapy
The Body Shop Physical
Therapy
Provider ID: 614214
787 Fairlane Dr
Vanceburg, KY 41179
(606) 796-2500
Fax: (606) 796-2501
02 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
kentucky.wellcare.com | 90
05/28/2015
Ancillary Providers
Mason
Ambulatory Surgery
Center
Eyecare Network LTD
Provider ID: 791029
1360 Medical Park Dr
Maysville, KY 41056
(606) 759-5341
Fax: (606) 759-7393
03 Yrs/99 Yrs
M 7:00 AM - 2:00 PM
Diagnostic Center
Maysville Diagnostic
Center LLC
Provider ID: 622924
910 Kenton Station Dr
Ste E
Maysville, KY 41056
(606) 759-0073
Fax: (606) 759-0075
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Diagnostic Imaging
St Elizabeth Physicians
Maysville Diagno
Provider ID: 782187
St Elizabeth Physicians
Maysville D
910 Kenton Station Dr
Ste E
Maysville, KY 41056
(606) 759-0073
Fax: (606) 759-0075
M-F 8:00 AM - 5:00 PM
Dialysis
Dialysis Clinic Inc
Provider ID: 729106
1210 Pope Dr
Maysville, KY 41056
(615) 342-0416
Fax: (615) 341-8816
18 Yrs/99 Yrs
Languages: Spanish,
German
M-W 5:00 AM - 9:00 PM
Federally Qualified
Maysville Dialysis
Health Center
Provider ID: 652174
489 Tucker Dr
Doty, David DO
Maysville, KY 41056
Provider ID: 619640
(606) 759-0923
Gender: Male
Fax: (606) 759-4915
Lewis County Primary
18 Yrs/99 Yrs
MWF 6:00 AM - 4:00 PM Care Center In
927 Kenton Station Dr
TTHSatSun 6:00 AM 1st Fl
10:00 PM
Maysville, KY 41056
Durable Medical
(606) 759-0433
Equipment
Fax: (606) 759-0058
12 Yrs/99 Yrs
Homeside Healthcare Inc MTTH 8:00 AM - 7:00
PM
Provider ID: 610175
W 8:00 AM - 6:00 PM
1315 US 68
F 8:00 AM - 5:00 PM
Maysville, KY 41056
Shower, Laura MD
(606) 563-9400
Provider ID: 620022
Fax: (606) 564-4144
Gender: Female
M-F 8:30 AM - 5:00 PM
Lewis County Primary
National Prosthetics and Care Center In
Orthotics Inc
927 Kenton Station Dr
Provider ID: 785191
Maysville, KY 41056
National Prosthetics and (606) 759-5331
Orthotics
Fax: (606) 759-5363
901 Kenton Station Dr
00 Yrs/99 Yrs
Rm 115 and 116
M-F 8:30 AM - 5:00 PM
Maysville, KY 41056
(859) 442-0400
Wilson, Donald MD
Fax: (859) 442-0158
Provider ID: 619653
00 Yrs/99 Yrs
Gender: Male
M-F 9:00 AM - 5:00 PM
Lewis County Primary
Care Center In
Family Planning
927 Kenton Station Dr
1st Fl
Mason County Health
Maysville, KY 41056
Center
(606) 759-0433
Provider ID: 644813
Fax: (606) 759-0058
130 East Second St
12 Yrs/99 Yrs
Maysville, KY 41056
MTTH 8:00 AM - 7:00
(606) 564-9447
PM
Fax: (606) 564-7696
W 8:00 AM - 6:00 PM
00 Yrs/99 Yrs
F 8:00 AM - 5:00 PM
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 91
Home Health Care
Hayswood Home Health
Provider ID: 611319
1 W McDonald Pkwy Ste
3C
Maysville, KY 41056
(606) 564-9481
Fax: (606) 564-9484
M-F 8:00 AM - 4:00 PM
Hospice
Hospice of Hope Inc
Provider ID: 609327
909 Kenton Station Dr
Maysville, KY 41056
(606) 759-4050
Fax: (606) 759-1207
M-F 8:00 AM - 4:30 PM
Orthotics & Prosthetics
National Prosthetics and
Orthotics Inc
Provider ID: 785191
National Prosthetics and
Orthotics
901 Kenton Station Dr
Rm 115 and 116
Maysville, KY 41056
(859) 442-0400
Fax: (859) 442-0158
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sleep Diagnostic Studies
Dickerson, Jeffery MD
Provider ID: 619267
Gender: Male
Jeffery W Dickerson MD
LLC
991 Medical Park Dr Ste
202
Maysville, KY 41056
(606) 759-0466
Fax: (606) 759-0461
18 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Ancillary Providers
Menifee
Epsdt Special Services
Pathways Inc
Provider ID: 606917
70 Main St
Frenchburg, KY 40322
(606) 768-2131
Fax: (606) 768-2134
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Family Planning
Menifee County Health
Center
Provider ID: 645219
1919 Main St
Frenchburg, KY 40322
(606) 768-2151
Fax: (606) 768-2153
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Rural Health Center
Community Family Clinic
PLLC
Provider ID: 633391
Community Family Clinic
784 Hwy 36
Frenchburg, KY 40322
(606) 768-4549
Fax: (606) 768-9180
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Menifee County Medical
Clinic
Provider ID: 642639
732 Hwy 36
Frenchburg, KY 40322
(606) 783-6961
Fax: (606) 783-6966
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 92
05/28/2015
Ancillary Providers
Morgan
Durable Medical
Equipment
West Liberty Arh
Homecare Store
Provider ID: 635597
520 Prestonburg St
West Liberty, KY 41472
(606) 743-3630
Fax: (606) 743-3393
M-F 8:00 AM - 4:30 PM
Epsdt Special Services
Home Health Care
Morgan Co Arh Home
Health Agency
Provider ID: 631125
Appalachain Regional
Healthcare Inc
493 Main St
West Liberty, KY 41472
(606) 743-4371
Fax: (606) 743-4376
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Pathways Inc
Provider ID: 606917
767 Main St
West Liberty, KY 41472
(606) 743-3139
Fax: (606) 743-4336
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
West Liberty Arh
Homecare Store
Provider ID: 635597
520 Prestonburg St
West Liberty, KY 41472
(606) 743-3630
Fax: (606) 743-3393
M-F 8:00 AM - 4:30 PM
Family Planning
Morgan County Health
Center
Provider ID: 645455
493 Riverside DR
West Liberty, KY 41472
(606) 743-3744
Fax: (606) 743-3750
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 93
05/28/2015
Ancillary Providers
Robertson
Family Planning
Robertson County
Health Department
Provider ID: 645092
120 McDowell St
Mt Olive, KY 41056
(606) 724-5222
Fax: (606) 724-5527
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 94
05/28/2015
Ancillary Providers
Rowan
Dialysis
St Claire Regional Family Pathways Inc
Medical Supply
Provider ID: 606917
BMA Morehead
Provider ID: 624007
325 E Main St
Provider ID: 631212
St Claire Medical
Morehead, KY 40351
Biomedical Applications Equipment
(606) 784-4161
of Kentucky
244 Kroger Center
Fax: (606) 784-2379
250 Norman Wells Ln
Morehead, KY 40351
00 Yrs/99 Yrs
Morehead, KY 40351
(606) 784-2414
M-F 8:30 AM - 3:30 PM
(606) 780-9701
Fax: (606) 784-7071
Fax: (606) 780-9311
Pathways Inc
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Provider ID: 606917
M-F 8:00 AM - 5:00 PM
MTWTHFSat 6:00 AM 411 Bishop Ct
Epsdt Special Services
5:00 PM
Morehead, KY 40351
(606) 784-2096
Durable Medical
Pathways Inc
Fax: (606) 784-5886
Equipment
Provider ID: 606917
00 Yrs/99 Yrs
100 Horizon Way
Family Health Clinic Inc
Morehead, KY 40351
Pathways Inc
(606) 783-7293
Provider ID: 606917
Provider ID: 694481
Fax: (606) 784-3383
607 Dry Creek Rd
Total Care Pharmacy
00 Yrs/99 Yrs
Clearfield, KY 40313
234 Medical Cir
(606) 780-4257
Morehead, KY 40351
Pathways Inc
Fax: (606) 780-4257
(606) 784-6696
Provider ID: 606917
00 Yrs/99 Yrs
Fax: (606) 780-4554
1111 US Hwy 60 W
00 Yrs/99 Yrs
Morehead, KY 40351
Family Planning
M-F 9:00 AM - 5:30 PM
(606) 783-0404
Rowan Co Health Dept
Sat 9:00 AM - 12:00 PM
Fax: (606) 783-0422
Msu Clinic Counshea
00 Yrs/99 Yrs
Lincare Inc
Provider ID: 645520
Provider ID: 918563
Pathways Inc
Rowan Co Health Dept
1019 W Main St Ste 3
Provider ID: 606917
Msu Clinic Cou
Morehead, KY 40351
1490 Flemingsburg Rd
112 Allie Young Hall
(606) 780-0002
Morehead, KY 40351
Morehead, KY 40351
00 Yrs/99 Yrs
(606) 784-3062
(606) 784-5792
M-F 8:00 AM - 5:00 PM
Fax: (606) 784-3072
Fax: (606) 783-0557
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Rowan Pharmacist Group
M-F 8:00 AM - 4:30 PM
Inc DBA Total Car
Pathways Inc
Provider ID: 756189
Provider ID: 606917
Rowan Co Health Dept
Total Care Pharmacy #7
Msu Clinic Counshea
321 E Main St
206 W Main St
Provider ID: 645520
Morehead, KY 40351
Morehead, KY 40351
Rowan County Health
(606) 784-4161
(606) 784-4491
Center
Fax: (606) 783-9952
Fax: (606) 780-0872
730 W. Main St
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Morehead, KY 40351
M-F 8:30 AM - 5:00 PM
M-F 9:00 AM - 8:00 PM
(606) 784-5792
Sat 9:00 AM - 1:00 PM
Fax: (606) 783-0557
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 95
Home Health Care
St Claire Homecare
Provider ID: 655084
135 N Hargis Ave
Morehead, KY 40351
(606) 783-6815
Fax: (606) 783-6822
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Orthotics & Prosthetics
Kenney Orthopedics of
Morehead LLC
Provider ID: 982655
220 Morehead Plz
Morehead, KY 40351
(606) 784-4255
Fax: (606) 784-6092
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Rural Health Center
St Claire Family Care
Clinic
Provider ID: 666921
316 W 2nd St
Morehead, KY 40351
(606) 783-6961
Fax: (606) 783-6966
M-F 8:00 AM - 5:00 PM
05/28/2015
Allied Providers
Bath
Nurse Practitioner
Physician Assistant
Duncan, Jessica APRN
Mattox, Davika APRN
Provider ID: 782820
Provider ID: 1062887
Auxier, Stephanie APRN
Bromagen, Kimberly PA
Gender: Female
Gender: Female
Bath County Medical
Community Family Clinic Provider ID: 637029
Provider ID: 611791
Gender: Female
Clinic
17 Miller Dr
Gender: Female
Bath Co Medical Clinic
632 Slate Ave
Owingsville, KY 40360
Community Family Clinic Owingsville, KY 40360
632 Slate Ave
(606) 674-3033
17 Miller Dr
Owingsville, KY 40360
(606) 674-6386
Fax: (606) 674-3036
Owingsville, KY 40360
(606) 674-6386
Fax: (606) 674-3096
00 Yrs/99 Yrs
(606) 768-9190
Fax: (606) 674-3096
00 Yrs/99 Yrs
Languages: Arabic
Fax: (606) 768-9180
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
MTWF 8:30 AM - 5:00
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PM
M-F 9:00 AM - 5:00 PM Furman, Torrie APRN
TH 8:30 AM - 7:00 PM
Provider ID: 917965
Sat 10:00 AM - 2:00 PM
Calvert, Paula ARNP
Gender: Female
Provider ID: 800522
Community Family Clinic Mullins, Lauren APRN
Gender: Female
PLLC
Provider ID: 764257
Community Family Clinic 17 Miller Dr
Gender: Female
PLLC
Owingsville, KY 40360
Community Family Clinic
17 Miller Dr
(606) 674-3033
PLLC
Owingsville, KY 40360
Fax: (606) 768-9180
17 Miller Dr
(606) 768-9190
00 Yrs/99 Yrs
Owingsville, KY 40360
Fax: (606) 768-9180
M-W 8:00 AM - 5:00 PM (606) 768-9190
00 Yrs/99 Yrs
Fax: (606) 768-9180
M-F 9:00 AM - 5:00 PM Gardner, Jennie APRN
00 Yrs/99 Yrs
Provider ID: 629916
M-F 9:00 AM - 5:00 PM
Caric, Mary APRN
Gender: Female
Provider ID: 670882
Bardstown Bariatric and Womack, Julia ARNP
Gender: Female
General Sur
Provider ID: 619959
Bath County Medical
44 Water St
Gender: Female
Clinic
Owingsville, KY 40360
Sharpsburg Medical
632 Slate Ave
(606) 674-9776
Clinic
Owingsville, KY 40360
Fax: (606) 674-9708
601 Main St
(606) 674-6386
00 Yrs/99 Yrs
Sharpsburg, KY 40374
Fax: (606) 674-3096
M-F 8:30 AM - 5:00 PM
(606) 247-5006
00 Yrs/99 Yrs
Fax: (606) 247-3112
M-F 8:00 AM - 5:00 PM Hughes, Patrick ARNP
00 Yrs/99 Yrs
Provider ID: 642129
M-F 8:30 AM - 5:00 PM
Dunaway, Hannah APRN
Gender: Male
Bath County Medical
Provider ID: 1070628
Clinic
Gender: Female
632 Slate Ave
Community Family Clinic Owingsville, KY 40360
PLLC
(606) 674-6386
17 Miller Dr
Fax: (606) 674-3096
Owingsville, KY 40360
00 Yrs/99 Yrs
(606) 674-3033
M-F 8:30 AM - 5:00 PM
Fax: (606) 674-3036
00 Yrs/99 Yrs
M-W 8:00 AM - 5:00 PM
kentucky.wellcare.com | 96
05/28/2015
Allied Providers
Boyd
Cardiology
Family Practice
Davis, Brian APRN
Holbrook, Donna APRN
Provider ID: 681802
Ansinelli, Debra APRN
Bond, Stacy APRN
Provider ID: 681770
Gender: Male
Provider ID: 981011
Kentucky Heart Institute Gender: Female
Provider ID: 681798
Kings Daughters Medical Gender: Female
613 23rd St Ste 230
Gender: Female
Marshall Blevins MD
Center
Ashland, KY 41101
Kentucky Heart Institute (606) 324-4745
6572 Midland Trl Rd
2201 Lexington Ave
613 23rd St Ste 230
Ashland, KY 41102
Ashland, KY 41101
Fax: (606) 324-4941
Ashland, KY 41101
(606) 928-7755
(606) 408-4000
00 Yrs/99 Yrs
(606) 324-4745
Fax: (606) 928-0052
Fax:
(606)
408-7425
Kings Daughters Medical
Fax: (606) 327-0165
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Center
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Languages: Spanish
King,
Diana
APRN
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Dobson, Stacy ARNP
Provider ID: 637144
Boyd, Traci APRN
Provider ID: 638212
Gender:
Female
Hall, Terri APRN
Provider ID: 755264
Gender: Female
Kentucky Heart &
Provider ID: 665196
Gender: Female
Kdmc Cedar Knoll Peds
Vascular Physician
Gender: Female
Kdmc Ashland Urgent
Care Center
Kentucky Heart Institute 613 23rd St Ste 230
Care Center
10650 US Rt 60
Ashland, KY 41101
613 23rd St Ste 230
2245 Winchester Ave
Ashland, KY 41102
(606)
324-4745
Ashland, KY 41101
Ashland, KY 41101
(606) 327-6301
Fax: (606) 326-0165
(606) 324-4745
(606) 408-2600
Fax: (606) 327-6350
00 Yrs/99 Yrs
Fax: (606) 326-0165
Fax: (606) 408-2605
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 8:30 PM
Kings Daughters Medical Children With Special
Kings Daughters Medical Center
Health Care Needs
Estepp, Carolyn ARNP
Center
M-F 8:00 AM - 5:00 PM
Provider ID: 646234
MTWTHFSatSun 10:00
Commission
For
Children
Gender: Female
AM - 10:00 PM
Herndon, Donna APRN
With Special
Kdmc Cedar Knoll Family
Provider
ID:
616818
Boyd, Traci APRN
Care Center
Provider ID: 680988
Ashland
Regional
Ccshcn
Provider ID: 755264
10650 US Rte 60
Gender: Female
5850
US
60
Summit
Gender: Female
Ashland, KY 41102
Kentucky Heart Institute Plaza
King's Daughters'
(606) 408-6301
613 23rd St Ste 230
Ashland, KY 41105
Medical Center
Fax: (606) 327-6350
Ashland, KY 41101
(606) 929-9155
2201 Lexington Ave
00 Yrs/99 Yrs
(606) 324-4745
Fax: (606) 929-9833
Ashland, KY 41101
Kings Daughters Medical
Fax: (606) 326-0165
00 Yrs/21 Yrs
(606) 408-4000
Center
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Fax: (606) 408-7425
M-F 8:00 AM - 8:30 PM
Our Lady of Bellefonte
00 Yrs/99 Yrs
Hospital
Freeman, Dee APRN
Kings Daughters Medical M-F 8:00 AM - 5:00 PM
Provider ID: 943037
Center
Gender: Female
Kdmc Cedar Knoll Family
Care Center
10650 US Rte 60
Ashland, KY 41102
(606) 327-6301
Fax: (606) 327-6350
00 Yrs/99 Yrs
M-F 8:00 AM - 8:30 PM
kentucky.wellcare.com | 97
05/28/2015
Allied Providers
Boyd
Family Practice - cont.
Thomas, Thomas APRN
Wells, Laura APRN
Bloomer, Joanna APRN
Provider ID: 939251
Provider ID: 961529
Hart, Karen APRN
Provider ID: 1054824
Gender: Female
Gender: Female
Provider ID: 681806
Gender: Male
Kdmc Catlettsburg
Bellefonte Advanced
Gender: Female
Kdmc Catlettsburg
Family Care Center
Pain Physicians
Timothy S. Hart, MD PSC Family Care Center
4004 Louisa Rd
1101 St Christopher Dr
933 29th St
4004 Louisa Rd
Ste 200
Catlettsburg, KY 41129
Ashland, KY 41101
Catlettsburg, KY 41129
Ashland, KY 41101
(606) 739-6095
(606) 325-7500
(606) 739-6095
(606) 833-6210
Fax: (606) 739-8252
Fax: (606) 326-9136
Fax: (606) 739-8252
Fax: (606) 836-6213
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Kings Daughters Medical 00 Yrs/99 Yrs
M-F 9:00 AM - 5:30 PM
M-F 8:00 AM - 8:30 PM
Center
M-F 8:00 AM - 5:00 PM
Sat
8:00
AM
4:30
PM
M-F
8:00
AM
8:30
PM
Nickoson, Ronda APRN
Brown, Sabrina ARNP
Sat 8:00 AM - 4:30 PM
Vass, Brooke APRN
Provider ID: 636272
Provider ID: 1001398
Nurse
Practitioner
Provider ID: 930290
Gender: Female
Gender: Female
Gender: Female
Bellefonte Womens Care
Kdmc Urgent Care
Kings Daughters Medical Aliff, Susan APRN
2001 Winchester Ave
Center
Provider ID: 956247
Specialti
Ashland, KY 41101
2245 Winchester Ave
Gender: Female
2421 Winchester Ave
(606) 324-7351
Ashland, KY 41101
Ashland Arthritis Center Fax: (606) 324-7359
Ashland, KY 41101
(606) 408-2600
2930 Carter Ave
(606) 325-8485
00 Yrs/99 Yrs
Fax: (606) 408-2603
Ashland, KY 41101
Fax: (606) 324-1351
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
(606) 329-9712
00 Yrs/99 Yrs
Brown, Tricia ARNP
M-F 7:00 AM - 7:30 PM
Fax: (606) 329-0924
M-F 8:00 AM - 5:00 PM
Provider ID: 1027655
00 Yrs/99 Yrs
Thomas, Thomas APRN Wells, Laura APRN
Gender: Female
M-F 8:00 AM - 5:00 PM
Provider ID: 939194
Ulrf Pediatric Cardiology
Provider ID: 1054764
Bayes, Anna APRN
Gender: Female
2201 Lexington Ave Ste
Gender: Male
Kdmc Cedar Knoll Family Provider ID: 657476
G10
Kdmc Cedar Knoll Family Care Center
Gender: Female
Ashland, KY 41101
Care Center
Kings Daughters Medical (502) 585-4802
10650 US RT60
10650 US Rte 60
Center
Ashland, KY 41102
Fax: (502) 589-1256
Ashland, KY 41102
2201 Lexington Ave
(606) 408-7337
00 Yrs/99 Yrs
(606) 327-6301
Ashland, KY 41101
Fax: (606) 408-7798
M-F 8:00 AM - 5:00 PM
Fax: (606) 327-6350
(606) 408-4000
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Combs, Kyle APRN
Kings Daughters Medical Fax: (606) 408-7425
M-F 8:00 AM - 8:30 PM
Provider ID: 972256
00 Yrs/99 Yrs
Center
Gender: Female
M-F 8:00 AM - 8:30 PM
Ulrf Pediatric Cardiology
2201 Lexington Ave Ste
G 10
Ashland, KY 41101
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 98
05/28/2015
Allied Providers
Boyd
Nurse Practitioner - cont. Gosnell, Allison APRN
Hensley, Matthew APRN Marshall, Patricia APRN
Provider ID: 782088
Cordle, Rachel APRN
Provider ID: 637164
Provider ID: 637117
Gender: Female
Provider ID: 646227
Gender: Female
Gender: Male
Bellefonte Heart Care
Gender: Female
Kentucky Heart &
Kdmc Ashland Urgent
1180 Saint Christopher Dr
Kdmc Ashland Urgent
Vascular Physician
Care Center
Ste 2
Care Center
613 23rd St Ste 230
2245 Winchester Ave
Ashland, KY 41101
2245 Winchester Ave
Ashland, KY 41101
Ashland, KY 41101
(606) 833-0144
Ashland, KY 41101
(606) 324-4745
(606) 408-2600
Fax: (606) 833-0113
(606) 408-2600
Fax: (606) 326-0165
Fax: (606) 408-2603
00 Yrs/99 Yrs
Fax: (606) 408-2603
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
MTWTHFSatSun 10:00
Martin, Debra APRN
Kings Daughters Medical
AM - 10:00 PM
Green, Kimberly APRN
Center
Provider ID: 935589
Hill,
Evie
APRN
MTWTHFSatSun 10:00
Gender: Female
Provider ID: 651477
Provider ID: 637199
AM - 10:00 PM
Olbh Heart Failure Clinic
Gender: Female
Gender: Female
1180 Saint Christopher Dr
Davis, Brian APRN
Kings Daughters Medical Kings Daughters Medical Ashland, KY 41101
Provider ID: 601537
Center
Center
(606) 833-3333
Gender: Male
2201 Lexington Ave
2201 Lexington Ave
00 Yrs/99 Yrs
Kentucky Heart Vascular Ashland, KY 41101
Ashland, KY 41101
M-F 8:00 AM - 5:00 PM
Physicians
(606) 408-4000
(606) 408-4000
613 23rd St Ste 230
Mollineaux, John APRN
Fax: (606) 408-7425
Fax: (606) 408-7425
Ashland, KY 41101
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(606) 324-4745
Provider ID: 637127
Kings Daughters Medical
Lucas, Sarah ARNP
Fax: (606) 324-0165
Gender: Male
Center
Provider
ID:
636281
00 Yrs/99 Yrs
Kdmc Ashland Urgent
M-F 9:00 AM - 5:00 PM
Gender: Female
M-F 9:00 AM - 5:00 PM
Care Center
Green, Kimberly APRN
Bellefonte Womens Care 2245 Winchester Ave
Dobson, Stacy APRN
2001 Winchester Ave
Ashland, KY 41101
Provider ID: 1036877
Provider ID: 651477
Ashland, KY 41101
(606) 408-2600
Gender: Female
Gender: Female
(606) 324-7337
Fax: (606) 408-2603
Lewis County Primary
The Pain Spine Center
Fax: (606) 324-7359
00 Yrs/99 Yrs
Care Center In
617 23rd St Medical Plaza 00 Yrs/99 Yrs
Kings Daughters Medical
2924 Holt St
A Ste A
M-F 8:00 AM - 5:00 PM
Center
Ashland, KY 41101
Ashland, KY 41101
MTWTHFSatSun 10:00
(606) 324-7184
Marshall, Jennifer APRN
(606) 408-7246
AM - 10:00 PM
Fax: (606) 326-1372
Fax: (606) 408-7230
Provider ID: 700486
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Kings Daughters Medical Gender: Female
Norton Mfm Specialists
Center
2201 Lexington Ave Ste
M-F 8:00 AM - 5:00 PM
G10
Ashland, KY 41101
(866) 574-4111
Fax: (855) 855-4585
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 99
05/28/2015
Allied Providers
Boyd
Nurse Practitioner - cont. Ramey Jr, Donald APRN
Mosbey, Mary APRN
Provider ID: 656466
Provider ID: 638188
Gender: Male
Gender: Female
Kdmc Ashland Urgent
Kdmc Ashland Urgent
Care Center
Care Center
2245 Winchester Ave
2245 Winchester Ave
Ashland, KY 41101
Ashland, KY 41101
(606) 408-2600
(606) 408-2600
Fax: (606) 408-2603
Fax: (606) 408-2603
00 Yrs/99 Yrs
00 Yrs/99 Yrs
MTWTHFSatSun 10:00
Kings Daughters Medical AM - 10:00 PM
Center
Rhinehart, Ashley APRN
MTWTHFSatSun 10:00
Provider ID: 1053148
AM - 10:00 PM
Gender: Female
Newsome, Kimberly
Ulrf Pediatric Cardiology
APRN
2201 Lexington Ave Ste
Provider ID: 1074463
G-10
Gender: Female
Ashland, KY 41101
10650 US Rte 60
(502) 585-4802
Ashland, KY 41101
Fax: (502) 589-1256
(606) 408-7337
00 Yrs/99 Yrs
Fax: (606) 408-7798
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM Rowe, Kristina ARNP
Provider ID: 636574
Parker, Alissa APRN
Gender: Female
Provider ID: 758625
Bellefonte Primary and
Gender: Female
Pediatric Ca
Bellefonte Primary and
2028 Winchester Ave
Pediatric Ca
Ashland, KY 41101
2028 Winchester Ave
(606) 324-7337
Ashland, KY 41101
Fax: (606) 324-7349
(606) 326-9001
00 Yrs/99 Yrs
Fax: (606) 324-7349
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Sargent, Emily APRN
Provider ID: 646220
Gender: Female
Kdmc Cedar Knoll Family
Care Center
10650 US Rte 60
Ashland, KY 41101
(606) 327-6301
Fax: (606) 327-6350
00 Yrs/99 Yrs
M-F 8:00 AM - 8:30 PM
Sargent, Emily APRN
Provider ID: 683654
Gender: Female
Kdmc Catlettsburg
Family Care Center
4004 Louisa Rd
Catlettsburg, KY 41129
(606) 739-6095
Fax: (606) 739-8252
00 Yrs/99 Yrs
M-F 8:00 AM - 8:30 PM
Sat 8:00 AM - 4:30 PM
Sheppard, Christina
APRN
Provider ID: 1056923
Gender: Female
Bellefonte Primary and
Pediatric Ca
2028 Winchester Ave
Ashland, KY 41101
(606) 326-9001
Fax: (606) 324-7349
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sieweke, Amy APRN
Provider ID: 1074465
Gender: Female
2201 Lexington Ave
Ashland, KY 41101
(606) 408-4000
Fax: (606) 408-7425
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sieweke, Amy APRN
Provider ID: 1074465
Gender: Female
617 23rd St Ste 5
Ashland, KY 41101
(606) 408-2820
Fax: (606) 326-0235
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 100
Sims, Chelsey APRN
Provider ID: 973827
Gender: Female
Marshall Blevins, MD
6572 Midland Trail Rd
Ashland, KY 41102
(606) 928-7755
Fax: (606) 928-0052
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Stickler, Thomas APRN
Provider ID: 1074468
Gender: Male
2245 Winchester Ave
Ashland, KY 41101
(606) 408-2600
Fax: (606) 408-2603
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Strait, Marla APRN
Provider ID: 690862
Gender: Female
Bellefonte Primary Care
2028 Winchester Ave
Ashland, KY 41101
(606) 326-9001
Fax: (606) 326-9005
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Virgin, Rae APRN
Provider ID: 631091
Gender: Female
Tri State Infectious
Disease Consul
2301 Lexington Ave Ste
125
Ashland, KY 41101
(606) 325-2721
Fax: (606) 325-2416
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Allied Providers
Boyd
Nurse Practitioner - cont.
Obstetrics/Gynecology
Weber, Nicole APRN
Provider ID: 1074471
Gender: Female
2245 Winchester Ave
Ashland, KY 41101
(606) 408-2600
Fax: (606) 408-2603
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Hunter, Tracy APRN
Provider ID: 618565
Gender: Female
Richard F Ford MD PSC
614 23rd St Ste 415
Ashland, KY 41101
(606) 325-6888
Fax: (606) 326-9368
00 Yrs/99 Yrs
M-TH 9:00 AM - 5:00 PM
F 9:00 AM - 12:00 PM
Wellman, Tamara APRN
Provider ID: 1074474
Gender: Female
2201 Lexington Ave
Ashland, KY 41101
(606) 327-5165
Fax: (606) 327-5896
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Williams, Sandra APRN
Provider ID: 1074475
Gender: Female
2201 Lexington Ave
Ashland, KY 41101
(606) 408-4708
Fax: (606) 408-7425
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Wisehart, Maren APRN
Provider ID: 1074477
Gender: Female
2201 Lexington Ave
Ashland, KY 41101
(606) 408-4452
Fax: (606) 408-7425
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Orthopaedic Surgery
Green, Kimberly APRN
Provider ID: 943206
Gender: Female
Kdms Orthopedics
613 23rd St Ste 350
Ashland, KY 41101
(606) 327-0036
Fax: (606) 326-1159
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Green, Kimberly APRN
Provider ID: 943206
Gender: Female
Kings Daughters Medical
Center
2201 Lexington Ave
Ashland, KY 41101
(606) 408-4000
Fax: (606) 408-7425
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Green, Kimberly APRN
Green, Kimberly APRN
Provider ID: 943206
Gender: Female
The Pain & Spine Center
Medical Plaza A 617 23rd
St Ste 8 A
Ashland, KY 41101
(606) 408-7246
Fax: (606) 408-7230
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Provider ID: 943206
Gender: Female
The Pain & Spine Center
Medical Plaza A 617 23rd
St Ste 8 A
Ashland, KY 41101
(606) 408-7246
Fax: (606) 408-7230
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Pain Management
Pediatrics
Green, Kimberly APRN
Provider ID: 943206
Gender: Female
Kdms Orthopedics
613 23rd St Ste 350
Ashland, KY 41101
(606) 327-0036
Fax: (606) 326-1159
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Green, Kimberly APRN
Carter, Lee Ann APRN
Provider ID: 841856
Gender: Female
Ashland Childrens Clinic
700 13th St
Ashland, KY 41101
(606) 329-0204
Fax: (606) 324-7770
00 Yrs/18 Yrs
M-F 9:00 AM - 5:00 PM
Physical Therapy
Apts, David PT
Provider ID: 943206
Provider ID: 1019439
Gender: Female
Kings Daughters Medical Gender: Male
Premier Therapy and
Center
Health Centers
2201 Lexington Ave
2312 13th St
Ashland, KY 41101
Ashland, KY 41101
(606) 408-4000
(606) 326-0241
Fax: (606) 408-7425
Fax: (606) 326-0249
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 101
05/28/2015
Allied Providers
Boyd
Physical Therapy - cont.
Gunning, Christopher PT Mabry, Callie PT
Provider ID: 1050251
Blackston, Jeremy PT
Provider ID: 1059507
Gender: Female
Provider ID: 1046093
Gender: Male
Premier Therapy and
Gender: Male
Premier Therapy and
Health Centers
Tri State Rehab Services Health Centers
2400 13th St
2700 Greenup Ave
2400 13th St
Ashland, KY 41102
Ashland, KY 41101
Ashland, KY 41102
(606) 329-0910
(606) 326-1844
(606) 329-0910
Fax: (606) 325-8434
Fax: (606) 326-1877
Fax: (606) 325-8434
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 6:00 PM
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
Sat
8:00
AM
12:00
PM
Castle, Ashley PT
Schwind, Julie PT
Provider ID: 927661
Isaac, Joseph PT
Provider ID: 1049499
Gender: Female
Provider ID: 927188
Gender: Female
Ironton Physical Therapy Gender: Male
Premier Therapy and
2700 Greenup Ave
Tri State Rehab Services Health Centers
Ashland, KY 41101
2700 Greenup Ave
2312 13th St
(606) 326-1844
Ashland, KY 41101
Ashland, KY 41101
Fax: (606) 326-1877
(606) 326-1844
(606) 326-0241
00 Yrs/99 Yrs
Fax: (606) 326-1877
Fax: (606) 326-0249
M-F 8:00 AM - 6:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
M-F 8:00 AM - 5:00 PM
Castle, Paul PT
Provider ID: 698388
Jones, Lauren PT
Schwind, Julie PT
Gender: Male
Provider ID: 1044094
Provider ID: 1049499
Ironton Physical Therapy Gender: Female
Gender: Female
Inc
Tri State Rehab Services Premier Therapy and
2700 Greenup Ave
Health Centers
2700 Greenup Ave
Ashland, KY 41101
2400 13th St
Ashland, KY 41101
(606) 326-1844
Ashland, KY 41102
(606) 326-1844
Fax: (606) 326-1877
(606) 329-0910
Fax: (606) 326-1877
00 Yrs/99 Yrs
Fax: (606) 325-8434
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
00 Yrs/99 Yrs
M-F 7:00 AM - 6:00 PM
M-F 8:00 AM - 5:00 PM
Gunning, Christopher PT Mabry, Callie PT
Sat 8:00 AM - 12:00 PM
Provider ID: 1050251
Provider ID: 1059507
Gender: Female
Gender: Male
Premier Therapy and
Premier Therapy and
Health Centers
Health Centers
2312 13th St
2312 13th St
Ashland, KY 41101
Ashland, KY 41101
(606) 326-0241
(606) 326-0241
Fax: (606) 326-0249
Fax: (606) 326-0249
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
F 8:00 AM - 12:00 PM
kentucky.wellcare.com | 102
Physician Assistant
Bradley, Laura PA
Provider ID: 766079
Gender: Female
Kdmc Ashland Urgent
Care Center
2245 Winchester Ave
Ashland, KY 41101
(606) 408-2600
Fax: (606) 408-2603
00 Yrs/99 Yrs
MTWTHFSatSun 10:00
AM - 10:00 PM
Conley, Jodi PA
Provider ID: 952362
Gender: Female
Ashland Emergency
Medical Associate
2201 Lexington Ave
Ashland, KY 41101
(606) 408-0911
Fax: (606) 408-4993
00 Yrs/99 Yrs
Kings Daughters Medical
Center
MTWTHFSatSun 10:00
AM - 10:00 PM
Culbertson, Lisa PA
Provider ID: 750198
Gender: Female
Kdms
613 23rd St
Ashland, KY 41101
(606) 326-1675
Fax: (606) 326-1436
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Allied Providers
Boyd
Physician Assistant - cont. Doty, Casey PA
Griffin, Julie PA
Maddox, Libbia PA
Provider ID: 643862
Provider ID: 952364
Provider ID: 615029
Cunningham, Heather PA Gender: Female
Gender: Female
Gender: Female
Provider ID: 636484
Tri-State Vascular
Kings Daughters Medical J. Brian Frederick, MD,
Gender: Female
Specialists
Specialtie
PLLC
Bellefonte Heart Care
2301 Lexington Ave Ste
613 23rd St Ste 230
617 23rd St Ste 415
1180 St Christopher Dr
230
Ashland, KY 41101
Ashland, KY 41101
Ste 2
Ashland, KY 41101
(606) 324-4745
(606) 325-6888
Ashland, KY 41101
(606) 326-1675
Fax: (606) 327-0165
Fax: (606) 326-9368
(606) 833-0144
Fax: (606) 326-1436
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (606) 833-0113
00 Yrs/99 Yrs
Kings Daughters Medical M-TH 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Languages: Arabic
Center
F 9:00 AM - 12:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Massie, Melba PA
Dalton, James PA
Ervin, Sarah PA
Hurlburt, Susan PA
Provider ID: 636295
Provider ID: 646068
Provider ID: 642457
Provider ID: 1043119
Gender: Female
Gender: Male
Gender: Female
Gender: Female
Bellefonte Primary Care
Kdmc Urgent Care
Kdmc Cedar Knoll
Bellefonte Urological
12470 US St Rt 60
Center
Pediatrics
Associates
Ashland, KY 41101
2245 Winchester Ave
10650 US Rte 60
1101 Saint Christopher Dr (606) 928-1881
Ashland, KY 41101
Ste 320
Ashland, KY 41102
Fax: (606) 928-1776
(606) 408-2600
Ashland, KY 41101
(606) 327-6301
00 Yrs/99 Yrs
Fax: (606) 408-2603
(606) 833-6235
Fax: (606) 327-6350
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Fax: (606) 833-4668
00 Yrs/99 Yrs
Kings Daughters Medical M-F 8:00 AM - 8:30 PM
Presley, Robin PA
00 Yrs/99 Yrs
Center
Provider ID: 637174
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM Flowers, Richard PA
Gender: Female
Kaltenback, Jeremy PA
Provider ID: 814183
Kings Daughters Medical
Dalton, James PA
Gender: Male
Specialties
Provider ID: 646068
Kings Daughters Medical Provider ID: 908950
613 23rd St Ste G30
Gender: Male
Gender: Male
Specialties
Ashland, KY 41101
Kings Daughters Medical 2301 Lexington Ave Ste
Kings Daughters Medical (606) 329-1185
Center
Specialties
140
Fax: (606) 324-0585
2201 Lexington Ave
613 23rd St Ste 350
Ashland, KY 41101
00 Yrs/99 Yrs
Ashland, KY 41101
Ashland, KY 41101
(606) 326-1675
Kings Daughters Medical
(606) 408-4000
(606) 327-0036
Fax: (606) 326-1436
Center
00 Yrs/99 Yrs
Fax: (606) 326-1159
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM
Kings Daughters Medical M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
F 8:30 AM - 3:00 PM
Center
M-F 8:00 AM - 4:00 PM
M-F 8:00 AM - 5:00 PM
Ravencraft, James PA
Provider ID: 748824
Gender: Male
Ashland Family Medicine
2222 Winchester Ave
Ashland, KY 41101
(606) 325-9644
Fax: (606) 329-1207
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 103
05/28/2015
Allied Providers
Boyd
Physician Assistant - cont.
Vascular Surgery
Sergent, Susan PA
Maze, Matthew APRN
Provider ID: 1024233
Provider ID: 715637
Gender: Female
Gender: Male
Tristate Neuro Solutions Kings Daughters Medical
2222 Winchester Ave Ste Specialties
C
613 23rd St Ste 140
Ashland, KY 41101
Ashland, KY 41101
(606) 325-8364
(606) 326-1675
Fax: (606) 327-8893
Fax: (606) 326-1436
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Kings Daughters Medical
Center
Vanhoose, Anna PA
M-F 9:00 AM - 5:00 PM
Provider ID: 1074470
Gender: Female
Medical Plaza A, 617 23rd
St Ste 445
Ashland, KY 41101
(606) 324-1070
Fax: (606) 324-1071
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Vanhoose, Daniel PA
Provider ID: 965595
Gender: Female
Kdmc Ashland Urgent
Care Center
2245 Winchester Ave
Ashland, KY 41101
(606) 408-2600
Fax: (606) 408-2603
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Whitley, Ashley PA
Provider ID: 1036974
Gender: Female
Bellefonte Primary Care
12470 US St Rt 60
Ashland, KY 41102
(606) 928-1881
Fax: (606) 928-1776
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 104
05/28/2015
Allied Providers
Bracken
Family Practice
Tucker, Dana APRN
Provider ID: 595844
Gender: Female
Bracken County Family
Health
1551 Augusta Chatham
Rd
Augusta, KY 41002
(606) 756-2117
Fax: (606) 756-2135
00 Yrs/99 Yrs
M-TH 8:00 AM - 7:00 PM
F 8:00 AM - 5:00 PM
Gore, Denise APRN
Provider ID: 620008
Gender: Female
Lewis County Primary
Care Center I
1551 Augusta Chatham
Rd
Augusta, KY 41002
(606) 756-2117
Fax: (606) 756-2135
00 Yrs/99 Yrs
M-TH 8:00 AM - 7:00 PM
Vonderheide, Muna
F 8:00 AM - 5:00 PM
APRN
Federally Qualified
Provider ID: 1028444
Health Center
Gender: Female
Lewis County Primary
Gore, Denise APRN
Care Center In
Provider ID: 620008
1551 Augusta Chatham
Gender: Female
Rd
Lewis County Primary
Augusta, KY 41002
Care Center I
(606) 756-2117
1551 Augusta Chatham
Fax: (606) 756-2135
Rd
00 Yrs/99 Yrs
Augusta, KY 41002
M-TH 8:00 AM - 7:00 PM
(606) 756-2117
F 8:00 AM - 5:00 PM
Fax: (606) 756-2135
00 Yrs/99 Yrs
Vonderheide, Muna
M-TH 8:00 AM - 7:00 PM APRN
F 8:00 AM - 5:00 PM
Provider ID: 1038289
Gender: Female
Nurse Practitioner
Lewis County Primary
Care Center In
Jones, Tonia APRN
1551 Augusta Chatham
Provider ID: 795211
Rd
Gender: Female
Augusta, KY 41002
Bracken County Family
(606) 756-2117
Health
Fax: (606) 756-2135
1551 Augusta Chatham
00 Yrs/99 Yrs
Rd
M-TH 8:00 AM - 7:00 PM
Augusta, KY 41002
F 8:00 AM - 5:00 PM
(606) 756-2117
Fax: (606) 756-2135
00 Yrs/99 Yrs
M-TH 8:00 AM - 7:00 PM
F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 105
05/28/2015
Allied Providers
Carter
Cardiology
Freeman, Dee APRN
Wells, Laura APRN
Caric, Mary APRN
Provider ID: 939162
Provider ID: 670877
Boyd, Traci APRN
Provider ID: 943155
Gender: Female
Gender: Female
Provider ID: 755264
Gender: Female
Kdmc Olive Hill Family
Carter County Medical
Gender: Female
Kdmc Olive Hill Family
Care
Clinic
Kdmc Grayson Urgent
Care Center
391 W Tom T Hall Blvd
155 Bricklayer St
Care Center
391 W Tom T Hall Blvd
Olive Hill, KY 41164
Olive Hill, KY 41164
105 State Hwy 1947 A
Olive Hill, KY 41164
(606) 286-8039
(606) 286-4152
Grayson, KY 41143
(606) 286-8039
Fax: (606) 286-6108
Fax: (606) 286-2385
(606) 474-0152
Fax: (606) 286-6108
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (606) 474-0040
00 Yrs/99 Yrs
Kings Daughters Medical M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM Center
Kings Daughters Medical 8:30 PM
M-F 9:00 AM - 5:00 PM Cordle, Rachel APRN
Center
Provider ID: 676709
Thomas,
Thomas
APRN
Nurse
Practitioner
MTWTHFSatSun 10:00
Gender: Female
AM - 10:00 PM
Kdmc Grayson Urgent
Back, Natalie ARNP
Provider ID: 1054820
Care Center
Herndon, Donna APRN
Provider ID: 641880
Gender: Male
105 State Hwy 1947
Gender: Female
Kdmc Grayson Family
Grayson, KY 41143
Provider ID: 680988
Carter County Medical
Care Center
(606) 475-0152
Gender: Female
609 N Carol Malone Blvd Clinic
Fax: (606) 474-4240
Kings Daughter Medical
155 Bricklayer St
Grayson, KY 41143
00 Yrs/99 Yrs
Center
Olive Hill, KY 41164
(606) 474-7892
Kings Daughters Medical
609 N Carol Malone Blvd 00 Yrs/99 Yrs
(606) 286-4152
Center
Grayson, KY 41143
Fax: (606) 286-2385
M-F 7:00 AM - 7:30 PM
MTWTHFSatSun 10:00
(606) 474-7892
00 Yrs/99 Yrs
AM - 10:00 PM
Thomas, Thomas APRN
Fax: (606) 474-0040
M-F 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
Duncan, Jessica APRN
Barker, Katrina APRN
Provider ID: 677039
Our Lady of Bellefonte
Provider ID: 751739
Provider ID: 637651
Gender: Male
Hospital
Gender: Female
Gender: Female
Kdmc Olive Hill Family
M-F 8:00 AM - 5:00 PM
Carter County Medical
Care Center
308 Horton St Ste 2
Clinic
Family Practice
391 W Tom T Hall Blvd
Grayson, KY 41143
155 Bricklayer St
Olive
Hill,
KY
41164
(606)
316-0270
Olive Hill, KY 41164
Freeman, Dee APRN
(606)
286-8039
Fax:
(606)
432-1078
(606) 286-4152
Provider ID: 942948
Fax:
(606)
286-6108
00
Yrs/99
Yrs
Fax: (606) 286-2385
Gender: Female
00
Yrs/99
Yrs
Kings
Daughters
Medical
00 Yrs/99 Yrs
Kdmc Grayson Family
Center
Kings
Daughters
Medical
M-F 8:00 AM - 5:00 PM
Care Center
Center
M-F
9:00
AM
5:00
PM
609 N Carol Malone Blvd
MTWTHFSat 8:00 AM Grayson, KY 41143
8:30 PM
(606) 474-7892
Fax: (606) 474-0040
00 Yrs/99 Yrs
M-F 7:00 AM - 7:30 PM
kentucky.wellcare.com | 106
05/28/2015
Allied Providers
Carter
Nurse Practitioner - cont. Marshall, Patrica APRN
Provider ID: 751190
Freeman, Dee APRN
Gender: Female
Provider ID: 680384
Bellefonte Primary Care
Gender: Female
100 Bellefonte Dr
Kdmc Grayson Family
Grayson, KY 41143
Care Center
(606) 474-0669
609 N Carol Malone Blvd Fax: (606) 474-0376
Grayson, KY 41143
00 Yrs/99 Yrs
(606) 474-7892
M-F 8:00 AM - 5:00 PM
Fax: (606) 474-0040
00 Yrs/99 Yrs
Mollineaux, John APRN
Kings Daughters Medical
Center
Provider ID: 637127
M-F 7:00 AM - 7:30 PM
Gender: Male
Kdmc Grayson Urgent
Greene, Cindra APRN
Care Center
Provider ID: 1007458
105 State Hwy 1947
Gender: Female
Grayson, KY 41143
Carter County Medical
(606) 475-0152
Clinic
Fax: (606) 474-4240
155 Bricklayer St
00 Yrs/99 Yrs
Olive Hill, KY 41164
Kings Daughters Medical
(606) 286-4152
Center
Fax: (606) 286-2385
MTWTHFSatSun 10:00
00 Yrs/99 Yrs
AM - 10:00 PM
M-F 8:00 AM - 5:00 PM
Mosbey, Mary APRN
Hensley, Matthew APRN Provider ID: 638188
Gender: Female
Provider ID: 637117
Kdmc Grayson Urgent
Gender: Male
Care Center
Kdmc Grayson Urgent
105 State Hwy 1947
Care Center
Grayson, KY 41143
105 State Hwy 1947
(606) 475-0152
Grayson, KY 41143
Fax: (606) 474-4240
(606) 475-0152
00 Yrs/99 Yrs
Fax: (606) 474-4240
Kings Daughters Medical
00 Yrs/99 Yrs
Center
MTWTHFSatSun 10:00
MTWTHFSatSun 10:00
AM - 10:00 PM
AM - 10:00 PM
Ramey Jr, Donald APRN
Provider ID: 656466
Gender: Male
Kdmc Grayson Urgent
Care Center
105 State Hwy 1947
Grayson, KY 41143
(606) 475-0152
Fax: (606) 474-4240
00 Yrs/99 Yrs
MTWTHFSatSun 10:00
AM - 10:00 PM
Sargent, Emily APRN
Provider ID: 683657
Gender: Female
Kdmc Olive Hill Family
Care Center
391 W Tom T Hall Blvd
Olive Hill, KY 41164
(606) 286-8039
Fax: (606) 286-6108
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 8:30 PM
Sieweke, Amy APRN
Provider ID: 1074465
Gender: Female
391 W. Tom T. Hall Blvd.
Olive Hill, KY 41164
(606) 286-8039
Fax: (606) 286-6108
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Slone, Leslie ARNP
Provider ID: 675813
Gender: Female
Kdmc Olive Hill Family
Care Center
391 W Tom T Hall Blvd
Olive Hill, KY 41164
(606) 286-8039
Fax: (606) 286-6108
00 Yrs/99 Yrs
Kings Daughters Medical
Center
MTWTHFSat 8:00 AM 8:30 PM
Stickler, Thomas APRN
Sargent, Emily APRN
Provider ID: 1074468
Provider ID: 710534
Gender: Male
Gender: Female
105 State Hwy 1947
Kdmc Grayson Family
Grayson, KY 41143
Care Center
(606) 475-0152
609 N Carol Malone Blvd Fax: (606) 474-4240
Grayson, KY 41143
00 Yrs/99 Yrs
(606) 474-7892
M-F 9:00 AM - 5:00 PM
Fax: (606) 474-0040
Watts, Leslie ARNP
00 Yrs/99 Yrs
Provider ID: 642104
M-F 7:00 AM - 7:30 PM
Gender: Female
Sargent, Maria ARNP
Carter County Medical
Provider ID: 629515
Clinic
Gender: Female
155 Bricklayer St
Bellefonte Physician
Olive Hill, KY 41164
Services
(606) 286-4152
100 Bellefonte Dr
Fax: (606) 286-2385
Grayson, KY 41143
00 Yrs/99 Yrs
(606) 474-0669
M-F 8:30 AM - 5:00 PM
Fax: (606) 474-0376
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 107
05/28/2015
Allied Providers
Carter
Nurse Practitioner - cont. Mabry, Callie PT
Elliott, Leslie PA
Provider ID: 1050251
Provider ID: 938999
Weber, Nicole APRN
Gender: Female
Gender: Female
Provider ID: 1074471
Premier Therapy and
Kdmc Olive Hill Family
Gender: Female
Health Centers
Care Center
105 State Hwy 1947
512 N Carol Malone Blvd 391 W Tom T Hall Blvd
Grayson, KY 41143
Grayson, KY 41143
Olive Hill, KY 41164
(606) 475-0152
(606) 474-0157
(606) 286-8039
Fax: (606) 474-4240
Fax: (606) 474-0890
Fax: (877) 955-3336
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
MTWTHFSat 8:00 AM 8:30 PM
Sat
8:00
AM
12:00
PM
Physical Therapy
Massie, Melba PA
Schwind, Julie PT
Apts, David PT
Provider ID: 636290
Provider ID: 1049499
Provider ID: 1019439
Gender: Female
Gender: Female
Gender: Male
Bellefonte Primary Care
Premier
Therapy
and
Premier Therapy and
Health
Centers
100 Bellefonte Dr
Health Centers
512
N
Carol
Malone
Blvd
Grayson, KY 41143
512 N Carol Malone Blvd
Grayson, KY 41143
(606) 474-0669
Grayson, KY 41143
(606)
474-0157
Fax: (606) 474-0376
(606) 474-0157
Fax:
(606)
474-0890
00 Yrs/99 Yrs
Fax: (606) 474-0890
00
Yrs/99
Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM Ravencraft, James PA
Provider ID: 782104
Gunning, Christopher PT
Physician Assistant
Gender: Male
Bellefonte Primary Care
Provider ID: 1059507
Dalton, James PA
100 Bellefonte Dr
Gender: Male
Provider ID: 646068
Grayson, KY 41143
Premier Therapy and
Gender: Male
(606) 474-0669
Health Centers
Kdmc Grayson Urgent
Fax: (606) 474-0376
512 N Carol Malone Blvd Care Center
00 Yrs/99 Yrs
Grayson, KY 41143
105 State Hwy 1947A
M-F 8:00 AM - 5:00 PM
(606) 474-0157
Grayson, KY 41143
Fax: (606) 474-0890
(606) 474-7892
00 Yrs/99 Yrs
Fax: (606) 474-7537
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Sat 8:00 AM - 12:00 PM
Kings Daughters Medical
Center
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 108
05/28/2015
Allied Providers
Elliott
Family Practice
Wells, Laura APRN
Duncan, Jessica APRN
Provider ID: 939163
Provider ID: 782810
Crawford, Rhonda ARNP Gender: Female
Gender: Female
Kdmc Sandy Hook
Elliott County Medical
Provider ID: 646195
Family Care Center
Clinic
Gender: Female
RR 5 Box 922
390 Ky Hwy 7 S
Kdmc Sandy Hook
Sandy Hook, KY 41171
Sandy Hook, KY 41171
Family Care Center
(606) 738-9339
(606) 738-5155
1908 N Ky 7
Fax: (606) 738-6992
Fax: (606) 738-5420
Sandy Hook, KY 41179
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(606) 739-9339
Kings Daughters Medical M-F 8:00 AM - 5:00 PM
Fax: (606) 739-6992
Center
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM - Slone, Leslie ARNP
Kings Daughters Medical 8:30 PM
Provider ID: 675829
Center
Gender: Female
Nurse Practitioner
M-F 8:00 AM - 4:30 PM
Kdmc Sandy Hook
Family Care Center
Elliott, Leslie PA
Carew, Molly ARNP
Rural Rte 5 Box 922
Provider ID: 646233
Provider ID: 637660
Sandy Hook, KY 41171
Gender: Female
Gender: Female
(606) 738-9339
Kdmc Sandy Hook
Elliott Co Medical Clinic Fax: (606) 738-6992
Family Care Center
390 Ky Hwy 7 S
00 Yrs/99 Yrs
RR 5 Box 922
Sandy Hook, KY 41171
M-F 8:00 AM - 4:30 PM
Sandy Hook, KY 41171
(606) 738-5155
(606) 738-9339
Physician Assistant
Fax: (606) 738-5420
Fax: (606) 738-6992
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM Elliott, Leslie PA
Provider ID: 646233
Kings Daughters Medical
Caric,
Mary
APRN
Gender: Female
Center
Provider ID: 670880
Kdmc Sandy Hook
M-F 8:00 AM - 4:30 PM
Gender: Female
Family Care Center
Freeman, Dee APRN
Elliott County Medical
RR 5 Box 922
Provider ID: 943102
Clinic
Sandy Hook, KY 41171
Gender: Female
390 Ky Hwy 7 S
(606) 738-9339
Kdmc Sandy Hook
Sandy Hook, KY 41171
Fax: (606) 738-6992
Family Care Center
(606) 738-5155
00 Yrs/99 Yrs
Rural Rte 5 Box 922
Fax: (606) 738-5420
Kings Daughters Medical
Sandy Hook, KY 41171
00 Yrs/99 Yrs
Center
(606) 738-9339
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 4:30 PM
Fax: (606) 738-6992
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 109
05/28/2015
Allied Providers
Fleming
Family Practice
Gore, Denise APRN
Provider ID: 620004
Gender: Female
Lewis County Primary
Care Center I
520 Elizaville Ave
Flemingsburg, KY 41041
(606) 845-0028
Fax: (606) 845-0263
00 Yrs/99 Yrs
MTTH 8:00 AM - 6:00
PM
WF 8:00 AM - 5:00 PM
Poczatek, William APRN
Provider ID: 620000
Gender: Male
Lewis County Primary
Care Center In
520 Elizaville Ave
Flemingsburg, KY 41041
(606) 845-0028
Fax: (606) 845-0263
00 Yrs/99 Yrs
MTTH 8:00 AM - 6:00
PM
WF 8:00 AM - 5:00 PM
Federally Qualified
Health Center
Gore, Denise APRN
Provider ID: 620004
Gender: Female
Lewis County Primary
Care Center I
520 Elizaville Ave
Flemingsburg, KY 41041
(606) 845-0028
Fax: (606) 845-0263
00 Yrs/99 Yrs
MTTH 8:00 AM - 6:00
PM
WF 8:00 AM - 5:00 PM
Nurse Practitioner
Vonderheide, Muna
APRN
Campbell, Sarah APRN
Provider ID: 1028428
Gender: Female
Provider ID: 778780
Lewis County Primary
Gender: Female
Care Center In
Fleming County Hospital 520 Elizaville Ave
OP
Flemingsburg, KY 41041
935 Elizaville Ave
(606) 845-0028
Flemingsburg, KY 41041
Fax: (606) 845-0263
(606) 849-3374
00 Yrs/99 Yrs
Fax: (606) 845-0646
MTTH 8:00 AM - 6:00
12 Yrs/99 Yrs
PM
M-F 9:00 AM - 5:00 PM
WF 8:00 AM - 5:00 PM
Crytzer, Jessica APRN
Vonderheide, Muna
Provider ID: 600393
APRN
Gender: Female
Provider ID: 1038273
Kentucky Cardiology
Gender: Female
PLLC
Lewis County Primary
920 Elizaville Ave
Care Center In
Flemingsburg, KY 41041
520 Elizaville Ave
(859) 514-0239
Flemingsburg, KY 41041
00 Yrs/99 Yrs
(606) 845-0028
Saint Joseph East
Fax: (606) 845-0263
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
MTTH 8:00 AM - 6:00
Meyers, Shanna APRN
PM
Provider ID: 603695
WF 8:00 AM - 5:00 PM
Gender: Female
Kentucky Cardiology
Womack, Julia ARNP
PLLC
Provider ID: 619959
920 Elizaville Ave
Gender: Female
Flemingsburg, KY 41041
Buffalo Trace Family
(859) 514-0239
Health Care
00 Yrs/99 Yrs
732 Elizaville Ave
M-F 9:00 AM - 5:00 PM
Flemingsburg, KY 41041
(606) 849-2323
Fax: (606) 849-2025
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
kentucky.wellcare.com | 110
Physical Therapy
Caudill Jr, Michael PT
Provider ID: 1026400
Gender: Male
Integrity Orthopaedics
Sports Medic
101 Jb Shannon Dr Ste A
and B
Flemingsburg, KY 41041
(606) 209-0016
Fax: (606) 209-0022
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Handshoe, Ron PT
Provider ID: 901872
Gender: Male
Integrity Orthopaedics
Sports Medic
101 Jb Shannon Dr Ste A
&B
Flemingsburg, KY 41041
(606) 209-0016
Fax: (606) 209-0022
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Lewis, Steven PT
Provider ID: 784154
Gender: Male
Integrity Orthopaedics
Sports Medic
101 Jb Shannon Dr Ste A
&B
Flemingsburg, KY 41041
(606) 209-0016
Fax: (606) 209-0022
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Allied Providers
Fleming
Physical Therapy - cont.
Overbee, Casey PT
Provider ID: 784310
Gender: Female
Integrity Orthopaedics
Sports Medic
101 Jb Shannon Dr Ste A
&B
Flemingsburg, KY 41041
(606) 209-0016
Fax: (606) 209-0022
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
High, Jenna PA
Provider ID: 1056980
Gender: Female
Integrity Orthopaedics
Sports Medic
101 Jb Shannon Dr
Flemingsburg, KY 41041
(606) 209-0010
Fax: (606) 209-0022
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pate, Christen PT
Provider ID: 806081
Gender: Female
Integrity Orthopaedics
Sports Medic
101 Jb Shannon Dr Ste A
&B
Flemingsburg, KY 41041
(606) 209-0016
Fax: (606) 209-0022
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physician Assistant
Carter, Carrie PA
Provider ID: 603257
Gender: Female
Integrity Orthopaedics
Sports Medic
101 Jb Shannon Dr Ste
A&B
Flemingsburg, KY 41041
(859) 497-4144
Fax: (859) 498-4137
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 111
05/28/2015
Allied Providers
Greenup
Family Practice
Canary, Amy PA
Provider ID: 619635
Gender: Female
Lewis County Primary
Care Center
142 Depot Dr
South Shore, KY 41175
(606) 932-2271
Fax: (606) 932-2273
00 Yrs/99 Yrs
M 8:00 AM - 7:00 PM
Freeman, Dee APRN
Provider ID: 943111
Gender: Female
Kdmc Flatwoods Family
Care Center
1107 Bellefonte Rd
Flatwoods, KY 41139
(606) 834-0125
Fax: (606) 834-0128
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 8:30 PM
Freeman, Dee APRN
Provider ID: 943141
Gender: Female
Kdmc Flatwoods Medical
Specialties
1109 Bellefonte Rd
Flatwoods, KY 41139
(606) 836-8086
Fax: (606) 836-3743
00 Yrs/99 Yrs
M-TH 8:00 AM - 6:30 PM
F 8:00 AM - 4:30 PM
Nickoson, Ronda APRN
Provider ID: 1001410
Gender: Female
Kdmc Flatwoods Family
Care Center
1107 Bellefonte Rd
Flatwoods, KY 41139
(606) 834-0125
Fax: (606) 834-0128
00 Yrs/99 Yrs
M-F 7:00 AM - 7:30 PM
Ryan, James APRN
Provider ID: 620007
Gender: Male
Lewis County Primary
Care Center In
142 Depot Dr
South Shore, KY 41175
(606) 932-2271
Fax: (606) 932-2273
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Thomas, Thomas APRN
Provider ID: 1054803
Gender: Male
Kdmc Flatwoods Family
Care Center
1107 Bellefonte Rd
Flatwoods, KY 41139
(606) 834-0125
Fax: (606) 834-0128
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 8:30 PM
Thomas, Thomas APRN
Nurse Practitioner
Parker, Alissa APRN
Provider ID: 1054805
Provider ID: 758625
Gender: Male
Gender: Female
Kdmc - Flatwoods
Professional Pediatrics
Medical Specialtie
1061 Kenwood Dr
1109 Bellefonte Rd
Russell, KY 41169
Flatwoods, KY 41139
(606) 833-8480
(606) 836-8086
00 Yrs/99 Yrs
Fax: (606) 836-3743
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-TH 8:00 AM - 6:30 PM Ruggles, William ARNP
F 8:00 AM - 4:30 PM
Provider ID: 636516
Gender: Male
Wells, Laura APRN
Christ Care Pedicatrics
Provider ID: 939195
and Family
Gender: Female
Kdmc Flatwoods Medical 137 State Rte 3117
South Shore, KY 41175
Specialities
(606) 932-2079
1109 Bellafonte Rd
Fax: (606) 932-2313
Flatwoods, KY 41139
00 Yrs/99 Yrs
(606) 836-8086
M-F 8:00 AM - 5:00 PM
Fax: (606) 836-3743
00 Yrs/99 Yrs
Sargent, Emily APRN
Kings Daughters Medical Provider ID: 683655
Center
Gender: Female
M-F 8:00 AM - 6:30 PM
Kdmc Flatwoods Family
Care Center
Federally Qualified
Health Center
1107 Bellefonte Rd
Flatwoods, KY 41139
Canary, Amy PA
(606) 834-0125
Provider ID: 619635
Fax: (606) 834-0128
Gender: Female
00 Yrs/99 Yrs
Lewis County Primary
MTWTHFSat 8:00 AM Care Center
8:30 PM
142 Depot Dr
Vonderheide, Muna
South Shore, KY 41175
APRN
(606) 932-2271
Provider ID: 1028455
Fax: (606) 932-2273
Gender: Female
00 Yrs/99 Yrs
Lewis County Primary
M 8:00 AM - 7:00 PM
Care Center In
142 Depot Dr
South Shore, KY 41175
(606) 932-2271
Fax: (606) 756-2273
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
kentucky.wellcare.com | 112
05/28/2015
Allied Providers
Greenup
Nurse Practitioner - cont. Apts, David PT
Schwind, Julie PT
Provider ID: 1019439
Provider ID: 1049499
Vonderheide, Muna
Gender: Male
Gender: Female
APRN
Premier Therapy and
Premier Therapy and
Provider ID: 1038313
Health Centers
Health Centers
Gender: Female
1490 Diedrich Blvd
1490 Diederich Blvd
Lewis County Primary
Russell, KY 41169
Russell, KY 41169
Care Center In
(606) 833-9444
(606) 833-9444
142 Depot Dr
Fax: (606) 833-9442
Fax: (606) 833-9442
South Shore, KY 41175
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(606) 932-2271
M-F 8:00 AM - 7:00 PM
M-F 8:00 AM - 5:00 PM
Fax: (606) 756-2273
Sat 8:00 AM - 12:00 PM
Sat 8:00 AM - 12:00 PM
00 Yrs/99 Yrs
Physician Assistant
M-F 8:30 AM - 5:00 PM Gunning, Christopher PT
Yount, James PA
Provider ID: 728435
Gender: Male
Lewis County Primary
Care Center Db
142 Depot Dr
South Shore, KY 41175
(606) 932-2271
Fax: (606) 932-2273
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Physical Therapy
Apts, David PT
Provider ID: 1019439
Gender: Male
Premier Therapy and
Health Centers
1490 Diederich Blvd
Russell, KY 41169
(606) 833-9444
Fax: (606) 833-9442
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
Provider ID: 1059507
Gender: Male
Premier Therapy and
Health Centers
1490 Diederich Blvd
Russell, KY 41169
(606) 833-9444
Fax: (606) 833-9442
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
Mabry, Callie PT
Provider ID: 1050251
Gender: Female
Premier Therapy and
Health Centers
1490 Diederich Blvd
Russell, KY 41169
(606) 833-9444
Fax: (606) 833-9442
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
Atkins, Jennifer PA
Provider ID: 636541
Gender: Female
Bellefonte Primary Care
US 23 Indianola Ave
South Shore, KY 41175
(606) 932-3150
Fax: (606) 932-6896
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Caldwell, Sonya PA
Provider ID: 637137
Gender: Female
Kdmc Flatwoods Family
Care Center
1107 Bellefonte Rd
Flatwoods, KY 41139
(606) 834-0125
Fax: (606) 834-0128
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 8:30 PM
kentucky.wellcare.com | 113
Caldwell, Sonya PA
Provider ID: 680984
Gender: Female
Kdmc Flatwoods Family
Care Center
1107 Bellefonte Rd
Flatwoods, KY 41139
(606) 834-0125
Fax: (606) 834-0128
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 8:30 PM
Iery, Jerry PA
Provider ID: 636554
Gender: Male
Christ Care Pedicatrics
and Family
137 State Rte 3117
South Shore, KY 41175
(606) 932-2079
Fax: (606) 932-2313
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pennington, Lisa PA
Provider ID: 636591
Gender: Female
Bellefonte Primary Care
2420 Argillite Rd
Flatwoods, KY 41139
(606) 836-3900
Fax: (606) 836-0205
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Allied Providers
Lawrence
Cardiology
See, Ashley APRN
Provider ID: 800259
Ansinelli, Debra APRN
Gender: Female
Three Rivers Medical
Provider ID: 681798
Clinics Inc
Gender: Female
203 S Water St
Kings Daughters Medical Louisa, KY 41230
Specialti
(606) 638-4505
1483 State Rte 644
Fax: (606) 638-4186
Louisa, KY 41230
00 Yrs/99 Yrs
(606) 638-9954
M-F 8:00 AM - 5:00 PM
Fax: (606) 638-3585
00 Yrs/99 Yrs
Short, Karen APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 888155
Gender: Female
Nurse Practitioner
Three Rivers Medical
Clinics Inc
Eastridge, Crystal APRN
203 S Water St
Provider ID: 712838
Louisa, KY 41230
Gender: Female
(606) 638-4505
Three Rivers Medical
Fax: (606) 638-4187
Clinics Inc
00 Yrs/99 Yrs
32 Professional Park Dr
M-F 8:00 AM - 5:00 PM
Louisa, KY 41230
(606) 638-4656
Short, Karen APRN
Fax: (606) 638-4658
Provider ID: 958987
00 Yrs/99 Yrs
Gender: Female
M-F 8:00 AM - 5:00 PM
Three Rivers Medical
Clinics Inc
Hill, Bonnie APRN
306 Commerce Dr Ste
Provider ID: 974525
700
Gender: Female
Louisa, KY 41230
Three Rivers Medical
(606) 638-7400
Clinics Inc
Fax: (606) 638-0468
40 Professional Park Dr
00 Yrs/99 Yrs
Louisa, KY 41230
M-F 8:00 AM - 5:00 PM
(606) 638-4656
Fax: (606) 638-4658
Smith, Dana APRN
00 Yrs/99 Yrs
Provider ID: 758582
M-F 9:00 AM - 5:00 PM
Gender: Female
Three Rivers Medical
Clinics Inc
2483 Hwy 644 Ste 107
Louisa, KY 41230
(606) 298-2660
Fax: (606) 298-2662
00 Yrs/99 Yrs
M-TH 8:00 AM - 6:30 PM
F 8:00 AM - 4:30 PM
Stewart, Debra ARNP
Provider ID: 634064
Gender: Female
Whitaker National
Corporation
2483 Hwy 644
Louisa, KY 41230
(606) 638-9451
00 Yrs/99 Yrs
Castle, Paul PT
Provider ID: 698388
Gender: Male
Ironton Physical Therapy
Inc
172 Town Hill Rd Ste 5
Louisa, KY 41230
(606) 638-7848
Fax: (606) 638-7849
00 Yrs/99 Yrs
Workman, Connie APRN M-F 8:00 AM - 6:00 PM
Provider ID: 667385
Gender: Female
Isaac, Joseph PT
Three Rivers Medical
Provider ID: 927188
Clinics Inc
Gender: Male
2483 Hwy 644 Ste 3
Tri State Rehab Services
Louisa, KY 41230
115 Louisa Plaza Ste 5
(606) 638-1154
Louisa, KY 41230
Fax: (606) 638-4502
(606) 638-7848
00 Yrs/99 Yrs
Fax: (606) 638-7849
M-F 8:00 AM - 4:30 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Physical Therapy
Blackston, Jeremy PT
Provider ID: 1046093
Gender: Male
Tri State Rehab Services
172 Town Hill Rd Ste 5
Louisa, KY 41230
(606) 638-7848
Fax: (606) 638-7849
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Jones, Lauren PT
Provider ID: 1044094
Gender: Female
Tri State Rehab Services
172 Town Hill Rd 5 Louisa
Plaza
Louisa, KY 41230
(606) 638-7848
Fax: (606) 638-7849
00 Yrs/99 Yrs
M-F 7:00 AM - 6:00 PM
Castle, Ashley PT
Physician Assistant
Provider ID: 927661
Gender: Female
Williams, Pete PA
Ironton Physical Therapy Provider ID: 634083
172 Town Hill Rd Ste 5
Gender: Male
Louisa, KY 41230
Whitaker National
Corporation
(606) 638-7848
2483 Hwy 644
Fax: (606) 638-7849
Louisa, KY 41230
00 Yrs/99 Yrs
(606) 638-9451
M-F 8:00 AM - 6:00 PM
00 Yrs/99 Yrs
kentucky.wellcare.com | 114
05/28/2015
Allied Providers
Lewis
Family Practice
Federally Qualified
Health Center
Nurse Practitioner
Vonderheide, Muna
APRN
Canary, Amy PA
Hainline, Terrilee APRN
Provider ID: 1006687
Canary, Amy PA
Provider ID: 619633
Gender: Female
Provider ID: 619633
Provider ID: 728433
Gender: Female
Lewis County Primary
Gender: Female
Gender: Female
Lewis County Primary
Care Center In
Care Center
Lewis County Primary
Lewis County Primary
17521 W Ky 9
Care Center
Care Center I
211 Ky 59
Tollesboro, KY 41189
211 Ky 59
211 Ky 59
Vanceburg, KY 41179
(606) 798-3151
Vanceburg, KY 41179
Vanceburg, KY 41179
(606) 796-3029
Fax: (606) 798-2222
(606) 796-3029
(606) 796-3029
Fax: (606) 796-6221
00 Yrs/99 Yrs
Fax: (606) 796-6221
Fax: (606) 796-6221
00 Yrs/99 Yrs
MTH 8:00 AM - 7:00 PM
00 Yrs/99 Yrs
M-W 8:00 AM - 4:30 PM 00 Yrs/99 Yrs
TWF 8:00 AM - 5:00 PM
M-W 8:00 AM - 4:30 PM M-TH 8:00 AM - 8:00 PM Sat 9:00 AM - 1:00 PM
Fairchild, Mark PA
F 8:00 AM - 5:00 PM
Fairchild, Mark PA
Provider ID: 619646
Vonderheide, Muna
Sat 8:30 AM - 12:00 PM
Provider ID: 619646
Gender: Male
APRN
Gender: Male
Reynolds, Taneesha
Lewis County Primary
Provider ID: 1028437
APRN
Care Center
Lewis County Primary
Gender: Female
Care Center
Provider ID: 596854
211 Ky 59
Lewis County Primary
211 Ky 59
Gender: Female
Vanceburg, KY 41179
Care Center In
Vanceburg, KY 41179
Lewis County Primary
(606) 796-3029
211 Ky 59
Care Center In
(606) 796-3029
Fax: (606) 796-6221
Vanceburg, KY 41179
211 Ky 59
Fax: (606) 796-6221
00 Yrs/99 Yrs
(606) 796-3029
Vanceburg, KY 41179
00 Yrs/99 Yrs
M 8:30 AM - 7:00 PM
Fax: (606) 796-6221
(606) 796-3029
M 8:30 AM - 7:00 PM
TW 8:30 AM - 6:00 PM
00 Yrs/99 Yrs
Fax: (606) 796-6221
TW 8:30 AM - 6:00 PM
TH 8:30 AM - 5:00 PM
M-TH 8:00 AM - 8:00 PM
00 Yrs/99 Yrs
TH 8:30 AM - 5:00 PM
F 8:00 AM - 5:00 PM
Himes, Erin PA
M-F 9:00 AM - 5:00 PM
Sat 8:30 AM - 12:00 PM
Himes, Erin PA
Provider ID: 619627
Stickler, Thomas APRN
Provider ID: 619627
Gender: Female
Vonderheide, Muna
Gender: Female
Lewis County Primary
APRN
Provider ID: 1074468
Care Center
Lewis County Primary
Provider ID: 1032871
Gender: Male
Care Center
17521 W Ky 9
Gender: Female
1908 N. Ky 7
17521 W Ky 9
Tollesboro, KY 41189
Lewis County Primary
Vanceburg, KY 41179
Tollesboro, KY 41189
(606) 798-3151
Care Center In
(606) 739-9939
(606) 798-3151
Fax: (606) 798-2222
17521 W Ky 9
Fax: (606) 739-8999
Fax: (606) 798-2222
00 Yrs/99 Yrs
Tollesboro, KY 41189
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
(606) 798-3151
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Fax: (606) 798-2222
00 Yrs/99 Yrs
MTH 8:00 AM - 7:00 PM
TW 8:00 AM - 5:00 PM
F 8:00 AM - 50:00 PM
Sat 9:00 AM - 1:00 PM
kentucky.wellcare.com | 115
05/28/2015
Allied Providers
Lewis
Nurse Practitioner - cont.
Vonderheide, Muna
APRN
Provider ID: 1038287
Gender: Female
Lewis County Primary
Care Center In
211 Ky 59
Vanceburg, KY 41179
(606) 796-3029
Fax: (606) 796-6221
00 Yrs/99 Yrs
M-TH 8:00 AM - 8:00 PM
F 8:00 AM - 5:00 PM
Sat 8:30 AM - 5:00 PM
Obstetrics/Gynecology
Webb, Gwen APRN
Provider ID: 620010
Gender: Female
Lewis County Primary
Care Center In
211 Ky 59
Vanceburg, KY 41179
(606) 796-3660
Fax: (606) 796-3921
12 Yrs/99 Yrs
MTTHF 8:30 AM - 5:00
PM
W 8:30 AM - 7:00 PM
kentucky.wellcare.com | 116
05/28/2015
Allied Providers
Mason
Family Practice
Keef, Kimberly PA
Provider ID: 619993
Gender: Female
Lewis County Primary
Care Center In
927 Kenton Station Dr
Maysville, KY 41056
(606) 759-0433
Fax: (606) 759-0058
00 Yrs/99 Yrs
MTTH 8:00 AM - 7:00
PM
W 8:00 AM - 6:00 PM
F 8:00 AM - 5:00 PM
Mental Health
Weber, Deborah LCSW
Kerr, Sylvia APRN
Provider ID: 617007
Gender: Female
Lewis County Primary
Care Center In
927 Kenton Station Dr
Maysville, KY 41056
(606) 759-5331
Fax: (606) 759-5363
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Nurse Practitioner
Black, Ashley APRN
Provider ID: 755837
Gender: Female
Meadowview Regional
Med
989 Medical Park Dr
Maysville, KY 41056
(606) 759-9353
Fax: (606) 759-9702
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 1061427
Gender: Female
Lewis County Primary
Care Centerinc
1350 Medical Park Dr
Maysville, KY 41056
(606) 759-0499
Black, Ashley APRN
Fax: (606) 759-0499
Provider ID: 983188
00 Yrs/99 Yrs
Gender: Female
M-TH 8:00 AM - 6:00 PM Cardiovascular
Consultants of Kentu
Nurse Midwife
191 Wal Mart Way
Maysville, KY 41056
Cox, Elizabeth APRN
(606) 759-0021
Provider ID: 750624
Fax: (606) 759-0086
Gender: Female
00 Yrs/99 Yrs
Lewis County Primary
M-F 8:30 AM - 5:00 PM
Care Center In
927 Kenton Station Dr
Brown, David APRN
2nd Fl
Provider ID: 713522
Maysville, KY 41056
Gender: Male
(606) 759-5331
Meadowview Physician
Fax: (606) 759-5363
Practice LLC
00 Yrs/99 Yrs
989 Medical Park Dr
Meadowview Reg Med
Maysville, KY 41056
Center
(606) 759-3585
M-F 8:30 AM - 5:00 PM
Fax: (606) 759-0676
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Campbell, Leigh APRN
Provider ID: 611905
Gender: Female
Meadowview Physician
Practice LLC
491 Tucker Dr
Maysville, KY 41056
(606) 759-4852
Fax: (606) 759-0122
00 Yrs/99 Yrs
Languages: Spanish
MW 8:00 AM - 6:00 PM
TTH 8:00 AM - 4:30 PM
F 8:00 AM - 12:00 PM
Jessee, Rae APRN
Provider ID: 793625
Gender: Female
Lewis County Primary
Care Center In
927 Kenton Station Dr
1st Fl
Maysville, KY 41056
(606) 759-0433
Fax: (606) 759-0058
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Keating, Abram APRN
Provider ID: 672727
Gender: Male
Ohio Valley Heart DBA
Meadowview Ph
991 Medical Park Dr Ste
107
Maysville, KY 41056
(606) 759-9353
Fax: (606) 759-9702
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 117
Schaefer, Cynthia APRN
Provider ID: 626355
Gender: Female
Lewis County Primary
Care Center In
927 Kenton Station Dr
Maysville, KY 41056
(606) 759-0433
Fax: (606) 759-0058
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Tucker, Dana APRN
Provider ID: 595855
Gender: Female
Lewis County Primary
Care Center I
927 Kenton Station Dr
Maysville, KY 41056
(606) 759-0433
Fax: (606) 759-0058
12 Yrs/99 Yrs
MTTH 8:00 AM - 7:00
PM
W 8:00 AM - 6:00 PM
F 9:00 AM - 5:00 PM
Vonderheide, Muna
APRN
Provider ID: 1028137
Gender: Female
Lewis County Primary
Care Center In
1350 Medical Park Dr
Maysville, KY 41056
(606) 759-0499
Fax: (606) 759-0499
00 Yrs/99 Yrs
Languages: Spanish
M-TH 8:00 AM - 6:00 PM
05/28/2015
Allied Providers
Mason
Nurse Practitioner - cont. Vonderheide, Muna
Physician Assistant
APRN
Vonderheide, Muna
Woolums, Carmen PA
Provider ID: 1038317
APRN
Provider ID: 755161
Gender: Female
Provider ID: 1028433
Gender: Female
Lewis County Primary
Gender: Female
Family Practice
Care Center In
Lewis County Primary
Associates of Maysv
1350 Medical Park Dr
Care Center In
2003 Old Main St
Maysville, KY 41056
927 Kenton Station Dr
Maysville, KY 41056
(606) 759-0499
Maysville, KY 41056
(606) 759-7878
Fax: (606) 759-0499
(606) 759-0433
Fax: (606) 759-1808
00 Yrs/99 Yrs
Fax: (606) 759-0058
M-TH 8:00 AM - 6:00 PM 00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Obstetrics/Gynecology
MTTH 8:00 AM - 7:00
Thoracic & Cardiovascular
PM
Surgery
Hogge, Rebecca CNM
W 8:00 AM - 6:00 PM
Provider ID: 619988
F 8:00 AM - 5:00 PM
Meece, Paul PA
Gender: Female
Provider ID: 919602
Vonderheide, Muna
Lewis County Primary
Gender: Male
APRN
Care Center In
Sj Cardothoracic Surgical
Provider ID: 1038280
927 Kenton Station Dr
Associate
Gender: Female
Maysville, KY 41056
991 Medical Park Dr Ste
Lewis County Primary
(606) 759-5331
107
Care Center In
Fax: (606) 759-5363
Maysville, KY 41056
927 Kenton Station Dr
12 Yrs/99 Yrs
(859) 278-2334
Maysville, KY 41056
M-F 8:30 AM - 5:00 PM
Fax: (859) 278-0159
(606) 759-0433
Tucker,
Dana
APRN
00 Yrs/99 Yrs
Fax: (606) 759-0058
Provider
ID:
595855
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Gender: Female
MTTH 8:00 AM - 7:00
Lewis County Primary
PM
Care Center I
W 8:00 AM - 6:00 PM
927 Kenton Station Dr
F 8:00 AM - 5:00 PM
Maysville, KY 41056
Vonderheide, Muna
(606) 759-0433
APRN
Fax: (606) 759-0058
Provider ID: 1038285
12 Yrs/99 Yrs
Gender: Female
MTTH 8:00 AM - 7:00
Lewis County Primary
PM
Care Center In
W 8:00 AM - 6:00 PM
927 Kenton Station Dr
F 9:00 AM - 5:00 PM
Maysville, KY 41056
(606) 759-5331
Fax: (606) 759-5363
00 Yrs/99 Yrs
M 8:00 AM - 8:00 PM
TWTHF 8:30 AM - 5:00
PM
kentucky.wellcare.com | 118
05/28/2015
Allied Providers
Menifee
Nurse Midwife
Caric, Mary APRN
Mattox, Davika APRN
Tabor, Jennifer APRN
Provider ID: 670883
Provider ID: 1062887
Provider ID: 720490
Meritt, Frances CNM
Gender: Female
Gender: Female
Gender: Female
Provider ID: 766088
Menifee County Medical Community Family Clinic Menifee County Medical
Gender: Female
Clinic
PLLC
Clinic
Menifee County Medical 732 Hwy 36
784 Hwy 36
732 Hwy 36
Clinic
Frenchburg, KY 40322
Frenchburg, KY 40322
Frenchburg, KY 40322
732 Hwy 36
(606) 768-2191
(606) 768-9190
(606) 768-2191
Frenchburg, KY 40322
Fax: (606) 768-6130
Fax: (606) 768-9180
Fax: (606) 768-6130
(606) 768-2191
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (606) 768-6130
M-F 8:00 AM - 5:00 PM
Languages: Arabic
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
MTTH 8:00 AM - 5:00
Nutrition
M-F 8:00 AM - 5:00 PM Dunaway, Hannah APRN
PM
W 8:00 AM - 6:00 PM
Nurse Practitioner
Tabor, Jennifer APRN
Provider ID: 1070624
F 8:00 AM - 4:00 PM
Provider ID: 698802
Gender: Female
Auxier, Stephanie APRN
Gender: Female
Community Family Clinic Mullins, Lauren APRN
Provider ID: 611791
Menifee County Medical
PLLC
Provider ID: 764257
Gender: Female
Clinic
784 Hwy 36
Gender: Female
Community Family Clinic Frenchburg, KY 40322
Community Family Clinic 732 Hwy 36
PLLC
Frenchburg, KY 40322
(606) 768-9190
PLLC
784 Hwy 36
(606) 768-2191
Fax: (606) 768-9180
784 Hwy 36
Frenchburg, KY 40322
Fax: (606) 768-6130
00 Yrs/99 Yrs
Frenchburg, KY 40322
(606) 768-9190
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
(606) 768-9190
Fax: (606) 768-9180
M-F 8:00 AM - 5:00 PM
Fax: (606) 768-9180
00 Yrs/99 Yrs
Duncan, Jessica APRN
00 Yrs/99 Yrs
MTTH 8:00 AM - 5:00
Provider ID: 782794
M-F 8:00 AM - 5:00 PM
PM
Gender: Female
W 8:00 AM - 6:00 PM
Menifee County Medical Standafer, Glen APRN
F 8:00 AM - 4:00 PM
Clinic
Provider ID: 722089
732
Hwy
36
Gender: Male
Calvert, Paula ARNP
Frenchburg,
KY
40322
Menifee County Medical
Provider ID: 610084
(606)
768-2191
Clinic
Gender: Female
Fax:
(606)
768-6130
732 Hwy 36
Community Family Clinic
00 Yrs/99 Yrs
Frenchburg, KY 40322
PLLC
M-F
8:00
AM
5:00
PM
(606) 768-2191
784 Hwy 36
Fax: (606) 768-6130
Frenchburg, KY 40322
Furman, Torrie APRN
00 Yrs/99 Yrs
(606) 768-9190
Provider ID: 913670
M-F 8:00 AM - 5:00 PM
Fax: (606) 768-9180
Gender: Female
00 Yrs/99 Yrs
Community Family Clinic
Languages: Arabic
PLLC
MTTH 8:00 AM - 5:00
784 Hwy 36
PM
Frenchburg, KY 40322
W 8:00 AM - 6:00 PM
(606) 768-9190
F 8:00 AM - 4:00 PM
Fax: (606) 768-9180
00 Yrs/99 Yrs
Languages: Arabic
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 119
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Allied Providers
Morgan
Family Practice
Nurse Practitioner
Crager, Lucinda APRN
Provider ID: 596371
Gender: Female
Arh Morgan County
Clinic
476 Liberty Rd
West Liberty, KY 41472
(606) 743-3198
Fax: (606) 743-1655
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Frederick, Melissa APRN
Provider ID: 609788
Gender: Female
Frerick Medical Clinic
PSC
430 Liberty Rd
West Liberty, KY 41472
(606) 743-3114
Fax: (606) 743-1404
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Lykins, Wendy APRN
Provider ID: 629775
Gender: Female
Appalachian Regional
Healthcare Inc
476 Liberty Rd
West Liberty, KY 41472
(606) 743-3198
Fax: (606) 743-1655
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Physician Assistant
Potter, Elizabeth APRN
Davis, L PA
Provider ID: 671407
Gender: Male
Faith Family Practice
801 N Main St
West Liberty, KY 41472
(606) 743-1422
Fax: (606) 743-1455
00 Yrs/99 Yrs
M-TH 9:00 AM - 6:00 PM
Provider ID: 626273
Gender: Female
Youthful Essence
Medical Center
1219 W Main St
West Liberty, KY 41472
(606) 743-1600
Fax: (606) 743-1924
00 Yrs/99 Yrs
MTWF 8:00 AM - 5:00
PM
TH 8:00 AM - 2:00 PM
kentucky.wellcare.com | 120
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Allied Providers
Rowan
Children With Special
Health Care Needs
Commission For Children
With Special
Provider ID: 616818
Morehead Regional
Ccshcn
214 W. First St
Morehead, KY 40351
(606) 783-8610
00 Yrs/21 Yrs
M-F 8:00 AM - 4:30 PM
Family Practice
Rudd, Amber APRN
Provider ID: 619565
Gender: Female
Morehead Primary Care
333 Beacon Hill Rd Ste
201
Morehead, KY 40351
(606) 780-0444
Fax: (606) 784-2344
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Nurse Midwife
Meritt, Frances CNM
Provider ID: 691971
Gender: Female
St Claire Family Care
Clinic
316 W. 2nd St
Morehead, KY 40351
(606) 784-3771
Fax: (606) 783-6847
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Nurse Practitioner
Adams, Melissa APRN
Provider ID: 1033368
Gender: Female
Morehead Medical
Specialists
234 Medical Cir Ste 1
Morehead, KY 40351
(606) 784-6641
Fax: (606) 780-2373
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Back, Natalie ARNP
Provider ID: 641889
Gender: Female
St Claire Family Care
Clinic
316 W 2nd St
Morehead, KY 40351
(606) 784-3771
Fax: (606) 783-6847
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Back, Natalie APRN
Provider ID: 978340
Gender: Female
St Claire Family Medicine
Express
1028 E Main St
Morehead, KY 40351
(606) 783-7689
Fax: (606) 783-6877
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 9:00 AM - 12:30 PM
Campbell, Leigh APRN
Provider ID: 1075985
Gender: Female
Morehead State
University Counselin
112 Allie Young Hall
Morehead, KY 40351
(606) 783-2055
Fax: (606) 783-9106
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Carew, Molly ARNP
Provider ID: 1022473
Gender: Female
St Claire Family Medicine
Express
1028 E Main St
Morehead, KY 40351
(606) 783-7689
Fax: (606) 783-6877
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Duncan, Jessica APRN
Provider ID: 782784
Gender: Female
St Claire Family Care
Clinic
316 W 2nd St
Morehead, KY 40351
(606) 784-3771
Fax: (606) 783-6847
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Duncan, Jessica APRN
Provider ID: 784145
Gender: Female
St Claire Family Medicine
Express
1028 E Main St
Morehead, KY 40351
(606) 783-7689
Fax: (606) 783-6877
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 9:00 AM - 12:30 PM
Caric, Mary APRN
Farkas, Erin APRN
Provider ID: 643970
Provider ID: 1062267
Gender: Female
Gender: Female
St Claire Family Medicine Mt Sterling Pediatrics
Express
130 New Towne Square
1028 E Main St
Morehead, KY 40351
Morehead, KY 40351
(606) 740-0986
(606) 783-7689
Fax: (606) 780-9096
Fax: (606) 783-6877
00 Yrs/18 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 8:00 PM
Fletcher, Wtynetta APRN
Sat 9:00 AM - 12:30 PM
Caric, Mary APRN
Provider ID: 670878
Gender: Female
St Claire Family Care
Clinic
316 W 2nd St
Morehead, KY 40351
(606) 784-3771
Fax: (606) 783-6847
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 121
Provider ID: 920528
Gender: Female
Sunrise Children's
Services
3495 Cranston Rd
Morehead, KY 40351
(606) 784-5882
Fax: (606) 207-1118
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Allied Providers
Rowan
Nurse Practitioner - cont. Hughes, Patrick ARNP
Provider ID: 642033
Fletcher, Wynetta APRN Gender: Male
St Claire Family Care
Provider ID: 920434
Clinic
Gender: Female
316 W 2nd St
King's Daughters'
Morehead, KY 40351
Medical Specialti
(606) 784-3771
255 Old Viking Dr
Fax: (606) 783-6847
Morehead, KY 40351
00 Yrs/99 Yrs
(606) 784-2774
M-F 8:30 AM - 5:00 PM
Fax: (606) 207-1118
00 Yrs/99 Yrs
Kessler, Shasta APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 1062591
Gender: Female
Greene, Cindra APRN
Mt Sterling Pediatrics
Provider ID: 1020131
130 New Towne Square
Gender: Female
Morehead, KY 40351
St Claire Family Medicine (606) 740-0986
Express
Fax: (606) 780-9096
1028 E Main St
00 Yrs/18 Yrs
Morehead, KY 40351
M-F 8:00 AM - 5:00 PM
(606) 783-7689
Fax: (606) 783-6877
Leuenberger, Timothy
00 Yrs/99 Yrs
APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 614487
Gender: Male
Gulley, Anita APRN
W Michael Spurlock DC
Provider ID: 631005
PSC
Gender: Female
1350 Flemingsburg Rd
Morehead Medical
Morehead, KY 40351
Specialists
(606) 784-1115
234 Medical Cir
Fax: (606) 784-2794
Morehead, KY 40351
18 Yrs/99 Yrs
(606) 784-6641
MTTH 8:00 AM - 6:00
Fax: (606) 783-7281
PM
00 Yrs/99 Yrs
W 8:00 AM - 1:00 PM
M-F 8:00 AM - 5:00 PM
F 8:00 AM - 5:00 PM
Hughes, Patrick APRN
Mays, Lucille ARNP
Provider ID: 1078839
Provider ID: 1022476
Gender: Male
Gender: Female
St Claire Family Medicine St Claire Family Medicine
Express
Express
1028 E Main St
1028 E Main St
Morehead, KY 40351
Morehead, KY 40351
(606) 783-6400
(606) 783-7689
Fax: (606) 783-6415
Fax: (606) 783-6877
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
O'Kelly, Christine APRN
Provider ID: 787354
Gender: Female
Morehead Medical
Specialists
234 Medical Cir Ste 1
Morehead, KY 40351
(606) 784-6641
Fax: (606) 783-7281
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Stanley, Cassie APRN
Provider ID: 700543
Gender: Female
Morehead Medical
Specialists
234 Medical Cir
Morehead, KY 40351
(606) 784-6641
Fax: (606) 783-7281
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Perry, James APRN
Provider ID: 641793
Gender: Male
St Claire Medical
Counseling
445 Clinic Dr
Morehead, KY 40351
(606) 783-6505
Fax: (606) 783-6869
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Tabor, Jennifer APRN
Provider ID: 720486
Gender: Female
Morehead Medical
Specialists
234 Medical Cir
Morehead, KY 40351
(606) 784-6641
Fax: (606) 783-7281
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Solter, Kathleen APRN
Walters, Michele APRN
Provider ID: 713985
Gender: Female
St Claire Family Care
Clinic
316 W 2nd St
Morehead, KY 40351
(606) 784-3771
Fax: (606) 783-6847
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 9:00 AM - 12:30 PM
Provider ID: 695335
Gender: Female
112 Allie Young
Morehead, KY 40351
(606) 783-2055
Fax: (606) 783-9106
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Standafer, Glen APRN
Provider ID: 978287
Gender: Male
Walters, Michele APRN
St Claire Family Medicine
Express
Provider ID: 978338
1028 E Main St
Gender: Female
Morehead, KY 40351
St Claire Family Medicine
Express
(606) 783-7689
1028 E Main St
Fax: (606) 783-6877
Morehead, KY 40351
00 Yrs/99 Yrs
(606) 783-7689
M-F 8:00 AM - 8:00 PM
Fax: (606) 783-6877
Sat 9:00 AM - 12:30 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 9:00 AM - 12:30 PM
kentucky.wellcare.com | 122
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Allied Providers
Rowan
Nurse Practitioner - cont.
Watts, Leslie ARNP
Provider ID: 642022
Gender: Female
St Claire Family Care
Clinic
316 W 2nd St
Morehead, KY 40351
(606) 784-3771
Fax: (606) 783-6847
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Physician Assistant
Abney, Kristeena PA
Provider ID: 666506
Gender: Female
St Claire Regional
Emergency Phys
222 Medical Cir
Morehead, KY 40351
(606) 783-6500
Fax: (606) 783-6503
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Watts, Leslie ARNP
Ballard, Peggy PA
Provider ID: 642022
Provider ID: 641796
Gender: Female
Gender: Female
St Claire Family Medicine Morehead Medical
Express
Specialists
1028 E Main St
234 Medical Cir
Morehead, KY 40351
Morehead, KY 40351
(606) 783-7689
(606) 784-6641
Fax: (606) 783-6877
Fax: (606) 783-7281
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
Wilburn, Brenda APRN
Provider ID: 750923
Gender: Female
Morehead State
University
150 University Blvd 112
Allie Young
Morehead, KY 40351
(606) 783-2055
Fax: (606) 783-9106
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Bromagen, Kimberly PA
Provider ID: 641954
Gender: Female
St Claire Family Care
Clinic
316 W 2nd St
Morehead, KY 40351
(606) 784-3771
Fax: (606) 783-6847
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 9:00 AM - 12:30 PM
Bromagen, Kimberly PA
Irving, Shelley PA
Provider ID: 641803
Provider ID: 978294
Gender: Female
Gender: Female
St Claire Family Care
St Claire Family Medicine Clinic
Express
316 W. 2nd St
1028 E Main St
Morehead, KY 40351
Morehead, KY 40351
(606) 784-3771
(606) 783-7689
Fax: (606) 783-6847
Fax: (606) 783-6877
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 8:00 PM
Irving, Shelley PA
Sat 9:00 AM - 12:30 PM
Provider ID: 641803
Day, Courtney PA
Gender: Female
Provider ID: 1036441
St Claire Medical
Gender: Female
Centers Inc
St Claire Family Medicine 1028 E Main St
Express
Morehead, KY 40351
1028 E Main St
(606) 783-6866
Morehead, KY 40351
Fax: (606) 783-6941
(606) 783-6400
00 Yrs/99 Yrs
Fax: (606) 783-6415
M-F 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Perry, Alisha PA
Provider ID: 791952
Day, Courtney PA
Gender: Female
Provider ID: 1036448
Morehead Medical
Gender: Female
Specialists
St Claire Family Care
234 Medical Cir
Clinic
Morehead, KY 40351
316 W 2nd St
(606) 784-6641
Morehead, KY 40351
Fax: (606) 783-7281
(606) 784-3771
00 Yrs/99 Yrs
Fax: (606) 784-6847
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Rishel, Lacinda PA
Provider ID: 1062096
Himes, Erin PA
Gender: Female
Provider ID: 666433
Cave Run Surgical
Gender: Female
Specialists
St Claire Regional
425 Clinic Dr
Emergency Phys
Morehead, KY 40351
222 Medical Cir
(606) 784-7751
Morehead, KY 40351
Fax: (606) 784-1184
(606) 783-6500
00 Yrs/99 Yrs
Fax: (606) 783-6503
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 123
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Allied Providers
Rowan
Physician Assistant - cont.
Steagall, Kelly PA
Provider ID: 666503
Gender: Female
St Claire Regional
Emergency Phys
222 Medical Cir
Morehead, KY 40351
(606) 783-6500
Fax: (606) 783-6503
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sy, Gregory PA
Provider ID: 666464
Gender: Male
St Claire Regional
Emergency Phys
222 Medical Cir
Morehead, KY 40351
(606) 783-6500
Fax: (606) 783-6503
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Ward, Ashley PA
Provider ID: 666314
Gender: Female
Morehead Medical
Specialists
234 Medical Cir
Morehead, KY 40351
(606) 784-6641
Fax: (606) 783-7281
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 124
05/28/2015
Pharmacy
Bath
Retail
Bath Hometown
Pharmacy
Provider ID:
TPV1830303-00
19 Miller Dr
Owingsville, KY 40360
(606) 674-2423
Fax: (606) 674-2451
00 Yrs/99 Yrs
www.walmart.com
Family Discount Drugs
Provider ID:
TPV1817204-00
60 Slate Ave.
Owingsville, KY 40360
(606) 674-6979
Fax: (606) 674-6979
00 Yrs/99 Yrs
Owingsville Drug Store
Provider ID:
TPV1807784-00
53 Miller DR
Owingsville, KY 40360
(606) 674-6334
Fax: (859) 498-9037
00 Yrs/99 Yrs
www.epicrx.com
kentucky.wellcare.com | 125
05/28/2015
Pharmacy
Boyd
Infusion
Infusion Solutions
Provider ID:
TPV1828396-00
200 Mall Rd
Asland, KY 41101
(606) 325-1115
Fax: (606) 324-4663
00 Yrs/99 Yrs
www.walgreens.com
Walgreens
Provider ID:
TPV1833018-00
Walgreens Infusion
Services 12987
4380 13th St
Ashland, KY 41102
(606) 324-4427
Fax: (866) 221-1916
00 Yrs/99 Yrs
www.optioncare.com
Retail
Ashland Bellefonte
Cancer Center
Provider ID:
TPV1832458-00
122 Saint Christopher Dr
Ashland, KY 41101
(606) 836-0202
Fax: (606) 836-2189
00 Yrs/99 Yrs
www.epicrx.com
Ashland Childrens Clinic
PSC
Provider ID:
TPV1832030-00
700 13th St
Ashland, KY 41101
(606) 329-0204
Fax: (888) 318-5567
00 Yrs/99 Yrs
www.walmart.com
Boyd County Pharmacy
Provider ID:
TPV1829677-00
12544 US Rt 60
Ashland, KY 41102
(606) 929-5301
Fax: (606) 929-5298
00 Yrs/99 Yrs
www.walgreens.com
Community Hospice
Pharmacy
Provider ID:
TPV1824045-00
2330 Pollard Rd
Ashland, KY 41101
(606) 329-0767
Fax: (606) 329-0791
00 Yrs/99 Yrs
www.uniteddrugs.com
CVS
Provider ID:
TPV1800805-00
CVS Pharmacy 06347
1221 Lexington Ave
Ashland, KY 41101
(606) 324-2128
00 Yrs/99 Yrs
www.cvs.com
Gallahers Pharmacy
Provider ID:
TPV1821520-00
2914 Blackburn Ave
Ashland, KY 41101
(606) 329-2122
Fax: (606) 329-8192
00 Yrs/99 Yrs
www.riteaid.com
Healthy Way Pharmacy
Cedarknoll
Provider ID:
TPV1829792-00
1410 Eagle Dr
Ashland, KY 41102
(606) 928-1001
Fax: (606) 928-1008
00 Yrs/99 Yrs
www.mhainc.com
Kings Daughters Family
Pharmacy
Provider ID:
TPV1824627-00
613 23rd St
Ashland, KY 41101
(606) 324-0092
Fax: (606) 324-9091
00 Yrs/99 Yrs
Kroger
Provider ID:
TPV1822279-00
Kroger Pharmacy 29783
711 Martin Luther King Jr
Blvd
Ashland, KY 41101
(606) 324-7119
Fax: (606) 326-0764
00 Yrs/99 Yrs
www.walmart.com
Kroger
Provider ID:
TPV1826330-00
Kroger Pharmacy 29796
370 Diedrich Blvd
Ashland, KY 41101
(606) 325-0611
Fax: (606) 326-1021
00 Yrs/99 Yrs
www.foodcity.com
kentucky.wellcare.com | 126
McMeans Pharmacy
Provider ID:
TPV1818167-00
2920 Carter Ave
Ashland, KY 41101
(606) 325-8400
Fax: (606) 324-3112
00 Yrs/99 Yrs
Med Care Pharmacy LLC
4
Provider ID:
TPV1828411-00
12270 Kevin Dr
Ashland, KY 41102
(606) 929-9633
Fax: (606) 929-9579
00 Yrs/99 Yrs
www.walgreens.com
Medical Plaza Pharmacy
Provider ID:
TPV1816341-00
700 St Christopher Dr
Ashland, KY 41101
(606) 833-3510
Fax: (606) 833-3624
00 Yrs/99 Yrs
Omnicare of Ashland
Provider ID:
TPV1817949-00
720 Greenup Ave
Ashland, KY 41101
(606) 325-1483
Fax: (606) 325-1483
00 Yrs/99 Yrs
www.walmart.com
05/28/2015
Pharmacy
Boyd
Retail - cont.
RITE AID
Provider ID:
TPV1817519-00
Rite Aid Pharmacy 01737
01737
3501 Court St
Catlettsburg, KY 41129
(606) 739-4432
Fax: (606) 739-0517
00 Yrs/99 Yrs
www.kroger.com
Walmart
Provider ID:
TPV1825299-00
Wal-Mart Pharmacy
10-2638 102638
12504 US Rte 60
Ashland, KY 41102
(606) 929-9360
00 Yrs/99 Yrs
www.cvs.com
RITE AID
Provider ID:
TPV1818117-00
Rite Aid Pharmacy 01755
01755
933 Blackburn Ave
Ashland, KY 41101
(606) 324-0372
Fax: (606) 326-0513
00 Yrs/99 Yrs
www.kroger.com
Ultimate Treatment
Center
Provider ID:
TPV1832977-00
3655 Winchester Ave
Ashland, KY 41101
(606) 393-4632
Fax: (888) 411-4131
00 Yrs/99 Yrs
Walmart
Provider ID:
TPV1823029-00
Wal-Mart Pharmacy
10-1426 101426
351 River Hill Rd
Ashland, KY 41101
(606) 329-0477
00 Yrs/99 Yrs
kentucky.wellcare.com | 127
05/28/2015
Pharmacy
Bracken
Retail
Deans Pharmacy Inc
Provider ID:
TPV1809714-00
109 Locust St
Brooksville, KY 41004
(606) 735-2322
Fax: (606) 735-2754
00 Yrs/99 Yrs
www.myleader.com
Reynolds Pharmacy
Provider ID:
TPV1814296-00
216 Main St
Augusta, KY 41002
(606) 756-2204
Fax: (606) 756-2702
00 Yrs/99 Yrs
kentucky.wellcare.com | 128
05/28/2015
Pharmacy
Carter
Retail
Grayson Family Drug
Provider ID:
TPV1829451-00
131 S Carol Malone Blvd
Grayson, KY 41143
(606) 475-0232
Fax: (606) 475-0245
00 Yrs/99 Yrs
www.walgreens.com
Horton Brothers and
Brown Pharmacy
Provider ID:
TPV1804930-00
128 East Main St
Grayson, KY 41143
(606) 474-5655
Fax: (606) 474-8866
00 Yrs/99 Yrs
www.myleader.com
KMART
Provider ID:
TPV1821859-00
Kmart Pharmacy7229
7229
600 Cw Stevens Blvd
Grayson, KY 41143
(606) 474-8859
Fax: (606) 474-8861
00 Yrs/99 Yrs
www.kmart.com
RITE AID
Provider ID:
TPV1817088-00
Rite Aid Pharmacy 01743
01743
100 South Carol Malone
Blvd
Grayson, KY 41143
(606) 474-4470
Fax: (606) 475-0633
00 Yrs/99 Yrs
www.cvs.com
RITE AID
Provider ID:
TPV1817773-00
Rite Aid Pharmacy 01812
01812
410 W. Tom T Hall Blvd
Olive Hill, KY 41164
(606) 286-2322
Fax: (606) 286-1603
00 Yrs/99 Yrs
Medicine Cabinet
Pharmacy
Provider ID:
TPV1831381-00
230 State Hwy 2
Olive Hill, KY 41164
(606) 286-2035
Fax: (606) 286-2035
00 Yrs/99 Yrs
www.walgreens.com
kentucky.wellcare.com | 129
05/28/2015
Pharmacy
Elliott
Retail
Discount Drug Mart Inc
Provider ID:
TPV1808332-00
121 S Ky 7
Sandy Hook, KY 41171
(606) 738-5111
Fax: (606) 738-4018
00 Yrs/99 Yrs
Healthy Way Pharmacy
Provider ID:
TPV1825302-00
432 S Ky 7
Sandy Hook, KY 41171
(606) 738-4041
Fax: (606) 738-4030
00 Yrs/99 Yrs
www.walmart.com
kentucky.wellcare.com | 130
05/28/2015
Pharmacy
Fleming
Retail
Flemingsburg Family
Health Center Pharma
Provider ID:
TPV1832890-00
520 Elizaville Rd
Flemingsburg, KY 41041
(606) 845-0402
Fax: (606) 845-0422
00 Yrs/99 Yrs
Total Care Pharmacy 1
Provider ID:
TPV1820554-00
209 S Main Cross St
Flemingsburg, KY 41041
(606) 845-2101
Fax: (606) 849-2633
00 Yrs/99 Yrs
www.walgreens.com
Total Care Pharmacy 2 2
Provider ID:
TPV1820566-00
118 Clark St
Flemingsburg, KY 41041
(606) 845-3421
Fax: (606) 845-0113
00 Yrs/99 Yrs
kentucky.wellcare.com | 131
05/28/2015
Pharmacy
Greenup
Retail
CVS
Provider ID:
TPV1825263-00
CVS Pharmacy 02380
2409 Argillite Rd
Flatwoods, KY 41139
(606) 833-8027
00 Yrs/99 Yrs
www.myleader.com
McDonald Pharmacy
Provider ID:
TPV1808510-00
437 James Hannah Dr
South Shore, KY 41175
(606) 932-3614
Fax: (606) 932-3614
00 Yrs/99 Yrs
Stultz Pharmacy
Provider ID:
TPV1827647-00
2420 Argillite Rd
Flatwoods, KY 41139
(606) 834-1052
Fax: (606) 834-1039
00 Yrs/99 Yrs
www.kroger.com
The Wright Pharmacy Inc
Provider ID:
TPV1824716-00
82 Biggs Lane
South Shore, KY 41175
(606) 932-2202
Fax: (606) 932-2080
00 Yrs/99 Yrs
www.walgreens.com
RITE AID
Provider ID:
TPV1822433-00
Rite Aid Pharmacy 03567
03567
1900 Argillite Rd
Flatwoods, KY 41139
(606) 836-2498
Fax: (606) 833-9409
00 Yrs/99 Yrs
www.riteaid.com
Stultz Pharmacy
Provider ID:
TPV1812470-00
1615 Ashland Rd
Greenup, KY 41144
(606) 473-7346
Fax: (606) 473-5667
00 Yrs/99 Yrs
www.riteaid.com
kentucky.wellcare.com | 132
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Pharmacy
Lawrence
Retail
Louisa Drug Store
Provider ID:
TPV1806201-00
408 N Lock Ave
Louisa, KY 41230
(606) 638-4155
Fax: (606) 638-1109
00 Yrs/99 Yrs
RITE AID
Provider ID:
TPV1812177-00
Rite Aid Pharmacy 00295
00295
4311 Hwy 2565
Louisa, KY 41230
(606) 638-3110
Fax: (606) 638-4933
00 Yrs/99 Yrs
Rite Value Pharmacy
Provider ID:
TPV1829083-00
2673 Hwy 644 Ste 1
Louisa, KY 41230
(606) 638-9627
Fax: (606) 638-4169
00 Yrs/99 Yrs
www.foodcity.com
Riverview Pharmacy
Provider ID:
TPV1809891-00
201 S Water St
Louisa, KY 41230
(606) 638-9218
Fax: (606) 638-0074
00 Yrs/99 Yrs
Walmart
Provider ID:
TPV1830290-00
Wal-Mart Pharmacy
10-4461 104461
275 Walton DR
Louisa, KY 41230
(606) 673-4912
00 Yrs/99 Yrs
www.walgreens.com
kentucky.wellcare.com | 133
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Pharmacy
Lewis
Retail
Lewis County Primary
Care Cntr Pharmacy
Provider ID:
TPV1829019-00
211 Ky 59
Vanceburg, KY 41179
(606) 796-2686
Fax: (606) 796-6010
00 Yrs/99 Yrs
www.target.com
Tollesboro Clinic
Pharmacy
Provider ID:
TPV1827534-00
17521 W Ky 9
Tollesboro, KY 41189
(606) 798-2072
Fax: (606) 798-2222
00 Yrs/99 Yrs
www.myleader.com
Nobles Pharmacy 1
Provider ID:
TPV1825530-00
162 Garrison Ln
Garrison, KY 41141
(606) 757-3535
Fax: (606) 757-9244
00 Yrs/99 Yrs
www.walgreens.com
Osman Pharmacy
Provider ID:
TPV1808635-00
89 2nd St
Vanceburg, KY 41179
(606) 796-2932
Fax: (606) 796-2124
00 Yrs/99 Yrs
Professional Care
Pharmacy
Provider ID:
TPV1817735-00
207 Plummers Lane
Vanceburg, KY 41179
(606) 796-6100
Fax: (606) 796-2407
00 Yrs/99 Yrs
www.riteaid.com
kentucky.wellcare.com | 134
05/28/2015
Pharmacy
Mason
Retail
KMART
Provider ID:
TPV1821671-00
Kmart Pharmacy9684
9684
1581 US 68 South
Maysville, KY 41056
(606) 759-5012
Fax: (606) 759-5738
00 Yrs/99 Yrs
www.kmart.com
Kroger
Provider ID:
TPV1822736-00
Kroger Pharmacy 14420
381 Market Square DR
Maysville, KY 41056
(859) 759-7973
Fax: (859) 759-8710
00 Yrs/99 Yrs
www.kmart.com
Mason Family Drug
Provider ID:
TPV1832244-00
912 Kenton Station DR
Maysville, KY 41056
(606) 759-0700
Fax: (606) 759-0708
00 Yrs/99 Yrs
www.epicrx.com
Medical Arts Pharmacy
of Maysville Ky In
Provider ID:
TPV1809093-00
1 W McDonald Pkwy
Maysville, KY 41056
(606) 564-5485
Fax: (606) 564-5403
00 Yrs/99 Yrs
RITE AID
Provider ID:
TPV1818674-00
Rite Aid Pharmacy 03920
03920
1160 US Hwy 68
Maysville, KY 41056
(606) 564-4044
Fax: (606) 564-7488
00 Yrs/99 Yrs
www.riteaid.com
Walmart
Provider ID:
TPV1820819-00
Wal-Mart Pharmacy
10-1569 101569
240 Wal-Mart Way
Maysville, KY 41056
(606) 759-5050
00 Yrs/99 Yrs
www.riteaid.com
Maysville OB GYN
Family Health Center Ph
Provider ID:
TPV1830505-00
927 Kenton Station DR
Maysville, KY 41056
(606) 759-1189
Fax: (606) 759-0586
00 Yrs/99 Yrs
www.riteaid.com
kentucky.wellcare.com | 135
05/28/2015
Pharmacy
Menifee
Retail
Frenchburg Pharmacy Inc
Provider ID:
TPV1823322-00
732 Hwy 36
Frenchburg, KY 40322
(606) 768-6610
Fax: (606) 768-6617
00 Yrs/99 Yrs
Menifee County
Pharmacy
Provider ID:
TPV1804740-00
70 Main St
Frenchburg, KY 40322
(606) 768-2161
Fax: (606) 768-2877
00 Yrs/99 Yrs
www.myleader.com
kentucky.wellcare.com | 136
05/28/2015
Pharmacy
Morgan
Retail
Clinic Pharmacy
Provider ID:
TPV1817002-00
412 Liberty Rd
West Liberty, KY 41472
(606) 743-4957
Fax: (606) 743-2187
00 Yrs/99 Yrs
www.cvs.com
Morgan County Arh
Pharmacy 4010
Provider ID:
TPV1809978-00
476 Liberty Rd
West Liberty, KY 41472
(606) 743-7730
Fax: (606) 743-1662
00 Yrs/99 Yrs
Peytons Pharmacy Inc
Provider ID:
TPV1808736-00
414 Main St
West Liberty, KY 41472
(606) 743-3163
Fax: (606) 743-3335
00 Yrs/99 Yrs
RITE AID
Provider ID:
TPV1817723-00
Rite Aid Pharmacy 01770
01770
275 Prestonsburg St
West Liberty, KY 41472
(606) 743-3425
Fax: (606) 743-1936
00 Yrs/99 Yrs
www.riteaid.com
kentucky.wellcare.com | 137
05/28/2015
Pharmacy
Rowan
Retail
Cave Run Pharmacy
Provider ID:
TPV1812583-00
425 Clinic Dr
Morehead, KY 40351
(606) 783-1511
Fax: (606) 783-1847
00 Yrs/99 Yrs
Holbrook Drug
Provider ID:
TPV1833664-00
208 E Main St
Morehead, KY 40351
(606) 784-4784
Fax: (606) 784-5858
00 Yrs/99 Yrs
www.myleader.com
Kroger
Provider ID:
TPV1826366-00
Kroger Pharmacy 24734
300 Kroger Center
Morehead, KY 40351
(606) 783-1476
Fax: (606) 780-9484
00 Yrs/99 Yrs
www.kroger.com
Total Care Pharmacy 6
Provider ID:
TPV1808887-00
234 Medical Circle
Morehead, KY 40351
(606) 784-6696
Fax: (606) 780-4554
00 Yrs/99 Yrs
www.epicrx.com
Total Care Pharmacy 7
Provider ID:
TPV1832737-00
206 W Main St
Morehead, KY 40351
(606) 784-4491
Fax: (606) 780-0872
00 Yrs/99 Yrs
www.myleader.com
Walmart
Provider ID:
TPV1822940-00
Wal-Mart Pharmacy
10-1139 101139
200 Wal-Mart Way
Morehead, KY 40351
(606) 784-3266
00 Yrs/99 Yrs
www.walmart.com
RITE AID
Provider ID:
TPV1822318-00
Rite Aid Pharmacy 03555
03555
380 W. Main St
Morehead, KY 40351
(606) 783-1581
Fax: (606) 780-1331
00 Yrs/99 Yrs
www.walmart.com
kentucky.wellcare.com | 138
Alternate Languages Index
You can find a provider who speaks a different language in this index. First look for the language you need.
Then check the specialty and provider name.
Arabic
Neurology
Fakhoury, Toufic MD
Nurse Practitioner
Calvert, Paula ARNP
Furman, Torrie APRN
Mattox, Davika APRN
Physician Assistant
Doty, Casey PA
Burmese
Endocrinology, Diabetes,
Metabolism
Yang, Hazel MD
Chinese
Maternal Fetal Medicine
How, Helen MD
French
Neurology
Fakhoury, Toufic MD
German
Dialysis
Dialysis Clinic Inc
Durable Medical Equipment
Advocate Medical Services, Inc
Hindi
Family Practice
Womack, Glenn MD
Licensed Professional Counselor
Smith, Amy LPC
Cardiology
Davis, Brian APRN
Dialysis
Dialysis Clinic Inc
Durable Medical Equipment
Advocate Medical Services, Inc
Carter Pharmacist Group LLC
Fch Home Medical Equipment and
Supplies
Family Practice
Ross, Shawn MD
General Dentistry
Beadle, Ralph DMD
General Surgery
Demoya, Jose MD
Nephrology
Smith, Albert MD
Nurse Practitioner
Campbell, Leigh APRN
Vonderheide, Muna APRN
Optometry
McCloud, Jason OD
Physical Medicine & Rehabilitation
Walters, Chadwick DO
Tagalog
Pediatrics
Ymalay, Chito MD
Urdu
Psychiatry
Ali, Rizwan MD
Spanish
Allergy & Immunology
Carias, Katherine MD
kentucky.wellcare.com | 139
Specialty Provider At-A-Glance
You can find a specific kind of provider in this index. First look for the type of care you need. Then check the
county and page number. You can go to that page to get the provider's information.
A
Allergy & Immunology
Boyd
Fleming
Mason
Ambulatory Surgery Center
Mason
B
Fleming
Greenup
20 Mason
40 Rowan
46 Clinical Social Work
Boyd
91 Community Health Center
Bath
Lawrence
Behavioral Health Counseling
Boyd
40
42
46
53
64
81
89
64 Community Mental Health Center
Boyd
64
Behavioral Health Facility
Bracken
67
Boyd
64 Carter
68
Mason
74 Elliott
69
Fleming
70
C
Greenup
71
Cardiology
Lawrence
72
Boyd
20, 21, 97 Lewis
73
Carter
38, 106 Mason
74
Fleming
40 Menifee
75
Greenup
42 Morgan
76
Lawrence
43, 114 Robertson
77
Mason
46 Rowan
78
Morgan
52
Rowan
53 Critical Access Hospital
Morgan
62
Cardiovascular Surgery
Boyd
21 D
Dermatology
Child Abuse Pediatrics
22
Mason
46 Boyd
42
Rowan
53 Greenup
Children With Special Health Care
Needs
Boyd
97
Rowan
121
Chiropractic
Boyd
Carter
Diagnostic Center
Mason
Diagnostic Imaging
Mason
Dialysis
21 Boyd
38 Bracken
kentucky.wellcare.com | 140
Carter
Lawrence
Mason
Rowan
85
89
91
95
Durable Medical Equipment
Bath
Boyd
Carter
Fleming
Lawrence
Lewis
Mason
Morgan
Rowan
81
82
85
87
89
90
91
93
95
E
Ear, Nose & Throat
Boyd
Fleming
Lawrence
Mason
Endocrinology, Diabetes,
Metabolism
Boyd
Epsdt Special Services
Boyd
Carter
Elliott
Greenup
Lawrence
Menifee
Morgan
91 Rowan
22
40
43
46, 47
22
82, 83
85
86
88
89
92
93
95
F
91 Family Planning
Bracken
82 Carter
84 Elliott
84
85
86
Specialty Provider At-A-Glance
F - cont.
Family Planning - cont.
Greenup
Lawrence
Lewis
Mason
Menifee
Morgan
Robertson
Rowan
Family Practice
Bath
Boyd
Bracken
Carter
Elliott
Fleming
Greenup
Lawrence
Lewis
Mason
Menifee
Morgan
Rowan
88
89
90
91
92
93
94
95
1
2, 3, 97, 98
5, 105
6, 106
7, 109
8, 110
9, 112
11
12, 115
13, 117
15
16, 120
17, 18, 121
Federally Qualified Health Center
Bath
1
Boyd
3
Bracken
5, 105
Carter
6
Elliott
7
Fleming
8, 87, 110
Greenup
9, 112
Lewis
12, 115
Mason
13, 14, 91
G
Gastroenterology
Boyd
Carter
Lawrence
Mason
Rowan
General Dentistry
Bath
Boyd
Bracken
Carter
Elliott
Fleming
Greenup
Lawrence
Lewis
Mason
Menifee
Morgan
Rowan
General Practice
Greenup
Lewis
Mason
General Surgery
Boyd
Fleming
Mason
Rowan
Gynecology
Boyd
H
Hematology
Boyd
37
38
39
40
42
43
45
47
51
52
53, 54
Hospital
Boyd
Fleming
Mason
Rowan
I
Infectious Disease
Boyd
24
Infusion
Boyd
126
9 Infusion Therapy
12 Boyd
14
Internal Medicine
Bath
23, 24 Boyd
40 Bracken
47 Carter
54, 55 Fleming
Greenup
Lawrence
24
Menifee
Morgan
Rowan
Hematology & Oncology
Boyd
Greenup
Morgan
Rowan
Home Health Care
Boyd
Greenup
Mason
Morgan
22, 23 Rowan
38
43 Hospice
47 Boyd
53 Mason
Hospice and Palliative Care
19 Rowan
23
kentucky.wellcare.com | 141
59
60
61
63
83
1
3, 4
5
6
8
10
11
15
16
18
24 L
Laboratory Pathology Testing
24 All
80
42
Licensed Clinical Social Worker
52
Boyd
65
55
Lawrence
72
Mason
74
83 Rowan
78
88
Licensed Professional Counselor
91
Boyd
65, 66
93
Fleming
70
95
M
83 Maternal Fetal Medicine
91 Boyd
24
Medical Oncology
55 Boyd
Fleming
25
40
Specialty Provider At-A-Glance
M - cont.
O
Mental Health
Mason
N
Neonatal Perinatal Medicine
Boyd
Nephrology
Boyd
Lawrence
Mason
Rowan
Neurology
Boyd
Greenup
Mason
Morgan
Rowan
Obstetrics/Gynecology
117 Boyd
Fleming
Lawrence
Lewis
25 Mason
Rowan
25
43
47
55
25, 26
42
47
52
55
Neuropsychology
Rowan
78
Neurosurgery
Boyd
26
Nurse Midwife
Mason
Menifee
Rowan
117
119
121
Nurse Practitioner
Bath
Boyd
Bracken
Carter
Elliott
Fleming
Greenup
Lawrence
Lewis
Mason
Menifee
Morgan
Rowan
Nutrition
Menifee
P
96
98, 99, 100, 101
105
106, 107, 108
109
110
112, 113
114
115, 116
117, 118
119
120
121, 122, 123
119
26, 101
40, 41
43
116
14, 47, 118
55, 56
Ophthalmology
Boyd
Mason
Rowan
Pain Management
Boyd
Mason
101
48, 49
Pediatric Cardiology
Boyd
32, 33
Pediatric Orthopaedics
Rowan
57
26, 27 Pediatric Psychiatry
48 Rowan
78
56
Pediatrics
Optician
Boyd
4, 33, 101
Mason
48 Carter
6
Fleming
8
Optometry
Greenup
10
Boyd
27, 28, 29, 30, 31
Lawrence
11, 44
Carter
38
Mason
14
Fleming
41
Rowan
18, 57
Greenup
42
Lawrence
43, 44 Pedodontics
Lewis
45 Boyd
33
Mason
48 Greenup
42
Morgan
52
Physical Medicine & Rehabilitation
Rowan
56
Boyd
33, 34
Oral & Maxillofacial Surgery
Morgan
52
Boyd
31
Physical Therapy
Mason
48
Boyd
101, 102
Rowan
56
Carter
108
Orthodontics
Fleming
110, 111
Bath
19 Greenup
113
Mason
48 Lawrence
114
Lewis
90
Orthopaedic Surgery
Boyd
31, 32, 101 Physician Assistant
Fleming
41 Bath
96
Lawrence
44 Boyd
102, 103, 104
Mason
48 Carter
108
Rowan
57 Elliott
109
Fleming
111
Orthotics & Prosthetics
Greenup
113
Boyd
83
Lawrence
114
Mason
91
Mason
118
Rowan
95
Morgan
120
Rowan
123, 124
kentucky.wellcare.com | 142
Specialty Provider At-A-Glance
P - cont.
Morgan
Rowan
137
138
Plastic & Reconstructive Surgery
Boyd
34 Rheumatology
Boyd
Podiatry
Boyd
Fleming
Greenup
Lawrence
Rowan
34
41
42
44
57
Preventive Medicine
Rowan
57
Primary Care Center
Boyd
4
Psychiatry
Boyd
Greenup
Lawrence
Rowan
Psychology
Morgan
Rowan
Pulmonary Disease
Boyd
Mason
Morgan
R
Radiation Oncology
Boyd
Mason
Rowan
Retail
Bath
Boyd
Bracken
Carter
Elliott
Fleming
Greenup
Lawrence
Lewis
Mason
Menifee
35
Rural Health Center
Elliott
Menifee
Morgan
Rowan
7
92
16
95
S
Sleep Diagnostic Studies
Mason
91
Sleep Medicine
Mason
50
66
71 Sports Medicine
72 Boyd
78 Carter
T
35
38
76 Thoracic & Cardiovascular Surgery
79 Boyd
35
Mason
50, 118
34, 35 Thoracic Surgery
49 Mason
52
U
Urgent Care Center
Boyd
35 Carter
49
57 Urology
Boyd
Lawrence
125 Mason
126, 127 Rowan
128
129 V
130 Vascular Surgery
131 Boyd
132 Rowan
133
134
135
136
50
83
85
35, 36
44
50
57, 58
36, 104
58
kentucky.wellcare.com | 143
Extended Hours Index
You can find a provider who has longer office hours in this index. First look for the provider’s name. Then check
the county and page number. You can go to that page to get the provider’s office hours.
Bath
Durable Medical Equipment
Bath Hometown Pharmacy Inc
Family Practice
Robinson, Paula MD
Epsdt Special Services
Pathways Inc
81
1
Nurse Practitioner
Mattox, Davika APRN
96
Orthodontics
Durbin, Douglas DMD
Garner, Thomas DMD
Huang, John DMD
19
19
19
Boyd
Cardiology
Boyd, Traci APRN
Holbrook, Donna APRN
Rhodes, Charles MD
Chiropractic
Dillon, Gary DC
Holmes, Jeremiah MD
Razak, Muhummad MD
Scott, Mark DC
Shelton, Charlie DC
Swann, Justin DC
Family Practice
Allen, Laura MD
Craig, Ann MD
Dobson, Stacy ARNP
Estepp, Carolyn ARNP
Freeman, Dee APRN
Lewis, Matthew DO
Nickoson, Ronda APRN
Patton, Anna MD
Thomas, Thomas APRN
Wells, Laura APRN
Neonatal Perinatal Medicine
82, 83 Sanders, Lynda MD
Volk, Lauze MD
General Dentistry
97 Johnson, Edward DMD
97 Jordan-Webb, Christina DMD
20 Hospital
Kings Daughters Medical Center
21 Our Lady of Bellefonte Hospital
21
21
21
21
21
2
2
97
97
97
3
98
3
98
98
23
23
59
59
Infectious Disease
Villafuerta, Patrick MD
24
Infusion Therapy
Infusion Solutions
83
Internal Medicine
3
64 Domingo, Maria MD
Community Mental Health Center Licensed Clinical Social Worker
65
Pathways Inc
64 Krivchenia, Paula LCSW
Clinical Social Work
Huff, Lisa LCSW
Dialysis
BMA Ashland
FMC Central Ashland
Durable Medical Equipment
Infusion Solutions
Licensed Professional Counselor
65
82 Dennis, Lakeisha LPC
Hill,
Jenna
LPC
65
82
Maddox, Paula LPC
65
Simpson, Cassandra LPC
65
82 Smith, Amy LPC
65
Vance, Terry LPC
65
Wilks, Jessica LPC
66
kentucky.wellcare.com | 144
Nurse Practitioner
Bayes, Anna APRN
Cordle, Rachel APRN
Hensley, Matthew APRN
Hill, Evie APRN
Mollineaux, John APRN
Mosbey, Mary APRN
Ramey Jr, Donald APRN
Sargent, Emily APRN
Optometry
Adkins, Tiffany OD
Ahmad, Bilal OD
Beauchamp, Johnathan OD
Bowling, Aja OD
Bowling, Joseph OD
Brumit, Michael OD
Buckner, James OD
Burt, Kevin OD
Busey, Lannie OD
Case, Michael OD
Coleman, Justin OD
Cora, Eduardo OD
Crockett, Jason OD
Edling, Marie OD
Eger, Michael OD
Ficarra, Anthony OD
Fleshman, Todd OD
Gersh, Richard OD
Glenn, Jason OD
Green, Rebecca OD
Henderson, Richard OD
Johnson, Douglas OD
Klutts, Fred OD
Lawrence, Stephen OD
Leadingham, William OD
25
25
98
99
99
99
99
100
100
100
27
27
27
27
28
28
28
28
28
28
28
28
28
28
28
28
28
28
29
29
29
29
29
29
29
Extended Hours Index
Boyd - cont.
Optometry - cont.
Love, Marcus OD
Luckett, James OD
Lynn, Mark OD
Lysandrou, Aristotle OD
Maroudis, Phillip OD
Meyer, Victor OD
Montalvo, Noemi OD
Morton, John OD
Nagatoshi, Raymond OD
Nolan-Rose, Laura OD
Oliver, Heather OD
Omar, Rashid OD
Partain, Jeffrey OD
Price, Martin OD
Pulliam, Mark OD
Robertson, Paul OD
Rogers, Brian OD
Rubesh, Grant OD
Salee, Sarah OD
Smith, Stephen OD
Snead, Kevin OD
Souleyrette, Dale OD
Spear, Steven OD
Stanis, Carl OD
Tabassi, Bita OD
Taylor, Terri OD
Wolf, Nicholas OD
Conley, Jodi PA
Ervin, Sarah PA
29
29
29
29
29
30
30
30
30
30
30
30
30
30
30
30
30
30
31
31
31
31
31
31
31
31
31
Pediatrics
Belcher, Barry DO
Sanders, Lynda MD
4
33
Pedodontics
Mussetter, Nancy DMD
33
Physical Therapy
Blackston, Jeremy PT
Castle, Ashley PT
Castle, Paul PT
Gunning, Christopher PT
Isaac, Joseph PT
Jones, Lauren PT
Mabry, Callie PT
Schwind, Julie PT
102
102
102
102
102
102
102
102
Physician Assistant
Bradley, Laura PA
102
102
Dialysis
103
FMC Grayson
Psychiatry
Davenport, Lana MD
Eze, Emmanuel MD
Parikh, Manish MD
Durable Medical Equipment
66
Carter Pharmacist Group LLC
66
Grayson Family Drug
66
Epsdt Special Services
Urgent Care Center
Pathways Inc
Kdmc Urgent Care
83
Family Practice
Bracken
Freeman, Dee APRN
Community Mental Health Center Stepp, Dara DO
Comprehend Inc
67 Thomas, Thomas APRN
Family Practice
Bailey, Betsy MD
Gore, Denise APRN
Guttman, Nancy MD
Morris, James MD
Neus, Steven MD
Nurse Practitioner
Cordle, Rachel APRN
Freeman, Dee APRN
Hensley, Matthew APRN
Mollineaux, John APRN
Mosbey, Mary APRN
Ramey Jr, Donald APRN
Federally Qualified Health Center
Sargent, Emily APRN
Gore, Denise APRN
105
Slone, Leslie ARNP
Guttman, Nancy MD
5
Lewis County Primary Care Center Optometry
Inc
5 Fannin, Roger OD
Meyers, Thomas MD
5 Kee, Anthony OD
Neus, Steven MD
5 McCloud, Jason OD
West, Mary OD
General Dentistry
Jefferson, Tara DMD
37 Physical Therapy
McCord, Gary DMD
37 Gunning, Christopher PT
Mabry, Callie PT
Internal Medicine
Schwind, Julie PT
Meyers, Thomas MD
5
Physician Assistant
Nurse Practitioner
Elliott, Leslie PA
Jones, Tonia APRN
105
Tucker, Dana APRN
105 Urgent Care Center
Vonderheide, Muna APRN
105 Kdmc Urgent Care
5
105
5
5
5
Carter
85
85
85
106
6
106
106
107
107
107
107
107
107
107
38
38
38
38
108
108
108
108
85
Elliott
Cardiology
Boyd, Traci APRN
Family Practice
106 Wells, Laura APRN
Chiropractic
Fischer, John DC
38
109
Fleming
Chiropractic
Community Mental Health Center Spurlock, Tara DC
Pathways Inc
68
kentucky.wellcare.com | 145
85
40
Extended Hours Index
Fleming - cont.
Nurse Practitioner
Community Mental Health Center Sargent, Emily APRN
112
Comprehend Inc
70
Optometry
Durable Medical Equipment
Brom, James OD
42
Fch Home Medical Equipment and Morris, Richard OD
42
Supplies
87
Total Care Pharmacy
87 Physical Therapy
Apts, David PT
113
Family Practice
Gunning, Christopher PT
113
Bailey, Betsy MD
8 Mabry, Callie PT
113
Gore, Denise APRN
110 Schwind, Julie PT
113
Poczatek, William APRN
110
Womack, Glenn MD
8 Physician Assistant
Caldwell, Sonya PA
113
Federally Qualified Health Center
Gore, Denise APRN
110 Lawrence
Community Mental Health Center
Hospital
72
Fleming County Hospital
60 Pathways Inc
Epsdt Special Services
Licensed Professional Counselor
Toller, Maribeth LPC
70 Pathways Inc
Family Planning
Nurse Practitioner
Vonderheide, Muna APRN
110 Lawrence Co Health Dept
Nurse Practitioner
Smith, Dana APRN
Community Mental Health Center Stewart, Debra ARNP
Pathways Inc
71
Optometry
Dermatology
Desario, Elaine OD
Cooper, Carol MD
42 Leadingham, James OD
Greenup
Epsdt Special Services
Pathways Inc
Family Practice
Canary, Amy PA
Freeman, Dee APRN
Hall, Luther DO
Nickoson, Ronda APRN
Thomas, Thomas APRN
Wells, Laura APRN
Pediatrics
88 Ferrara, Alan MD
Styer, Thomas MD
112
112
9
112
112
112
Physical Therapy
Blackston, Jeremy PT
Castle, Ashley PT
Castle, Paul PT
Isaac, Joseph PT
Jones, Lauren PT
Federally Qualified Health Center Physician Assistant
Canary, Amy PA
112 Williams, Pete PA
General Dentistry
Callihan, R Brooks DMD
Wagner, Robert DMD
Durable Medical Equipment
Osman Pharmacy
90
Family Practice
Bailey, Betsy MD
Barcelona, Ramon MD
Fairchild, Mark PA
Moss, Kelly MD
Tingue-Poczatek, Patti MD
12
12
115
12
12
Federally Qualified Health Center
Barcelona, Ramon MD
12
Fairchild, Mark PA
115
Lewis County Primary Care Center
Inc
12
Stevenson, Grant MD
12
Tingue-Poczatek, Patti MD
12
General Practice
Stevenson, Grant MD
89 Nurse Practitioner
Hainline, Terrilee APRN
Vonderheide, Muna APRN
89
Obstetrics/Gynecology
Webb, Gwen APRN
114
114 Mason
Allergy & Immunology
43 Wise, Marshall MD
44
Chiropractic
Bettinger, Sara DC
11 Horsley, Sarah DC
44 Sargent, Timothy DC
Taylor, Landon DC
114
114
114
114
114
114
12
115
115, 116
116
46
46
46
46
46
Community Mental Health Center
Comprehend Inc
74
Dialysis
Dialysis Clinic Inc
Maysville Dialysis
Ear, Nose & Throat
Conrad, Paul MD
91
91
46, 47
Lewis
Family Practice
42
Community
Mental
Health
Center
Bailey, Betsy MD
42
Comprehend Inc
73 Grosser, Timothy MD
Guttman, Nancy MD
kentucky.wellcare.com | 146
13
13
13
Extended Hours Index
Mason - cont.
Family Practice - cont.
Keef, Kimberly PA
Menifee
Internal Medicine
117 Kassis, Taufik MD
Federally Qualified Health Center
Doty, David DO
91
Gillis, Anne DO
13
Grosser, Timothy MD
13
Guttman, Nancy MD
13
Lewis County Primary Care Center
Inc
14
Wilson, Donald MD
91
Nurse Practitioner
Auxier, Stephanie APRN
Calvert, Paula ARNP
Mattox, Davika APRN
Critical Access Hospital
Morgan Co Arh Hospital
Physician Assistant
47 Davis, L PA
General Practice
Gillis, Anne DO
14
Mental Health
Weber, Deborah LCSW
117
Obstetrics/Gynecology
Doty, David DO
Tucker, Dana APRN
Wilson, Donald MD
Optician
Bradley, Adam Ldo
Peck, Irving Ldo
Peck, Joyce Ldo
Optometry
Sherman, Keith OD
Taylor, Gregory OD
122
122
15 Physician Assistant
Bromagen, Kimberly PA
123
119
119
119
Morgan
General Dentistry
Adams, James DMD
Nurse Practitioner
Campbell, Leigh APRN
Tucker, Dana APRN
Vonderheide, Muna APRN
Standafer, Glen APRN
Walters, Michele APRN
62
120
Robertson
Community Mental Health Center
Comprehend Inc
77
Rowan
Chiropractic
117
O'Brien, Timothy DC
117
Potts, Justin DC
117, 118
Spurlock, Tara DC
53
53
53
Community Mental Health Center
47
Pathways Inc
78
118
47 Dialysis
BMA Morehead
95
48 Durable Medical Equipment
48 Family Health Clinic Inc
95
48 Rowan Pharmacist Group Inc DBA
Total Car
95
48 Epsdt Special Services
48 Pathways Inc
95
Pain Management
Kerschner, Magdalena MD
Hospital
49 St Claire Reg Med Center
63
Pediatrics
Coleman, Gary MD
Keeton, Casey MD
Licensed Clinical Social Worker
14 Johnson, Jennifer LCSW
78
14
Nurse Practitioner
Back, Natalie APRN
121
49 Caric, Mary APRN
121
Duncan, Jessica APRN
121
Leuenberger, Timothy APRN
122
Pulmonary Disease
Wooten, Sally MD
kentucky.wellcare.com | 147
Provider Index
Numerics
12th Street Covington Dialysis
Bacon, William MD
8
84 Badger, Brian MD
18
Bailey, Betsy MD
5, 8, 9, 12, 13
A
Bailey,
Brian
DPM
34, 82
Abbott, Lesley DO
9
52
Abney, Kristeena PA
123 Bailey, Jeffrey DMD
Bailey,
Samuel
MD
52
Abul Khoudoud, Omran MD
36
25
Abul-Khoudoud, Mohamed MD 34 Bajorek, Joseph MD
Baker,
Gregory
MD
22
Adams, James DMD
47
38
Adams, Melissa APRN
121 Baker, Randall DMD
Baker,
Robert
DMD
42
Adkins, Alicia DMD
47
3
Adkins, Henry MD
6 Baldock, Kimberly MD
Baldwin,
Lauren
MD
55
Adkins, Tiffany OD
27
123
Advocate Medical Services, Inc 82 Ballard, Peggy PA
Barcelona,
Ramon
MD
12
Ahmad, Bilal OD
27
2
Ahmed, Mushtaque MD
3 Barker McCoy, Lisa MD
Barker,
Katrina
APRN
106
Akhtar, Naeem MD
66
78
Alhalbouni, Saadi MD
36 Barnett, Carol LCSW
Barrett,
William
MD
47
Ali, Rizwan MD
72
22
Aliff, Susan APRN
98 Bascom, Cheryl MD
Bath
County
Health
Center
81
Allen, Laura MD
2
1
Alqaisi, Abeer MD
55 Bath County Medical Clinic
Bath
Hometown
Pharmacy
125
Amedisys Home Health Care
-Ashland
83 Bath Hometown Pharmacy Inc 81
35
Anderson, Virginia LPC
65 Batoo, Sameer MD
Ansinelli, Debra APRN
97, 114 Bausch Blevins, Emily DMD 51, 53
98
Ansinelli, Richard MD
20, 43 Bayes, Anna APRN
23
Applegate, Amanda MD
8 Beadle, Ralph DMD
Beauchamp,
Johnathan
OD
27
Apts, David PT
101, 108, 113
4
Arnett, Larry DMD
53 Belcher, Barry DO
Bell,
Harry
MD
33
Arnett, Shelia DMD
45, 53
Arnold, James DO
18 Bellefonte Home Health Care
83
Arora, Robin MD
43 Agency
45
Asbury, Leslie MD
46 Bertram, Louis OD
Bettinger,
Sara
DC
46
Ashfaq, Muhammad MD
78
54
Ashland Bellefonte Cancer Center Betzing, Chassity DMD
Bharadia,
Mohamed
OD
27
126
25
Ashland Childrens Clinic PSC
126 Bhasin, Pramit MD
Binion,
Miranda
MD
6
Ashland Prosthetics And Orthotic
18
Service
82 Birdwhistell, Matthew DO
Black,
Ashley
APRN
117
Atkins, Jennifer PA
113
56
Auxier, Stephanie APRN
96, 119 Blackburn, Peter MD
Blackston,
Jeremy
PT
102,
114
Awosika, Idowu OD
48
Blaine Elementary School
89
B
Blair, Donald MD
17
Back, Natalie APRN
121 Blandford, David MD
48
Back, Natalie ARNP
106, 121 Blevins, Marshall MD
3
Bacon, Matthew MD
57 Bloomer, Joanna APRN
98
kentucky.wellcare.com | 148
BMA Ashland
82
BMA Morehead
95
Bolden, Donna MD
4
Bond, John MD
2
Bond, Stacy APRN
97
Borst III, George MD
22
Bowling, Aja OD
27
Bowling, Joseph OD
28, 43
Boyd County Pharmacy
126
Boyd, Michael MD
8
Boyd, Traci APRN
97, 106
Bracken Co Health Dept
84
Bradley, Adam Ldo
48
Bradley, Laura PA
102
Brinkman, Jon DO
22
Brom, James OD
42
Bromagen, Kimberly PA
96, 123
Bronstein, Eric MD
21
Brown, David APRN
117
Brown, Kelli MD
10
Brown, Sabrina ARNP
98
Brown, Tricia ARNP
98
Brumit, Michael OD
28
Buckner, James OD
28
Buckner, Kimberly DMD
39
Buffalo Trace Childrens Advocacy
Center
46
Bullock, Smitha MD
32, 33
Burns, John DMD
47
Burrows, Craig MD
17
Burt, Kevin OD
28
Burton, Jay MD
54
Busey, Lannie OD
28
Bush, David MD
20, 38
C
Caldwell, Sonya PA
113
Caldwellmccomas, Colleen LPC 65
Callihan, R Brooks DMD
42
Calvert, Paula ARNP
96, 119
Campbell, Leigh APRN
117, 121
Campbell, Sarah APRN
110
Canary, Amy PA
112, 115
Cantrell, Mary CP
76
Canty, Michael MD
22
Cao, Luyen MD
16
Carew, Molly ARNP
109, 121
Carey, Daniel DC
42
Provider Index
C - cont.
Carias, Katherine MD
20
Caric, Mary APRN
96, 106, 109, 119, 121
Carter County Health Center
85
Carter Pharmacist Group LLC
85
Carter, Carrie PA
111
Carter, Lee Ann APRN
101
Case, Michael OD
28
Cassity, Abbe DO
2
Castle, Ashley PT
102, 114
Castle, Paul PT
102, 114
Caudill Jr, Michael PT
110
Cave Run Pharmacy
138
Chadwick, Deborah MD
23
Challappa, Krishnan MD
42
Chapman, Jessica CNP
65
Chattha, Anup MD
41
Chenthilmurugan, Hemadevi MD
48
Cheung, Felix MD
31
Chopra, Sonia MD
35
Christian, Kristina MD
10
Clark, Ann MD
26
Clayton, Clarence DPM
57
Clinic Pharmacy
137
Colbert, Ann MD
55
Cole, Matthew MD
26
Coleman, Gary MD
14
Coleman, Justin OD
28
Combs, Kyle APRN
98
Commission For Children With
Special
97, 121
Community Family Clinic PLLC 92
Community Hospice Inc
83
Community Hospice Pharmacy 126
Comprehend Inc 67, 70, 73, 74, 77
Conley, Amy MD
1, 17
Conley, Jodi PA
102
Conrad, Paul MD
40, 46, 47
Conrotto, Steven MD
16
Cook, Cheryl MD
4
Cooper, Carol MD
22, 42
Cora, Eduardo OD
28
Cordle, Rachel APRN
99, 106
Counselors Clinical Cottage
64
Cox, Elizabeth APRN
117
Cox, Thadis MD
Crager, Lucinda APRN
Craig, Ann MD
Crawford, Rhonda ARNP
Crockett, Jason OD
Crouse, Charles MD
Cruser, Marc MD
Crytzer, Jessica APRN
Culbertson, Lisa PA
Cunningham, Heather PA
Cuthrell, William MD
CVS
53
120
2
109
28
57
78
110
102
103
26
126, 132
D
Dalton, James PA
103, 108
Damron, Stephen MD
18
Davenport, Lana MD
66
Davis, Brian APRN
97, 99
Davis, L PA
120
Davis, Melissa MD
2
Day, Courtney PA
123
Dean, Lisa DMD
42
Deans Pharmacy Inc
128
Defade, Brian DO
35
Deitch, S MD
42
Demoya, Jose MD
40
Dennis, Lakeisha LPC
65
Dennison, J MD
50
Dennison, J Randall MD
50
Desai, Jignesh MD
16
Desario, Elaine OD
43
Detherage, James MD
2, 17
Dialysis Clinic Inc
91
Dickerson, Jeffery MD
49, 91
Dickerson, Jeffrey MD
49, 50
Dillon, Gary DC
21
Discount Drug Mart Inc
130
Ditty, Jack MD
22
Dixon, Justin MD
35
Dixon, Timothy MD
36
Dobson, Stacy APRN
99
Dobson, Stacy ARNP
97
Domingo, Maria MD
3
Doshi, Palak DO
43
Dotson, Tony DO
26
Doty, Casey PA
103
Doty, David DO
40, 47, 87, 91
Dowdy, Phillip DPM
34
kentucky.wellcare.com | 149
Dunaway, Hannah APRN
96, 119
Dunaway, Michael MD
8
Duncan, Jessica APRN
96, 106, 109, 119, 121
Durbin, Douglas DMD
19
Dykhuizen, Matthew MD
26
E
Eastridge, Crystal APRN
114
Edling, Marie OD
28
Egel, James MD
25
Eger, Michael OD
28
Ehrie, Michael MD
34
Elkins-Smith, Melinda MD
2
Elliott County Health Center
86
Elliott, James OD
28
Elliott, Leslie PA
108, 109
Ellis, Laura MD
17
Epling, Christopher DO
20
Epling, Kimberly OD
28
Ervin, Sarah PA
103
Estepp, Carolyn ARNP
97
Evans, Bryant OD
56
Evans, Johannes MD
56
Eyecare Network LTD
91
Eze, Emmanuel MD
66
F
Fagbemi, Ruth MD
1, 15
Fairchild, Mark PA
115
Fakhoury, Toufic MD
26
Family Discount Drugs
125
Family Health Clinic Inc
95
Fannin, Roger OD
38
Farkas, Erin APRN
121
Faughn, Laura MD
1
Fch Home Medical Equipment and
Supplies
87
Feddock, Jonathan MD
49, 57
Fennell, Christopher MD
78
Ferrara, Alan MD
11
Ficarra, Anthony OD
28
Fields, Larry MD
2
Fischer, John DC
38
Fleming County Hospital
60
Flemingsburg Family Health Center
Pharma
131
Fleshman, Todd OD
28
Provider Index
F - cont.
Fletcher, Wtynetta APRN
121
Fletcher, Wynetta APRN
122
Flowers, Richard PA
103
FMC Central Ashland
82
FMC Grayson
85
Ford, Jason MD
4
Ford, Richard MD
26
Forester, Corey MD
55
Fossett, Ralph MD
57
Fouch, Brandy MD
18
Fraser, Claire MD
26, 56
Frazier, Joseph DMD
23
Frazier, Thomas MD
43
Frederick Medical Clinic PSC
16
Frederick, Angela DMD
54
Frederick, Melissa APRN
120
Fredericks, Tricia MD
55
Freeman, Dee APRN
97, 106, 107, 109, 112
Frenchburg Pharmacy Inc
136
Friday, Michele MD
32
Fried, Robert MD
35
Fugate, Lisa DO
2
Furman, Torrie APRN
96, 119
G
Gallahers Pharmacy
126
Garcia Labarbera, Anna LCSW 78
Gardner, Jennie APRN
96
Garner, Thomas DMD
19
Gateway Childrens Advocacy
Center
53
Gehring, Samuel MD
8
Gersh, Richard OD
28
Gharad, Salahadin MD
52, 53
Giangarra, Charles MD
31
Gill, Shaheen MD
18
Gilliland, Charles MD
35, 38
Gillis, Anne DO
13, 14
Glenn, Jason OD
29
Goebel, David MD
24, 25
Goldstein, Lisa MD
1, 7, 17
Goodwin, Michael MD
31
Gore, Denise APRN
105, 110
Gosnell, Allison APRN
99
Graham, David DMD
51, 54
Grandison, Garfield MD
22
Gray, Nina MD
Grayson Family Drug
Green, Kimberly APRN
Green, Rebecca OD
Greenberg, Eugene MD
Greene, Cindra APRN
Greenup County Health
Department
Griffin, Julie PA
Griffith, Lauren PA
Griswold, Misty LPC
Gross, John MD
Grosser, Timothy MD
Gulley, Anita APRN
Gunnell, Leigh DMD
Gunning, Christopher PT
Gupta, Sanjiv MD
Gussler, Carter MD
Guttman, Nancy MD
5
85, 129
99, 101
29
57, 58
107, 122
88
103
65
65
26
13
122
52
102, 108, 113
4, 6
27
5, 13
H
Hainline, Terrilee APRN
115
Hall, Luther DO
9
Hall, Terri APRN
97
Halpin, Dermot MD
50
Hamlin, Larry DMD
19
Hammonds, Donald DO
25
Hand of Hope
64
Handshoe, Ron PT
110
Hanger Pros and Orth East Inc 83
Hanger Prosthetics & Orthotics Inc
82
Hannah, Rancie MD
2
Harris, Spencer MD
11
Hart, Karen APRN
98
Hart, Timothy MD
2
Hatton, Twana DO
1, 17
Hayswood Home Health
91
Healthy Way Pharmacy
130
Healthy Way Pharmacy Cedarknoll
126
Helton, William MD
43
Henderson, Richard OD
29
Henderson, Robert DMD
52
Henly, Nancy MD
18
Hennan-Hain, Pearl DO
4
Hensley, Matthew APRN
99, 107
kentucky.wellcare.com | 150
Herndon, Donna APRN
97, 106
Hieneman-Connett, Carrie DO 2
Higgins, Eric MD
48
High, Jenna PA
111
Hill, Bonnie APRN
114
Hill, Evie APRN
99
Hill, Jenna LPC
65
Himes, Erin PA
115, 123
Hogge, Rebecca CNM
118
Holbrook Drug
138
Holbrook, Donna APRN
97
Holmes, Gregory MD
6
Holmes, Jeremiah MD
21
Homeside Healthcare Inc
91
Horsley, Sarah DC
46
Horton Brothers and Brown
Pharmacy
129
Hospice of Hope Inc
91
Hou, Alexander MD
36
How, Helen MD
24
Howard, Charles DMD
38
Howard, Kevin DO
9
Huang, John DMD
19
Hudson, Gregory MD
10
Huff, Lisa LCSW
64
Hughes, Jennifer DMD
42
Hughes, Patrick APRN
122
Hughes, Patrick ARNP
96, 122
Humkey, Mary Jane MD
17
Hunter, Tracy APRN
101
Hurlburt, Susan PA
103
I
Iery, Jerry PA
Infusion Solutions
Irving, Shelley PA
Isaac, Joseph PT
Isernhagen, Ricky MD
113
82, 83, 126
123
102, 114
27
J
Jaenicke, Kurt MD
Jain, Kirti MD
Jalalon, Seigfred MD
James Medical Equipment, LTD
James, Kelsey MD
Jamie, Whitney MD
Jasko, John MD
Jefferson, Tara DMD
26
24
18
89
26
24
32
37
Provider Index
J - cont.
Jessee, Rae APRN
117
Johnson, Douglas OD
29
Johnson, Edward DMD
23
Johnson, Jennifer LCSW
78
Johnsrude, Christopher MD
32
Jones, Derek DO
3, 17
Jones, John OD
29
Jones, Lauren PT
102, 114
Jones, Timothy MD
23
Jones, Tonia APRN
105
Jonkam, Collette MD
16
Jordan, Kevin DMD
38
Jordan-Webb, Christina DMD
23
Justice, Terry MD
35
Kings Daughters Medical Center
3, 4, 7, 59
Kings Daughters Medical Center
Home Health
88
Kirk, Alanna OD
48
Kitchens, John MD
27
Klein, Jeremy MD
11
Klein, Roger MD
20, 38
Kleinman, Mark MD
27
Klutts, Fred OD
29
KMART
129, 135
Koenig, Steven MD
52
Konala, Venu MD
25, 42
Krick, James DO
36
Krivchenia, Paula LCSW
65
Kroger
126,
135,
138
K
49, 57
Kahloon, Mansha MD
52, 53 Kudrimoti, Mahesh MD
Kumler
III,
William
MD
48
Kalb, Kent DMD
40
Kaltenback, Jeremy PA
103 L
Karmy, Robert MD
55 Labarbera, Frank MD
56
Kasey, John DO
25 Labcorp
80
Kassis, Taufik MD
1, 15 Lackey, Phillip MD
34
Kazee, Stephanie LCSW
65 Lacock, James MD
17
Kdmc Urgent Care
83, 85 Lance, Scott MD
66, 71
Keating, Abram APRN
117 Landfield, Alexander MD
47
Kee, Anthony OD
38 Laudenbach, Bonnie MD
24
Keef, Kimberly PA
117 Lawentmann, Maggie DO
9
Keeton, Casey MD
14 Lawentmann, Maggie MD
9
Keihanian, Mana MD
43 Lawrence Co Health Dept
89
Keller, Bradley MD
32 Lawrence, Stephen OD
29
Kendall, Jonathan MD
25, 55 Lawson, Victor MD
40
Kenney Orthopedics of Morehead Leadingham, James OD
44
LLC
95 Leadingham, John OD
29
Kerr, Sylvia APRN
117 Leadingham, William OD
29
Kerschner, Magdalena MD
49 Leahy, Ryan MD
32, 33
Kessler, Shasta APRN
122 Leith, Joseph MD
32
Keys, Steven MD
10 Leuenberger, Timothy APRN
122
Khanna, Ashok MD
4 Lewis Co Health Dept
90
Kidd, Brent DMD
54 Lewis County Primary Care Center
Kim, Edward MD
32 Inc
5, 12, 14
Kincaid, Crystal DPM
41 Lewis County Primary Care Cntr
King, Diana APRN
97 Pharmacy
134
King, Malcolm MD
3 Lewis, Angela DO
9
Kings Daughters Family Pharmacy
Lewis, Matthew DO
3
126 Lewis, Steven PT
110
Kings Daughters Home Health 83 Lierl, Jerry MD
46
Light, Michael MD
72
kentucky.wellcare.com | 151
Lim, Allen MD
Lincare Inc
Listerman, Jennifer MD
Lobach, Augustinus MD
Lockard, Jerry DO
Lohman, Eric MD
Lopez, Jeffrey MD
Louisa Dialysis
Louisa Drug Store
Love, Marcus OD
Love, Thomas MD
Loy, Carroll DMD
Lucas, Sarah ARNP
Luckett, James OD
Lye, Adam MD
Lykins, Wendy APRN
Lynch, Joan MD
Lynn, Mark OD
Lysandrou, Aristotle OD
55
95
20
9
25
46
35
89
133
29
32
54
99
29
55
120
20
29
29
M
Mabry, Callie PT
102, 108, 113
Maddox, Libbia PA
103
Maddox, Paula LPC
65
Marashdeh, Mohammad MD 52, 53
Markesbery, Harold MD
5
Maroudis, Phillip OD
29
Maroudis, Socrates OD
30
Marshall, Jennifer APRN
99
Marshall, Patrica APRN
107
Marshall, Patricia APRN
99
Martin Jr, James MD
23
Martin, Debra APRN
99
Mason County Health Center
91
Mason Family Drug
135
Massie, Melba PA
103, 108
Matera, Elizabeth MD
1
Matta, Jyothi MD
32, 33
Mattox, Davika APRN
96, 119
Mayer, Jerry DMD
31
Maynard, Jonathan MD
4, 6
Mayo, Anthony OD
56
Mays, Lucille ARNP
122
Mays, Ronald DMD
45
Maysville Diagnostic Center LLC 91
Maysville Dialysis
91
Maysville OB GYN Family Health
Center Ph
135
Provider Index
M - cont.
Maze, Matthew APRN
104
McCloud, Jason OD
38
McCord, Gary DMD
37
McCormick, Kelli LPC
65
McCreary, Chad DO
11
McDonald Pharmacy
132
McGarry, Ronald MD
49
McHugh, Robert OD
56
McKain, Christine MD
12
McLoney, Douglas DMD
54
McMeans Pharmacy
126
Meadows, Rockford MD
3, 6
Meadowview Reg Med Center 61
Med Care Pharmacy LLC 4
126
Medi Home Care-Boyd
85, 89
Medical Arts Pharmacy of Maysville
Ky In
135
Medical Plaza Pharmacy
126
Medicine Cabinet Pharmacy
129
Meece, Paul PA
118
Mehari, Enawgaw MD
52, 55
Melahn, William MD
1, 6, 7, 17
Menezes, Karem MD
4, 6
Menifee County Health Center 92
Menifee County Medical Clinic 92
Menifee County Pharmacy
136
Meritt, Frances CNM
119, 121
Meyer, Victor OD
30
Meyers, Shanna APRN
110
Meyers, Thomas MD
5
Miller, Jeremiah DO
3
Miller, John MD
23
Miller, Lauren DO
3
Minix, Jr, Micheal MD
48
Modi, Navita MD
26
Mollineaux, John APRN
99, 107
Montague, Charles DMD
23
Montalvo, Noemi OD
30
Moore, Bradley DO
16
Moore, Carolyn MD
6, 17
Moore, Greg MD
22
Morgan Co Arh Home Health
Agency
93
Morgan Co Arh Hospital
62
Morgan County Arh Pharmacy 4010
137
Morgan County Health Center 93
Morris, James MD
5
Morris, Joseph MD
13
Morris, Richard OD
42
Morton, John OD
30
Mosbey, Mary APRN
100, 107
Moss, Kelly MD
12
Muha, Kevin OD
56
Mullins, Lauren APRN
96, 119
Murillo, Anna MD
24
Murray, Michelle DPM
42, 44
Mussetter, Nancy DMD
33
Mustafa, Nowwar MD
52, 53
N
Nagatoshi, Raymond OD
30
National Prosthetics and Orthotics
Inc
91
Naylor, Rachel DMD
48
Neal, Ashley MD
32
Nelson, Scott MD
34
Neus, Steven MD
5
New Hope
74
Newcomb, Oliver MD
58
Newsome, Kimberly APRN
100
Nickell, Joel OD
52, 56
Nickoson, Ronda APRN
98, 112
Nobles Pharmacy 1
134
Nolan-Rose, Laura OD
30
Novotny, Steven MD
32
O
Oakley, Maurice MD
27
O'Brien, Timothy DC
53
O'Cull, John DMD
45
O'Kelly, Christine APRN
122
O'Laughlin, Robert MD
35
Oliver, Garry DMD
39
Oliver, Heather OD
30
Oloworaran, Ayobola MD
66
Olzeski, Samantha DO
14
Omar, Rashid OD
30
Omnicare of Ashland
126
Osman Pharmacy
90, 134
Our Lady of Bellefonte Hospital 59
Our Lady of Bellefonte Hospital
Durable
82
Overbee, Casey PT
111
kentucky.wellcare.com | 152
Owingsville Drug Store
125
P
Pandya, Dhruv MD
34
Parikh, Manish MD
66, 71
Parker, Alissa APRN
100, 112
Partain, Jeffrey OD
30
Pate, Christen PT
111
Patel, Pushpa MD
49, 57
Patel, Shilpan MD
16
Patel, Ushma MD
34
Pathways Inc
64, 68, 69, 71, 72, 75, 76, 78, 82, 83,
85, 86, 88, 89, 92, 93, 95
Patton, Anna MD
3
Patton, Mitchell DMD
54
Pearce, Ronald OD
30
Peck, Irving Ldo
48
Peck, Joyce Ldo
48
Pennington, Lisa PA
113
Perkins, Thomas DMD
40
Perry, Alisha PA
123
Perry, Jacob MD
54
Perry, James APRN
122
Peytons Pharmacy Inc
137
Phillips, Mary MD
55
Pinson, Abigail LCSW
72
Poczatek, William APRN
110
Pope-Burns, Sally DMD
47
Porter, Sarah DO
12
Potter, Elizabeth APRN
120
Potter, John MD
4
Potts, Justin DC
53
Powell, James MD
26
Prabhu, Pramod MD
49
Prasad, Yogendra MD
20
Prater, Bryan MD
48
Pratt, Michael DMD
54
Prescott, Daniel MD
27
Presley, Robin PA
103
Pretorius, Richard MD
16
Price, Martin OD
30
Professional Care Pharmacy
134
Proudfoot, Richard MD
55
Pulliam, Mark OD
30
Purkiss, Todd MD
27
Provider Index
Q
Querubin Jr, Jesus MD
Quest Diagnostics
10
80
R
Ramey Jr, Donald APRN
100, 107
Ramey, Amanda DO
17
Randall, Marcus MD
49, 57
Ravencraft, James PA
103, 108
Razak, Muhummad MD
21
Reams, Mary MD
27
Reams, Robin MD
49, 57
Reynolds Pharmacy
128
Reynolds, Taneesha APRN
115
Rhinehart, Ashley APRN
100
Rhodes, Charles MD
20
Rice, James MD
32
Richard, John MD
1
Rishel, Lacinda PA
123
RITE AID
127, 129, 132, 133, 135, 137, 138
Rite Value Pharmacy
133
Riverview Pharmacy
133
Roberts, Keith OD
30
Roberts, Sabrina MD
34
Robertson County Health
Department
94
Robertson, Paul OD
30
Robinson, Paula MD
1
Rogers, Brian OD
30
Rogers, William MD
34
Rollins, James MD
41
Rone, Bryan MD
56
Ross, Shawn MD
13
Ross, Terence MD
20
Ross, Terrance MD
21
Rowan Co Health Dept Msu Clinic
Counshea
95
Rowan Co Middle School
57
Rowan Pharmacist Group Inc DBA
Total Car
95
Rowe, Kristina ARNP
100
Rubesh, Grant OD
30
Rucker, Dreama MD
15, 17, 18
Rudd, Amber APRN
121
Ruggles, William ARNP
112
Ryan, James APRN
112
S
S and N Medical Solutions LLC 82
Salee, Sarah OD
31
Saleh, Ehab MD
44
Salem, Galena MD
24
Saltz, Bryan MD
3
Salyers, Laura MD
78
Sammons, Charles DDS
43
Samuel, Mathew MD
35
Sanders, Lynda MD
25, 33
Sanjiv Gupta MD PSC
85
Sargent, Emily APRN
100, 107, 112
Sargent, Maria ARNP
107
Sargent, Timothy DC
46
Saroch, Sandeep MD
66
Schaefer, Cynthia APRN
117
Schneider, Cynthia MD
57
Schwind, Julie PT
102, 108, 113
Scott, Edward MD
18
Scott, Mark DC
21
Sedghi, Yabiz MD
21
See, Ashley APRN
114
Sellitti, Marguerite MD
49
Sergent, Susan PA
104
Settle, Emily DMD
54
Settles, Diane MD
22
Shay, Karen DMD
54
Shelton, Charlie DC
21
Shelton, Ronnie DMD
23
Sheppard, Christina APRN
100
Sherman, Keith OD
41, 48
Shields, Kari MD
6
Short, Karen APRN
114
Short, William MD
3
Shower, Laura MD
40, 47, 91
Sieweke, Amy APRN
100, 107
Sikorska, Miroslawa MD
18
Simpson, Cassandra LPC
65
Sims, Chelsey APRN
100
Slone, Leslie ARNP
107, 109
Smith, Albert MD
55
Smith, Amy LPC
65
Smith, Ballard DMD
48, 56
Smith, Dana APRN
114
Smith, Earl DMD
23
Smith, Stephen OD
31
Snead, Kevin OD
31
kentucky.wellcare.com | 153
Sobczyk, Walter MD
33
Solter, Kathleen APRN
122
Souleyrette, Dale OD
31
Spady, Richard MD
47
Sparks, Joshua MD
33
Spear, Steven OD
31
Spence, Philip DO
52
Spence, Phillip DO
52
Spencer, Audrey MD
13
Sperry, Joel LPC
65
Spradlin, Glenn DMD
33
Spruiell, Lawson OD
56
Spurlock, Tara DC
40, 53
Spurlock, William DC
40, 53
Srinivasan, Raghuraman MD 40, 46
St Claire Family Care Clinic
95
St Claire Homecare
95
St Claire Reg Med Center
63
St Claire Regional Fam Me
7
St Claire Regional Family
6
St Claire Regional Family Medical
Supply
95
St Elizabeth Physicians Maysville
Diagno
91
Stampers Kerns, Dana DC
53
Standafer, Glen APRN
119, 122
Stanis, Carl OD
31
Stanley, Cassie APRN
122
Stark, Gregory MD
35
Steagall, Kelly PA
124
Steele, Harry OD
52, 56
Stepp, Dara DO
6
Stevens, Ishmael MD
4
Stevenson, Grant MD
9, 12
Stewart, David DMD
23
Stewart, Debra ARNP
114
Stickler, Thomas APRN 100, 107, 115
Stone, Thomas MD
27
Strader, Jane MD
9
Strait, Marla APRN
100
Stultz Pharmacy
132
Styer, Thomas MD
44
Swann, Justin DC
21
Sy, Gregory PA
124
Sydnor, Carl OD
31
T
Tabassi, Bita OD
31
Provider Index
T - cont.
Tabb, Thomas MD
26
Tabor, Jennifer APRN
119, 122
Tarabolous, Chad MD
24
Taylor, Gregory OD
41, 48
Taylor, Landon DC
46
Taylor, Terri OD
31
The Body Shop Physical Therapy
90
The Rameyestep Homes
64
The Wright Pharmacy Inc
132
Thomas, Thomas APRN 98, 106, 112
Thorarinsson, Bjorn MD
35
Thorndyke, William MD
36, 44
Thorner, William DMD
23
Tilghman, Craig MD
56
Tingle, Charles DMD
54
Tingue-Poczatek, Patti MD
12
Todd, Rebecca MD
56
Toller, Maribeth LPC
70
Tollesboro Clinic Pharmacy
134
Tompkins Jr, Roderick MD
24
Total Care Pharmacy
87
Total Care Pharmacy 1
131
Total Care Pharmacy 2 2
131
Total Care Pharmacy 6
138
Total Care Pharmacy 7
138
Tucker, Dana APRN
105, 117, 118
U
Ultimate Treatment Center
127
Underwood, Zachary DO
3, 6, 9
Unified Psychiatry
64
Unnikrishnan, Edakkunny MD
36
Uy, Edilfavia Mae MD
16
V
Van Beneden, William MD
Vance, Terry LPC
Vanderen, John MD
Vanhoose, Anna PA
Vanhoose, Daniel PA
Vass, Brooke APRN
Velury, Sriharsha MD
Vermani, Vinay MD
Veronneau, Mark DO
Vest, Elisabeth LCSW
Victor, David MD
22
65
21
104
104
98
21
24, 25
43
64
58
Villafuerta, Patrick MD
24
Virgin, Rae APRN
100
Volk, Lauze MD
25
Vonderheide, Muna APRN
105, 110, 112, 113, 115, 116, 117, 118
Workman, Connie APRN
Workman, Marc MD
Wozniak, Tanya MD
Wright, Lucinda MD
114
11
72
33
Y
Yamraj, Bhawan MD
Yang, Hazel MD
Yates, Brandi DMD
Ymalay, Chito MD
Young, Rodney PsyD
Yount, James PA
1
22
54
10
79
113
W
Wagner, Robert DMD
42
Walgreens
126
Walgreens Infusion Services
83
Walmart
127, 133, 135, 138
Walters, Chadwick DO
34
Walters, Michele APRN
122
Z
Ward, Ashley PA
124
Zaydan, Muhammad-Ali MD
Warrier, Rajkumar MD
23, 38
Zeigler, Adam DO
Watts, Leslie ARNP
107, 123
Webb, Brandon DO
11
Webb, Gwen APRN
116
Weber, Deborah LCSW
74, 117
Weber, Nicole APRN
101, 108
Wecare Medical LLC
82
Weigel, Christian MD
18
Weigel, Nancy MD
18
Weller, Donald MD
47
Wellman, Tamara APRN
101
Wells, Laura APRN 98, 106, 109, 112
West Liberty Arh Homecare Store
93
West, Mary OD
38
Wheeler, Timothy MD
24
Whitley, Ashley PA
104
Wilburn, Brenda APRN
123
Wiley, Christa LPC
65
Wilks, Jessica LPC
66
Williams, Pete PA
114
Williams, Sandra APRN
101
Wilson, Donald MD
41, 47, 87, 91
Wise, Marshall MD
40, 46
Wisehart, Maren APRN
101
Wolf, Nicholas OD
31
Womack, Glenn MD
1, 8, 13
Womack, Julia ARNP
96, 110
Womens Center Boutique
82
Wondafrash, Worku MD
16
Woods, William MD
27
Woody, Lloyd DMD
43
Woolums, Carmen PA
118
Wooten, Sally MD
49
kentucky.wellcare.com | 154
40
14
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