2016 Kentucky Provider Directory (Christian, Daviess, Hancock

Transcription

2016 Kentucky Provider Directory (Christian, Daviess, Hancock
2016
KENTUCKY
PROVIDER DIRECTORY
Christian, Daviess, Hancock, Henderson, Hopkins, McLean,
Muhlenberg, Ohio, Todd, Trigg, Union, Webster
KY034390_CAD_PRD_MLT State Approved 12262013
©WellCare 2016 KY_06_16
KY6R02DIR76160M_0616
Table of Contents
Provider Directory
Introduction
How to Read Our Provider Listings
Icon Guide
I
II
II
List of Plan Providers
Primary Care Physicians
Christian
Daviess
Hancock
Henderson
Hopkins
McLean
Muhlenberg
Ohio
Todd
Trigg
Union
Webster
Specialty Physicians
Christian
Daviess
Hancock
Henderson
Hopkins
McLean
Muhlenberg
Ohio
Todd
Trigg
Union
Webster
Hospitals
Christian
Daviess
Henderson
1
4
9
10
14
19
20
23
25
26
27
28
30
37
65
66
73
83
84
90
93
94
96
97
98
99
100
KY6R02DIR76160M_0616
Table of Contents
List of Plan Providers
Hospitals
Hopkins
Muhlenberg
Ohio
Trigg
Union
Behavioral Health
Christian
Daviess
Hancock
Henderson
Hopkins
McLean
Muhlenberg
Ohio
Todd
Union
Webster
Ancillary Providers
All
Christian
Daviess
Henderson
Hopkins
McLean
Muhlenberg
Ohio
Todd
Trigg
Union
Webster
Allied Providers
Christian
Daviess
101
102
103
104
105
106
115
122
123
126
130
131
133
134
135
137
138
139
141
144
145
147
148
149
150
151
152
153
154
161
Table of Contents
List of Plan Providers
Allied Providers
Hancock
Henderson
Hopkins
McLean
Muhlenberg
Ohio
Todd
Trigg
Union
Webster
Pharmacy
Christian
Daviess
Hancock
Henderson
Hopkins
McLean
Muhlenberg
Ohio
Todd
Trigg
Union
Webster
177
179
185
191
192
195
199
201
202
203
205
206
208
209
210
211
212
213
214
215
216
217
Indexes
Alternate Languages Index
Specialty Provider At-A-Glance
Extended Hours Index
Provider Index
218
220
225
229
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 www.wellcare.com/Kentucky. 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.
www.wellcare.com/Kentucky | 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).
www.wellcare.com/Kentucky | 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
www.wellcare.com/Kentucky. 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.
www.wellcare.com/Kentucky | 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).
www.wellcare.com/Kentucky | 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
www.wellcare.com/Kentucky | 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
www.wellcare.com/Kentucky | 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
www.wellcare.com/Kentucky | 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
www.wellcare.com/Kentucky | 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
www.wellcare.com/Kentucky | 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
Transplant
Hepatology
Urología/ginecología Urology/Gynecology
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.
www.wellcare.com/Kentucky | X
List of Plan Providers
06/01/2016
Primary Care Physicians
Christian
Family Practice
Bansal, Purnima MD
Provider ID: 1123414
Gender: Female
Fairview Physicians
Network LLC
223 Burley Ave
Hopkinsville, KY 42240
(270) 887-6565
Fax: (270) 887-6575
00 Yrs/99 Yrs
MTWTHFSat 9:00 AM 9:00 PM
PCMH: No
Blewett, Patricia MD
Provider ID: 1041486
Gender: Female
Fairview Physicians
Network LLC DBA
223 Burley Ave
Hopkinsville, KY 42240
(270) 887-6565
Fax: (270) 887-6575
00 Yrs/99 Yrs
Jennie Stuart Medical
Center
MTWTHFSat 9:00 AM 9:00 PM
PCMH: No
Crump, Chester MD
Provider ID: 751186
Gender: Male
Chester L Crump MD
1717 High St Ste 2D
Hopkinsville, KY 42240
(270) 885-6101
Fax: (270) 885-3563
18 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Daugherty, Alissa MD
Provider ID: 1139789
Gender: Female
Baptist Health Medical
Group Inc
500 Clinic Dr
Hopkinsville, KY 42240
(270) 707-3300
Fax: (270) 707-4280
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Humphries, Vinna MD
Provider ID: 629966
Gender: Female
Vinna Denison
Humphries MD LLC
320 North Dr
Hopkinsville, KY 42240
(270) 707-0303
Fax: (270) 707-0808
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Davis, Hunter MD
Provider ID: 700461
Gender: Male
Pennyroyal Healthcare
Services
739 North Dr
Hopkinsville, KY 42240
(270) 887-6152
Fax: (270) 887-6153
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Mycle, Noble MD
Provider ID: 1124921
Gender: Male
Baptist Health Medical
Group Inc
300 Clinic Dr
Hopkinsville, KY 42240
(270) 707-4262
Fax: (270) 326-4968
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Fralish, Billy MD
Provider ID: 1140007
Gender: Male
Baptist Health Medical
Group
500 Clinic Dr
Hopkinsville, KY 42240
(270) 707-3300
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Rey, Jonathan MD
Provider ID: 940409
Gender: Male
739 North Dr
Hopkinsville, KY 42241
(270) 887-6152
Fax: (270) 887-6153
00 Yrs/99 Yrs
Jennie Stuart Medical
Center
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No
Hart, Jerry MD
Provider ID: 630475
Gender: Male
OB GYN Associates PSC
1717 High St Ste 4
Hopkinsville, KY 42240
(270) 887-9058
Fax: (270) 887-9341
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 1
Simpson, James MD
Provider ID: 919628
Gender: Male
James H Simpson MD
PLLC
111 Derrick St
Hopkinsville, KY 42240
(270) 885-4818
Fax: (270) 885-7205
00 Yrs/99 Yrs
Jennie Stuart Medical
Center
M-TH 8:30 AM - 3:30 PM
F 8:30 AM - 10:30 PM
PCMH: No
Spilkin, Simon MD
Provider ID: 1016261
Gender: Male
739 North Dr
Hopkinsville, KY 42240
(270) 887-6152
Fax: (270) 887-6153
00 Yrs/99 Yrs
Languages: Afrikaans
M-F 9:00 AM - 5:00 PM
PCMH: No
Spilkin, Simon MD
Provider ID: 700449
Gender: Male
Pennyroyal Healthcare
Services
739 North Dr
Hopkinsville, KY 42240
(270) 887-6152
Fax: (270) 887-6153
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Christian
Federally Qualified
Health Center
Pennyroyal Healthcare
Services Inc
Provider ID: 1211697
15095 Ft Campbell Blvd
Oak Grove, KY 42262
(270) 887-6152
Fax: (270) 887-6153
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Thore, Steven MD
Provider ID: 603295
Gender: Male
Pennyroyal Healthcare
Services
739 North Dr
Hopkinsville, KY 42240
(270) 887-6152
Fax: (270) 887-6153
18 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No
General Practice
Internal Medicine
Davis, Hunter MD
Provider ID: 1037806
Gender: Male
Pennyroyal Healthcare
Services Inc
739 North Dr
Hopkinsville, KY 42240
(270) 887-6152
Fax: (270) 887-6153
00 Yrs/99 Yrs
M 8:30 AM - 5:00 PM
TWTHF 8:30 AM - 6:00
PM
PCMH: No
Moore, Jonathan MD
Provider ID: 1187181
Gender: Male
Baptist Health Medical
Group Inc
500 Clinic Dr
Hopkinsville, KY 42240
(270) 707-3300
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Budhan, Jerome MD
Provider ID: 1171012
Gender: Male
Fairview Physicians
Network LLC
223 Burley Ave
Hopkinsville, KY 42240
(270) 887-6565
Fax: (270) 887-6575
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 6:00 PM
PCMH: No
Calhoun, Travis MD
Provider ID: 977523
Gender: Male
Fairview Physicians
Network LLC DBA
222 W 18th St
Hopkinsville, KY 42240
(270) 707-2100
Fax: (270) 707-2103
00 Yrs/99 Yrs
Jennie Stuart Medical
Center
M-F 8:00 AM - 5:00 PM
PCMH: No
Chavda, Geeta MD
Provider ID: 751188
Gender: Female
Geeta S Chavda MD
PLLC
1739 Canton St
Hopkinsville, KY 42240
(270) 881-1411
Fax: (270) 881-4730
18 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Majmudar, Aalap MD
Provider ID: 1148925
Gender: Male
Western Kentucky
Pulmonary Clinic
1724 Kenton St
Hopkinsville, KY 42240
(270) 886-8840
Fax: (270) 886-8869
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Williams Budhan,
Kymlyn MD
Provider ID: 1196735
Gender: Female
Fairview Physicians
Network LLC
223 Burley Ave
Hopkinsville, KY 42240
(270) 887-6565
Fax: (270) 887-6575
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 2
Obstetrics/Gynecology
Gapp, Gregory MD
Provider ID: 1206216
Gender: Male
Fairview Physicians
Network LLC
1717 High St Ste 4B
Hopkinsville, KY 42240
(270) 885-8003
Fax: (270) 707-2103
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
PCMH: No
Stitt, John MD
Provider ID: 1201976
Gender: Male
Fairview Physicians
Network LLC
1717 High St Ste 4B
Hopkinsville, KY 42240
(270) 885-8003
Fax: (270) 707-2103
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
PCMH: No
Stitt, John MD
Provider ID: 197037
Gender: Male
OB GYN Associates PSC
1717 High St Ste 4
Hopkinsville, KY 42240
(270) 887-9058
Fax: (270) 887-9341
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Christian
Pediatrics
Floyd, Jan MD
Tran, Maggie MD
Provider ID: 781379
Provider ID: 630218
Campbell, Duncan MD
Gender: Female
Gender: Female
Baptist Health Medical
VIP Pediaric Associates
Provider ID: 630198
Group
1717 High St Ste 3A
Gender: Male
500 Clinic Dr
Hopkinsville, KY 42240
Vanderbilt Integrated
Hopkinsville, KY 42240
(270) 885-8445
Providers DBA
(270) 707-3300
Fax: (270) 886-9106
1717 High St Ste 3A
00 Yrs/21 Yrs
00 Yrs/99 Yrs
Hopkinsville, KY 42240
Baptist Health
M-F 9:00 AM - 5:00 PM
(270) 885-8445
Madisonville Rehab
PCMH: No
Fax: (270) 886-9106
Distin
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM Tran, Maggie MD
M-TH 8:00 AM - 6:00 PM PCMH: No
Provider ID: 818932
F 8:00 AM - 5:00 PM
Gender: Female
Sat 8:00 AM - 12:00 PM Haroun, Ramzi MD
Vanderbilt Integrated
Provider ID: 629341
PCMH: No
Providers-Ped
Gender: Male
1717 High St Ste 3-A
Campbell, Duncan MD
Ramzi A Haroun MD
Hopkinsville, KY 42240
DBA Kidz Klinik
(270) 885-8445
Provider ID: 757691
1724 Kenton St Ste 2C
Fax: (270) 886-9106
Gender: Male
Hopkinsville, KY 42240
00 Yrs/21 Yrs
Vanderbilt Integrated
(270) 886-7480
Vanderbilt Univ Med
Providers-Ped
Fax: (270) 886-7532
Center
1717 High St Ste 3 A
00 Yrs/12 Yrs
Languages: Vietnamese
Hopkinsville, KY 42240
MWF 8:00 AM - 5:00 PM PCMH: No
(270) 885-8445
TTH 8:00 AM - 12:00 PM
Fax: (270) 886-9106
PCMH: No
00 Yrs/21 Yrs
M-F 9:00 AM - 5:00 PM Khan, Rizwan MD
Provider ID: 630078
PCMH: No
Gender: Male
Cruz, Cristina MD
Rizwan Khan MD PSC
Provider ID: 908428
1724 Kenton St Ste 2D
Gender: Female
Hopkinsville, KY 42240
Vanderbilt Integrated
(270) 886-1544
Providers Ped
Fax: (270) 886-6305
1717 High St Ste 3A
00 Yrs/20 Yrs
Hopkinsville, KY 42240
M-TH 8:45 AM - 5:00 PM
(270) 885-8445
F 8:45 AM - 12:00 PM
Fax: (270) 886-9106
PCMH: No
00 Yrs/18 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 3
06/01/2016
Primary Care Physicians
Daviess
Family Practice
Alexis, Brian DO
Provider ID: 1199476
Gender: Male
One Health McAuley
Primary Care
811 E Parrish Ave
Owensboro, KY 42303
(270) 691-8040
Fax: (270) 691-8049
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Bradley, Jeremy MD
Provider ID: 605221
Gender: Male
3122 Commonwealth Ct
Owensboro, KY 42303
(270) 684-7711
Fax: (270) 684-7753
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: Yes, Level 2
Cole, Darby MD
Provider ID: 1045030
Gender: Male
One Health Ohio
County
1213 N Main St
Owensboro, KY 42301
(270) 274-4771
Fax: (270) 274-4884
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Curry, Dirck DO
Provider ID: 799826
Gender: Male
One Health McAuley
Primary Care
811 E Parrish Ave
Owensboro, KY 42303
(270) 691-8040
Fax: (270) 691-8049
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Jones, Michael MD
Provider ID: 1203729
Gender: Male
Bridgewater Medical
Center
750 Salem Dr
Owensboro, KY 42303
(270) 686-8008
Fax: (270) 686-8066
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Larsen, Ferris MD
Provider ID: 1139572
Gender: Male
Regional Health Care
Affiliates, In
1600 Breckinridge St
Owensboro, KY 42303
(270) 215-6436
Fax: (270) 215-6473
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Henson, Tara MD
Provider ID: 1139558
Gender: Female
Regional Health Care
Affiliates, In
1600 Breckinridge St
Owensboro, KY 42303
(270) 215-6436
Fax: (270) 215-6473
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Keeley, Benjamin MD
Provider ID: 607883
Gender: Male
One Health Family
Medicine Triplett
1325 Triplett St
Owensboro, KY 42303
(270) 686-8500
Fax: (270) 685-5467
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Lineberry, Tristan MD
Provider ID: 1139576
Gender: Male
Regional Health Care
Affiliates, In
1600 Breckinridge St
Owensboro, KY 42303
(270) 215-6436
Fax: (270) 215-6473
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Jones, Jayna MD
Provider ID: 595715
Gender: Female
Bridgewater Medical
Center
750 Salem Dr Ste 1A
Owensboro, KY 42303
(270) 927-8585
Fax: (270) 927-8911
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 9:00 AM - 5:00 PM
PCMH: No
King, Bradley MD
Provider ID: 609715
Gender: Male
Owensboro Medical
Practice Group
1200 Breckenridge St
Owensboro, KY 42303
(270) 685-8224
Fax: (270) 685-8228
16 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 4
McCoy, Tamberly MD
Provider ID: 618776
Gender: Female
Tamberly L McCoy MD
Group
2315 Mayfair Dr Ste 3
Owensboro, KY 42301
(270) 926-1150
Fax: (270) 926-2796
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Daviess
Family Practice - cont.
Taylor, Ronald MD
Provider ID: 622029
Nguyen, Khanh DO
Gender: Male
Provider ID: 930049
One Health Family
Gender: Male
Medicine Mayfair
One Health Family
2315 Mayfair Dr Ste 14
Medicine Breckenr
Owensboro, KY 42301
1000 Breckenridge St Ste (270) 926-3725
401
Fax: (270) 926-1793
Owensboro, KY 42303
00 Yrs/99 Yrs
(270) 688-4401
Owensboro Health
Fax: (270) 688-4409
Regional Hospital
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Vincent, Thomas DO
Prunty, Marshall MD
Provider ID: 1165752
Provider ID: 637099
Gender: Male
Gender: Male
One Health McAuley
One Health McAuley
Primary Care
Primary Care
811 E Parrish Ave
811 E Parrish Ave
Owensboro, KY 42303
Owensboro, KY 42303
(270) 691-8040
(270) 691-8040
Fax: (270) 691-8049
Fax: (270) 691-8049
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Walker II, John MD
Taylor, Ronald MD
Provider ID: 1032452
Provider ID: 1186495
Gender: Male
Gender: Male
One Health Family
One Health Family
Medicine Breckenr
Medicine Triplett
1000 Breckenridge St Ste
1325 Triplett St
401
Owensboro, KY 42303
Owensboro, KY 42303
(270) 686-8500
(270) 688-4401
Fax: (270) 685-5467
Fax: (270) 688-4409
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Walker II, John MD
Provider ID: 1032454
Gender: Male
One Health McAuley
Primary Care
811 E Parrish Ave
Owensboro, KY 42303
(270) 691-8040
Fax: (270) 691-8049
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Federally Qualified
Health Center
Regional Health Care
Affiliates Inc
Provider ID: 1211702
Health First Community
Health Center
1600 Breckinridge St
Owensboro, KY 42303
(270) 215-6436
Fax: (270) 215-6473
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Regional Health Care
Affiliates Inc
Provider ID: 1123266
2816 Veach Rd Ste 205
Owensboro, KY 42303
(270) 926-9821
Fax: (270) 667-9065
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 5
Internal Medicine
Carrico, Matheis MD
Provider ID: 621987
Gender: Male
Bluegrass Internal
Medicine
3346 Professional Park Dr
Owensboro, KY 42303
(270) 685-1066
Fax: (270) 685-1088
12 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Gipe, Patrick MD
Provider ID: 621986
Gender: Male
Bluegrass Internal
Medicine
3346 Professional Park Dr
Owensboro, KY 42303
(270) 685-1066
Fax: (270) 685-1088
12 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Gupta, Nityanand MD
Provider ID: 630530
Gender: Male
Owensboro Medical
Internists PSC
2816 Veach Rd Ste 3-306
Owensboro, KY 42303
(270) 240-5696
Fax: (270) 686-0056
12 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Daviess
Internal Medicine - cont. Johnson, David MD
Nadar, Vani MD
Provider ID: 615142
Provider ID: 596575
Hofer, Jeffrey MD
Gender: Male
Gender: Female
Provider ID: 1129354
Bluegrass Internal
Medical Specialists of
Gender: Male
Medicine
Kentuckiana
One Health Internal
3346 Professional Park Dr 2816 Veach Rd Ste 105
Medicine Veach
Owensboro, KY 42303
Owensboro, KY 42303
2816 Veach Rd Ste 403
(270) 685-1066
(270) 684-7179
Owensboro, KY 42303
Fax: (270) 685-1088
Fax: (270) 689-2052
(270) 684-1145
12 Yrs/99 Yrs
12 Yrs/99 Yrs
Fax: (270) 684-1190
Owensboro Health
Baptist Health Louisville
00 Yrs/99 Yrs
Regional Hospital
Norton Suburban
M-F 8:00 AM - 5:00 PM
Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Languages: Tamil
PCMH: No
M-F 9:00 AM - 5:00 PM
Howard, John MD
Kalik, Aseedu MD
PCMH: No
Provider ID: 622028
Provider ID: 609714
Gender: Male
Patel, Shirishkumar MD
Gender: Male
John Howard Jr MD PSC
Owensboro Medical
2200 E Parrish Ave Ste
Provider ID: 461615
Practice Group
202
Gender: Male
1200 Breckenridge St
Owensboro, KY 42303
Owensboro Medical
Owensboro, KY 42303
(270) 926-1650
Practice Group
(270) 685-8224
Fax: (270) 926-1671
1200 Breckenridge St
Fax: (270) 685-8228
12 Yrs/99 Yrs
Owensboro, KY 42303
00 Yrs/99 Yrs
Owensboro Health
(270) 683-7553
Owensboro Health
Regional Hospital
Fax: (270) 685-8226
Regional Hospital
M-F 9:00 AM - 5:00 PM
12 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Jarvis, Angela MD
Moolani, Mahesh MD
Provider ID: 615133
Salamah, Ramez MD
Provider ID: 609712
Gender: Female
Provider ID: 605296
Gender: Male
Bluegrass Internal
Gender: Male
Owensboro Medical
Medicine
Practice Group
Bluegrass Internal
3346 Professional Park Dr 1200 Breckenridge St
Medicine
Owensboro, KY 42303
3346 Professional Park Dr
Owensboro, KY 42303
(270) 685-1066
Owensboro, KY 42303
(270) 685-8224
Fax: (270) 685-1088
(270) 685-1066
Fax: (270) 685-8228
12 Yrs/99 Yrs
Fax: (270) 685-1088
00 Yrs/99 Yrs
Owensboro Health
12 Yrs/99 Yrs
Owensboro Health
Regional Hospital
Regional Hospital
Languages: Arabic
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 6
Obstetrics/Gynecology
Dawson, Angela MD
Provider ID: 607877
Gender: Female
The Womens Pavilion
PSC
2200 E Parrish Ave Blg B
Ste 201
Owensboro, KY 42303
(270) 926-3700
Fax: (270) 926-2114
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Moore, Andrea MD
Provider ID: 608179
Gender: Female
The Womens Pavilion
PSC
2200 E Parrish Ave
Owensboro, KY 42303
(270) 926-3700
Fax: (270) 926-2114
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Van Orsdoll, Christopher
DO
Provider ID: 1139605
Gender: Male
Regional Health Care
Affiliates, In
1600 Breckinridge St
Owensboro, KY 42303
(270) 215-6436
Fax: (270) 215-6473
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Daviess
Obstetrics/Gynecology - Houston, John MD
cont.
Provider ID: 618431
Gender: Male
Van Orsdoll, Christopher Owensboro Pediatrics
DO
1102 Triplett St Ste 1000
Provider ID: 1074814
Owensboro, KY 42303
Gender: Male
(270) 926-8828
Regional Health Care
Fax: (270) 926-0760
Affiliates, In
00 Yrs/21 Yrs
2816 Veach Rd Ste 205
Owensboro Health
Owensboro, KY 42303
Regional Hospital
(270) 926-9821
M-F 9:00 AM - 5:00 PM
Fax: (270) 667-9065
PCMH: No
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Johnston, Andrea MD
PCMH: No
Provider ID: 618373
Gender: Female
Pediatrics
Owensboro Pediatrics
2200 E Parrish Ave Ste
Davis, Nicole DO
101
Provider ID: 1152100
Owensboro, KY 42303
Gender: Female
(270) 683-3232
One Health Pediatrics
1000 Breckenridge St Ste Fax: (270) 852-1600
00 Yrs/21 Yrs
300
Owensboro Health
Owensboro, KY 42303
Regional Hospital
(270) 688-4480
M-F 9:00 AM - 5:00 PM
Fax: (270) 688-4480
PCMH: No
00 Yrs/99 Yrs
M-F 7:00 AM - 5:00 PM Kumaravelu,
PCMH: No
Kumarasooriyar MD
Provider ID: 1134457
Dulabh, Amit MD
Gender: Male
Provider ID: 1104556
Regional Health Care
Gender: Male
Affiliates Inc
One Health Pediatrics
1000 Breckenridge St Ste 1600 Breckinridge St
Owensboro, KY 42303
300
(270) 215-6436
Owensboro, KY 42303
Fax: (270) 215-6473
(270) 688-4480
00 Yrs/18 Yrs
Fax: (270) 688-4480
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
Kumaravelu,
Kumarasooriyar MD
Provider ID: 1134463
Gender: Male
Regional Health Care
Affiliates Inc
2816 Veach Rd Ste 205
Owensboro, KY 42303
(270) 926-9821
Fax: (270) 667-9065
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Lauzon, John MD
Provider ID: 618433
Gender: Male
Owensboro Pediatrics
2200 E Parrish Ave Ste
101
Owensboro, KY 42303
(270) 683-3232
Fax: (270) 852-1600
00 Yrs/21 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Martin, Lynette MD
Provider ID: 618434
Gender: Female
Owensboro Pediatrics
2200 E Parrish Ave Ste
101
Owensboro, KY 42303
(270) 683-3232
Fax: (270) 852-1600
00 Yrs/21 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 7
Mason, Jeremiah DO
Provider ID: 618365
Gender: Male
Owensboro Pediatrics
2200 E Parrish Ave Ste
101
Owensboro, KY 42303
(270) 683-3232
Fax: (270) 852-1600
00 Yrs/21 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
McGinnis, Shanna MD
Provider ID: 814469
Gender: Female
One Health Pediatrics
1000 Breckenridge St Ste
300
Owensboro, KY 42303
(270) 688-4480
Fax: (270) 688-4480
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Neel, Donald MD
Provider ID: 1139597
Gender: Male
Regional Health Care
Affiliates, In
1600 Breckinridge St
Owensboro, KY 42303
(270) 215-6436
Fax: (270) 215-6473
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Daviess
Pediatrics - cont.
Neel, Donald MD
Provider ID: 1074724
Gender: Male
Regional Health Care
Affiliates, In
2816 Veach Rd Ste 205
Owensboro, KY 42303
(270) 926-9821
Fax: (270) 667-9065
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Singh, Poonam MD
Provider ID: 1145998
Gender: Female
Regional Health Care
Affiliates, In
1600 Breckinridge St
Owensboro, KY 42303
(270) 215-6436
Fax: (270) 215-6473
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Singh, Poonam MD
Provider ID: 1146004
Phillips, John MD
Gender: Female
Provider ID: 761329
Regional Health Care
Gender: Male
Affiliates, In
One Health Pediatrics
2816 Veach Rd Ste 205
1000 Breckenridge St Ste Owensboro, KY 42303
300
(270) 926-9821
Owensboro, KY 42303
Fax: (270) 667-9065
(270) 688-4480
00 Yrs/18 Yrs
Fax: (270) 688-4480
M-F 8:00 AM - 5:00 PM
00 Yrs/18 Yrs
PCMH: No
Owensboro Health
Regional Hospital
Yeiser, Michael MD
M-F 8:00 AM - 5:00 PM
Provider ID: 618439
PCMH: No
Gender: Male
Ray, Amy MD
Owensboro Pediatrics
Provider ID: 618330
2200 E Parrish Ave Ste
Gender: Female
101
Owensboro Pediatrics
Owensboro, KY 42303
2200 E Parrish Ave Ste
(270) 683-3232
101
Fax: (270) 852-1600
Owensboro, KY 42303
00 Yrs/19 Yrs
(270) 683-3232
Owensboro Health
Fax: (270) 852-1600
Regional Hospital
00 Yrs/21 Yrs
M-F 8:00 AM - 5:30 PM
Owensboro Health
PCMH: No
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 8
06/01/2016
Primary Care Physicians
Hancock
Family Practice
Jones, Jayna MD
Provider ID: 595705
Gender: Female
Bridgewater Medical
Center
35 Joshua Ln
Hawesville, KY 42348
(270) 927-8585
Fax: (270) 927-8911
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 9:00 AM - 5:00 PM
PCMH: No
Jones, Michael MD
Provider ID: 1203730
Gender: Male
Bridgewater Medical
Center
35 Joshua Lane
Hawesville, KY 42348
(270) 927-8585
Fax: (270) 927-8911
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Internal Medicine
Moolani, Mahesh MD
Provider ID: 804091
Gender: Male
Owensboro Medical
Practice Group
185 State Rte 271 S
Lewisport, KY 42351
(270) 927-9991
Fax: (270) 927-9990
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 9
06/01/2016
Primary Care Physicians
Henderson
Family Practice
Chappell, Brandon DO
Provider ID: 1178786
Gender: Male
Methodist
Comprehensive Care
110 2nd St
Henderson, KY 42420
(270) 830-8032
Fax: (270) 830-8132
00 Yrs/99 Yrs
MWTHF 8:00 AM - 5:00
PM
T 10:00 AM - 6:00 PM
PCMH: No
Chappell, Brandon DO
Provider ID: 1087734
Gender: Male
Methodist Continuity
Care Clinic
411 Letcher St
Henderson, KY 42420
(270) 831-7950
Fax: (270) 831-7824
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Crump, William MD
Provider ID: 1074828
Gender: Male
Regional Health Care
Affiliates, In
472 Klutey Park Plaza Dr
Ste B
Henderson, KY 42420
(270) 826-5522
Fax: (270) 826-5525
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Crump, William MD
Provider ID: 594884
Gender: Male
Health First Community
Health Center
472 Klutey Park Plaza Dr
Ste B
Henderson, KY 42420
(270) 856-5522
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Henson, Tara MD
Provider ID: 1160446
Gender: Female
Regional Health Care
Affiliates, In
700 Dr Martin Luther
King Jr Ave
Henderson, KY 42420
(270) 826-4800
Fax: (270) 826-5090
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Futrell, Charles DO
Provider ID: 619549
Gender: Male
Methodist Family
Medicine of Hender
110 3rd St Ste 250
Henderson, KY 42420
(270) 826-0135
Fax: (270) 827-8798
00 Yrs/99 Yrs
Methodist Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Provider ID: 904363
Gender: Female
Mfm of Henderson
North Elm
2000 N Elm St Ste 1A
Henderson, KY 42420
(270) 869-0401
Fax: (270) 869-0210
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Henson, Tara MD
Provider ID: 619482
Gender: Female
Health First Community
Health Center
472 Klutey Park Plaza Dr
Ste B
Henderson, KY 42420
(270) 856-5522
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Khera, Amneet DO
Kitchens, Joshua MD
Provider ID: 695863
Gender: Male
Mfm of Henderson
Atkinson
1413 N Elm St Ste 201
Henderson, KY 42420
(270) 827-8662
Fax: (270) 826-8220
18 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 10
Kitchens, Joshua MD
Provider ID: 654589
Gender: Male
Methodist Continuity
Care Clinic
411 Letcher St
Henderson, KY 42420
(270) 831-7950
Fax: (270) 831-7824
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Larsen, Ferris MD
Provider ID: 1086593
Gender: Male
Regional Health Care
Affiliates, In
472 Klutey Park Plaza Dr
Ste B
Henderson, KY 42420
(270) 826-5522
Fax: (270) 826-5525
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Larsen, Ferris MD
Provider ID: 1160453
Gender: Male
Regional Health Care
Affiliates, In
700 Dr Martin Luther
King Jr Ave
Henderson, KY 42420
(270) 826-4800
Fax: (270) 826-5090
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Henderson
Family Practice - cont.
Lee, Carlton DO
Provider ID: 1178800
Gender: Male
Methodist
Comprehensive Care
110 2nd St
Henderson, KY 42420
(270) 830-8032
Fax: (270) 830-8132
00 Yrs/99 Yrs
MWTHF 8:00 AM - 5:00
PM
T 10:00 AM - 6:00 PM
PCMH: No
Lee, Carlton DO
Provider ID: 1087700
Gender: Male
Methodist Continuity
Care Clinic
411 Letcher St
Henderson, KY 42420
(270) 831-7950
Fax: (270) 831-7824
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Lineberry, Tristan MD
Provider ID: 1196492
Gender: Male
Regional Health Care
Affiliates, In
472 Klutey Park Plaza Dr
Ste B
Henderson, KY 42420
(270) 826-5522
Fax: (270) 826-5525
00 Yrs/99 Yrs
Languages: Spanish,
Polish, Tagalog
M-F 8:00 AM - 5:00 PM
PCMH: No
Lineberry, Tristan MD
Provider ID: 1160454
Gender: Male
Regional Health Care
Affiliates, In
700 Dr Martin Luther
King Jr Ave
Henderson, KY 42420
(270) 826-4800
Fax: (270) 826-5090
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Mendel, Jessica MD
Provider ID: 1022540
Gender: Female
Mfm of Henderson
North Elm
2000 N Elm St Ste 1A
Henderson, KY 42420
(270) 869-0401
Fax: (270) 869-0210
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Moore, Paul MD
Provider ID: 605205
Gender: Male
Methodist Family
Medicine of Hender
110 3rd St Ste 250
Henderson, KY 42420
(270) 826-0135
Fax: (270) 827-8798
00 Yrs/99 Yrs
Methodist Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Rightmyer, Gerald MD
Wellington, Brian DO
Provider ID: 1036857
Provider ID: 787358
Gender: Male
Gender: Male
One Health Henderson
Mfm of Henderson Ste 1 3135 Zion Rd Ste B
1413 N Elm St Ste 203
Henderson, KY 42420
Henderson, KY 42420
(270) 826-9444
(270) 830-6100
Fax: (270) 826-9002
Fax: (270) 827-8910
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Methodist Hospital
PCMH: No
M-F 8:00 AM - 5:00 PM
Wilder, Thearon MD
PCMH: No
Provider ID: 596064
Rightmyer, Gerald MD
Gender: Male
Mfm of Henderson
Provider ID: 596042
Atkinson
Gender: Male
1413 N Elm St Ste 201
Methodist Physician
Henderson, KY 42420
Services
(270) 827-8662
318 8th St Ste 1
Fax: (270) 826-8220
Henderson, KY 42420
00 Yrs/99 Yrs
(270) 827-5657
Methodist Hospital
Fax: (270) 827-8833
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
Methodist Hospital
Federally Qualified
M-F 8:00 AM - 5:00 PM
Health Center
PCMH: No
Regional Health Care
Rightmyer, Gerald MD
Affiliates Inc
Provider ID: 1211704
Provider ID: 596053
Cabell Platt Medical
Gender: Male
Center
Mfm of Henderson 8th
700 Dr Martin Luther
St Ste 1
King Jr Ave
319 8th St Ste 1
Henderson, KY 42420
Henderson, KY 42420
(270) 826-4800
(270) 827-5657
Fax: (270) 826-5090
Fax: (270) 827-8833
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Methodist Hospital
PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 11
06/01/2016
Primary Care Physicians
Henderson
General Practice
Obstetrics/Gynecology
Sandoval, Armando MD
Provider ID: 596054
Gender: Male
Armando C Sandoval
MD
1413 N Elm St Ste 101
Henderson, KY 42420
(270) 827-9803
Fax: (270) 827-8966
05 Yrs/99 Yrs
Methodist Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Bryant, Katherine MD
Provider ID: 985636
Gender: Female
Methodist Womens
Services
736 N Elm St
Henderson, KY 42420
(270) 827-4000
Fax: (270) 827-5325
00 Yrs/99 Yrs
Methodist Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Internal Medicine
Maddela, Zenaida MD
Provider ID: 595939
Gender: Female
Zenaida A Maddela MD
1413 N Elm St Ste 206
Henderson, KY 42420
(270) 826-9595
Fax: (270) 826-3656
00 Yrs/99 Yrs
Methodist Hospital
Languages: Tagalog
M-F 9:00 AM - 5:00 PM
PCMH: No
Yousef, Bassam MD
Provider ID: 609791
Gender: Male
Bassam Yousef MD
110 3rd St Ste 370
Henderson, KY 42420
(270) 869-8376
Fax: (270) 869-8584
18 Yrs/99 Yrs
Languages: Arabic
M-F 9:00 AM - 5:00 PM
PCMH: No
Crick, Larry MD
Provider ID: 812208
Gender: Male
Methodist Pediatrics
2000 N Elm St Ste 1B
Henderson, KY 42420
(270) 844-8144
Fax: (270) 844-8145
00 Yrs/21 Yrs
Methodist Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Ervin, Eric MD
Provider ID: 812165
Gender: Male
Van Orsdoll, Christopher Methodist Pediatrics
DO
Imperial
Provider ID: 1160461
110 Third St Ste 180
Gender: Male
Henderson, KY 42420
Regional Health Care
(270) 827-3573
Affiliates, In
Fax: (270) 827-1250
700 Dr Martin Luther
00 Yrs/21 Yrs
King Jr Ave
Methodist Hospital
Henderson, KY 42420
M-F 8:00 AM - 5:00 PM
(270) 826-4800
PCMH: No
Fax: (270) 826-5090
12 Yrs/99 Yrs
Farmer, Rachel MD
M-F 8:00 AM - 5:00 PM
Provider ID: 615110
PCMH: No
Gender: Female
Henderson Pediatrics
Pediatrics
PSC
1035 N Elm St
Crick, Larry MD
Henderson, KY 42420
Provider ID: 812203
(270) 827-4596
Gender: Male
Fax: (270) 826-2838
Methodist Pediatrics
00 Yrs/21 Yrs
Imperial
Methodist Hospital
110 3rd St Ste 180
M-F 8:30 AM - 4:30 PM
Henderson, KY 42420
PCMH: No
(270) 827-3573
Fax: (270) 827-1250
00 Yrs/21 Yrs
Methodist Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 12
Farmer, Rachel MD
Provider ID: 794245
Gender: Female
Deaconess Clinic
Henderson Pediatri
1035 N Elm St
Henderson, KY 42420
(270) 827-4596
Fax: (270) 826-2838
00 Yrs/21 Yrs
Methodist Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Fife, Joshua DO
Provider ID: 1143101
Gender: Male
Methodist Pediatrics
Imperial
110 3rd St Ste 180
Henderson, KY 42420
(270) 827-3573
Fax: (270) 827-1250
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Fife, Kelly MD
Provider ID: 812210
Gender: Male
Methodist Pediatrics
Imperial
110 3rd St Ste 180
Henderson, KY 42420
(270) 827-3573
Fax: (270) 827-1250
00 Yrs/21 Yrs
Methodist Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Henderson
Pediatrics - cont.
Fife, Kelly MD
Provider ID: 812214
Gender: Male
Methodist Pediatrics
2000 N Elm St Ste 1B
Henderson, KY 42420
(270) 844-8144
Fax: (270) 844-8145
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Jenkins, John MD
Provider ID: 605054
Gender: Male
Methodist Continuity
Care Clinic
411 Letcher St
Henderson, KY 42420
(270) 831-7950
Fax: (270) 831-7824
00 Yrs/19 Yrs
MWTH 8:30 AM - 4:30
PM
T 8:30 AM - 11:30 PM
F 8:30 AM - 12:00 PM
PCMH: No
Kumaravelu,
Kumarasooriyar MD
Provider ID: 1134469
Gender: Male
Regional Health Care
Affiliates Inc
472 Klutey Park Plaza Dr
Ste B
Henderson, KY 42420
(270) 826-5522
Fax: (270) 826-5525
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Kumaravelu,
Kumarasooriyar MD
Provider ID: 1160451
Gender: Male
Regional Health Care
Affiliates, In
700 Dr Martin Luther
King Jr Ave
Henderson, KY 42420
(270) 826-4800
Fax: (270) 826-5090
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Kumaravelu,
Kumarasooriyar MD
Provider ID: 1134470
Gender: Male
Regional Health Care
Affiliates Inc
700 Dr Martin Luther
King Jr Blvd
Henderson, KY 42420
(270) 826-5522
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Liles, Jennifer MD
Provider ID: 642074
Gender: Female
Methodist Pediatrics
2000 N Elm St Ste 1B
Henderson, KY 42420
(270) 844-8144
Fax: (270) 844-8145
00 Yrs/21 Yrs
Methodist Hospital
Methodist Hospital
Union
M-F 8:00 AM - 5:00 PM
PCMH: No
Neel, Donald MD
Provider ID: 1057955
Gender: Male
Regional Health Care
Affiliates Inc
472 Klutey Park Plaza Dr
Ste B
Henderson, KY 42420
(270) 826-5522
Fax: (270) 826-5525
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Neel, Donald MD
Provider ID: 1160457
Gender: Male
Regional Health Care
Affiliates, In
700 Dr Martin Luther
King Jr Ave
Henderson, KY 42420
(270) 826-4800
Fax: (270) 826-5090
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Singh, Poonam MD
Provider ID: 1146007
Gender: Female
Regional Health Care
Affiliates, In
472 Klutey Park Plaza Dr
Ste B
Henderson, KY 42420
(270) 826-5522
Fax: (270) 826-5525
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 13
Singh, Poonam MD
Provider ID: 1160458
Gender: Female
Regional Health Care
Affiliates, In
700 Dr Martin Luther
King Jr Ave
Henderson, KY 42420
(270) 826-4800
Fax: (270) 826-5090
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Hopkins
Family Practice
Alexis, Brian DO
Provider ID: 1199473
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 7:00 AM - 8:00 PM
Sat-Sun 8:00 AM - 5:00
PM
PCMH: No
Bowles, James MD
Provider ID: 595987
Gender: Male
Baptist Health Medical
Group Inc
200 Clinic Dr 1st Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Bowles, James MD
Provider ID: 1185609
Gender: Male
Baptist Health Medical
Group
225 Industrial Park Rd
Dawson Springs, KY
42408
(270) 797-3521
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Farmer, John MD
Provider ID: 631057
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Fazenbaker, Stacey MD
Provider ID: 621994
Gender: Female
Commonwealth
Biomedical Research LL
240 E Ayr Pkwy
Madisonville, KY 42431
(270) 825-8345
Fax: (270) 825-2975
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Fazenbaker, Stacey MD
Provider ID: 631356
Gender: Female
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Galloway, Abraham MD
Provider ID: 615123
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Hanke, Forrest MD
Provider ID: 596013
Gender: Male
Baptist Health Medical
Group Inc
200 Clinic Dr 4th Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Gilkey, Sandra MD
Hargrove, Kenneth MD
Provider ID: 615071
Gender: Female
Sandra Capps Gilkey MD Provider ID: 630961
Gender: Male
LLC
Baptist Health Medical
5758 Nortonville Rd
Group Inc
Nortonville, KY 42442
200 Clinic Dr 3rd Fl
(270) 669-9028
Madisonville, KY 42431
Fax: (270) 669-9029
(270) 825-7200
00 Yrs/99 Yrs
16 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Owensboro Health
PCMH: No
Muhlenberg Community
Hack, Michael MD
Ho
Provider ID: 748544
M-F 8:00 AM - 5:00 PM
Gender: Male
PCMH: No
Baptist Health Medical
Henson, Tara MD
Group Inc
Provider ID: 1139557
225 Industrial Park Rd
Gender: Female
Dawson Springs, KY
Regional Health Care
42408
Affiliates Inc
(270) 797-3521
107 E Main St
Fax: (270) 797-3292
Earlington, KY 42410
00 Yrs/99 Yrs
(270) 905-4084
M-F 8:00 AM - 5:00 PM
Fax: (270) 905-4087
PCMH: No
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 14
06/01/2016
Primary Care Physicians
Hopkins
Family Practice - cont.
Henson, Tara MD
Provider ID: 1064438
Gender: Female
Baptist Health Medical
Group Inc
200 Clinic Dr 1st Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Holzknecht, Robert MD
Provider ID: 622027
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Jamora, David MD
Provider ID: 951362
Gender: Male
Baptist Health Medical
Group Inc
500 Clinic Dr
Madisonville, KY 42431
(270) 707-4262
Fax: (270) 707-4280
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Johnson, Beverly MD
Provider ID: 1180817
Gender: Female
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 7:00 AM - 8:00 PM
Sat-Sun 8:00 AM - 5:00
PM
PCMH: No
Jones, Kent MD
Provider ID: 596023
Gender: Male
Baptist Health Medical
Group Inc
200 Clinic Dr 5th Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Jones, Jayna MD
Provider ID: 595698
Gender: Female
Bridgewater Medical
Center
2100 N Main St
Madisonville, KY 42431
(270) 821-6262
Fax: (270) 821-6272
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:30 AM - 5:00 PM
PCMH: No
Larsen, Ferris MD
Provider ID: 1139571
Gender: Male
Regional Health Care
Affiliates, In
107 E Main St
Earlington, KY 42410
(270) 905-4084
Fax: (270) 905-4087
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
McClure, William MD
Provider ID: 595912
Gender: Male
Baptist Health Medical
Group Inc
200 Clinic Dr 1st Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
Jennie Stuart Medical
Center
M-F 8:00 AM - 5:00 PM
PCMH: No
Leigh, Lynn MD
Provider ID: 628762
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
McGhee, Timothy MD
Provider ID: 630859
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Jones, Kent MD
Provider ID: 1158335
Gender: Male
Baptist Health Medical
Group Inc
1756 E Center St
Madisonville, KY 42431
(270) 821-3300
Fax: (270) 326-4968
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 15
Lineberry, Tristan MD
Provider ID: 1139575
Gender: Male
Regional Health Care
Affiliates, In
107 E Main St
Earlington, KY 42410
(270) 905-4084
Fax: (270) 905-4087
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Mycle, Noble MD
Provider ID: 1124924
Gender: Male
Baptist Health Medical
Group Inc
200 Clinic Dr 1st Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Hopkins
Family Practice - cont.
Nims, Diana MD
Provider ID: 667070
Gender: Female
Baptist Health Medical
Group Inc
200 Clinic Dr 1st Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Smith, Kevin DO
Provider ID: 1183202
Gender: Male
Baptist Health Medical
Group Inc
200 Clinic Dr
Madisonville, KY 42431
(270) 825-7268
Fax: (270) 825-6615
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Tackett, Mark MD
Provider ID: 630573
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Tawwab, Anam MD
Provider ID: 1024772
Gender: Female
Baptist Health Medical
Group Inc
200 Clinic Dr 1st Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Vincent, Thomas DO
Provider ID: 1165753
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 7:00 AM - 8:00 PM
Sat-Sun 8:00 AM - 5:00
PM
PCMH: No
Thomas, James MD
Provider ID: 1104616
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Whitmer, Stephanie MD
Provider ID: 815798
Gender: Female
Baptist Health Medical
Group
200 Clinic Dr
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Uddin, Faiz MD
Provider ID: 1074162
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 7:00 AM - 8:00 PM
Sat-Sun 8:00 AM - 5:00
PM
PCMH: No
Wood, Robert MD
Provider ID: 596067
Gender: Male
Baptist Health Medical
Group Inc
200 Clinic Dr 1st Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 16
General Practice
Goodale, Dianne MD
Provider ID: 596072
Gender: Female
Baptist Health Medical
Group Inc
200 Clinic Dr 4th Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Moore, Jonathan MD
Provider ID: 1187179
Gender: Male
Baptist Health Medical
Group Inc
200 Clinic Dr
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Internal Medicine
Amundson, Craig MD
Provider ID: 631004
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Hopkins
Internal Medicine - cont.
Pediatrics
Kovtun, Natalia MD
Provider ID: 595926
Gender: Female
Baptist Health Medical
Group Inc
200 Clinic Dr 3rd Fl
Madisonville, KY 42431
(270) 825-7200
18 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Buchanan, Sheena MD
Provider ID: 1165487
Gender: Female
Baptist Health Medical
Group Inc
200 Clinic Dr 2nd Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Kilgore, April MD
Provider ID: 1036981
Gender: Female
Baptist Health Medical
Group Inc
200 Clinic Dr 2nd Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/21 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Dodds, Carey MD
Kumaravelu,
Provider ID: 595161
Kumarasooriyar MD
Obstetrics/Gynecology
Gender: Female
Provider ID: 1134309
Pediatric Health Group
Gender: Male
Bryant, Suzanne MD
PSC
Regional Health Care
Provider ID: 1199496
550 Hospital Dr
Affiliates Inc
Gender: Female
Madisonville, KY 42431
107 E Main St
Baptist Health Medical
(270) 824-9898
Earlington, KY 42410
Group Inc
Fax: (270) 824-9185
(270) 905-4084
800 Hospital Dr
00 Yrs/18 Yrs
Fax: (270) 905-4087
Madisonville, KY 42431
Baptist Health
00 Yrs/18 Yrs
(270) 326-3900
Madisonville
M-F 8:00 AM - 5:00 PM
Fax: (270) 326-0905
MW 8:00 AM - 5:00 PM
PCMH: No
00 Yrs/99 Yrs
TTHF 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Neel, Donald MD
PCMH: No
PCMH: No
Provider ID: 1139596
Jones, Michael MD
Gender: Male
Van Orsdoll, Christopher Provider ID: 618360
Regional Health Care
DO
Gender: Male
Affiliates, In
Provider ID: 1139604
Bridgewater Medical
107 E Main St
Gender: Male
Center
Earlington, KY 42410
Regional Health Care
2100 N Main St
(270) 905-4084
Affiliates, In
Madisonville, KY 42431
Fax: (270) 905-4087
107 E Main St
(270) 821-6262
00 Yrs/99 Yrs
Earlington, KY 42410
Fax: (270) 821-6272
M-F 8:00 AM - 5:00 PM
(270) 905-4084
00 Yrs/99 Yrs
PCMH: No
Fax: (270) 905-4087
M-F 8:00 AM - 5:00 PM
12 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 17
Quijano, Rennan MD
Provider ID: 600063
Gender: Male
Pediatric Health Group
PSC
550 Hospital Dr
Madisonville, KY 42431
(270) 824-9898
Fax: (270) 824-9185
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Singh, Poonam MD
Provider ID: 1164524
Gender: Female
Regional Health Care
Affiliates Inc
107 E Main St
Earlington, KY 42410
(270) 905-4084
Fax: (270) 905-4087
00 Yrs/18 Yrs
Languages: Hindi, Punjabi
M-F 8:00 AM - 5:00 PM
PCMH: No
Suarez, Angeli MD
Provider ID: 618752
Gender: Male
Pediatric Health Group
PSC
550 Hospital Dr
Madisonville, KY 42431
(270) 824-9898
Fax: (270) 824-9185
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Hopkins
Pediatrics - cont.
Woods, Aubaine MD
Provider ID: 935370
Gender: Female
Baptist Health Medical
Group Inc
200 Clinic Dr 2nd Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 18
06/01/2016
Primary Care Physicians
McLean
Family Practice
Crump Jr, William MD
Provider ID: 761716
Gender: Male
Regional Health Care
Affiliates
295 Main St
Calhoun, KY 42327
(270) 273-9310
Fax: (270) 273-9314
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Henson, Tara MD
Provider ID: 597128
Gender: Female
Healthcare First Comm
Health Center-Prov
295 Main St
Calhoun, KY 42327
(270) 273-9310
Fax: (270) 273-9314
00 Yrs/99 Yrs
Baptist Health
Madisonville
Languages: Spanish,
Serbo-Croation, Sindhi
M-F 8:00 AM - 5:00 PM
PCMH: No
Jones, Jayna MD
Provider ID: 595720
Gender: Female
Bridgewater Medical
Center
760 Main St
Sacramento, KY 42372
(270) 736-2444
Fax: (270) 736-2442
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 9:00 AM - 5:00 PM
PCMH: No
Lineberry, Tristan MD
Provider ID: 752151
Gender: Male
Health First CHC Calhoun
295 Main St
Calhoun, KY 42327
(270) 273-9310
Fax: (270) 273-9314
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Internal Medicine
Moolani, Mahesh MD
Provider ID: 812542
Gender: Male
Owensboro Medical
Practice Group
215 Hill St
Livermore, KY 42352
(270) 278-2531
Fax: (270) 278-9221
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Patel, Shirishkumar MD
Provider ID: 987895
Gender: Male
Owensboro Medical
Practice Group
215 Hill St
Livermore, KY 42352
(270) 278-2531
Fax: (270) 278-9221
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Pediatrics
Jones, Michael MD
Provider ID: 618357
Gender: Male
Bridgewater Medical
Center
760 Main St
Sacramento, KY 42372
(270) 736-2444
Fax: (270) 736-2442
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Kumaravelu,
Kumarasooriyar MD
Provider ID: 1134466
Gender: Male
Regional Health Care
Affiliates Inc
295 Main St
Calhoun, KY 42327
(270) 273-9310
Fax: (270) 273-9314
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Singh, Poonam MD
Provider ID: 1146005
Gender: Female
Regional Health Care
Affiliates, In
295 Main St
Calhoun, KY 42327
(270) 273-9310
Fax: (270) 273-9314
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 19
06/01/2016
Primary Care Physicians
Muhlenberg
Family Practice
Holt, Terry MD
Provider ID: 722075
Gender: Male
Central City Clinic
101 Legion Dr
Central City, KY 42330
(270) 757-0014
Fax: (270) 757-0020
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Chaney, Brian MD
Provider ID: 596571
Gender: Male
MS Community Health
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
Fax: (270) 338-0229
00 Yrs/99 Yrs
Owensboro Health
Muhlenberg Community Holt, Terry MD
Ho
Provider ID: 1130491
M-F 9:00 AM - 5:00 PM
Gender: Male
PCMH: No
One Health Rapid Care
440 Hopkinsville St
Chappell, Kristy MD
Greenville, KY 42345
(270) 338-8302
Provider ID: 1124885
Fax: (270) 338-8427
Gender: Female
00 Yrs/99 Yrs
MS Community Health
M-F 8:00 AM - 5:00 PM
1010 Medical Center Dr
PCMH: No
Powderly, KY 42367
(270) 377-1600
Fax: (270) 338-0229
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Hack, Michael MD
Provider ID: 1212201
Gender: Male
Baptist Health Medical
Group Inc
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Holzknecht, Robert MD
Napier, Shane DO
Provider ID: 759057
Gender: Male
Shane Napier DO
101 Legion Dr
Central City, KY 42330
(270) 754-7227
Fax: (270) 754-7230
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Napier, Shane DO
Provider ID: 817945
Gender: Male
Shane Napier DO
211 S Cherry St
Greenville, KY 42345
(270) 754-7227
Fax: (270) 377-1953
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Provider ID: 904443
Gender: Male
One Health Greenville
601 Greene Dr
Greenville, KY 42345
(270) 338-0600
Fax: (270) 338-0605
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Napier, Shane DO
Provider ID: 1196504
Gender: Male
Community Health
Centers of Western
226 Hopkinsville St
Greenville, KY 42345
(270) 377-3077
Fax: (270) 377-3002
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Napier, Shane DO
Provider ID: 1142957
Gender: Male
One Health Family
Medicine Central
101 Legion Dr Ste 2
Central City, KY 42330
(270) 754-7227
Fax: (270) 754-7230
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Napier, Shane DO
Provider ID: 1196506
Gender: Male
Community Health
Centers of Western
480 Hopkinsville St
Greenville, KY 42345
(270) 338-5777
Fax: (270) 338-5765
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
www.wellcare.com/Kentucky | 20
Napier, Shane DO
Provider ID: 1196507
Gender: Male
Community Health
Centers of Western
504 Hopkinsville St
Greenville, KY 42345
(270) 338-6488
Fax: (270) 338-7868
00 Yrs/99 Yrs
M-F 8:00 AM - 5:30 PM
PCMH: No
Pisarewicz, Katarzyna
MD
Provider ID: 1081151
Gender: Female
MS Community Health
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
Fax: (270) 338-0229
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Prunty, Marshall MD
Provider ID: 782278
Gender: Male
One Health Greenville
601 Greene Dr
Greenville, KY 42345
(270) 338-0600
Fax: (270) 338-0605
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Rey, Jonathan MD
Provider ID: 1165694
Gender: Male
MS Community Health
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
Fax: (270) 338-0229
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Muhlenberg
Family Practice - cont.
Vincent, William MD
Provider ID: 609710
Gender: Male
MS Community Health
203 N 2nd St
Central City, KY 42330
(270) 377-1600
00 Yrs/99 Yrs
Owensboro Health
Muhlenberg Community
Ho
M-F 8:30 AM - 4:00 PM
PCMH: No
Zeller, Steven MD
Provider ID: 1153202
Gender: Male
Community Health
Centers of Western
226 Hopkinsville St
Greenville, KY 42345
(270) 377-3077
Fax: (270) 377-3002
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Zeller, Steven MD
Provider ID: 1153214
Gender: Male
Community Health
Centers of Western
480 Hopkinsville St
Greenville, KY 42345
(270) 338-5777
Fax: (270) 338-5765
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Zeller, Steven MD
Provider ID: 1153215
Gender: Male
Community Health
Centers of Western
504 Hopkinsville St
Greenville, KY 42345
(270) 338-6488
Fax: (270) 338-7868
00 Yrs/99 Yrs
M-F 8:00 AM - 5:30 PM
PCMH: No
Federally Qualified
Health Center
Community Health
Centers of Western Ky
Provider ID: 617046
Community Health
Centers of Western
226 Hopkinsville St
Greenville, KY 42345
(270) 377-3077
Fax: (270) 377-3002
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Community Health
Centers of Western Ky
Provider ID: 616827
Community Health
Centers of Western
480 Hopkinsville St
Greenville, KY 42345
(270) 338-5777
Fax: (270) 338-5765
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Internal Medicine
Bandy, Eric MD
Provider ID: 627663
Gender: Male
MS Community Health
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
Fax: (270) 338-0229
15 Yrs/99 Yrs
MTWF 8:00 AM - 4:30
PM
TH 9:00 AM - 5:00 PM
PCMH: No
Lewis, Bracken MD
Provider ID: 1130494
Gender: Male
One Health Internal
Medicine Greenv
211 S Cherry St Ste 2
Greenville, KY 42345
(270) 377-1950
Fax: (270) 377-1953
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Patel, Shirishkumar MD
Provider ID: 622025
Gender: Male
Owensboro Medical
Practice Group
1100 W Everley Brothers
Blvd
Central City, KY 42330
(270) 757-9991
Fax: (270) 757-9943
12 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Sparks, Lee MD
Provider ID: 380500
Gender: Male
MS Community Health
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
Fax: (270) 338-0229
15 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
McGhee, William MD
Pediatrics
Provider ID: 764173
Buchanan Galyen, Billie
Gender: Male
MD
Community Health
Provider ID: 606138
Center of Western
Gender: Female
226 Hopkinsville St
Community Health
Greenville, KY 42345
Centers of Western
(270) 377-3077
226 Hopkinsville St
Fax: (270) 377-3002
Greenville, KY 42345
00 Yrs/99 Yrs
(270) 377-3077
Owensboro Health
Muhlenberg Community Fax: (270) 377-3002
00 Yrs/21 Yrs
Ho
M-F 8:00 AM - 4:30 PM
M-F 8:00 AM - 3:30 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 21
06/01/2016
Primary Care Physicians
Muhlenberg
Pediatrics - cont.
Buchanan Galyen, Billie
MD
Provider ID: 629619
Gender: Female
Community Health
Centers of Western
480 Hopkinsville St
Greenville, KY 42345
(270) 338-5777
Fax: (270) 338-5765
00 Yrs/21 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Galyen, Billie MD
Provider ID: 616296
Gender: Female
Community Health
Centers of Western
504 Hopkinsville St
Greenville, KY 42345
(270) 338-6488
Fax: (270) 338-6488
00 Yrs/19 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Primary Care Center
Galyen, Billie MD
Provider ID: 616296
Gender: Female
Community Health
Centers of Western
504 Hopkinsville St
Greenville, KY 42345
(270) 338-6488
Fax: (270) 338-6488
00 Yrs/19 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Hawkins, Susan MD
Provider ID: 616297
Gender: Female
Community Health
Centers of Western
504 Hopkinsville St
Greenville, KY 42345
(270) 338-6488
Fax: (270) 338-6488
00 Yrs/19 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Hawkins, Susan MD
Provider ID: 616297
Gender: Female
Community Health
Centers of Western
504 Hopkinsville St
Greenville, KY 42345
(270) 338-6488
Fax: (270) 338-6488
00 Yrs/19 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
www.wellcare.com/Kentucky | 22
06/01/2016
Primary Care Physicians
Ohio
Family Practice
Cole, Darby MD
Provider ID: 631050
Gender: Male
Owensboro Health
Multicare Ohio Cou
1213 N Main St
Beaver Dam, KY 42320
(270) 274-4771
Fax: (270) 274-4884
00 Yrs/99 Yrs
Ohio County Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Durham, Bruce MD
Provider ID: 908646
Gender: Male
Ohio County Family
Care Hartford
20 E McMurtry Ave
Hartford, KY 42347
(270) 504-1300
Fax: (270) 504-1380
00 Yrs/99 Yrs
Ohio County Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Garrett, Heather MD
Provider ID: 1158409
Gender: Female
Ohio County Family
Care Beaver Dam
1313 N Main St
Beaver Dam, KY 42320
(270) 274-0134
Fax: (270) 274-9953
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Garrett, Heather MD
Provider ID: 597156
Gender: Female
Ohio County Family
Care Hartford
20 McMurtry Ave
Hartford, KY 42347
(270) 504-1300
Fax: (270) 504-1380
00 Yrs/99 Yrs
Ohio County Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Garrett, Heather MD
Provider ID: 1158408
Gender: Female
Fordsville Area Medical
Clinic
44 W Main St
Fordsville, KY 42343
(270) 276-9953
Fax: (270) 276-9958
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Luceno, Gilbert MD
Provider ID: 1094391
Gender: Male
Ohio County Family
Care Beaver Dam
1313 N Main St
Beaver Dam, KY 42320
(270) 274-9928
Fax: (270) 274-0134
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Luceno, Gilbert MD
Provider ID: 1094395
Gender: Male
Ohio County Family
Care Beaver Dam
1520 N Main St
Beaver Dam, KY 42320
(270) 274-7104
Fax: (270) 274-9698
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
PCMH: No
Luceno, Gilbert MD
Provider ID: 1094397
Gender: Male
Ohio County Family
Care Hartford
20 McMurtry Ave
Hartford, KY 42347
(270) 504-1300
Fax: (270) 504-1380
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Mills, Steven DO
Provider ID: 597201
Gender: Male
Doctors Clinic Phio
County Family C
20 E McMurtry Ave
Hartford, KY 42347
(270) 504-1315
Fax: (270) 504-1380
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 23
Mills, Steven DO
Provider ID: 755103
Gender: Male
Fordsville Area Medical
Clinic
44 W Main St
Fordsville, KY 42343
(270) 276-9953
Fax: (270) 276-9958
00 Yrs/99 Yrs
MT 8:00 AM - 5:30 PM
PCMH: No
Miranda, Christel MD
Provider ID: 1088245
Gender: Female
Ohio County Family
Care Beaver Dam
1313 N Main St
Beaver Dam, KY 42320
(270) 274-9928
Fax: (270) 274-0134
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Miranda, Christel MD
Provider ID: 1088246
Gender: Female
Ohio County Family
Care Beaver Dam
1520 N Main St
Beaver Dam, KY 42320
(270) 274-7104
Fax: (270) 274-9698
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Ohio
Family Practice - cont.
Miranda, Christel MD
Provider ID: 1088247
Gender: Female
Ohio County Family
Care Hartford
20 McMurtry Ave
Hartford, KY 42347
(270) 504-1300
Fax: (270) 504-1380
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 24
06/01/2016
Primary Care Physicians
Todd
Family Practice
Campbell, Mark MD
Provider ID: 618308
Gender: Male
Fairview Physicians
Network DBA Tre
120 N Main St
Trenton, KY 42286
(270) 466-9300
Fax: (270) 466-3300
00 Yrs/99 Yrs
MTWF 9:00 AM - 5:00
PM
TH 9:00 AM - 8:00 PM
PCMH: No
Campbell, Mark MD
Provider ID: 830133
Gender: Male
Fairview Physicians
Network LLC DBA
120 N Main St
Trenton, KY 42286
(270) 466-9300
Fax: (270) 466-3300
00 Yrs/99 Yrs
Jennie Stuart Medical
Center
M-F 8:00 AM - 5:00 PM
PCMH: No
Grabenstein, Thomas
MD
Provider ID: 922824
Gender: Male
Helping Hands Health
Clinic Inc DBA
810 S Main St
Elkton, KY 42220
(270) 265-5600
Fax: (270) 265-5655
00 Yrs/99 Yrs
Jennie Stuart Medical
Center
M-F 8:00 AM - 5:00 PM
PCMH: No
Grabenstein, Thomas
MD
Provider ID: 1196473
Gender: Male
Helping Hands Health
Clinic, Inc
810 South Main St
Elkton, KY 42220
(270) 253-5600
Fax: (270) 265-5605
00 Yrs/99 Yrs
M-F 7:30 AM - 4:30 PM
PCMH: No
Internal Medicine
Chavda, Geeta MD
Provider ID: 630439
Gender: Female
Bell Clinic PLLC
105 Elk Fork Rd
Elkton, KY 42220
(270) 265-2574
Fax: (270) 265-3098
12 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 3:00 PM
PCMH: No
Majmudar, Manoj MD
Provider ID: 692307
Gender: Male
Elkton Clinic PSC
713 W Main St
Elkton, KY 42220
(270) 886-8840
Fax: (270) 886-8869
00 Yrs/99 Yrs
Jennie Stuart Medical
Center
M-F 8:30 AM - 4:00 PM
PCMH: No
Pediatrics
Kumaravelu,
Kumarisooriyar MD
Provider ID: 940281
Gender: Male
Bell Clinic PLLC
105 Elk Fork Rd
Elkton, KY 42220
(270) 265-2574
Fax: (270) 265-3098
00 Yrs/21 Yrs
Jennie Stuart Medical
Center
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 3:00 PM
PCMH: No
Rural Health Center
Helping Hands Health
Clinic Inc
Provider ID: 1211652
Blount Rural Health
Center
810 South Main St
Elkton, KY 42220
(270) 253-5600
Fax: (270) 265-5605
00 Yrs/99 Yrs
M-F 7:30 AM - 4:30 PM
PCMH: No
www.wellcare.com/Kentucky | 25
06/01/2016
Primary Care Physicians
Trigg
Family Practice
Godwin, Shea MD
Provider ID: 597002
Gender: Female
Shea Godwin MD
250 Main St Ste D
Cadiz, KY 42211
(270) 522-6963
00 Yrs/99 Yrs
Trigg County Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Federally Qualified
Health Center
Trigg County Hospital
Provider ID: 642062
254 Main St
Cadiz, KY 42211
(270) 522-3215
Fax: (270) 522-6974
00 Yrs/99 Yrs
PCMH: No
General Practice
Johnson, Beverly MD
Brazil, James MD
Provider ID: 937122
Provider ID: 631042
Gender: Female
Gender: Male
Trigg County Primary
Trigg County Primary
Care
Care
214 Main St
250 Main St
Cadiz, KY 42211
Cadiz, KY 42211
(270) 522-0898
(270) 522-0898
Fax: (270) 522-5636
Fax: (270) 522-5636
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM 00 Yrs/99 Yrs
Trigg County Hospital
PCMH: No
MWTHF 8:00 AM - 4:30
PM
Patel, Vaishali MD
T 8:00 AM - 12:00 PM
Provider ID: 1158453
PCMH: No
Gender: Female
Maanya LLC DBA Trigg
Internal Medicine
County Medical
250 Main St Ste A
Christopher, Julie MD
Cadiz, KY 42211
Provider ID: 1128807
(270) 350-4504
Gender: Female
Fax: (270) 350-4590
Trigg County Primary
00 Yrs/99 Yrs
Care
M-F 8:00 AM - 5:00 PM
250 Main St Ste A
PCMH: No
Cadiz, KY 42211
(270) 522-3444
Fax: (270) 522-3425
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Patel, Harshul MD
Provider ID: 1158452
Gender: Male
Maanya LLC DBA Trigg
County Medical
250 Main St Ste A
Cadiz, KY 42211
(270) 350-4504
Fax: (270) 350-4590
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Rural Health Center
Trigg County Primary
Care
Provider ID: 648935
214 Main St
Cadiz, KY 42211
(270) 522-0898
Fax: (270) 522-5636
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 26
06/01/2016
Primary Care Physicians
Union
Family Practice
Obstetrics/Gynecology
Clapp, William MD
Provider ID: 670967
Gender: Male
Methodist Family
Practice
1284 US Hwy 60 W
Morganfield, KY 42437
(270) 389-2323
Fax: (270) 389-0526
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Bryant, Katherine MD
Provider ID: 1186448
Gender: Female
Methodist Women's
Services
4604 US Hwy 60 W
Morganfield, KY 42437
(270) 827-4000
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Mosley, Jonathan DO
Provider ID: 700749
Gender: Male
Methodist Family
Practice
1284 US Hwy 60 W
Morganfield, KY 42437
(270) 389-2323
Fax: (270) 389-0526
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Wallace, Debra MD
Provider ID: 605225
Gender: Female
Methodist Family
Practice
1284 US Hwy 60 W
Morganfield, KY 42437
(270) 389-2323
Fax: (270) 389-0526
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 27
06/01/2016
Primary Care Physicians
Webster
Family Practice
Crump, William MD
Cole, Kelly DO
Provider ID: 935372
Gender: Female
Methodist Family
Medicine of Provid
121 E Main St
Providence, KY 42450
(270) 667-2412
Fax: (270) 667-7518
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
PCMH: No
Provider ID: 617050
Gender: Male
Health First Community
Health Care
215 E Main St
Providence, KY 42450
(270) 667-7017
Fax: (270) 667-9065
00 Yrs/99 Yrs
MWTHF 8:00 AM - 5:00
PM
T 8:00 AM - 7:00 PM
PCMH: No
Cole, Kelly DO
Provider ID: 935375
Gender: Female
Webster County Family
Medicine
1355 US Hwy 41A S
Dixon, KY 42409
(270) 639-9101
Fax: (270) 639-9332
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Crump, William MD
Provider ID: 619448
Gender: Male
Health First Community
Health Center
9086 State Rd 132 W
Clay, KY 42404
(270) 664-2526
Fax: (270) 664-6082
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Crump, William MD
Provider ID: 1074824
Gender: Male
Regional Health Care
Affiliates, In
215 E Main St
Providence, KY 42450
(270) 667-7017
Fax: (270) 667-5956
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Henson, Tara MD
Provider ID: 597129
Gender: Female
Healthcare First Comm
Health Center-Prov
9086 State Rd 132 W.
Clay, KY 42404
(270) 664-2526
Fax: (270) 664-9082
00 Yrs/99 Yrs
Baptist Health
Madisonville
Languages: Spanish,
Serbo-Croation, Sindhi
M-F 8:00 AM - 5:00 PM
PCMH: No
Larsen, Ferris MD
Provider ID: 1086589
Gender: Male
Regional Health Care
Affiliates, In
215 E Main St
Providence, KY 42450
(270) 667-7017
Fax: (270) 667-5956
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Lineberry, Tristan MD
Provider ID: 617056
Gender: Male
Healthcare First Comm
Health Center-Prov
215 E Main St
Providence, KY 42450
(270) 667-7017
Fax: (270) 667-7735
00 Yrs/99 Yrs
Languages: Spanish,
Polish, Tagalog
M-F 8:00 AM - 5:00 PM
PCMH: Yes, Level 2
Lineberry, Tristan MD
Provider ID: 596022
Gender: Male
Health First CHC - Clay
9086 State Rte 132 W.
Clay, KY 42404
(270) 664-2526
Fax: (270) 664-6082
00 Yrs/99 Yrs
Languages: Hindi, Urdu,
Vietnamese, Polish
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 28
Federally Qualified
Health Center
Crump, William MD
Provider ID: 617050
Gender: Male
Health First Community
Health Care
215 E Main St
Providence, KY 42450
(270) 667-7017
Fax: (270) 667-9065
00 Yrs/99 Yrs
MWTHF 8:00 AM - 5:00
PM
T 8:00 AM - 7:00 PM
PCMH: No
Lineberry, Tristan MD
Provider ID: 617056
Gender: Male
Healthcare First Comm
Health Center-Prov
215 E Main St
Providence, KY 42450
(270) 667-7017
Fax: (270) 667-7735
00 Yrs/99 Yrs
Languages: Spanish,
Polish, Tagalog
M-F 8:00 AM - 5:00 PM
PCMH: Yes, Level 2
Regional Health Care
Affiliates Inc
Provider ID: 1124268
215 E Main St
Providence, KY 42450
(270) 667-7017
Fax: (270) 667-9065
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Primary Care Physicians
Webster
Obstetrics/Gynecology
Neel, Donald MD
Provider ID: 1057945
Van Orsdoll, Christopher Gender: Male
DO
Regional Health Care
Provider ID: 1074812
Affiliates Inc
Gender: Male
215 E Main St
Regional Health Care
Providence, KY 42450
Affiliates, In
(270) 667-7017
215 E Main St
Fax: (270) 667-5956
Providence, KY 42450
00 Yrs/18 Yrs
(270) 667-7017
M-F 8:00 AM - 5:00 PM
Fax: (270) 667-5956
PCMH: No
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Singh, Poonam MD
PCMH: No
Provider ID: 1146001
Gender: Female
Pediatrics
Regional Health Care
Affiliates, In
Kumaravelu,
215 E Main St
Kumarasooriyar MD
Providence, KY 42450
Provider ID: 1134461
(270) 667-7017
Gender: Male
Fax: (270) 667-5956
Regional Health Care
00 Yrs/18 Yrs
Affiliates Inc
M-F 8:00 AM - 5:00 PM
215 E Main St
PCMH: No
Providence, KY 42450
(270) 667-7017
Singh, Poonam MD
Fax: (270) 667-5956
Provider ID: 1146012
00 Yrs/18 Yrs
Gender: Female
M-F 8:00 AM - 5:00 PM
Regional Health Care
PCMH: No
Affiliates, In
9086 State Rte 132 W
Kumaravelu,
Clay, KY 42404
Kumarasooriyar MD
(270) 664-2526
Provider ID: 1134472
Fax: (270) 664-6082
Gender: Male
00 Yrs/18 Yrs
Regional Health Care
M-F 8:00 AM - 5:00 PM
Affiliates Inc
PCMH: No
9086 State Rte 132 W
Clay, KY 42404
(270) 664-2526
Fax: (270) 664-6082
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 29
06/01/2016
Specialty Physicians
Christian
Allergy & Immunology
Cardiology
Bressler, Robert MD
Bashian, Gregory MD
Provider ID: 635619
Provider ID: 658054
Gender: Male
Gender: Male
Kentenn Medical PSC
DBA Robert B. B
Centennial Heart LLC
114 Keeton Dr
1600 Canton St
Hopkinsville, KY 42240
Hopkinsville, KY 42240
(270) 886-0829
(615) 515-1900
Fax: (270) 885-6468
Fax: (866) 431-4695
00 Yrs/99 Yrs
18 Yrs/99 Yrs
M-TH 8:30 AM - 4:30 PM M 7:00 AM - 5:00 PM
PCMH: No
PCMH: No
Cardiac Electrophysiology Heatherly, Steven MD
Provider ID: 1014566
Bashian, Gregory MD
Gender: Male
Baptist Health Medical
Provider ID: 658054
Group Inc
Gender: Male
500 Clinic Dr
Centennial Heart LLC
Hopkinsville, KY 42240
1600 Canton St
(270) 707-3300
Hopkinsville, KY 42240
Fax: (270) 707-3351
(615) 515-1900
00 Yrs/99 Yrs
Fax: (866) 431-4695
M-F 8:00 AM - 5:00 PM
18 Yrs/99 Yrs
PCMH: No
M 7:00 AM - 5:00 PM
Schwender, Frank MD
PCMH: No
Provider ID: 603816
Schwender, Frank MD
Gender: Male
Provider ID: 603816
Southern Kentucky
Gender: Male
Heart Institute
Southern Kentucky
1724 Kenton St Ste 2E
Heart Institute
Hopkinsville, KY 42240
1724 Kenton St Ste 2E
(270) 874-2050
Hopkinsville, KY 42240
Fax: (270) 874-2052
(270) 874-2050
18 Yrs/99 Yrs
Fax: (270) 874-2052
The Medical Center
18 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
The Medical Center
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
Velaga, Rao MD
Provider ID: 752318
Gender: Male
Dr Rao Velaga PSC
1600 Canton St
Hopkinsville, KY 42240
(270) 886-0251
Fax: (270) 886-6965
18 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Velaga, Rao MD
Provider ID: 752318
Gender: Male
Jennie Stuart Medical
Center
320 W 18th St
Hopkinsville, KY 42240
(270) 886-0251
Fax: (270) 886-0252
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Chiropractic
Grant, Billy DC
Provider ID: 603211
Gender: Male
Billy D Grant DC
1483 Marie Dr
Hopkinsville, KY 42240
(270) 885-2351
Fax: (270) 885-2356
00 Yrs/99 Yrs
MWTH 8:00 AM - 6:00
PM
T 9:00 AM - 5:00 PM
F 8:00 AM - 12:00 PM
PCMH: No
www.wellcare.com/Kentucky | 30
Pound, Robert DC
Provider ID: 604757
Gender: Male
Pound Family
Chiropractic
1202 Skyline Dr
Hopkinsville, KY 42240
(270) 881-1005
Fax: (270) 881-4067
00 Yrs/99 Yrs
MWF 8:30 AM - 6:00 PM
T 8:30 AM - 5:00 PM
TH 8:30 AM - 11:00 PM
PCMH: No
Pound, Sheila DC
Provider ID: 604758
Gender: Female
Pound Family
Chiropractic
1202 Skyline Dr
Hopkinsville, KY 42240
(270) 881-1005
Fax: (270) 881-4067
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Dermatology
Parrent, Tanner MD
Provider ID: 1158458
Gender: Male
Fairview Physicians
Network LLC
231 Burley Ave
Hopkinsville, KY 42240
(270) 887-5640
Fax: (270) 886-5371
00 Yrs/99 Yrs
M-F 7:30 AM - 4:30 PM
PCMH: No
06/01/2016
Specialty Physicians
Christian
Ear, Nose & Throat
Gastroenterology
White, Tresa DMD
Chapman, Darren MD
Provider ID: TPV3240-01
Kaye, Mitchell MD
Riggs, Jeffrey DO
Provider ID: 603641
Gender: Female
Provider ID: 632079
Provider ID: 637515
Gender: Male
440 East 18th St
Gender: Male
Gender: Male
Baptist Health Medical
Hopkinsville, KY 42240
Mitchell D Kaye MD PSC Jeffrey K Riggs DO LLC
Group
(270) 886-0581
1011 S Main St
1102 S Virginia St
500 Clinic Dr
Fax: (270) 886-2547
Hopkinsville, KY 42240
Hopkinsville, KY 42240
Hopkinsville, KY 42240
00 Yrs/99 Yrs
(270) 886-0470
(270) 885-7300
(270) 707-3300
etresa@bellsouth.net
Fax: (270) 886-3802
Fax: (270) 885-7198
M-W 8:00 AM - 5:00 PM 00 Yrs/99 Yrs
00 Yrs/99 Yrs
14 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
General Surgery
PCMH: No
PCMH: No
Giannini, Jack MD
Logan, William MD
Riggs, Jeffrey DO
Armstrong, Aubrey MD
Provider ID: 646813
Provider ID: 604564
Provider ID: 764646
Provider ID: 675826
Gender: Male
Gender: Male
Gender: Male
Gender: Male
J. Thomas Giannini MD
Baptist Health Medical
Fairview Physicians
Little River Emergency
PSC
Group
Network LLC DBA
Physicians
220 W 18th St
500 Clinic Dr
227 Burley Ave
320 W 18th St
Hopkinsville, KY 42240
Hopkinsville, KY 42240
Hopkinsville, KY 42240
Hopkinsville, KY 42240
(270) 886-7512
(270) 707-3300
(270) 885-7300
(270) 887-0183
Fax: (270) 886-0174
00 Yrs/99 Yrs
Fax: (270) 885-7198
Fax: (270) 887-0736
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 4:00 PM
PCMH: No
Jennie Stuart Medical
Jennie Stuart Medical
PCMH: No
Center
Center
Peers, Christopher MD
M-TH 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Kabithe, David MD
Provider ID: 977589
F 8:00 AM - 12:00 PM
PCMH: No
Provider ID: 972451
Gender: Male
PCMH: No
Gender: Male
Armstrong, James MD
Fairview Physicians
General Dentistry
Baptist Health Medical
Provider ID: 999551
Network LLC DBA
Group
Gender: Male
1717 High St Ste 3B
Gamble, Marty DDS
500 Clinic Dr
Baptist Health Medical
Hopkinsville, KY 42240
Provider ID: TPV3078-01
Hopkinsville, KY 42240
Group
(270) 887-0082
Gender: Male
(270) 707-3300
500 Clinic Dr
Fax: (270) 890-0592
115 East Mill St
00 Yrs/99 Yrs
Hopkinsville, KY 42240
00 Yrs/99 Yrs
Crofton, KY 42217
Baptist Health
(270) 707-3300
Jennie Stuart Medical
(270) 424-5999
Madisonville Rehab
00 Yrs/99 Yrs
Center
Fax: (270) 424-5522
Distin
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
00 Yrs/20 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
croftondentalcenter@gmail.
PCMH: No
com
M-TH 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 31
06/01/2016
Specialty Physicians
Christian
General Surgery - cont.
Robinson, Matthew MD
Provider ID: 638861
Gender: Male
Fairview Physicians
Network LLC
1722 High St
Hopkinsville, KY 42240
(270) 885-8505
Fax: (270) 885-8564
00 Yrs/99 Yrs
M-TH 8:15 AM - 5:00 PM
F 8:15 AM - 12:00 PM
PCMH: No
Wells, Gerame MD
Provider ID: 762284
Gender: Male
Western Kentucky
Surgical Associate
1722 High St
Hopkinsville, KY 42240
(270) 885-8505
Fax: (270) 885-8564
00 Yrs/99 Yrs
M-TH 8:15 AM - 5:00 PM
F 8:15 AM - 12:00 PM
PCMH: No
Wells, Gerame MD
Provider ID: 762284
Gender: Male
Pennyrile General and
Weight Loss S
1724 Kenton St Ste 2B
Hopkinsville, KY 42240
(270) 632-4555
Fax: (270) 632-4556
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Hematology & Oncology
Nephrology
Gajera, Ratilal MD
Dosani, Imran MD
Provider ID: 626243
Provider ID: 966192
Gender: Male
Gender: Male
Gajera & Patel PLLC
Pennyrile Nephrology
Associates PSC
1717 High St Ste 1A
1724 Kenton St Ste 2F
Hopkinsville, KY 42240
Hopkinsville, KY 42240
(270) 885-0570
(270) 874-2107
Fax: (270) 885-0573
Fax: (270) 874-2108
00 Yrs/99 Yrs
M-W 8:00 AM - 5:00 PM 00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
TH 8:00 AM - 4:00 PM
PCMH: No
F 8:00 AM - 1:00 PM
PCMH: No
Haria, Dhiren MD
Provider ID: 622918
Patel, Ramesh MD
Gender: Male
Provider ID: 626244
Pennyrile Nephrology
Gender: Male
Associates PSC
Gajera & Patel PLLC
1724 Kenton St Ste 2F
1717 High St Ste 1A
Hopkinsville, KY 42240
Hopkinsville, KY 42240
(270) 874-2107
(270) 885-0570
Fax: (270) 874-2108
Fax: (270) 885-0573
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-W 8:00 AM - 5:00 PM Owensboro Health
Regional Hospital
TH 8:00 AM - 4:00 PM
M-F 8:00 AM - 5:00 PM
F 8:00 AM - 1:00 PM
PCMH: No
PCMH: No
Maternal Fetal Medicine Maru, Mahendra MD
Provider ID: 966196
Mayor-Lynn, Kathleen
Gender: Male
MD
Pennyrile Nephrology
Provider ID: 597277
Associates PSC
Gender: Female
1724 Kenton St Ste 2F
The Perinatal Group
Hopkinsville, KY 42240
1717 High St
(270) 874-2107
Hopkinsville, KY 42240
Fax: (270) 874-2108
(931) 572-0086
00 Yrs/99 Yrs
Fax: (931) 572-1078
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
Baptist Health
Madisonville Rehab
Distin
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 32
Mourad, Mohammad MD
Provider ID: 622938
Gender: Male
Pennyrile Nephrology
Associates PSC
1724 Kenton St Ste 2F
Hopkinsville, KY 42240
(270) 874-2107
Fax: (270) 874-2108
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Roginek, Ivan MD
Provider ID: 757544
Gender: Male
Nephrology Consultants
of Western K
1717 High St Ste 2A
Hopkinsville, KY 42240
(270) 632-4221
Fax: (270) 885-2041
00 Yrs/99 Yrs
Languages: SerboCroation
M-F 8:00 AM - 5:00 PM
PCMH: No
Roginek, Ivan MD
Provider ID: 627911
Gender: Male
Nephrology Consultants
of Western K
1717 High St Ste 2A
Hopkinsville, KY 42240
(270) 632-4221
Fax: (270) 885-2061
18 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Christian
Neurology
Colby, John MD
Provider ID: 627119
Gender: Male
John M Colby MD PLLC
1724 Kenton St Ste 1A
Hopkinsville, KY 42240
(270) 707-8077
Fax: (270) 707-8037
00 Yrs/99 Yrs
Jennie Stuart Medical
Center
M-F 8:30 AM - 4:30 PM
PCMH: No
Sheth, Paresh MD
Provider ID: 629779
Gender: Male
West Ky Neurological
Medicine PLLC
1721 Canton St
Hopkinsville, KY 42240
(270) 885-5003
Fax: (270) 885-5826
00 Yrs/99 Yrs
Languages: Hindi,
Gujarati
M-F 8:00 AM - 5:00 PM
PCMH: No
Neurosurgery
Periyanayagam,
Srinivasan MD
Provider ID: 751207
Gender: Male
Neurosurgery PSC
390 W 17th St
Hopkinsville, KY 42240
(270) 886-1944
Fax: (270) 886-2372
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Obstetrics/Gynecology
Murphy, Sandra MD
Provider ID: 1086974
Gender: Female
Fairview Physicians
Network LLC DBA
1717 High St Ste 2B
Hopkinsville, KY 42240
(270) 985-1376
Fax: (270) 890-6036
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Occupational Medicine
Vance, Joseph MD
Provider ID: 764664
Gender: Male
West Kentucky
Orthopeadics & Sports
105 Keeton Dr
Hopkinsville, KY 42240
(270) 889-0701
Fax: (270) 889-0556
16 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Vance, Joseph MD
Provider ID: 764664
Gender: Male
Jennie Stuart Medical
Center DBA Oc
320 W 18th St
Hopkinsville, KY 42240
(270) 887-0270
Fax: (270) 886-3969
16 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Ophthalmology
Optician
Calvert, Harold MD
Provider ID: TPV3375-04
Gender: Male
100 Keeton DR
Hopkinsville, KY 42240
(270) 886-2050
Fax: (270) 886-2007
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Holmes, Anita OD
Provider ID: TPV4273-01
Gender: Female
209 W 15th St
Hopkinsville, KY 42240
(270) 886-8928
Fax: (270) 886-4773
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Optometry
Herrell, Paul MD
Provider ID: TPV4376-01
Bastin, Robert OD
Gender: Male
Provider ID: TPV5097-01
205 W. 15th St
Gender: Male
Hopkinsville, KY 42240
1016 South Main St
(270) 886-2020
Hopkinsville, KY 42240
Fax: (270) 885-6271
(270) 886-2293
00 Yrs/99 Yrs
Fax: (270) 886-0399
kyeyes@usit.net
00 Yrs/99 Yrs
MW 8:00 AM - 5:00 PM
TTHF 8:00 AM - 3:30 PM bastinsz@yahoo.com
MWTHF 8:00 AM - 4:30
Sat-Sun 6:00 AM - 6:00
PM
PM
T 8:00 AM - 6:30 PM
PCMH: No
PCMH: No
McCubbin, John MD
Provider ID: TPV2954-01 Brewer, Landon OD
Provider ID: TPV22297-01
Gender: Male
Gender: Male
216 W. 15th St
14800 Fort Campbell
Hopkinsville, KY 42240
Blvd
(270) 885-3937
Oak Grove, KY 42262
Fax: (270) 886-0107
(270) 640-7670
00 Yrs/99 Yrs
Fax: (270) 640-3651
M-F 8:00 AM - 4:30 PM
03 Yrs/10 Yrs
PCMH: No
brewervisioncenter@gmail.
com
M-TH 9:00 AM - 5:00 PM
F 9:00 AM - 3:00 PM
PCMH: No
www.wellcare.com/Kentucky | 33
06/01/2016
Specialty Physicians
Christian
Optometry - cont.
Price, Martin OD
Shafer, Patrick OD
Provider ID: TPV3461-18
Provider ID:
Dexter-Eaves, Tracey OD Gender: Male
TPV1275590291WL
Gender: Male
4135 Ft. Campbell Blvd
Provider ID:
300 Clinic Dr.
Hopkinsville, KY 42240
TPV1902835-01
Hopkinsville, KY 42240
(270) 887-5765
Gender: Female
(270) 886-1900
Fax: (270) 887-5766
209 W. 15th St.
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Hopkinsville, KY 42240
PCMH: No
M-F 8:00 AM - 5:00 PM
(270) 886-8129
PCMH: No
Orthodontics
Fax: (270) 886-4773
00 Yrs/99 Yrs
Reed, Tiffany OD
M-F 8:30 AM - 5:00 PM
Provider ID: TPV5260-13 Allen, Richard DMD
Provider ID: TPV3830-01
PCMH: No
Gender: Female
Gender: Male
4135 Ft. Campbell Blvd
Heltsley, John OD
520 Noel Ave
Hopkinsville, KY 42240
Provider ID: TPV3256-01
Hopkinsville, KY 42240
(270) 887-5765
Gender: Male
(270) 885-4156
Fax: (270) 887-5766
1620 South Main St
Fax: (270) 885-4031
00 Yrs/99 Yrs
Hopkinsville, KY 42240
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
(270) 886-6316
M-F 8:00 AM - 4:30 PM
PCMH: No
Fax: (270) 886-6323
PCMH: No
00 Yrs/99 Yrs
Richert, Judith OD
Orthopaedic Surgery
MWTHF 8:00 AM - 5:00
Provider ID: TPV4805-20
PM
Gender: Female
Bealle, David DO
T 8:00 AM - 7:00 PM
4135 Ft. Campbell Blvd
Provider ID: 682081
PCMH: No
Hopkinsville, KY 42240
Gender: Male
(270) 887-5765
West Kentucky
Johnson, Lauren OD
Fax:
(270)
887-5766
Orthopaedics and Spor
Provider ID: TPV28925-17
00
Yrs/99
Yrs
105 Keeton Dr
Gender: Female
M-F
9:00
AM
5:00
PM
Hopkinsville, KY 42240
4135 Ft. Campbell Blvd
PCMH:
No
(270) 889-0701
Hopkinsville, KY 42240
Fax: (270) 889-0556
(270) 887-5765
Robertson, Paul OD
Fax: (270) 887-5766
Provider ID: TPV5034-22 00 Yrs/99 Yrs
Jennie Stuart Medical
00 Yrs/99 Yrs
Gender: Male
Center
M-F 8:00 AM - 5:00 PM
4135 Ft. Campbell Blvd
M-F 8:30 AM - 4:30 PM
PCMH: No
Hopkinsville, KY 42240
PCMH: No
(270) 887-5765
Lane, Amber OD
Fax: (270) 887-5766
Provider ID: TPV7104-01
00 Yrs/99 Yrs
Gender: Female
M-F 8:00 AM - 5:00 PM
205 W. 15th St
PCMH: No
Hopkinsville, KY 42240
(270) 886-2020
00 Yrs/99 Yrs
kyeyes@usit.net
MW 8:00 AM - 5:00 PM
TTHF 8:00 AM - 3:30 PM
PCMH: No
www.wellcare.com/Kentucky | 34
Bealle, David MD
Provider ID: 977512
Gender: Male
Fairview Physicians
Network LLC DBA
105 Keeton Dr
Hopkinsville, KY 42240
(270) 889-0701
Fax: (270) 889-0556
00 Yrs/99 Yrs
Caldwell Medical Center
Jennie Stuart Medical
Center
M-F 8:30 AM - 4:30 PM
PCMH: No
Chang, Timothy MD
Provider ID: 1023669
Gender: Male
Fairview Physicians
Network LLC DBA
105 Keeton Dr
Hopkinsville, KY 42240
(270) 889-0701
Fax: (270) 889-0556
00 Yrs/99 Yrs
M-F 8:30 AM - 4:30 PM
PCMH: No
Robbe, Frederick MD
Provider ID: 977601
Gender: Male
Fairview Physicians
Network LLC DBA
105 Keeton Dr
Hopkinsville, KY 42240
(270) 889-0701
Fax: (270) 889-0556
00 Yrs/99 Yrs
Caldwell Medical Center
Jennie Stuart Medical
Center
M-F 8:30 AM - 4:30 PM
PCMH: No
06/01/2016
Specialty Physicians
Christian
Orthopaedic Surgery cont.
Vance, Joseph MD
Provider ID: 977606
Gender: Male
Fairview Physicians
Network LLC DBA
105 Keeton Dr
Hopkinsville, KY 42240
(270) 889-0701
Fax: (270) 889-0556
00 Yrs/99 Yrs
Jennie Stuart Medical
Center
M-F 8:30 AM - 4:30 PM
PCMH: No
Podiatry
Edmunds, Mark DPM
Provider ID: 601148
Gender: Male
Christian County Foot
Ankle Center
1610 S Main St Ste 9
Hopkinsville, KY 42240
(270) 885-1203
Fax: (270) 885-1561
00 Yrs/99 Yrs
Jennie Stuart Medical
Center
M-F 8:00 AM - 5:00 PM
PCMH: No
Plastic & Reconstructive Hehemann, Dave DPM
Surgery
Provider ID: 758668
Valentini, George MD
Gender: Male
Provider ID: 711440
Baptist Health Medical
Gender: Male
Group Inc
Western Ky Institute of
500 Clinic Dr
Plastic, Re
Hopkinsville, KY 42240
1724 Kenton St Ste 1C
(270) 707-3300
Hopkinsville, KY 42240
00 Yrs/99 Yrs
(270) 885-1140
M-F 8:00 AM - 5:00 PM
Fax: (270) 885-1183
PCMH: No
00 Yrs/99 Yrs
Pulmonary Disease
M-F 8:00 AM - 5:00 PM
PCMH: No
Chavda, Sanjay MD
Provider ID: 629014
Gender: Male
Bluegrass Sleep
Disorders Center
101 W 18th St
Hopkinsville, KY 42240
(270) 885-4890
Fax: (270) 885-1759
18 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Sports Medicine
Chavda, Sanjay MD
Provider ID: 629014
Bealle, David DO
Gender: Male
Pulmonary & Sleep Clinic Provider ID: 682081
Gender: Male
PLLC
West Kentucky
1739 Canton St
Orthopaedics and Spor
Hopkinsville, KY 42240
105 Keeton Dr
(270) 881-1813
Hopkinsville, KY 42240
Fax: (270) 881-4730
(270) 889-0701
18 Yrs/99 Yrs
Fax: (270) 889-0556
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
Jennie Stuart Medical
Sleep Medicine
Center
M-F 8:30 AM - 4:30 PM
Chavda, Sanjay MD
PCMH: No
Provider ID: 629014
Bealle, David MD
Gender: Male
Provider ID: 977512
Bluegrass Sleep
Disorders Center
Gender: Male
101 W 18th St
Fairview Physicians
Network LLC DBA
Hopkinsville, KY 42240
105 Keeton Dr
(270) 885-4890
Hopkinsville, KY 42240
Fax: (270) 885-1759
(270) 889-0701
18 Yrs/99 Yrs
Fax: (270) 889-0556
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
Caldwell Medical Center
Chavda, Sanjay MD
Jennie Stuart Medical
Provider ID: 629014
Center
Gender: Male
M-F 8:30 AM - 4:30 PM
Pulmonary & Sleep Clinic PCMH: No
PLLC
Chang, Timothy MD
1739 Canton St
Provider ID: 1023669
Hopkinsville, KY 42240
Gender: Male
(270) 881-1813
Fairview Physicians
Fax: (270) 881-4730
Network LLC DBA
18 Yrs/99 Yrs
105 Keeton Dr
M-F 8:00 AM - 5:00 PM
Hopkinsville, KY 42240
PCMH: No
(270) 889-0701
Fax: (270) 889-0556
00 Yrs/99 Yrs
M-F 8:30 AM - 4:30 PM
PCMH: No
www.wellcare.com/Kentucky | 35
06/01/2016
Specialty Physicians
Christian
Sports Medicine - cont.
Franke, Jenny MD
Provider ID: 629721
Gender: Female
Fairview Physicians
Network LLC
219 W 17th St
Hopkinsville, KY 42240
(270) 886-5141
Fax: (270) 885-1877
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Robbe, Frederick MD
Provider ID: 977601
Gender: Male
Fairview Physicians
Network LLC DBA
105 Keeton Dr
Hopkinsville, KY 42240
(270) 889-0701
Fax: (270) 889-0556
00 Yrs/99 Yrs
Caldwell Medical Center
Jennie Stuart Medical
Martin, Sarabeth MD
Center
Provider ID: 1196733
M-F 8:30 AM - 4:30 PM
Gender: Female
PCMH: No
Fairview Physicians
Network LLC
Thoracic & Cardiovascular 219 W 17th St
Surgery
Hopkinsville, KY 42240
(270) 886-5141
Hamman, Jack MD
Fax: (270) 885-1877
Provider ID: 604705
00 Yrs/99 Yrs
Gender: Male
M-F 8:00 AM - 5:00 PM
Baptist Health Medical
PCMH: No
Group
500 Clinic Dr
Hopkinsville, KY 42240
(270) 707-3300
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Urology
Dougherty, Hugh MD
Provider ID: 752144
Gender: Male
Fairview Physicians
Network LLC
219 W 17th St
Hopkinsville, KY 42240
(270) 886-5141
Fax: (270) 885-1877
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 36
06/01/2016
Specialty Physicians
Daviess
Allergy & Immunology
Clore, Lee MD
Provider ID: 604818
Gender: Male
Allergy Asthma
Specialists PSC
3604 Wathens Xing
Owensboro, KY 42301
(270) 684-6144
Fax: (270) 684-2944
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Cardiology
Aoun, Gaby MD
Provider ID: 1165404
Gender: Male
One Health EKG
Professional Service
1201 Pleasant Valley Rd
Owensboro, KY 42303
(270) 417-2000
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Aoun, Gaby MD
Provider ID: 1165404
Gender: Male
One Health Cardiology
1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7509
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Filardo, Steven MD
Provider ID: 1130613
Gender: Male
One Health EKG
Professional Service
1201 Pleasant Valley Rd
Owensboro, KY 42303
(270) 417-2000
Fax: (270) 417-4709
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Gibbs, Kenneth MD
Provider ID: 1199535
Gender: Male
One Health Cardiology
1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7509
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Filardo, Steven MD
Provider ID: 1130613
Gender: Male
One Health Cardiology
1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7509
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Gregor, Peter MD
Provider ID: 1199537
Gender: Not Available
One Health EKG
Professional Service
1201 Pleasant Valley Rd
Owensboro, KY 42303
(270) 417-2000
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 8:00 PM
PCMH: No
Garimella, Satya MD
Provider ID: 622883
Gender: Male
Owensboro Health
Cardiology
1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7529
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Gregor, Peter MD
Provider ID: 1199537
Gender: Not Available
One Health Cardiology
1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7509
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 37
Gupta, Mukesh MD
Provider ID: 622948
Gender: Male
One Health EKG
Professional Service
1201 Pleasant Valley Rd
Owensboro, KY 42303
(270) 417-2000
Fax: (270) 417-4709
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Gupta, Mukesh MD
Provider ID: 622948
Gender: Male
Kentucky Cardiovascular
Consultants
2200 E Parrish Ave Ste
LL103 Bldg B
Owensboro, KY 42303
(270) 926-2998
Fax: (270) 926-1181
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Havelda, Christopher MD
Provider ID: 488523
Gender: Male
One Health EKG
Professional Service
1201 Pleasant Valley Rd
Owensboro, KY 42303
(270) 417-2000
Fax: (270) 417-4709
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Daviess
Cardiology - cont.
Mathew, Roshan MD
Provider ID: 631385
Havelda, Christopher MD Gender: Male
One Health Cardiology
Provider ID: 488523
1301 Pleasant Valley Rd
Gender: Male
Ste 202
Owensboro Health
Owensboro, KY 42303
Cardiology
(270) 417-7500
1301 Pleasant Valley Rd
Fax: (270) 417-7509
Ste 202
00 Yrs/99 Yrs
Owensboro, KY 42303
Owensboro Health
(270) 417-7500
Regional Hospital
Fax: (270) 417-7509
Languages: Spanish
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Owensboro Health
PCMH: No
Regional Hospital
M-F 8:00 AM - 5:00 PM Mercer, Albert MD
PCMH: No
Provider ID: 631712
Gender: Male
Makhoul, Johnny MD
One Health EKG
Professional Service
Provider ID: 604731
1201 Pleasant Valley Rd
Gender: Male
Owensboro, KY 42303
Owensboro Health
(270) 417-2000
Cardiology
Fax: (270) 417-4709
1301 Pleasant Valley Rd
00 Yrs/99 Yrs
Ste 202
Owensboro Health
Owensboro, KY 42303
Regional Hospital
(270) 417-7500
M-F 8:00 AM - 5:00 PM
Fax: (270) 417-7509
PCMH: No
18 Yrs/99 Yrs
Owensboro Health
Mercer, Albert MD
Regional Hospital
Provider ID: 631712
M-F 8:00 AM - 5:00 PM
Gender: Male
PCMH: No
One Health Cardiology
1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7509
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Mercer, Albert MD
Reader, Gayl MD
Provider ID: 631712
Provider ID: 622949
Gender: Male
Gender: Male
One Health Urgent Care One Health EKG
Ford
Professional Service
2211 Mayfair Dr Ste 101
1201 Pleasant Valley Rd
Owensboro, KY 42301
Owensboro, KY 42303
(270) 688-1352
(270) 417-2000
Fax: (270) 683-4313
Fax: (270) 417-4709
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Owensboro Health
Owensboro Health
Regional Hospital
Regional Hospital
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Mood, Girish MD
Provider ID: 1165663
Gender: Male
One Health EKG
Professional Service
1201 Pleasant Valley Rd
Owensboro, KY 42303
(270) 417-2000
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Mood, Girish MD
Provider ID: 1165663
Gender: Male
One Health Cardiology
1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7509
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 38
Reader, Gayl MD
Provider ID: 622949
Gender: Male
Owensboro Health
Cardiology
1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7529
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Vora, Kishor MD
Provider ID: 609824
Gender: Male
Owensboro Medical
Practice Group
1200 Breckenridge St Ste
101
Owensboro, KY 42303
(270) 683-8672
Fax: (270) 685-8233
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:30 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Daviess
Cardiology - cont.
Vora, Kishor MD
Provider ID: 609824
Gender: Male
One Health EKG
Professional Service
1201 Pleasant Valley Rd
Owensboro, KY 42303
(270) 417-2000
Fax: (270) 417-4709
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Wassef, Maha MD
Provider ID: 1150920
Gender: Female
One Health Cardiology
1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7509
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Chiropractic
Edelen, Amy DC
Provider ID: 615313
Gender: Female
Edelen Family
Chiropractic PLLC
2315 Mayfair Dr Ste 15
Owensboro, KY 42301
(270) 993-9789
Fax: (270) 233-0202
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Lamar, Blakeley DC
Provider ID: 604351
Gender: Male
Lamar Chiropractic
Wellness Center
1605 Scherm Rd
Owensboro, KY 42301
(270) 316-6347
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Martin, Eric DC
Provider ID: 609820
Gender: Male
Martin Chiropractic
2756 Veach Rd
Owensboro, KY 42303
(270) 688-0234
Fax: (270) 688-0487
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Simone, Sean DC
Provider ID: 622875
Gender: Male
Family Chiropractic
Center
3180 W Parrish Ave
Owensboro, KY 42301
(270) 683-1188
Fax: (270) 683-1188
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Tinius, Larry DC
Provider ID: 628229
Gender: Male
Tinius Chiropractic
Center
1300 Tamarack Rd
Owensboro, KY 42301
(270) 926-0941
Fax: (270) 926-8099
00 Yrs/99 Yrs
MTWF 9:00 AM - 6:00
PM
TH 4:00 AM - 8:00 PM
PCMH: No
Sovar, Scott DC
Provider ID: 628335
Tinius, Larry DC
Gender: Male
Provider ID: 972428
Scott R Sovar DC
Gender: Male
2816 Veach Rd
Tinius Chiropractic
Owensboro, KY 42303
1300 Tamarack Rd
(270) 684-4101
Owensboro, KY 42301
Fax: (270) 684-4101
(270) 926-0941
00 Yrs/99 Yrs
MWF 8:30 AM - 5:30 PM Fax: (270) 926-8099
00 Yrs/99 Yrs
TTH 8:30 AM - 5:00 PM
Miller, Clyde DC
M-F 8:00 AM - 5:00 PM
PCMH: No
Provider ID: 1162923
PCMH: No
Gender: Male
Tinius, Brian DC
Wittwer, Lance DC
Clyde A Miller DC
Provider ID: 613498
Provider ID: 623162
3701 Frederica St
Gender: Male
Gender: Male
Owensboro, KY 42301
Tinius Chiropractic
Wittwer Whole Health
(270) 683-9551
1300 Tamarack Rd
Chiropractic
Fax: (270) 685-2225
Owensboro, KY 42301
920 Frederica St Ste 306
00 Yrs/99 Yrs
(270) 926-0941
Owensboro, KY 42301
M-TH 9:00 AM - 6:00 PM Fax: (270) 926-8099
(270) 852-1630
F 9:00 AM - 1:30 PM
00 Yrs/99 Yrs
Fax: (270) 852-1631
PCMH: No
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
Simone, Robert DC
MWTH 8:00 AM - 6:00
Provider ID: 618670
PM
Gender: Male
T 9:00 AM - 5:00 PM
Family Chiropractic
FSat 8:00 AM - 12:00 PM
Center
PCMH: No
3180 W Parrish Ave
Owensboro, KY 42301
(270) 683-1188
Fax: (270) 683-1188
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 39
06/01/2016
Specialty Physicians
Daviess
Dermatology
Loucks, John MD
Provider ID: 622942
Gender: Male
Midwest Ear Nose and
Throat Head An
2841 New Hartford Rd
Owensboro, KY 42303
(270) 691-6161
Fax: (270) 926-2634
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Taylor, Matthew MD
Provider ID: 622854
Gender: Male
Midwest Ear Nose and
Throat Head An
2841 New Hartford Rd
Owensboro, KY 42303
(270) 691-6161
Fax: (270) 926-2634
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Loucks, John MD
Provider ID: 622942
Provider ID: 632633
Gender: Male
Gender: Male
Midwest Ear Nose and
Owensboro
Throat Head An
Dermatology Associates 922 Triplett St
Ps
Owensboro, KY 42303
2821 New Hartford Rd
(270) 691-6161
Owensboro, KY 42303
Fax: (270) 926-2364
(270) 685-5777
00 Yrs/99 Yrs
Fax: (270) 685-0190
Owensboro Health
00 Yrs/99 Yrs
Regional Hospital
M-TH 7:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
F 7:30 AM - 12:00 PM
PCMH: No
PCMH: No
Mitchell, Derek MD
Ear, Nose & Throat
Provider ID: 1005817
Gender: Male
Logan, Thomas MD
Midwest Ear Nose and
Provider ID: 622941
Throat Head An
Gender: Male
2841 New Hartford Rd
Midwest Ear Nose and
Owensboro, KY 42303
Throat Head An
(270) 691-6161
2841 New Hartford Rd
Fax: (270) 663-1512
Owensboro, KY 42303
00 Yrs/99 Yrs
(270) 691-6161
M-F 8:00 AM - 5:00 PM
Fax: (270) 926-2634
PCMH: No
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Taylor, Matthew MD
Provider ID: 622854
Gender: Male
Midwest Ear Nose and
Throat Head An
922 Triplett St
Owensboro, KY 42303
(270) 691-6161
Fax: (270) 926-2364
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Brey, Nicole MD
Provider ID: 1081114
Gender: Female
Advanced Dermatology
Associates PSC
2915 New Hartford Rd
Owensboro, KY 42303
(270) 852-1645
Fax: (270) 852-1646
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Truett III, Artis MD
Gastroenterology
Riccio, Charles MD
Provider ID: 608119
Gender: Male
Charles W Riccio MD
2200 E Parrish Ave LL104
Owensboro, KY 42303
(270) 691-0059
03 Yrs/99 Yrs
Ohio County Hospital
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
General Dentistry
Alley-Newton, Teri DMD
Provider ID: TPV4075-01
Gender: Female
610 Carlton DR
Owensboro, KY 42303
(270) 683-6623
Fax: (270) 688-0658
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Misty
Endocrinology, Diabetes, Brey-Sanford,
DMD
Metabolism
Provider ID: TPV5965-02
Gender: Female
Bibi, Zouhair MD
3062 W. Parrish Ave
Provider ID: 609813
Owensboro, KY 42301
Gender: Male
(270) 684-2463
The Endocrine &
Fax: (270) 926-7479
Diabetes Center PSC
2200 E Parrish Ave Bldg E 03 Yrs/99 Yrs
drmistybrey@bellsouth.
Ste 101
net
Owensboro, KY 42303
M-W 8:30 AM - 5:00 PM
(812) 490-5971
TH 8:30 AM - 2:00 PM
18 Yrs/99 Yrs
PCMH: No
Owensboro Health
Regional Hospital
MTWTHFSatSun 9:00
AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 40
06/01/2016
Specialty Physicians
Daviess
General Dentistry - cont. Johnson, James DMD
Pickrell, Holly DMD
Taylor, Brandon DMD
Provider ID: TPV4066-01
Provider ID: TPV5672-01
Dorroh, Audra DMD
Provider ID: TPV8974-02 Gender: Male
Gender: Male
Gender: Female
722 Harvard DR
2315 Mayfair DR Ste 32
Provider ID:
3062
W.
Parrish
Ave
Owensboro, KY 42301
Owensboro, KY 42301
TPV86967DM-04
Owensboro, KY 42301
(270) 685-5242
(270) 691-6205
Gender: Female
(270) 684-2463
Fax: (270) 685-5247
Fax: (270) 691-6299
610 Carlton DR
Fax: (270) 926-7479
00 Yrs/99 Yrs
03 Yrs/99 Yrs
Owensboro, KY 42303
00
Yrs/99
Yrs
M-W 8:00 AM - 5:00 PM
communitydentist@hotmail.
(270) 683-6623
M-TH 8:00 AM - 5:00 PM com
TH 7:00 AM - 2:00 PM
Fax: (321) 254-6800
F 8:00 AM - 12:00 PM
M 9:00 AM - 4:30 PM
F 8:00 AM - 12:00 PM
00 Yrs/99 Yrs
PCMH: No
TWTH 8:00 AM - 4:30
PCMH: No
M-F 8:00 AM - 5:00 PM
PM
PCMH: No
Johnson, Matthew DMD Reynolds, Daniel DMD
F 8:00 AM - 3:00 PM
PCMH: No
Higdon, Katherine DMD
Provider ID: TPV3225-01
Provider ID: TPV4065-01
General Surgery
Gender: Male
Gender: Male
Provider ID: TPV3940-01
2816 Veach Rd Bldg 2
722 Harvard DR
Gender: Female
Cornell, Roy MD
Owensboro, KY 42303
Owensboro, KY 42301
2816 Veach Rd Ste 201
Provider ID: 622857
(270) 926-0548
(270) 685-5242
Owensboro, KY 42303
Gender: Male
Fax: (270) 926-7146
Fax: (270) 685-5247
(270) 683-7114
One Health Surgical
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 684-0152
M-W 8:00 AM - 5:00 PM M-TH 8:30 AM - 5:00 PM Specialists
00 Yrs/99 Yrs
2801 New Hartford Rd
PCMH: No
TH 7:00 AM - 2:00 PM
kthorn427@yahoo.com
Owensboro, KY 42303
F 8:00 AM - 12:00 PM
M-TH 8:00 AM - 5:00 PM PCMH: No
Shaw, Kin DMD
(270) 683-3720
PCMH: No
Provider ID:
Fax: (270) 683-3797
TPV100792DM-01
00 Yrs/99 Yrs
Pendley, Jason DMD
Jackson, Robert DMD
Gender:
Male
Owensboro Health
Provider ID: TPV2660-01
Provider ID:
920 Frederica St Ste 301
Regional Hospital
Gender:
Male
TPV75707DM-01
Owensboro, KY 42301
M-F 9:00 AM - 5:00 PM
4921
Goetz
Dr
Gender: Male
(270)
926-7272
PCMH: No
Owensboro, KY 42301
2816 Veach Rd Unit 305
Fax:
(270)
926-2699
(270) 926-0190
Owensboro, KY 42303
Cornell, Roy MD
10 Yrs/99 Yrs
Fax:
(270)
926-7596
(270) 683-5344
joleneshaw@bluegrassd- Provider ID: 785687
03 Yrs/99 Yrs
Fax: (270) 683-3519
Gender: Male
MTH 8:00 AM - 6:00 PM entalassociates.com
03 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM Owensboro Health
Surgical Specialis
M-TH 8:00 AM - 5:00 PM TW 7:00 AM - 5:00 PM
F 8:00 AM - 4:30 PM
PCMH:
No
2801 New Hartford Rd
F 8:00 AM - 1:00 PM
PCMH: No
Owensboro, KY 42303
PCMH: No
(270) 683-3720
Fax: (270) 686-7331
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 41
06/01/2016
Specialty Physicians
Daviess
General Surgery - cont.
Glaser, Christopher MD
Decker, Philip MD
Provider ID: 784670
Gender: Male
One Health Surgical
Specialists
2801 New Hartford Rd
Owensboro, KY 42301
(270) 683-3720
Fax: (270) 686-7331
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Provider ID: 615328
Gender: Male
One Health Surgical
Specialists
2801 New Hartford Rd
Owensboro, KY 42303
(270) 683-3720
Fax: (270) 683-3797
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Decker, Phillip MD
Provider ID: 622853
Gender: Male
Gtv Surgical Associates
DBA Ohio VA
2801 New Hartford Rd
Owensboro, KY 42303
(270) 683-3720
Fax: (270) 683-3797
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Falcone, John MD
Provider ID: 908310
Gender: Male
One Health Surgical
Specialists
2801 New Hartford Rd
Owensboro, KY 42303
(270) 683-3720
Fax: (270) 686-7331
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Glaser, Christopher MD
Provider ID: 782823
Gender: Male
Owensboro Health
Surgical Specialis
2801 New Hartford Rd
Owensboro, KY 42301
(270) 683-3720
Fax: (270) 686-7331
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Golden, Matthew MD
Provider ID: 999583
Gender: Male
One Health Henderson
2801 New Hartford Rd
Owensboro, KY 42303
(270) 683-3720
Fax: (270) 686-7331
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Havens, Dennis MD
Provider ID: 1129955
Gender: Male
One Health
Cardiothoracic Surgery
1020 Breckenridge St
Owensboro, KY 42303
(270) 688-3600
Fax: (270) 688-3673
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Humphrey, Roger MD
Provider ID: 781232
Gender: Male
Owensboro Health
Surgical Specialis
2801 New Hartford Rd
Owensboro, KY 42301
(270) 683-3720
Fax: (270) 686-7331
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Havens, Dennis MD
Provider ID: 1129955
Gender: Male
One Health
Cardiothoracic Surgery
1301 Pleasant Valley Rd
Ste 201
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7529
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Martin, Jennifer MD
Provider ID: 608088
Gender: Female
Jennifer A Martin MD
PLLC
2315 Mayfair Dr Ste 9
Owensboro, KY 42301
(270) 689-2230
Fax: (270) 689-2210
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Humphrey, Roger MD
Provider ID: 622964
Gender: Male
One Health Surgical
Specialists
2801 New Hartford Rd
Owensboro, KY 42303
(270) 683-3720
Fax: (270) 683-3797
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 42
Mullins, Alan MD
Provider ID: 615329
Gender: Male
One Health Surgical
Specialists
2801 New Hartford Rd
Owensboro, KY 42303
(270) 683-3720
Fax: (270) 683-3797
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Daviess
General Surgery - cont.
Mullins, Alan MD
Provider ID: 783960
Gender: Male
Owensboro Health
Surgical Specialis
2801 New Hartford Rd
Owensboro, KY 42303
(270) 683-3720
Fax: (270) 686-7331
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Mullins, Alan MD
Provider ID: 812221
Gender: Male
Owensboro Health
Surgery Specialist
2801 New Hartford Rd
Owensboro, KY 42301
(270) 683-3720
Fax: (270) 686-7331
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Nebel, Thomas DO
Provider ID: 622889
Gender: Male
One Health Surgical
Specialists
2801 New Hartford Rd
Owensboro, KY 42303
(270) 683-3720
Fax: (270) 683-3797
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Nebel, Thomas DO
Provider ID: 786281
Gender: Male
Owensboro Health
Surgical Specialis
2801 New Hartford Rd
Owensboro, KY 42303
(270) 683-3720
Fax: (270) 686-7331
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Statton, William MD
Provider ID: 622911
Gender: Male
Gtv Surgical Associates
DBA Ohio VA
2801 New Hartford Rd
Owensboro, KY 42303
(270) 683-3720
Fax: (270) 683-3797
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Troffkin, Neil MD
Provider ID: 608080
Gender: Male
Neurosurgical
Consultants
2200 E Parrish Ave Bldg
D Ste 100
Owensboro, KY 42303
(270) 688-1770
Fax: (270) 688-1781
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Hand Surgery
Prajapati, Dattatraya MD
Boles, Shafe MD
Provider ID: 623149
Gender: Male
Orthopaedics Sports
Medicine PSC
2200 E Parrish Ave Ste
201B
Owensboro, KY 42301
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Provider ID: 1002854
Gender: Male
Owensboro Health
Radiation Therapy
1020 Breckenridge St
Owensboro, KY 42303
(270) 688-3600
Fax: (270) 688-3673
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Boles, Shafe MD
Provider ID: 623149
Gender: Male
Orthopaedics Sports
Medicine PSC
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Hematology & Oncology
Prajapati, Dattatraya MD
Provider ID: 1002854
Gender: Male
One Health Hematology
and Oncology
1000 Breckenridge St Ste
400
Owensboro, KY 42303
(270) 688-3445
Fax: (270) 688-3344
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 43
Prajapati, Dattatraya MD
Provider ID: 608100
Gender: Male
Owensboro Cancer
Center
1020 Breckenridge St Ste
200
Owensboro, KY 42303
(270) 688-1900
Fax: (270) 688-1905
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Ridenhour, Kevin MD
Provider ID: 907323
Gender: Male
One Health Hematology
and Oncology
1000 Breckenridge St Ste
400
Owensboro, KY 42303
(270) 688-3445
Fax: (270) 688-3344
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Daviess
Hematology & Oncology Maternal Fetal Medicine Maheshwari, Jewraj MD
Neonatal Perinatal
- cont.
Medicine
How, Helen MD
Provider ID: 618667
Ridenhour, Kevin MD
Bibb, Karen MD
Provider ID: 671690
Gender: Male
Provider ID: 631902
Gender: Female
Owensboro Health
Provider ID: 907323
Gender: Female
Norton Maternal Fetal
Radiation Therapy
Gender: Male
Medicine Spec
Ulrf Neonatal Follow-Up
1020 Breckenridge St
Owensboro Health
815 E Parrish Ave
1000 Breckenridge St Ste
Owensboro, KY 42303
Radiation Therapy
301
Owensboro, KY 42303
(270) 688-3600
1020 Breckenridge St
Owensboro, KY 42303
(270) 686-1782
Fax: (270) 688-3673
Owensboro, KY 42303
(502) 852-7049
Fax: (270) 686-6404
00 Yrs/99 Yrs
(270) 688-3600
Fax: (502) 852-0135
00 Yrs/99 Yrs
Owensboro Health
Fax: (270) 688-3673
00 Yrs/18 Yrs
Languages: Chinese
Regional Hospital
00 Yrs/99 Yrs
Kosair Childrens Medical
M-F 8:00 AM - 4:30 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Center Brownsb
PCMH: No
PCMH: No
PCMH: No
M-F 8:00 AM - 5:00 PM
Jamie, Whitney MD
Thomas, James MD
PCMH: No
HIV/AIDS
Provider ID: 671191
Provider ID: 631742
Bibb, Karen MD
Gender: Female
Gender: Male
Matthew 25 Aids
Provider ID: 631902
Norton Maternal Fetal
Owensboro Health
Services Inc
Gender: Female
Medicine Spec
Hematology and On
Provider ID: 731955
815 E Parrish Ave
1000 Breckenridge St Ste Neonatal Follow-Up
1600 Breckinridge St Rm Owensboro, KY 42303
Program
400
112
811 E Parrish Ave Ste 100
(270) 686-1782
Owensboro, KY 42303
Owensboro, KY 42303
Owensboro, KY 42303
Fax: (270) 686-6404
(270) 688-3445
(270) 826-0200
(502) 852-7049
13 Yrs/99 Yrs
Fax: (270) 688-3344
Fax: (866) 607-6590
Fax: (502) 852-0135
M-F
8:00
AM
4:30
PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/18 Yrs
PCMH: No
Owensboro Health
M 9:00 AM - 5:00 PM
Kosair Childrens Medical
Regional Hospital
PCMH: No
Medical Oncology
Center Brownsb
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Infectious Disease
PCMH: No
Maheshwari, Jewraj MD
PCMH: No
Thomas, James MD
Wilson, Gary MD
Provider ID: 618667
Fischer, Hannah MD
Provider ID: 622921
Gender: Male
Provider ID: 1152080
Provider ID: 631742
Gender: Male
One Health Hematology Gender: Male
Gender: Female
One Health Infectious
and Oncology
Ulrf Neonatal Follow-Up
One
Health
Hematology
Disease
1000 Breckenridge St Ste & Oncology
1000 Breckenridge St Ste
1301 Pleasant Valley Rd
400
301
1020 Breckenridge St
Ste 405
Owensboro, KY 42303
Owensboro, KY 42303
Owensboro, KY 42303
Owensboro, KY 42303
(270) 688-3445
(502) 852-7049
(270) 688-3600
(270) 417-7850
Fax: (270) 688-3344
Fax: (502) 852-0135
Fax:
(270)
688-3673
Fax: (270) 417-7859
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Owensboro Health
M-F 8:00 AM - 5:00 PM
Owensboro Health
Owensboro Health
Regional Hospital
PCMH: No
Regional Hospital
Regional Hospital
M-F 8:00 AM - 5:00 PM
M-F
8:00
AM
5:00
PM
PCMH: No
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 44
06/01/2016
Specialty Physicians
Daviess
Neonatal Perinatal
Medicine - cont.
Neurology
Haria, Dhiren MD
Katner, Theodore MD
Provider ID: 622918
Provider ID: 1038216
Block, Stephanie MD
Gender: Male
Gender: Male
Singh, Tamina MD
Ohio Valley Nephrology Provider ID: 1144179
One Health Neurology
Provider ID: 631607
Gender: Female
Associates
1301 Pleasant Valley Rd
Gender: Female
One Health Neurology
1930 E Parrish Ave
Ste 500C
Ulrf Neonatology
1301 Pleasant Valley Rd
Owensboro, KY 42303
Owensboro, KY 42303
1000 Breckenridge St Ste (270) 689-1919
Ste 500 C
(270) 417-7830
301
Owensboro, KY 42303
Fax: (270) 689-1990
Fax: (270) 417-7839
Owensboro, KY 42303
(270)
417-7830
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(502) 852-7049
Fax: (270) 417-7839
Owensboro Health
Owensboro Health
Fax: (502) 852-0135
00 Yrs/99 Yrs
Regional Hospital
Regional Hospital
00 Yrs/18 Yrs
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Kosair Childrens Medical PCMH: No
PCMH: No
PCMH: No
Center Brownsb
Cox, Randy MD
M-F 8:00 AM - 5:00 PM Maru, Mahendra MD
McCormack, Jeanie DO
Provider ID: 618746
PCMH: No
Provider ID: 610837
Gender: Male
Provider ID: 1015970
Gender: Male
Nephrology
Gender: Female
Ohio Valley Nephrology Randy J Cox MD PSC
920
Frederica
St
Ste
206
One Health Neurology
1930 E Parrish Ave
Dosani, Imran MD
Owensboro,
KY
42301
1301 Pleasant Valley Rd
Owensboro, KY 42303
Provider ID: 614246
(270) 926-6864
Ste 500C
(270)
689-1919
Gender: Male
Fax: (270) 685-4717
Owensboro, KY 42303
Fax:
(270)
689-1990
Ohio Valley Nephrology
00
Yrs/99
Yrs
(270) 417-7830
16 Yrs/99 Yrs
1930 E Parrish Ave
Owensboro
Health
Fax: (270) 417-7839
MTTHF 9:00 AM - 5:00
Owensboro, KY 42303
Regional
Hospital
00 Yrs/99 Yrs
PM
(270) 689-1919
M-F 9:00 AM - 5:00 PM
Owensboro Health
W
9:00
AM
1:00
PM
Fax: (270) 689-1990
PCMH: No
Regional Hospital
PCMH:
No
16 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
MTTHF 9:00 AM - 5:00
Mourad, Mohammad MD Ibrahim, Malik MD
PCMH: No
PM
Provider ID: 1036031
W 9:00 AM - 1:00 PM
Gender: Male
Obideen, Mahmoud MD
Provider ID: 610848
PCMH: No
One Health Neurology
Gender: Male
Provider ID: 1085370
Ohio Valley Nephrology 1301 Pleasant Valley Rd
Haria, Dhiren MD
Ste
500C
Gender: Male
1930 E Parrish Ave
Provider ID: 610799
Owensboro,
KY
42303
One Health Neurology
Owensboro, KY 42303
Gender: Male
(270)
417-7830
1301 Pleasant Valley Rd
Ohio Valley Nephrology (270) 689-1919
Fax: (270) 417-7839
Ste 500C
Fax:
(270)
689-1990
1930 E Parrish Ave
00
Yrs/99
Yrs
Owensboro, KY 42303
16 Yrs/99 Yrs
Owensboro, KY 42303
M-F
9:00
AM
5:00
PM
(270) 417-7830
MTTHF 9:00 AM - 5:00
(270) 689-1919
PCMH:
No
Fax: (270) 417-7839
PM
Fax: (270) 689-1990
00 Yrs/99 Yrs
W 9:00 AM - 1:00 PM
16 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH:
No
MTTHF 9:00 AM - 5:00
PCMH: No
PM
W 9:00 AM - 1:00 PM
PCMH: No
www.wellcare.com/Kentucky | 45
06/01/2016
Specialty Physicians
Daviess
Neurology - cont.
Parekh, Vipul MD
Provider ID: 987787
Gender: Male
One Health Neurology
1301 Pleasant Valley Rd
Ste 500 C
Owensboro, KY 42303
(270) 417-7830
Fax: (270) 417-7839
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Shah, Satish MD
Provider ID: 628914
Gender: Male
2200 E Parrish Ave Bldg
C Ste 103
Owensboro, KY 42303
(270) 926-4281
Fax: (270) 686-1820
12 Yrs/99 Yrs
Languages: Hindi
M-F 8:30 AM - 5:00 PM
PCMH: No
Neurosurgery
Arias, Jose MD
Provider ID: 608062
Gender: Male
Neurosurgical
Consultants
2200 E Parrish Ave Bldg
D Ste 100
Owensboro, KY 42303
(270) 688-1770
Fax: (270) 688-1781
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
St Marys Medical
Center-Evansville
M-F 8:00 AM - 5:00 PM
PCMH: No
Cannon, Harold MD
Provider ID: 608098
Gender: Male
Neurosurgical
Consultants
2200 E Parrish Ave Bldg
D Ste 100
Owensboro, KY 42303
(270) 688-1770
Fax: (270) 688-1781
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Eggers, David MD
Provider ID: 608099
Gender: Male
Neurosurgical
Consultants
2200 E Parrish Ave Bldg
D Ste 100
Owensboro, KY 42303
(270) 688-1770
Fax: (270) 688-1781
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Goebel, Eric MD
Provider ID: 671383
Gender: Male
Neurosurgical
Consultants
2200 E Parrish Ave Bldg
D Ste 100
Owensboro, KY 42303
(270) 688-1770
Fax: (270) 688-1781
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Troffkin, Neil MD
Provider ID: 608080
Gender: Male
Neurosurgical
Consultants
2200 E Parrish Ave Bldg
D Ste 100
Owensboro, KY 42303
(270) 688-1770
Fax: (270) 688-1781
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Weaver, David MD
Provider ID: 725681
Gender: Male
Neurosurgical
Consultants
2200 E Parrish Ave
Owensboro, KY 42303
(270) 688-1770
Fax: (270) 688-1781
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Obstetrics/Gynecology
Cuthrell, William MD
Provider ID: 671499
Gender: Male
Norton Maternal Fetal
Medicine Spec
815 E Parrish Ave
Owensboro, KY 42303
(270) 686-1782
Fax: (270) 686-6404
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
www.wellcare.com/Kentucky | 46
Glover, Michael MD
Provider ID: 1148079
Gender: Male
Addixxion Recovery of
Kentucky LLC
710 Carlton Dr
Owensboro, KY 42302
(270) 240-4892
Fax: (270) 240-4963
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Good, Richard MD
Provider ID: 607852
Gender: Male
Richard Clark Good MD
3500 Villa Point Ste 110B
Owensboro, KY 42303
(270) 926-4449
Fax: (270) 926-4554
00 Yrs/99 Yrs
Owensboro Health
Muhlenberg Community
Ho
Languages: Spanish
M-F 8:00 AM - 5:00 PM
PCMH: No
Griffin, Eric MD
Provider ID: 723101
Gender: Male
One Health Hospitalist
1201 Pleasant Valley Rd
Owensboro, KY 42303
(270) 417-4700
Fax: (270) 417-4709
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Daviess
Obstetrics/Gynecology - Ottman, Elizabeth MD
Willcox, Amy DO
Haleman, Troy MD
cont.
Provider ID: 908702
Provider ID: TPV3054-01
Provider ID: 629034
Gender: Female
Gender: Male
Griffin, Eric MD
Gender: Female
One Health Obstetrics & 2845 Farrell Crescent
Provider ID: 723101
2211 Mayfair Dr Ste 301
Gynecology
Owensboro, KY 42303
Gender: Male
Owensboro, KY 42301
1301 Pleasant Valley Rd
(270) 926-3297
One Health Obstetrics & (270) 688-6035
Ste 300
Fax: (270) 926-7325
Gynecology
Owensboro, KY 42303
Fax: (270) 688-6056
00 Yrs/99 Yrs
1301 Pleasant Valley Rd
(270) 417-7700
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Ste 300
Fax: (270) 417-7705
Owensboro Health
PCMH: No
Owensboro, KY 42303
Regional Hospital
00 Yrs/99 Yrs
(270) 417-7700
Jones, David MD
MTTH 8:00 AM - 5:00
Owensboro Health
Fax: (270) 417-7705
Provider ID: TPV3055-01
PM
Regional Hospital
00 Yrs/99 Yrs
Gender: Male
W 8:30 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
2845 Farrell Crescent
PCMH: No
PCMH: No
PCMH: No
Owensboro, KY 42303
Ophthalmology
Ottman, Elizabeth MD
(270) 926-3297
Hamon, Andrew MD
Fax: (270) 926-7325
Fu, Roxana MD
Provider ID: 607889
00 Yrs/99 Yrs
Provider ID: 1143730
Provider ID:
Gender: Female
M-F 8:00 AM - 5:00 PM
Gender: Male
Elizabeth H Ottman MD TPV27896-07
Sat 8:00 AM - 11:30 PM
Addixxion Recovery of
Gender: Female
PSC
PCMH: No
Ketucky LLC
2200 East Parrish Ave
2851 New Hartford Rd
710 Carlton Dr
Bldg B, Ste 101
Ste B
Jusufbegovic, Denis MD
Owensboro, KY 42302
Owensboro, KY 42303
Owensboro, KY 42303
(270) 240-4892
(502) 588-0550
(270) 688-6035
Provider ID: 1199566
Fax: (270) 240-4963
Fax: (502) 588-0553
Fax: (270) 688-6056
Gender: Male
00 Yrs/99 Yrs
00
Yrs/99
Yrs
00 Yrs/99 Yrs
Ulrf Eye Specialists
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Owensboro Health
2200 E Parrish Ave Bldg B
PCMH: No
PCMH: No
Regional Hospital
Ste 101
M-F
8:00
AM
5:00
PM
Owensboro, KY 42303
King, Randall MD
Furgason, Thomas MD
PCMH:
No
(502) 588-0550
Provider ID: 595951
Provider ID: TPV3051-01
Fax: (502) 588-0553
Gender: Male
Gender: Male
Rashidian, Suzanne DO
00 Yrs/99 Yrs
Randall E King MD
2845 Farrell Crescent
Provider ID: 708672
M-F 8:00 AM - 5:00 PM
3240 Mount Moriah Ave Gender: Female
Owensboro, KY 42303
PCMH: No
Owensboro, KY 42303
One Health Obstetrics & (270) 926-3297
(270) 686-6168
Fax: (270) 926-7325
Gynecology
Fax: (270) 686-6140
00 Yrs/99 Yrs
1301 Pleasent Valley Rd
00 Yrs/99 Yrs
Ste 300
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Owensboro, KY 42303
PCMH: No
PCMH: No
(270) 417-7700
Fax: (270) 417-7705
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 47
06/01/2016
Specialty Physicians
Daviess
Ophthalmology - cont.
Ahmad, Bilal OD
Bowling, Joseph OD
Provider ID: TPV23729-13 Provider ID: TPV3527-02
McCormack, Daniel DO
Gender: Male
Gender: Male
5220 Frederica St
5220 Frederica St
Provider ID: TPV23949-01 Owensboro, KY 42301
Owensboro, KY 42301
Gender: Male
(270) 684-1174
(270) 684-1174
2845 Farrell Crescent
Fax: (270) 583-1184
00 Yrs/99 Yrs
Owensboro, KY 42303
00 Yrs/99 Yrs
PCMH: No
(270) 926-3297
M-F 9:00 AM - 8:00 PM
Fax: (270) 926-7325
Brumit, Michael OD
Sat 9:00 AM - 5:30 PM
00 Yrs/99 Yrs
Provider ID:
Sun 1:00 AM - 5:00 PM
TPV950000269-14
cboswell@owensboroeye. PCMH: No
com
Gender: Male
M-F 8:00 AM - 5:00 PM Beauchamp, Johnathan
5220 Frederica St
Sat 8:30 AM - 12:00 PM
OD
Owensboro, KY 42301
PCMH: No
Provider ID: TPV23732-13 (270) 684-1174
Gender: Male
Fax: (270) 583-1184
Millsap, Charles MD
5220 Frederica St
00 Yrs/99 Yrs
Provider ID: TPV3053-01
Owensboro, KY 42301
PCMH: No
Gender: Male
(270) 684-1174
2845 Farrell Crescent
Buckner, James OD
Fax: (270) 583-1184
Owensboro, KY 42303
Provider ID: TPV4689-15
00 Yrs/99 Yrs
(270) 926-3297
Gender: Male
M-F 9:00 AM - 8:00 PM
Fax: (270) 926-7325
5220 Frederica St
Sat 9:00 AM - 5:30 PM
00 Yrs/99 Yrs
Owensboro, KY 42301
Sun 1:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
(270) 684-1174
PCMH: No
PCMH: No
00 Yrs/99 Yrs
Bharadia, Mohamed OD
PCMH: No
Optometry
Provider ID: TPV103757-16 Burt, Kevin OD
Adams, John OD
Provider ID: TPV4845-14
Gender: Male
Provider ID: TPV4683-01
Gender: Male
5220 Frederica St
Gender: Male
5220 Frederica St
Owensboro, KY 42301
411 Park Plaza DR
Owensboro, KY 42301
(270) 684-1174
Owensboro, KY 42301
(270) 684-1174
00 Yrs/99 Yrs
(270) 683-2020
Fax: (270) 583-1184
M-F 8:00 AM - 5:00 PM
Fax: (270) 686-0000
00 Yrs/99 Yrs
PCMH: No
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
M-F 8:00 AM - 4:30 PM Bowling, Aja OD
Sat 9:00 AM - 5:30 PM
Sat 8:00 AM - 11:30 PM
Provider ID: TPV3371-14
Sun 1:00 AM - 5:00 PM
PCMH: No
Gender: Female
PCMH: No
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
00 Yrs/99 Yrs
PCMH: No
www.wellcare.com/Kentucky | 48
Busey, Lannie OD
Provider ID: TPV4869-14
Gender: Male
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
Fax: (270) 583-1184
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Case, Michael OD
Provider ID: TPV23297-12
Gender: Male
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
Fax: (270) 583-1184
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Chan, Andrew OD
Provider ID: TPV4138-03
Gender: Male
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
00 Yrs/99 Yrs
PCMH: No
Chatham, Kaley OD
Provider ID: TPV5915-12
Gender: Female
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
Fax: (270) 583-1184
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Daviess
Optometry - cont.
Eger, Michael OD
Provider ID: TPV4975-14
Coleman, Justin OD
Gender: Male
Provider ID: TPV18437-09 5220 Frederica St
Gender: Male
Owensboro, KY 42301
5220 Frederica St
(270) 684-1174
Owensboro, KY 42301
00 Yrs/99 Yrs
(270) 684-1174
M-F 9:00 AM - 8:00 PM
Fax: (270) 583-1184
Sat 9:00 AM - 5:30 PM
00 Yrs/99 Yrs
Sun 1:00 AM - 5:00 PM
M-F 9:00 AM - 8:00 PM
PCMH: No
Sat 9:00 AM - 5:30 PM
Gersh, Richard OD
Sun 1:00 AM - 5:00 PM
Provider ID: TPV3379-14
PCMH: No
Gender: Male
Cora, Eduardo OD
5220 Frederica St
Provider ID: TPV4582-15
Owensboro, KY 42301
Gender: Male
(270) 684-1174
5220 Frederica St
00 Yrs/99 Yrs
Owensboro, KY 42301
PCMH: No
(270) 684-1174
Grady, Susan OD
00 Yrs/99 Yrs
Provider ID: TPV1855-17
PCMH: No
Gender: Female
Crockett, Jason OD
5220 Frederica St
Provider ID: TPV4717-16
Owensboro, KY 42301
Gender: Male
(270) 684-1174
5220 Frederica St
Fax: (270) 583-1184
Owensboro, KY 42301
00 Yrs/99 Yrs
(270) 684-1174
M-F 8:00 AM - 5:00 PM
Fax: (270) 583-1184
PCMH: No
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM Green, Rebecca OD
Provider ID: TPV18575-14
Sat 9:00 AM - 5:30 PM
Gender: Female
Sun 1:00 AM - 5:00 PM
5220 Frederica St
PCMH: No
Owensboro, KY 42301
Edling, Marie OD
(270) 684-1174
Provider ID: TPV3376-14
Fax: (270) 583-1184
Gender: Female
00 Yrs/99 Yrs
5220 Frederica St
M-F 9:00 AM - 8:00 PM
Owensboro, KY 42301
Sat 9:00 AM - 5:30 PM
(270) 684-1174
Sun 1:00 AM - 5:00 PM
Fax: (270) 583-1184
PCMH: No
00 Yrs/99 Yrs
PCMH: No
Hamilton, Robert OD
Provider ID: TPV5107-01
Gender: Male
221 Allen St
Owensboro, KY 42303
(270) 685-4966
Fax: (270) 686-8058
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
PCMH: No
Heck, Charles OD
Provider ID: TPV4464-01
Gender: Male
1705 Frederica St
Owensboro, KY 42301
(270) 683-2121
Fax: (270) 683-3167
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
PCMH: No
Henderson, Richard OD
Provider ID: TPV3387-14
Gender: Male
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
00 Yrs/99 Yrs
PCMH: No
Jackson, Kevin OD
Provider ID: TPV3497-03
Gender: Male
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
00 Yrs/99 Yrs
PCMH: No
Johnson, Douglas OD
Provider ID: TPV3408-14
Gender: Male
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
00 Yrs/99 Yrs
PCMH: No
Johnson, Lauren OD
Provider ID: TPV28925-13
Gender: Female
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
Fax: (270) 683-1184
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Jones, John OD
Provider ID: TPV5690-14
Gender: Male
5220 Frederica St
Owensboro, KY 42301
Horton, Davea OD
(270) 684-1174
Provider ID: TPV4515-01
Fax: (270) 583-1184
Gender: Female
00 Yrs/99 Yrs
3310 Professional Park Dr M-F 9:00 AM - 8:00 PM
Ste 101
Sat 9:00 AM - 5:30 PM
Owensboro, KY 42303
Sun 1:00 AM - 5:00 PM
(270) 683-2101
PCMH: No
Fax: (270) 683-2507
Jones, Roger OD
00 Yrs/99 Yrs
Provider ID: TPV5126-01
M-F 8:00 AM - 6:00 PM
Gender: Male
Sat 8:00 AM - 1:30 PM
411 Park Plaza Dr
PCMH: No
Owensboro, KY 42301
(270) 686-1937
00 Yrs/99 Yrs
PCMH: No
www.wellcare.com/Kentucky | 49
06/01/2016
Specialty Physicians
Daviess
Optometry - cont.
Lawrence, Stephen OD
Kailey, Manavjeet OD
Provider ID: TPV5184-15
Provider ID: TPV27010-13 Gender: Male
Gender: Male
5220 Frederica St
5220 Frederica St
Owensboro, KY 42301
Owensboro, KY 42301
(270) 684-1174
(270) 684-1174
00 Yrs/99 Yrs
Fax: (270) 583-1184
M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
Sat 9:00 AM - 5:30 PM
M-F 9:00 AM - 8:00 PM
Sun 1:00 AM - 5:00 PM
Sat 9:00 AM - 5:30 PM
PCMH: No
Sun 1:00 AM - 5:00 PM
Love, Marcus OD
PCMH: No
Provider ID: TPV3422-14
Klutts, Fred OD
Gender: Male
Provider ID: TPV3420-14
5220 Frederica St
Gender: Male
Owensboro, KY 42301
5220 Frederica St
(270) 684-1174
Owensboro, KY 42301
00 Yrs/99 Yrs
(270) 684-1174
PCMH: No
00 Yrs/99 Yrs
Luckett, James OD
PCMH: No
Provider ID: TPV3427-14
Krahwinkel, Jodi OD
Gender: Male
Provider ID: TPV4750-02 5220 Frederica St
Gender: Female
Owensboro, KY 42301
3151 Leitchfield Rd. St.
(270) 684-1174
Rte. 54
00 Yrs/99 Yrs
Owensboro, KY 42303
PCMH: No
(270) 683-5553
Lynn, Mark OD
00 Yrs/99 Yrs
Provider ID: TPV3431-14
MTWTHFSat 9:00 AM 6:00 PM
Gender: Male
PCMH: No
5220 Frederica St
Owensboro, KY 42301
Krahwinkel, Jodi OD
(270) 684-1174
Provider ID: TPV4750-01
Fax: (270) 583-1184
Gender: Female
00 Yrs/99 Yrs
5031 Fredrica St
PCMH: No
Owensboro, KY 42301
(270) 685-2060
Fax: (502) 685-3039
00 Yrs/99 Yrs
M-TH 9:00 AM - 6:00 PM
FSat 9:00 AM - 5:00 PM
PCMH: No
Martin, Elizabeth OD
Provider ID: TPV16719-01
Gender: Female
221 Allen St
Owensboro, KY 42303
(270) 685-4966
Fax: (270) 686-8058
00 Yrs/99 Yrs
MTWF 8:00 AM - 5:00
PM
THSat 8:00 AM - 12:00
PM
PCMH: No
Meyer, Christopher OD
Nagatoshi, Raymond OD
Provider ID: TPV3456-14
Gender: Male
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
Nolan-Rose, Laura OD
Provider ID: TPV13482-14
Provider ID: TPV27474-01 Gender: Female
Gender: Male
5220 Frederica St
3310 Professional Park Dr Owensboro, KY 42301
Ste 101
(270) 684-1174
Owensboro, KY 42303
Fax: (270) 683-1184
(270) 683-2101
00 Yrs/99 Yrs
Fax: (270) 683-2507
M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
Sat 9:00 AM - 5:30 PM
ttanner@ofecc.com
Sun 1:00 AM - 5:00 PM
M-F 7:30 AM - 6:00 PM
PCMH: No
Sat 7:30 AM - 1:00 PM
Novotny, Patrick OD
PCMH: No
Provider ID:
Meyer, Victor OD
TPV1356475-15
Provider ID: TPV3434-14
Gender: Male
Gender: Male
5220 Frederica St
5220 Frederica St
Owensboro, KY 42301
Owensboro, KY 42301
(270) 684-1174
(270) 684-1174
Fax: (270) 583-1184
00 Yrs/99 Yrs
00 Yrs/99 Yrs
PCMH: No
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Montalvo, Noemi OD
Sun 1:00 AM - 5:00 PM
Provider ID: TPV3455-14
PCMH: No
Gender: Female
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 50
06/01/2016
Specialty Physicians
Daviess
Optometry - cont.
Pardon, Henry OD
Provider ID: TPV4665-01
Oliver, Crystal OD
Gender: Male
Provider ID: TPV27472-02 411 Park Plz Dr
Gender: Female
Owensboro, KY 42301
5220 Frederica St
(270) 926-3937
Owensboro, KY 42301
Fax: (270) 686-0000
(270) 684-1174
00 Yrs/99 Yrs
Fax: (270) 683-1184
MTWF 8:30 AM - 5:00
00 Yrs/99 Yrs
PM
M-F 9:00 AM - 8:00 PM
THSat 8:30 AM - 12:00
Sat 9:00 AM - 5:30 PM
PM
Sun 1:00 AM - 5:00 PM
PCMH: No
PCMH: No
Partain, Jeffrey OD
Oliver, Heather OD
Provider ID: TPV4733-07
Provider ID: TPV18436-04 Gender: Male
Gender: Female
5220 Frederica St
5220 Frederica St
Owensboro, KY 42301
Owensboro, KY 42301
(270) 684-1174
(270) 684-1174
00 Yrs/99 Yrs
Fax: (270) 583-1184
PCMH: No
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM Price, Martin OD
Provider ID: TPV3461-02
Sat 9:00 AM - 5:30 PM
Gender: Male
Sun 1:00 AM - 5:00 PM
5220 Frederica St
PCMH: No
Owensboro, KY 42301
Omar, Rashid OD
(270) 684-1174
Provider ID: TPV3459-05 Fax: (270) 583-1184
Gender: Male
00 Yrs/99 Yrs
5220 Frederica St
PCMH: No
Owensboro, KY 42301
Pulliam, Mark OD
(270) 684-1174
Provider ID: TPV3462-08
00 Yrs/99 Yrs
Gender: Male
M-F 9:00 AM - 8:00 PM
5220 Frederica St
Sat 9:00 AM - 5:30 PM
Owensboro, KY 42301
Sun 1:00 AM - 5:00 PM
(270) 684-1174
PCMH: No
Fax: (270) 583-1184
00 Yrs/99 Yrs
PCMH: No
Richert, Judith OD
Provider ID: TPV4805-16
Gender: Female
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
Fax: (270) 683-1184
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Rubesh, Grant OD
Provider ID: TPV3465-10
Gender: Male
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
00 Yrs/99 Yrs
PCMH: No
Salee, Sarah OD
Provider ID: TPV5151-14
Roberts, Keith OD
Gender: Female
Provider ID: TPV4829-04 5220 Frederica St
Gender: Male
Owensboro, KY 42301
5220 Frederica St
(270) 684-1174
Owensboro, KY 42301
00 Yrs/99 Yrs
(270) 684-1174
PCMH: No
Fax: (270) 583-1184
Sanders, Vaughn OD
00 Yrs/99 Yrs
Provider ID: TPV5280-01
M-F 8:00 AM - 5:00 PM
Gender: Male
PCMH: No
1705 Frederica St
Robertson, Paul OD
Owensboro, KY 42301
Provider ID: TPV5034-03 (270) 683-2121
Gender: Male
Fax: (270) 683-3167
5220 Frederica St
00 Yrs/99 Yrs
Owensboro, KY 42301
M-TH 8:00 AM - 5:00 PM
(270) 684-1174
F 8:00 AM - 12:00 PM
00 Yrs/99 Yrs
PCMH: No
M-F 9:00 AM - 8:00 PM
Seavers, Amy OD
Sat 9:00 AM - 5:30 PM
Provider ID:
Sun 1:00 AM - 5:00 PM
TPV1942430400CL
PCMH: No
Gender: Female
3310 Professional Park Dr
Rogers, Brian OD
Provider ID: TPV24982-13 Ste 101
Owensboro, KY 42303
Gender: Male
(270) 683-2101
5220 Frederica St
Fax: (270) 683-2507
Owensboro, KY 42301
00 Yrs/99 Yrs
(270) 684-1174
M-F 7:30 AM - 6:00 PM
Fax: (270) 583-1184
Sat 7:30 AM - 1:00 PM
00 Yrs/99 Yrs
PCMH: No
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 51
06/01/2016
Specialty Physicians
Daviess
Optometry - cont.
Sisley, Joseph OD
Smith, Stephen OD
Provider ID: TPV9465-02 Provider ID: TPV5187-10
Seavers, Amy OD
Gender: Male
Gender: Male
Provider ID:
3151 Leitchfield Rd. St.
5220 Frederica St
TPV1942430400CL
Rte. 54
Owensboro, KY 42301
Gender: Female
Owensboro, KY 42303
(270) 684-1174
5000 Frederica St
(270) 683-5553
00 Yrs/99 Yrs
Owensboro, KY 42301
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
(270) 688-0786
MT 9:00 AM - 5:30 PM
Sat 9:00 AM - 5:30 PM
Fax: (270) 688-0786
WSat 9:00 AM - 1:00 PM Sun 1:00 AM - 5:00 PM
00 Yrs/99 Yrs
TH 11:00 AM - 7:00 PM
PCMH: No
M 10:00 AM - 5:00 PM
F 9:00 AM - 5:00 PM
T 11:00 AM - 7:00 PM
Snead, Kevin OD
PCMH: No
W 10:00 AM - 2:00 PM
Provider ID: TPV4850-04
Skillman, Jon OD
PCMH: No
Gender: Male
Provider ID: TPV4789-01
5220 Frederica St
Shake, Steven OD
Gender: Male
Owensboro, KY 42301
Provider ID: TPV5205-01
3310 Professional Park Dr (270) 684-1174
Gender: Male
Ste 101
00 Yrs/99 Yrs
3310 Professional Park Dr Owensboro, KY 42303
PCMH: No
Ste 101
(270) 683-2101
Owensboro, KY 42303
Souleyrette, Dale OD
Fax: (270) 683-2507
(270) 683-2101
Provider ID: TPV3467-07
00 Yrs/99 Yrs
Fax: (270) 683-2507
Gender: Male
M-F 8:00 AM - 6:00 PM
00 Yrs/99 Yrs
5220 Frederica St
Sat 8:00 AM - 1:30 PM
M-F 8:00 AM - 6:00 PM
Owensboro, KY 42301
PCMH: No
PCMH: No
(270) 684-1174
Smith, Andrea OD
00 Yrs/99 Yrs
Shields, Michael OD
Provider ID:
PCMH: No
Provider ID: TPV4984-01 TPV27897-07
Gender: Male
Spear, Steven OD
Gender: Female
221 Allen St
Provider ID: TPV5206-04
2200 East Parrish Ave
Owensboro, KY 42303
Gender: Male
Bldg B, Ste 101
(270) 685-4966
5220 Frederica St
Owensboro, KY 42303
Fax: (270) 686-8058
Owensboro, KY 42301
(502) 588-0550
00 Yrs/99 Yrs
(270) 684-1174
Fax: (502) 588-0553
M-F 8:00 AM - 5:00 PM
Fax: (270) 583-1184
00 Yrs/99 Yrs
Sat 8:00 AM - 12:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
M-F 9:00 AM - 8:00 PM
PCMH: No
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 52
Stanis, Carl OD
Provider ID: TPV3468-07
Gender: Male
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
00 Yrs/99 Yrs
PCMH: No
Swartzentruber, Rebecca
OD
Provider ID: TPV3498-06
Gender: Female
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
00 Yrs/99 Yrs
PCMH: No
Sydnor, Carl OD
Provider ID: TPV4434-31
Gender: Male
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
Fax: (270) 583-1184
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Tabassi, Bita OD
Provider ID: TPV4405-08
Gender: Female
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
00 Yrs/99 Yrs
PCMH: No
Taylor, Terri OD
Provider ID: TPV6241-14
Gender: Female
5220 Frederica St
Owensboro, KY 42301
(270) 684-1174
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Daviess
Optometry - cont.
Oral & Maxillofacial
Ward, William OD
Boles, Shafe MD
Surgery
Provider ID: TPV27033-13
Provider ID: 623149
Terry, Joseph OD
Gender: Male
Gender: Male
Wagoner, Robert DMD
Provider ID:
5220 Frederica St
Orthopaedics Sports
TPV1275699027WL
Medicine PSC
Owensboro, KY 42301
Provider
ID:
Gender: Male
2831 New Hartford Rd
(270) 684-1174
TPV48641DM-01
3151 Leitchfield Rd. St.
Owensboro, KY 42303
Fax: (270) 583-1184
Gender: Male
Rte. 54
(270) 926-4100
00 Yrs/99 Yrs
1000 Breckenridge St
Owensboro, KY 42303
Fax: (270) 684-4678
M-F 8:00 AM - 5:00 PM
Owensboro, KY 42303
(270) 683-5553
00 Yrs/99 Yrs
PCMH: No
(270) 683-2751
00 Yrs/99 Yrs
Owensboro Health
Fax: (270) 926-1618
PCMH: No
Ward-Adams, Patricia
Regional Hospital
00 Yrs/99 Yrs
OD
M-F 9:00 AM - 5:00 PM
Terry, Joseph OD
janet.clark@scasurgery.
Provider ID: TPV5027-01
PCMH: No
Provider ID:
com
Gender: Female
TPV1275699027WL
M-F 8:00 AM - 12:00 PM Burket, Christopher MD
411 Park Plaza DR
Gender: Male
PCMH: No
Provider ID: 714255
Owensboro, KY 42301
5031 Fredrica St
Gender: Male
(270) 683-2020
Orthodontics
Owensboro, KY 42301
Orthopaedics & Sports
Fax: (270) 686-0000
(270) 685-2060
Medici
00 Yrs/99 Yrs
Higginson, Joseph DMD
00 Yrs/99 Yrs
2831 New Hartford Rd
M-F 8:00 AM - 4:30 PM
PCMH: No
Burket, C M; MD
Sat 8:00 AM - 11:30 PM
Provider ID: TPV3273-02
Owensboro, KY 42303
PCMH: No
Gender: Male
Traylor, Marty OD
(270) 926-4100
2868 Farrell Crescent
Provider ID: TPV4951-01 Wolf, Nicholas OD
Fax: (270) 684-9179
Owensboro, KY 42303
Gender: Male
Provider ID: TPV13175-24 (270) 684-0822
00 Yrs/99 Yrs
3310 Professional Park Dr Gender: Male
M-F 8:00 AM - 5:00 PM
Ste 101
Fax: (270) 683-3991
5220
Frederica
St
PCMH: No
Owensboro, KY 42303
00 Yrs/99 Yrs
Owensboro,
KY
42301
(270) 683-2101
higginsonorthodontics- Hulse, Geoffrey MD
(270)
684-1174
@gmail.com
Fax: (270) 683-2507
Provider ID: 650552
00
Yrs/99
Yrs
M-TH 7:00 AM - 4:00 PM Gender: Male
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
PCMH: No
M-F 8:00 AM - 6:00 PM
Orthopaedic Surgical
Sat 9:00 AM - 5:30 PM
Sat 8:00 AM - 1:30 PM
Specialists
Orthopaedic Surgery
Sun 1:00 AM - 5:00 PM
PCMH: No
2200 E Parrish Ave Ste
PCMH: No
201
Boles, Shafe MD
Ward, Homer OD
Owensboro, KY 42303
Provider ID: 623149
Provider ID: TPV4651-01
(270) 683-3538
Gender:
Male
Gender: Male
Fax: (270) 683-9494
Orthopaedics
Sports
411 Park Plaza DR
Medicine
PSC
00 Yrs/99 Yrs
Owensboro, KY 42301
2200 E Parrish Ave Ste
Owensboro Health
(270) 683-2020
201B
Regional Hospital
Fax: (270) 686-0000
Owensboro, KY 42301
M-F 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
(270) 926-4100
PCMH: No
M-F 8:00 AM - 4:30 PM
Fax: (270) 684-4678
Sat 8:00 AM - 11:30 PM
00 Yrs/99 Yrs
PCMH: No
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 53
06/01/2016
Specialty Physicians
Daviess
Orthopaedic Surgery cont.
Hulse, Geoffrey MD
Provider ID: 691982
Gender: Male
Orthopaedics Sports
Medicine PSC
2200 E Parrish Ave Ste
201
Owensboro, KY 42303
(270) 683-3538
Fax: (270) 683-9494
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Hulse, Geoffrey MD
Provider ID: 691982
Gender: Male
Orthopaedics Sports
Medicine PSC
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Hurley, Phillip MD
Provider ID: 622956
Gender: Male
Orthopaedics & Sports
Medicine PSC
2200 E Parrish Ave Ste
201 B
Owensboro, KY 42301
(270) 683-3538
Fax: (270) 683-9494
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Hurley, Phillip MD
Provider ID: 622956
Gender: Male
Orthopaedics Sports
Medicine PSC
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
McGinnis, Mark MD
Polio, Joseph MD
Provider ID: 909243
Provider ID: 646771
Gender: Male
Gender: Male
One Health Orthopedics Orthopaedic Surgical
Specialists
1301 Pleasant Valley Rd
Ste 500B
2200 E Parrish Ave Ste
201
Owensboro, KY 42303
Owensboro, KY 42303
(270) 417-7940
(270) 683-3538
Fax: (270) 417-7949
Fax: (270) 683-9494
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
Owensboro Health
Regional Hospital
M-F 8:00 AM - 4:30 PM
M-F 8:30 AM - 5:00 PM
PCMH: No
PCMH: No
Martin, William MD
Milem, Charles MD
Weinzapfel, Brett MD
Provider ID: 622872
Provider ID: 615325
Provider ID: 1152219
Gender: Male
Gender: Male
Gender: Male
Orthopaedics Sports
Orthopaedics Sports
Medicine PSC
Medicine PSC
Tri State Orthopaedic
Surgeons Inc
2831 New Hartford Rd
2831 New Hartford Rd
2831 New Hartford Rd
Owensboro, KY 42303
Owensboro, KY 42303
Owensboro, KY 42303
(270) 926-4100
(270) 926-4100
(270) 926-4100
Fax: (270) 684-4678
Fax: (270) 684-4678
Fax: (812) 476-6867
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Owensboro Health
Owensboro Health
Regional Hospital
Regional Hospital
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
PCMH: No
PCMH: No
PCMH: No
Wilson, Reid MD
McBride, Anthony MD
Moore, Robert MD
Provider ID: 659158
Provider ID: 626997
Gender: Male
Provider ID: 704369
Gender: Male
One Health Orthopedics
Gender: Male
Orthopaedics Sports
1301 Pleasant Valley Rd
One Health Orthopedics Medicine PSC
Ste 500B
1301 Pleasant Valley Rd
2831 New Hartford Rd
Owensboro, KY 42303
Ste 500 B
Owensboro, KY 42303
(270) 417-7940
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 417-7529
(270) 417-7940
Fax: (270) 684-4678
00 Yrs/99 Yrs
Fax: (270) 417-7949
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Owensboro Health
PCMH: No
M-F 8:00 AM - 5:00 PM
Regional Hospital
PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 54
06/01/2016
Specialty Physicians
Daviess
Orthopaedic Surgery cont.
Pediatric Cardiology
Johnsrude, Christopher Kim, Edward MD
MD
Provider ID: 602973
Alexander, Craig MD
Provider ID: 601837
Gender: Male
Wilson, Reid MD
Provider ID: 1165384
Gender: Male
Ulrf Pediatric Cardiology
Provider ID: 659158
Gender: Male
Ulrf Pediatric Cardiology 1000 Breckenridge St Ste
Gender: Male
Ulrf Pediatric Cardiology 1000 Breckenridge St Ste 301
One Health Urgent Care 1000 Breckenridge St Ste 301
Owensboro, KY 42303
Food
301
Owensboro, KY 42303
(502) 585-4802
2211 Mayfair Dr Ste 101
Owensboro, KY 42303
(502) 585-4802
Fax: (502) 589-1289
Owensboro, KY 42301
(502) 585-4802
Fax: (502) 589-1289
00 Yrs/99 Yrs
(270) 688-1352
Fax: (502) 589-1289
00 Yrs/18 Yrs
Norton Hospital
Fax: (270) 688-4313
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
PCMH: No
PCMH: No
M-F 8:00 AM - 5:00 PM
AM - 5:00 PM
Keller, Bradley MD
PCMH: No
PCMH: No
Kim, Edward MD
Provider ID: 631924
Provider ID: 602973
Pain Management
Bullock, Smitha MD
Gender: Male
Gender: Male
Provider ID: 727257
Ulrf
Pediatric
Cardiology
Pediatric Cardiology
Lee, Jason MD
Gender: Female
1000
Breckenridge
St
Ste
Associates PSC
Provider ID: 1143045
Ulrf Pediatric Cardiology 301
2200 E Parrish Ste 101
Gender: Male
1000 Breckenridge St Ste Owensboro, KY 42303
Owensboro, KY 42303
One Health Pain
301
(502)
585-4802
(502) 585-4802
Management
Owensboro, KY 42303
Fax:
(502)
589-1289
Fax: (502) 589-1256
1000 Breckenridge St Ste (502) 585-4802
00
Yrs/18
Yrs
00 Yrs/99 Yrs
205
Fax: (502) 589-1289
M-F
8:00
AM
5:00
PM
Norton Hospital
Owensboro, KY 42303
00 Yrs/99 Yrs
PCMH:
No
M-F 8:00 AM - 5:00 PM
(270) 688-3550
M-F 8:00 AM - 5:00 PM
PCMH: No
Fax: (270) 688-3559
Keller, Bradley MD
PCMH: No
00 Yrs/99 Yrs
Provider ID: 631924
Lau, Kelvin MD
MWTHF 8:00 AM - 5:00 Holland, Brian MD
Gender: Male
Provider ID: 1129973
PM
Provider ID: 604352
Pediatric Cardiology
Gender: Male
T 10:00 AM - 6:00 PM
Gender: Male
Associates PSC
Ulrf Pediatric Cardiology
PCMH: No
Ulrf Pediatric Cardiology 2200 E Parrish Ste 101
1000 Breckenridge St Ste
1000 Breckenridge St Ste Owensboro, KY 42303
301
Nadar, Krishna MD
301
(502)
585-4802
Owensboro, KY 42303
Provider ID: 622858
Owensboro, KY 42303
Fax:
(502)
589-1256
(502) 585-4802
Gender: Male
(502) 585-4802
00
Yrs/18
Yrs
Fax: (502) 589-1289
Medical Specialists of
Fax: (502) 589-1289
M-F
8:00
AM
5:00
PM
00 Yrs/99 Yrs
Kentuckiana
00 Yrs/18 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
2816 Veach Rd Ste 105
M-F 8:00 AM - 5:00 PM
PCMH: No
Owensboro, KY 42303
PCMH: No
(270) 684-7179
00 Yrs/99 Yrs
Norton Suburban
Hospital
Languages: Tamil
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 55
06/01/2016
Specialty Physicians
Daviess
Pediatric Cardiology cont.
Leahy, Ryan MD
Provider ID: 631604
Gender: Male
Ulrf Pediatric Cardiology
1000 Breckenridge St Ste
301
Owensboro, KY 42303
(502) 585-4802
Fax: (502) 589-1289
00 Yrs/18 Yrs
Kosair Childrens Medical
Center Brownsb
M-F 8:00 AM - 5:00 PM
PCMH: No
Matta, Jyothi MD
Provider ID: 602336
Gender: Female
Ulrf Pediatric Cardiology
1000 Breckenridge St Ste
301
Owensboro, KY 42303
(502) 585-4802
Fax: (502) 589-1289
00 Yrs/99 Yrs
Kosair Childrens Medical
Center Brownsb
M-F 8:00 AM - 5:00 PM
PCMH: No
Neal, Ashley MD
Provider ID: 1027382
Gender: Female
Ulrf Pediatric Cardiology
1000 Breckenridge St Ste
301
Owensboro, KY 42303
(502) 585-4802
Fax: (502) 589-1289
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Sobczyk, Walter MD
Wright, Lucinda MD
Kingery, Suzanne MD
Provider ID: 631893
Provider ID: 604601
Provider ID: 601497
Gender: Female
Gender: Male
Gender: Female
Ulrf Pediatric
Ulrf Pediatric Cardiology Ulrf Pediatric Cardiology Endocrinology
1000 Breckenridge St Ste 1000 Breckenridge St Ste 1000 Breckenridge St Ste
301
301
301
Owensboro, KY 42303
Owensboro, KY 42303
Owensboro, KY 42303
(502) 585-4802
(502) 585-4802
(502) 629-8821
Fax: (502) 589-1289
Fax: (502) 589-1289
Fax: (502) 629-8824
00 Yrs/18 Yrs
00 Yrs/18 Yrs
00 Yrs/18 Yrs
Jennie Stuart Medical
Kosair Childrens Medical M-F 8:00 AM - 5:00 PM
Center
Center Brownsb
PCMH: No
Norton Hospital
M-F 8:00 AM - 5:00 PM
M-TH 8:00 AM - 5:00 PM Omoruyi, Adetokunbo
PCMH: No
MD
PCMH: No
Sobczyk, Walter MD
Provider ID: 631641
Wright, Lucinda MD
Provider ID: 604601
Gender: Female
Provider ID: 601497
Gender: Male
Ulrf Pediatric
Gender: Female
Endocrinology
Pediatric Cardiology
Associates PSC
Pediatric Cardiology
1000 Breckenridge St Ste
Associates
PSC
301
2200 E Parrish Ste 101
2200 E Parrish Ste 101
Owensboro, KY 42303
Owensboro, KY 42303
Owensboro, KY 42303
(502) 629-8821
(502) 585-4802
(502) 585-4802
Fax: (502) 629-8824
Fax: (502) 589-1256
Fax:
(502)
589-1256
00 Yrs/18 Yrs
00 Yrs/18 Yrs
00 Yrs/18 Yrs
Kosair Childrens Medical
Jennie Stuart Medical
Center
Kosair Childrens Medical Center Brownsb
Center Brownsb
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Norton Hospital
PCMH: No
PCMH: No
M-F 8:00 AM - 5:00 PM
Wintergerst, Kupper MD
Sparks, Joshua MD
PCMH: No
Provider ID: 631417
Provider ID: 723048
Pediatric Endocrinology Gender: Male
Gender: Male
Ulrf Pediatric
Ulrf Pediatric Cardiology
Foster,
Michael
MD
Endocrinology
1000 Brecjkenridge St
Provider
ID:
631652
1000 Breckenridge St Ste
Ste 301
Gender:
Male
301
Owensboro, KY 42303
Ulrf
Pediatric
Owensboro, KY 42303
(502) 585-4802
Endocrinology
(502) 629-8821
Fax: (502) 589-1289
1000
Breckenridge
St
Ste
Fax: (502) 629-8824
00 Yrs/99 Yrs
301
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
Owensboro, KY 42303
M-F 8:00 AM - 5:00 PM
PCMH: No
(502) 629-8821
PCMH: No
Fax: (502) 629-8824
00 Yrs/18 Yrs
Kosair Childrens Medical
Center Brownsb
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 56
06/01/2016
Specialty Physicians
Daviess
Pediatric
Gastroenterology
Stutts, John MD
Huang, Michael MD
Myers, Scott MD
Provider ID: 631612
Provider ID: 1014714
Provider ID: 387609
Gender: Male
Gender: Male
Gender: Male
Jeffries, Angela MD
Ulrf Pediatric
Ulrf Pediatric
Ulrf Pediatric
Provider ID: 631706
Gastroenterology
Hematology Oncology
Hematology Oncology
Gender: Female
1000 Breckenridge St Ste 1000 Breckenridge St Ste 1000 Breckenridge St Ste
Ulrf Pediatric
301
301
301
Gastroenterology
Owensboro, KY 42303
Owensboro, KY 42303
Owensboro, KY 42303
1000 Breckenridge St Ste (502) 852-7743
(502) 588-3600
(502) 588-3600
301
Fax: (502) 852-7670
Fax: (502) 588-3600
Fax: (502) 588-3600
Owensboro, KY 42303
00 Yrs/18 Yrs
00 Yrs/99 Yrs
00 Yrs/21 Yrs
(502) 852-7670
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Fax: (502) 852-7743
PCMH: No
PCMH: No
PCMH: No
00 Yrs/18 Yrs
Pediatric Hematology/ Lucas, Kenneth MD
M-F 8:00 AM - 5:00 PM
Panigrahi, Arun MD
Oncology
PCMH: No
Provider ID: 756000
Provider ID: 816164
Gender: Male
Gender: Male
Stephen, Thomas MD
Cheerva, Alexandra MD
Ulrf Pediatric
Ulrf Pediatric
Hematology Oncology
Hematology Oncology
Provider ID: 631965
Provider ID: 601632
1000 Breckenridge St Ste 1000 Breckenridge St Ste
Gender: Male
Gender: Female
301
301
1000 Breckenridge St Ste Ulrf Pediatric
Owensboro, KY 42303
Owensboro, KY 42303
301
Hematology Oncology
(502) 588-3600
(502) 588-3600
Owensboro, KY 42303
1000 Breckenridge St Ste Fax: (502) 588-3600
Fax: (502) 588-3600
301
(502) 852-7743
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Owensboro, KY 42303
Fax: (502) 852-7670
M-F 8:00 AM - 5:00 PM
Kosair Children's Hospital
(502) 588-3600
00 Yrs/18 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
Fax: (502) 588-3600
M-F 8:00 AM - 5:00 PM
PCMH: No
00 Yrs/18 Yrs
PCMH: No
McGowan, Kerry MD
M-F 8:00 AM - 5:00 PM
Provider ID: 795710
Raj, Ashok MD
Stephen, Thomas MD
PCMH: No
Gender: Female
Provider ID: 601270
Provider ID: 631965
Ulrf Pediatric
Gender: Male
Elster, Jennifer MD
Gender: Male
Hematology Oncology
Ulrf Pediatric
Provider ID: 796387
Ulrf Pediatric
1000 Brecken Ridge St
Hematology Oncology
Gastroenterology
Gender: Female
Ste 301
1000 Breckenridge St Ste
811 E Parrish Ave Ste 120
Ulrf Pediatric
Owensboro, KY 42303
301
Hematology Oncology
Owensboro, KY 42303
(502) 588-3600
Owensboro, KY 42303
1000 Breckenridge St Ste Fax: (502) 588-3600
(502) 852-7670
(502) 588-3600
301
Fax: (502) 852-7743
00 Yrs/99 Yrs
Fax: (502) 588-3600
Owensboro, KY 42303
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
(502) 588-3600
M-F 8:00 AM - 5:00 PM
PCMH: No
M-F 8:00 AM - 5:00 PM
Fax: (502) 588-3600
PCMH: No
PCMH: No
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 57
06/01/2016
Specialty Physicians
Daviess
Pediatrics
Elster, Jennifer MD
Johnson, Stan MD
Leahy, Ryan MD
Provider ID: 796387
Provider ID: 1137647
Provider ID: 631604
Bibb, Karen MD
Gender: Female
Gender: Male
Gender: Male
Provider ID: 631902
Ulrf Pediatric
Addixxion Recovery of
Ulrf Pediatric Cardiology
Gender: Female
Hematology Oncology
Kentucky LLC
1000 Breckenridge St Ste
Ulrf Neonatal Follow-Up 1000 Breckenridge St Ste 710 Carlton Dr
301
1000 Breckenridge St Ste 301
Owensboro, KY 42302
Owensboro, KY 42303
301
Owensboro, KY 42303
(270) 240-4892
(502) 585-4802
Owensboro, KY 42303
(502) 588-3600
Fax: (270) 240-4963
Fax: (502) 589-1289
(502) 852-7049
Fax: (502) 588-3600
00 Yrs/99 Yrs
00 Yrs/18 Yrs
Fax: (502) 852-0135
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Kosair Childrens Medical
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
Center Brownsb
PCMH: No
Kosair Childrens Medical PCMH: No
M-F 8:00 AM - 5:00 PM
Center Brownsb
Kingery, Suzanne MD
PCMH: No
M-F 8:00 AM - 5:00 PM Holland, Brian MD
Provider ID: 631893
Provider ID: 604352
Matta, Jyothi MD
PCMH: No
Gender: Female
Gender: Male
Provider ID: 602336
Ulrf Pediatric
Bibb, Karen MD
Ulrf Pediatric Cardiology Endocrinology
Gender: Female
Provider ID: 631902
1000 Breckenridge St Ste 1000 Breckenridge St Ste Ulrf Pediatric Cardiology
Gender: Female
301
301
1000 Breckenridge St Ste
Neonatal Follow-Up
Owensboro, KY 42303
Owensboro, KY 42303
301
Program
(502) 585-4802
(502) 629-8821
Owensboro, KY 42303
811 E Parrish Ave Ste 100
Fax: (502) 589-1289
Fax: (502) 629-8824
(502) 585-4802
Owensboro, KY 42303
00 Yrs/18 Yrs
00 Yrs/18 Yrs
Fax: (502) 589-1289
(502) 852-7049
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Fax: (502) 852-0135
PCMH: No
PCMH: No
Kosair Childrens Medical
00 Yrs/18 Yrs
Center Brownsb
Lau, Kelvin MD
Kosair Childrens Medical Huang, Michael MD
M-F 8:00 AM - 5:00 PM
Center Brownsb
Provider ID: 1014714
Provider ID: 1129973
PCMH: No
M-F 8:00 AM - 5:00 PM
Gender: Male
Gender: Male
PCMH: No
Ulrf Pediatric
Ulrf Pediatric Cardiology Schuschke, Leslie MD
Hematology Oncology
1000 Breckenridge St Ste
Bullock, Smitha MD
Provider ID: 633799
1000 Breckenridge St Ste 301
Provider ID: 727257
301
Gender: Female
Owensboro, KY 42303
Gender: Female
Owensboro, KY 42303
Ulrf Neonatal Follow Up
(502) 585-4802
Ulrf Pediatric Cardiology (502) 588-3600
1000 Breckenridge St Ste
Fax: (502) 589-1289
1000 Breckenridge St Ste Fax: (502) 588-3600
301
00 Yrs/99 Yrs
301
Owensboro, KY 42303
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Owensboro, KY 42303
(502) 852-0135
M-F 8:00 AM - 5:00 PM
PCMH: No
(502) 585-4802
Fax: (502) 852-7049
PCMH: No
Fax: (502) 589-1289
00 Yrs/21 Yrs
00 Yrs/99 Yrs
Norton Hospital
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 58
06/01/2016
Specialty Physicians
Daviess
Pediatrics - cont.
Schuschke, Leslie MD
Provider ID: 633799
Gender: Female
Neonatal Follow-Up
Program
811 E Parrish Ave Ste 100
Owensboro, KY 42303
(502) 852-7049
Fax: (502) 852-0135
00 Yrs/21 Yrs
Norton Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Watson, Sara MD
Provider ID: 1027641
Gender: Female
Ulrf Pediatric
Endocrinology
1000 Brekenridge St Ste
301
Owensboro, KY 42303
(502) 629-8821
Fax: (502) 629-8824
00 Yrs/21 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Maher, Janae MD
Provider ID: 1008585
Gender: Female
Owensboro Health
Wound Center
1325 Triplett St
Owensboro, KY 42303
(270) 688-4325
Fax: (270) 687-4322
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Podiatry
Block, Steven DPM
Provider ID: 618569
Gender: Male
Bluegrass Foot Center
1901 Leitchfield Rd
Owensboro, KY 42303
(270) 684-5252
Fax: (270) 684-6555
00 Yrs/99 Yrs
Saint Joseph Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Tidwell, James MD
Provider ID: 1088299
Doll, Peter DPM
Gender: Male
Singh, Tamina MD
Provider ID: 618753
One Health Plastic &
Briones II, Tristan MD
Provider ID: 631607
Gender: Male
Reconstructive
Provider ID: 638913
Gender: Female
1000 Breckenridge St Ste Peter James Doll DPM
Gender: Male
Ulrf Neonatology
922 Triplett St
303
1000 Breckenridge St Ste Riverbend Physicial
Owensboro, KY 42303
Owensboro, KY 42303
Medicine and Re
301
(270) 684-7773
(270) 688-3700
1102 Triplett St Ste 2100
Owensboro, KY 42303
Fax: (270) 684-7022
Fax: (270) 688-3709
Owensboro, KY 42303
(502) 852-7049
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(270) 926-7320
Fax: (502) 852-0135
Methodist Hospital
M-F 8:00 AM - 5:00 PM
Fax: (270) 926-7302
00 Yrs/18 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Kosair Childrens Medical 00 Yrs/99 Yrs
PCMH: No
Owensboro Health
Tidwell, James MD
Center Brownsb
Regional Hospital
Henning, Glenn MD
Provider ID: 1088299
M-F 8:00 AM - 5:00 PM
M-F
8:00
AM
5:00
PM
Provider ID: 1020514
Gender: Male
PCMH: No
PCMH: No
Gender: Male
Owensboro Health
Sparks, Joshua MD
Wound Center
Orthopaedics and
Plastic & Reconstructive 1325 Triplett St
Provider ID: 723048
Sports Medicine Ps
Surgery
Gender: Male
2831 New Hartford Rd
Owensboro, KY 42303
Ulrf Pediatric Cardiology Maher, Janae MD
Owensboro, KY 42303
(270) 688-4325
1000 Brecjkenridge St
(270) 926-4100
Fax: (270) 687-4322
Provider ID: 1008585
Ste 301
Fax: (270) 684-4678
00
Yrs/99
Yrs
Gender: Female
Owensboro, KY 42303
00 Yrs/99 Yrs
M-F
8:00
AM
5:00
PM
One Health Plastic &
(502) 585-4802
Owensboro Health
PCMH: No
Reconstructive
Fax: (502) 589-1289
Regional Hospital Rehab
1000 Breckenridge St Ste
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
303
M-F 8:00 AM - 5:00 PM
PCMH: No
Owensboro, KY 42303
PCMH: No
(270) 688-3700
Fax: (270) 688-3709
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Physical Medicine &
Rehabilitation
www.wellcare.com/Kentucky | 59
06/01/2016
Specialty Physicians
Daviess
Podiatry - cont.
Pulmonary Disease
Henning, Glenn DPM
Provider ID: 1181928
Gender: Male
Tri-State Orthopaedic
Surgeons Inc
2831 New Hartford Rd
Owensboro, KY 42303
(812) 471-1591
Fax: (812) 471-6650
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Dedaj, Rejmon MD
Provider ID: 810438
Gender: Male
One Health
Pulmonology
1301 Pleasant Valley Rd
Ste 404
Owensboro, KY 42303
(270) 417-7515
Fax: (270) 417-7699
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Henning, Glenn DPM
Provider ID: 1181928
Gender: Male
Tri-State Orthopaedic
Surgeons Inc
3245 Mount Moriah Ave
Ste 4
Owensboro, KY 42303
(812) 471-1591
Fax: (812) 471-6650
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Simon, Sheldon DPM
Provider ID: 627240
Gender: Male
Dr Sheldon Simon DPM
1915 W Parrish Ave Ste
300
Owensboro, KY 42301
(270) 683-4844
Fax: (270) 926-8366
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Durrani, Jameel MD
Provider ID: 1017572
Gender: Male
One Health
Pulmonology
1301 Pleasant Valley Rd
Ste 404
Owensboro, KY 42303
(270) 417-7515
Fax: (270) 417-7699
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Khan, Zaka MD
Provider ID: 607094
Gender: Male
One Health
Pulmonology
1301 Pleasant Valley Rd
Ste 404
Owensboro, KY 42303
(270) 417-7515
Fax: (270) 417-7699
00 Yrs/99 Yrs
Jewish Hospital
Norton Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Muzoora, Michael MD
Provider ID: 702633
Gender: Male
One Health Radiation
Therapy
1020 Breckenridge St
Owensboro, KY 42303
(270) 688-3600
Fax: (270) 688-3673
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Muzoora, Michael MD
Provider ID: 702633
Gender: Male
One Health
Pulmonology
1301 Pleasant Valley Rd
Ste 404
Owensboro, KY 42303
(270) 417-7515
Fax: (270) 417-7699
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Nesketa, Berhanemeskel
MD
Provider ID: 1020136
Gender: Male
Owensboro Health
Pulmonology
1020 Breckenridge St
Owensboro, KY 42303
(270) 688-3600
Fax: (270) 688-3673
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Nesketa, Berhanemeskel
MD
Provider ID: 1020116
Gender: Male
One Health
Pulmonology
1301 Pleasant Valley Rd
Ste 404
Owensboro, KY 42303
(270) 417-7515
Fax: (270) 417-7699
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Nesketa, Berhanemeskel PCMH: No
MD
Nesketa, Berhanemeskel
Provider ID: 1020116
MD
Gender: Male
Provider ID: 1020136
Owensboro Health
Gender: Male
Radiation Therapy
Owensboro Health
1020 Breckenridge St
Pulmonology
Owensboro, KY 42303
1301 Pleasant Valley Rd
(270) 688-3600
Ste 404
Fax: (270) 688-3673
Owensboro, KY 42303
00 Yrs/99 Yrs
(270) 417-7500
M-F 8:00 AM - 5:00 PM
Fax: (270) 417-7699
PCMH: No
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 60
06/01/2016
Specialty Physicians
Daviess
Pulmonary Disease - cont. Waring, Thomas MD
Provider ID: 1130017
Obryan, William MD
Gender: Male
Provider ID: 622863
One Health
Gender: Male
Pulmonology
One Health
1301 Pleasant Valley Rd
Pulmonology
Ste 404
1301 Pleasant Valley Rd
Owensboro, KY 42303
Ste 404
(270) 417-7515
Owensboro, KY 42303
Fax: (270) 417-7699
(270) 417-7515
00 Yrs/99 Yrs
Fax: (270) 417-7699
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
Owensboro Health
Radiation Oncology
Regional Hospital
M-F 8:00 AM - 5:00 PM
Abel, Ryan MD
PCMH: No
Provider ID: 994667
Wallace, Thomas MD
Gender: Male
Provider ID: 602536
Owensboro Health
Gender: Male
Radiation Therapy
One Health
1020 Breckenridge St
Pulmonology
Owensboro, KY 42303
1301 Pleasant Valley Rd
(270) 688-3600
Ste 404
Fax: (270) 688-3673
Owensboro, KY 42303
00 Yrs/99 Yrs
(270) 417-7515
M-F 8:00 AM - 5:00 PM
Fax: (270) 417-7699
PCMH: No
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Faught, Samuel MD
Provider ID: 631797
PCMH: No
Gender: Male
Waring, Thomas MD
Owensboro Health
Provider ID: 1130017
Radiation Therapy
Gender: Male
1020 Breckenridge St
Owensboro Health
Owensboro, KY 42303
Radiation Therapy
(270) 688-3600
1020 Breckenridge St
Fax: (270) 688-3673
Owensboro, KY 42303
00 Yrs/99 Yrs
(270) 688-3600
Owensboro Health
Fax: (270) 688-3673
Regional Hospital
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Rheumatology
Brey, David MD
Provider ID: 631401
Gender: Male
One Health
Rheumatology
1301 Pleasant Valley Rd
Ste 500A
Owensboro, KY 42303
(270) 417-7900
Fax: (270) 417-7909
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Brey, David MD
Provider ID: 631401
Gender: Male
One Health Urgent Care
Food
2211 Mayfair Dr Ste 101
Owensboro, KY 42301
(270) 688-1352
Fax: (270) 683-4313
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Sims, Gerald MD
Provider ID: 631792
Gender: Male
One Health
Rheumatology
1301 Pleasant Valley Rd
Ste 500A
Owensboro, KY 42303
(270) 417-7900
Fax: (270) 417-7909
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 61
Sims, Gerald MD
Provider ID: 631792
Gender: Male
One Health Urgent Care
Ford
2211 Mayfair Dr Ste 101
Owensboro, KY 42301
(270) 688-1352
Fax: (270) 683-4313
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Sleep Medicine
Pope, Robert MD
Provider ID: 609718
Gender: Male
Owensboro Medical
Practice Group
1126 Triplett St
Owensboro, KY 42303
(270) 687-9000
Fax: (270) 689-2052
16 Yrs/99 Yrs
Owensboro Health
Regional Hospital
St Marys Medical
Center-Evansville
M-F 8:00 AM - 5:00 PM
PCMH: No
Sports Medicine
Polio, Joseph MD
Provider ID: 712843
Gender: Male
Orthopaedics & Sports
Medicine PSC
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-9179
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Daviess
Thoracic & Cardiovascular Havens, Dennis MD
Surgery
Provider ID: 1129955
Gender: Male
Adams, Robert MD
One Health
Cardiothoracic Surgery
Provider ID: 631649
1020 Breckenridge St
Gender: Male
Owensboro, KY 42303
One Health
(270) 688-3600
Cardiothoracic Surgery
Fax: (270) 688-3673
1020 Breckenridge St
00 Yrs/99 Yrs
Owensboro, KY 42303
M-F 8:00 AM - 5:00 PM
(270) 688-3600
PCMH: No
Fax: (270) 688-3673
00 Yrs/99 Yrs
Havens, Dennis MD
Owensboro Health
Provider ID: 1129955
Regional Hospital
Gender: Male
M-F 8:00 AM - 5:00 PM
One Health
PCMH: No
Cardiothoracic Surgery
1301 Pleasant Valley Rd
Adams, Robert MD
Ste 201
Provider ID: 631649
Owensboro, KY 42303
Gender: Male
(270) 417-7500
One Health
Fax: (270) 417-7529
Cardiothoracic Surgery
00 Yrs/99 Yrs
1301 Pleasant Valley Rd
M-F 8:00 AM - 4:30 PM
Ste 201
PCMH: No
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7529
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Floyd IV, Richard MD
Provider ID: 1143035
Gender: Male
One Health
Cardiothoracic Surgery
1301 Pleasant Valley Rd
Ste 201
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7529
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Thoracic Surgery
Gallegos, Robert MD
Provider ID: 1180690
Gender: Male
One Health
Cardiothoracic Surgery
1301 Pleasant Valley Rd
Ste 201
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7529
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Urology
Desai, Mukesh MD
Provider ID: 671649
Andersen, Robert MD
Gender: Male
Provider ID: 622876
Owensboro Urology PSC
Gender: Male
2200 E Parrish Ave Bldg E
Owensboro Urology PSC Ste 201
2200 E Parrish Ave Bldg E Owensboro, KY 42303
201
(270) 685-5534
Owensboro, KY 42303
Fax: (270) 684-0505
(270) 685-5534
00 Yrs/99 Yrs
Fax: (270) 684-0505
Owensboro Health
00 Yrs/99 Yrs
Regional Hospital
Owensboro Health
Languages: Hindi
Regional Hospital
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Desai, Mukesh MD
Bell, Bradley MD
Provider ID: 639358
Provider ID: 633355
Gender: Male
Gender: Male
Owensboro Urology PSC
First Urology PSC
2200 E Parrish Ave Ste
1100 Walnut St Ste 206
201
Owensboro, KY 42301
Owensboro, KY 42303
(812) 282-3899
(270) 598-5190
Fax: (812) 282-4172
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
M-F 9:00 AM - 5:00 PM
PCMH: No
PCMH: No
Goodwin, Charles MD
Buschemeyer, W Cooper Provider ID: 633255
MD
Gender: Male
Provider ID: 633103
First Urology PSC
Gender: Male
1100 Walnut St Ste 206
First Urology PSC
Owensboro, KY 42301
1100 Walnut St Ste 206
(812) 282-3899
Owensboro, KY 42301
Fax: (812) 282-4172
(812) 282-3899
00 Yrs/99 Yrs
Fax: (812) 282-4172
Norton Hospital
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 62
06/01/2016
Specialty Physicians
Daviess
Urology - cont.
Harty, James MD
Provider ID: 1165592
Gender: Male
One Health Urology
1301 Pleasant Valley Rd
Ste 302
Owensboro, KY 42303
(270) 688-4480
Fax: (270) 688-4489
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Jackson, M Brooks MD
Provider ID: 633170
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Jurige, John MD
Provider ID: 633104
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Lewe, Robert MD
Provider ID: 633227
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Lewe, Robert MD
Provider ID: 903541
Gender: Male
One Health Urology
1301 Pleasant Valley Rd
Ste 302
Owensboro, KY 42303
(270) 688-3350
Fax: (270) 688-3359
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Lindner, Robert MD
Provider ID: 633177
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Medley, Richard MD
Provider ID: 633202
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Meiers, H Nicholas MD
Provider ID: 633068
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Pecha, Barry MD
Provider ID: 633037
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Peterson, Matthew MD
Provider ID: 633190
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
Norton Audubon
Hospital
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 63
Prendergast, Neal MD
Provider ID: 633311
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Rao, Ganesh MD
Provider ID: 632989
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Rosenbaum, David MD
Provider ID: 633198
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Daviess
Urology - cont.
Steinbock, Gregory MD
Schrepferman,
Christopher MD
Provider ID: 633090
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Provider ID: 633368
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Smith, Dennis MD
Provider ID: 633330
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Soergel, Trevor MD
Provider ID: 633223
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Sweitzer, Stephan MD
Provider ID: 633189
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Watkins, Samuel MD
Provider ID: 633318
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
18 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Witten, Frederick MD
Provider ID: 633203
Gender: Male
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
18 Yrs/99 Yrs
Norton Hospital
Norton Suburban
Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Vascular Surgery
Danetz, Jeffrey MD
Provider ID: 1084139
Gender: Female
Owensboro Health
Wound Center
1325 Triplett St
Owensboro, KY 42303
(270) 688-4325
Fax: (270) 687-4322
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 64
06/01/2016
Specialty Physicians
Hancock
General Dentistry
Allen, Walton DMD
Provider ID: TPV3537-01
Gender: Male
140 Main Cross St
Hawesville, KY 42348
(270) 927-6045
Fax: (270) 927-6859
00 Yrs/99 Yrs
pattiallenl@live.com
MT 8:00 AM - 5:00 PM
W 9:00 AM - 6:00 PM
TH 9:00 AM - 5:00 PM
PCMH: No
Badgett, Choctaw DMD
Provider ID:
TPV70057DM-01
Gender: Male
8340 US 60 W.
Lewisport, KY 42351
(270) 926-1229
Fax: (270) 295-7300
00 Yrs/99 Yrs
M-W 10:00 AM - 5:30 PM
TH 10:00 AM - 3:00 PM
PCMH: No
Emmick, Rosemary OD
Provider ID: TPV4121-04
Gender: Female
123 Eastwind Ct
Hawesville, KY 42348
(270) 927-8700
Fax: (270) 927-0837
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Orthodontics
Higginson, Joseph DMD
Provider ID: TPV3273-03
Gender: Male
140 Main Cross St
Hawesville, KY 42348
(270) 927-9000
00 Yrs/99 Yrs
higginsonorthodontics@gmail.com
M 9:00 AM - 4:00 PM
PCMH: No
Optometry
Emmick, Mary OD
Provider ID: TPV18512-04
Gender: Female
123 Eastwind Ct
Hawesville, KY 42348
(270) 927-8700
Fax: (270) 927-0837
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 65
06/01/2016
Specialty Physicians
Henderson
Cardiac Electrophysiology Hamed, Hassan MD
Starrett, Robert MD
Provider ID: 345798
Kumbar, Chandrashekar
Provider ID: 720418
Gender: Male
MD
St Marys Medical Group Gender: Male
Provider ID: 720440
LLC
The Heart Group
Gender: Male
914 N Elm St
1138 N Elm St
The Heart Group
Henderson, KY 42420
Henderson, KY 42420
1138 N Elm St
(270) 830-6651
(270) 827-8811
Henderson, KY 42420
00 Yrs/99 Yrs
18 Yrs/99 Yrs
(270) 827-8811
St Marys Medical
Deaconess Hospital
18 Yrs/99 Yrs
Center-Evansville
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 4:00 PM
PCMH: No
PCMH: No
PCMH: No
Turner, Steven MD
Cardiology
Moore, Edward MD
Provider ID: 720595
Gender: Male
Banuru, Sridhar MD
Provider ID: 650247
The Heart Group
Gender:
Male
1138 N Elm St
Provider ID: 707820
The
Heart
Group
Henderson, KY 42420
Gender: Male
1138
N
Elm
St
(270) 827-8811
The Heart Group
Henderson,
KY
42420
18 Yrs/99 Yrs
1138 N Elm St
(270)
827-8811
M-F 9:00 AM - 5:00 PM
Henderson, KY 42420
18
Yrs/99
Yrs
PCMH: No
(270) 827-8811
Deaconess
Hospital
Fax: (270) 827-1221
M-F 9:00 AM - 5:00 PM Yalamanchili, Venkata
18 Yrs/99 Yrs
MD
PCMH: No
Methodist Hospital
Provider ID: 720437
M-F 9:00 AM - 5:00 PM Rehman, Asim MD
Gender: Male
PCMH: No
Provider ID: 671433
The Heart Group
Gender:
Male
1138 N Elm St
Gest, Christine MD
Methodist Hospital
Henderson, KY 42420
1305
N
Elm
St
(270) 827-8811
Provider ID: 720443
Henderson,
KY
42420
18 Yrs/99 Yrs
Gender: Female
(270)
827-7700
Deaconess Hospital
The Heart Group
00
Yrs/99
Yrs
Jewish Hospital
1138 N Elm St
M-F
9:00
AM
5:00
PM
M-F 9:00 AM - 5:00 PM
Henderson, KY 42420
PCMH:
No
PCMH: No
(270) 827-8811
18 Yrs/99 Yrs
Sheth, Mohit MD
Yelamanchili, Prasanna
Deaconess Hospital
MD
Provider ID: 288521
M-F 9:00 AM - 5:00 PM
Provider ID: 720457
Gender: Male
PCMH: No
Gender: Female
The Heart Group PC
The Heart Group
1138 North Elm St
1138 N Elm St
Henderson, KY 42420
Henderson, KY 42420
(812) 464-9133
(270) 827-8811
Fax: (812) 464-0565
18 Yrs/99 Yrs
18 Yrs/99 Yrs
Deaconess Hospital
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 66
Chiropractic
Nunez, Baldomero DC
Provider ID: 604756
Gender: Male
Baldomero Nunez DC
312 3rd St
Henderson, KY 42420
(270) 869-8566
Fax: (270) 869-8568
00 Yrs/99 Yrs
Languages: Spanish
MWTH 8:30 AM - 5:30
PM
T 8:30 AM - 7:00 PM
F 8:30 AM - 2:00 PM
PCMH: No
Ear, Nose & Throat
Logan, Mark MD
Provider ID: 604563
Gender: Male
Midwest Ear Nose and
Throat Surgery
800 N Elm St
Henderson, KY 42420
(270) 827-2312
Fax: (270) 827-0057
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Logan, Thomas MD
Provider ID: 604748
Gender: Male
Midwest Ear Nose and
Throat Surgery
800 N Elm St
Henderson, KY 42420
(270) 827-2312
Fax: (270) 827-0057
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Henderson
Ear, Nose & Throat - cont.
Gastroenterology
Paik, Young MD
Provider ID: 816148
Gender: Male
Midwest Ear Nose and
Throat Surgery
800 N Elm St
Henderson, KY 42420
(270) 827-2312
Fax: (270) 827-2312
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Canlas, Karen MD
Provider ID: 605022
Gender: Female
Methodist Physician
Services
1305 N Elm St Ste G
Henderson, KY 42420
(270) 826-0002
Fax: (270) 826-0003
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Palmer, Ryan DO
Provider ID: 816153
Gender: Male
Midwest Ear Nose &
Throat Surgery P
800 N Elm St
Henderson, KY 42420
(270) 827-2312
Fax: (270) 827-0057
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Canlas, Noel MD
Provider ID: 751438
Gender: Male
Methodist Physician
Services
1305 N Elm St Ste G
Henderson, KY 42420
(270) 826-0002
Fax: (270) 826-0003
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Endocrinology, Diabetes, Canlas, Noel MD
Metabolism
Provider ID: 751438
Gender: Male
Bibi, Zouhair MD
Noel D Canlas MD
Provider ID: 609813
1413 N Elm St Ste 105
Gender: Male
Henderson, KY 42420
Methodist
(270) 826-0002
Endocrinology
Fax: (270) 826-0003
1305 N Elm St Ste A
00 Yrs/99 Yrs
Henderson, KY 42420
M-F 9:00 AM - 5:00 PM
(270) 831-7937
PCMH: No
Fax: (270) 827-7475
18 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Lam, Allan DO
Golden, Matthew MD
Provider ID: 1144189
Provider ID: 999583
Gender: Male
Gender: Male
Methodist Physician
One Health Henderson
Services
3135 Zion Rd Ste B
1305 N Elm St Ste G
Henderson, KY 42420
Henderson, KY 42420
(270) 826-9444
(270) 826-0002
Fax: (270) 826-9002
Fax: (270) 826-0003
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-TH 8:00 AM - 4:00 PM PCMH: No
F 8:00 AM - 12:00 PM
Goova, Mouza MD
PCMH: No
Provider ID: 1053907
General Dentistry
Gender: Female
Evansville Surgical
Beard, Jay DMD
Associates Inc
Provider ID: TPV5799-01
1413 N Elm St Ste 204
Gender: Male
Henderson, KY 42420
401 C Hoffman DR
(270) 826-1403
Henderson, KY 42419
Fax: (270) 826-1478
(270) 827-1263
00 Yrs/99 Yrs
Fax: (270) 830-0199
Methodist Hospital
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
M-TH 8:00 AM - 5:00 PM PCMH: No
PCMH: No
Hohman, James MD
General Surgery
Provider ID: 605048
Gender: Male
Falcone, John MD
Methodist Surgical
Provider ID: 908310
Services
Gender: Male
110 3rd St Ste 130
One Health Henderson
Henderson, KY 42420
3135 Zion Rd Ste B
(270) 830-9973
Henderson, KY 42420
Fax: (270) 830-9975
(270) 826-9444
00 Yrs/99 Yrs
Fax: (270) 826-9022
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 67
06/01/2016
Specialty Physicians
Henderson
General Surgery - cont.
Maddela III, Ricardo DO
Provider ID: 605199
Gender: Male
Methodist Surgical
Services
110 3rd St Ste 130
Henderson, KY 42420
(270) 830-9973
Fax: (270) 830-9975
00 Yrs/99 Yrs
Methodist Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Sewell, Frank MD
Provider ID: 604912
Gender: Male
Frank Sewell MD
1305 N Elm St
Henderson, KY 42420
(270) 631-2399
Fax: (270) 298-9003
00 Yrs/99 Yrs
Methodist Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Geriatric Medicine
Crump, William MD
Provider ID: 1074828
Gender: Male
Regional Health Care
Affiliates, In
472 Klutey Park Plaza Dr
Ste B
Henderson, KY 42420
(270) 826-5522
Fax: (270) 826-5525
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Medical Oncology
Ellis, Leslie
Mehta, Ketan MD
Provider ID: 653485
Provider ID: 642948
Husain, Arshad MD
Gender: Male
Gender: Male
Provider ID: 605051
Kosair Childrens
Kosair Childrens
Gender: Male
Neonatal Specialis
Neonatal Specialis
Methodist Oncology
505 Klutey Park Plaza Ste 505 Klutey Park Plaza Ste
and Hematology
A
A
110 Water St
Henderson, KY 42420
Henderson, KY 42420
Henderson, KY 42420
(502) 896-2500
(502) 896-2500
(270) 827-1234
Fax: (502) 896-2527
Fax: (502) 896-2527
Fax: (270) 827-1235
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Kosair Childrens Medical Kosair Children's Hospital
Languages: Hindi, Urdu,
Center Brownsb
M-F 8:00 AM - 4:30 PM
Marathi
Norton Hospital
PCMH: No
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 4:30 PM
Shah, Mukul MD
PCMH: No
PCMH: No
Provider ID: 643093
Neonatal Perinatal
Hill, Norris MD
Gender: Male
Medicine
Provider ID: 700529
Kosair Childrens
Gender:
Male
Neonatal Specialis
Cohen, Terry MD
Kosair
Childrens
505 Klutey Park Plaza Ste
Provider ID: 696446
Neonatal Specialis
A
Gender: Male
505 Klutey Park Plz Ste A Henderson, KY 42420
Kosair Childrens
Henderson, KY 42420
(502) 896-2500
Neonatal Specialis
(502)
896-2500
Fax: (502) 896-2527
505 Klutey Park Plaza
Fax:
(502)
896-2527
00 Yrs/99 Yrs
Henderson, KY 42420
00
Yrs/99
Yrs
M-F 8:00 AM - 5:00 PM
(502) 896-2500
Baptist
Health
Louisville
PCMH: No
Fax: (502) 896-2527
M-F
8:00
AM
4:30
PM
00 Yrs/99 Yrs
Willette, Caroline MD
Kosair Childrens Medical PCMH: No
Provider ID: 669714
Center Brownsb
Jadhav, Pushkaraj MD
Gender: Female
Norton Hospital
Provider ID: 700505
Kosair Childrens
M-F 8:00 AM - 4:30 PM
Gender: Male
Neonatal Specialis
PCMH: No
Kosair Childrens
505 Klutey Park Plaza Ste
Neonatal Specialis
A
505 Klutey Park Plz Ste A Henderson, KY 42420
Henderson, KY 42420
(502) 896-2500
(502) 896-2500
Fax: (502) 896-2527
Fax: (502) 896-2527
00 Yrs/18 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Languages: Spanish
PCMH: No
M-F 8:00 AM - 4:30 PM
PCMH: No
www.wellcare.com/Kentucky | 68
06/01/2016
Specialty Physicians
Henderson
Nephrology
Obstetrics/Gynecology
Bhasin, Vijay MD
Beickman, Kristopher
MD
Provider ID: 603102
Provider ID: 671219
Gender: Male
St Marys Medical Group Gender: Male
LLC
Kristopher J Beickman
MD Gynecology
914 Elm St
2000 N Elm St Bldg 2
Henderson, KY 42420
Henderson, KY 42420
(270) 830-6651
(812) 490-1822
Fax: (812) 474-4458
Fax: (812) 490-8176
00 Yrs/99 Yrs
00 Yrs/99 Yrs
St Marys Medical
Center-Evansville
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Caron, Philip DO
Neurology
Provider ID: 929232
Gender: Male
Mayron, Michael MD
Methodist Womens
Services
Provider ID: 618747
736 N Elm St
Gender: Male
Henderson, KY 42420
Michael S Mayron MD
(270) 827-4000
PSC
Fax: (270) 821-6818
110 N 3rd St Ste 370
00 Yrs/99 Yrs
Henderson, KY 42420
Methodist Hospital
(270) 830-9872
M-F 8:30 AM - 5:00 PM
Fax: (270) 830-8332
PCMH: No
00 Yrs/99 Yrs
Methodist Hospital
Neely, Thomas MD
M-F 9:00 AM - 5:00 PM
Provider ID: 606295
PCMH: No
Gender: Male
Methodist Womens
Shah, Satish MD
Services
Provider ID: 536364
736 N Elm St
Gender: Male
Henderson, KY 42420
Methodist Neurology
(270) 827-4000
1305 N Elm St Ste B
Fax: (270) 827-5325
Henderson, KY 42420
00 Yrs/99 Yrs
(270) 827-7193
M-F 8:00 AM - 5:00 PM
Fax: (270) 830-4738
PCMH: No
00 Yrs/99 Yrs
Methodist Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Onan, William MD
Vanorsdoll, Christopher
DO
Provider ID: 611579
Provider ID: 1019768
Gender: Male
Gender: Male
William W Onan MD
Methodist Womens
319 8th St
Services
Henderson, KY 42420
736 N Elm St
(270) 869-9888
Henderson, KY 42420
Fax: (270) 869-9129
(270) 827-4000
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM Fax: (270) 827-5325
00 Yrs/99 Yrs
F 8:00 AM - 12:00 PM
Methodist Hospital
PCMH: No
M-TH 8:00 AM - 4:30 PM
Quatro, Raymond MD
F 8:00 AM - 12:00 PM
Provider ID: 614400
PCMH: No
Gender: Male
Ophthalmology
Methodist USA Care
Store
Aljajeh, Mouhab MD
1305 N Elm St Ste D
Provider ID: TPV9460-02
Henderson, KY 42420
Gender: Male
(270) 830-9024
1993 Barrett Court
Fax: (270) 830-9025
Henderson, KY 42420
18 Yrs/99 Yrs
(812) 421-2020
M-F 8:00 AM - 5:00 PM
Fax: (812) 422-1189
PCMH: No
00 Yrs/99 Yrs
Rashidian, Suzanne DO
MW 1:00 AM - 5:00 PM
Provider ID: 708672
T 8:00 AM - 12:00 PM
Gender: Female
PCMH: No
One Health Henderson
Malitz, David MD
3135 Zion Rd Ste B
Provider ID: TPV4526-02
Henderson, KY 42420
Gender: Male
(270) 826-9444
1993 Barrett Court
Fax: (270) 826-9002
Henderson, KY 42420
00 Yrs/99 Yrs
(812) 421-2020
Owensboro Health
Fax: (812) 422-1189
Regional Hospital
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 69
06/01/2016
Specialty Physicians
Henderson
Optometry
Cottingham, Robert OD
Provider ID: TPV5101-01
Gender: Male
1997 Barret Court
Henderson, KY 42420
(270) 826-9966
Fax: (270) 827-1206
00 Yrs/99 Yrs
MTF 8:00 AM - 6:00 PM
W 8:00 AM - 4:00 PM
TH 8:00 AM - 5:30 PM
Sat 8:00 AM - 12:00 PM
PCMH: No
Fife, Sally OD
Provider ID: TPV5146-01
Gender: Female
300 9th St
Henderson, KY 42420
(270) 827-8681
Fax: (270) 826-7687
00 Yrs/99 Yrs
MTTH 8:00 AM - 5:00
PM
W 8:00 AM - 3:30 PM
F 8:00 AM - 2:30 PM
PCMH: No
Hagedorn, Gregory OD
Provider ID: TPV4643-01
Gender: Male
1413 North Elm St
Henderson, KY 42420
(270) 826-1500
Fax: (270) 827-0757
00 Yrs/99 Yrs
MT 9:00 AM - 6:00 PM
WF 9:00 AM - 5:00 PM
TH 9:00 AM - 12:00 PM
PCMH: No
Oral & Maxillofacial
Heck, Charles OD
Surgery
Provider ID: TPV4464-02
Gender: Male
Wagoner, Robert DMD
300 9th St
Henderson, KY 42420
Provider ID:
(270) 827-8681
TPV48641DM-02
Fax: (270) 826-7687
Gender: Male
00 Yrs/99 Yrs
801 North Elm St
MTTH 8:00 AM - 5:00
Henderson, KY 42420
PM
(270) 212-0330
W 8:00 AM - 3:30 PM
Fax: (270) 212-0332
F 8:00 AM - 2:30 PM
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
Sagez-Barnett, Sara OD
Provider ID: TPV2604-01
Gender: Female
300 9th St
Henderson, KY 42420
(270) 827-8681
Fax: (270) 826-7687
00 Yrs/99 Yrs
MTTH 8:00 AM - 5:00
PM
W 8:00 AM - 3:30 PM
F 8:00 AM - 2:30 PM
PCMH: No
Orthopaedic Surgery
Weinzapfel, Brett MD
Provider ID: 1152219
Gender: Male
Tri State Orthopaedic
Surgeons Inc
471 Klutey Park Plaza
Henderson, KY 42420
(812) 477-1558
Fax: (812) 476-6867
00 Yrs/99 Yrs
M 1:00 AM - 5:00 PM
PCMH: No
Stoltz, Eric OD
Provider ID: TPV10050-02
Gender: Male
Whitney, David MD
1195 Barrett Blvd
Provider ID: 1148887
Henderson, KY 42420
Gender: Male
(270) 831-8686
Tri-State Orthopaedic
03 Yrs/99 Yrs
Surgeons Inc
M 9:30 AM - 5:30 PM
471 Klutey Park Plaza Dr
T 9:00 AM - 5:30 PM
Henderson, KY 42420
W 9:00 AM - 5:00 PM
(812) 477-1558
TH 9:00 AM - 12:30 PM
Fax: (812) 476-6867
PCMH: No
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 70
Wilson, Reid MD
Provider ID: 605238
Gender: Male
One Health Henderson
3135 Zion Rd Ste B
Henderson, KY 42420
(270) 826-9444
Fax: (270) 826-9002
00 Yrs/99 Yrs
Methodist Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Yelton, James MD
Provider ID: 604556
Gender: Male
Methodist Orthopaedic
Services
471 Klutey Park Plaza Dr
Henderson, KY 42420
(270) 830-8032
Fax: (270) 830-8132
00 Yrs/99 Yrs
Methodist Hospital
M-TH 8:00 AM - 5:00 PM
F 8:00 AM - 12:00 PM
PCMH: No
Pain Management
Sanapati, Mahendra MD
Provider ID: 622867
Gender: Male
Advanced Pain Care
Clinic
2000 N Elms St
Henderson, KY 42420
(270) 869-9900
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Henderson
Pediatric Cardiology
Physical Medicine &
Rehabilitation
Pulmonary Disease
Kumbar, Deepa MD
Selby, Jeffrey MD
Canlas, Judith MD
Provider ID: 631600
Provider ID: 600986
Provider
ID:
647339
Gender: Female
Gender: Male
St Marys Medical Group Gender: Female
The Lung Center
LLC
Methodist Orthopaedic 319 8th St
Services
914 Elm St
Henderson, KY 42420
471 Klutey Park Plaza Dr
Henderson, KY 42420
(270) 844-1101
Henderson, KY 42420
(270) 830-6651
Fax: (270) 844-1105
(270) 830-8032
Fax: (812) 474-4458
00 Yrs/99 Yrs
Fax: (270) 830-8132
00 Yrs/99 Yrs
St Marys Medical
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Center-Evansville
M-W
8:00
AM
4:30
PM
PCMH: No
M-F 8:30 AM - 5:00 PM
PCMH: No
PCMH: No
Pediatric
Gastroenterology
Podiatry
Radiation Oncology
Aljabi, Maria MD
Provider ID: 604609
Gender: Female
Deaconess Clinic Inc
340 Starlite Dr
Henderson, KY 42420
(270) 844-8027
Fax: (270) 389-3707
00 Yrs/99 Yrs
Methodist Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Anderson, Edward DPM
Frazier, Jon MD
Provider ID: 691391
Provider ID: 641656
Gender: Male
Gender: Male
Therapy Associates Inc
Northern Ky Family Foot 1401 N Elm St
Care Inc
Henderson, KY 42420
411 Letcher St
(270) 827-0255
Henderson, KY 42420
Fax: (270) 826-5324
(270) 830-6522
00 Yrs/99 Yrs
Fax: (270) 830-6625
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
Methodist Hospital
M-F 9:00 AM - 5:00 PM Taylor, Noah MD
Pediatrics
Provider ID: 690243
PCMH: No
Gender: Male
Shah, Mukul MD
Doll, Peter DPM
Therapy Associates Inc
Provider ID: 643093
Provider ID: 618753
1401 N Elm St
Gender: Male
Gender: Male
Henderson, KY 42420
Kosair Childrens
Peter James Doll DPM
(270) 827-0255
Neonatal Specialis
323 8th St
Fax: (270) 826-5324
505 Klutey Park Plaza Ste Henderson, KY 42420
00 Yrs/99 Yrs
A
(270) 827-2548
Deaconess Hospital
Henderson, KY 42420
Fax: (270) 827-4557
M-F 9:00 AM - 5:00 PM
(502) 896-2500
00 Yrs/99 Yrs
PCMH: No
Fax: (502) 896-2527
Methodist Hospital
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 71
Thoracic & Cardiovascular
Surgery
Cefali, Dominic MD
Provider ID: 401694
Gender: Male
The Heart Group
1138 N Elm St
Henderson, KY 42420
(270) 827-8811
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Murrell, Richard MD
Provider ID: 651708
Gender: Male
The Heart Group PC
1138 N Elm St
Henderson, KY 42420
(270) 827-8811
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Wagmeister, Lee MD
Provider ID: 405990
Gender: Male
The Heart Group
1138 N Elm St
Henderson, KY 42420
(270) 827-8811
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Henderson
Urology
Fellows, James MD
Provider ID: 607030
Gender: Male
Urology Partners of
Western Kentuck
110 3rd St
Henderson, KY 42420
(270) 827-2915
Fax: (270) 643-0082
00 Yrs/99 Yrs
Methodist Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Vascular Surgery
Tran, Hoang MD
Provider ID: 720426
Gender: Male
The Heart Group
1138 N Elm St
Henderson, KY 42420
(270) 827-8811
18 Yrs/99 Yrs
Deaconess Hospital
St Marys Medical
Center-Evansville
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 72
06/01/2016
Specialty Physicians
Hopkins
Allergy & Immunology
Cardiology
Clore, Lee MD
Provider ID: 604818
Gender: Male
Allergy & Asthma
Specialists PSC
444 S Main St
Madisonville, KY 42431
(270) 684-6144
Fax: (270) 684-2944
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Assefa, Getu MD
Provider ID: 643844
Gender: Male
Baptist Health Medical
Group
800 Hospital Dr
Madisonville, KY 42431
(270) 825-5100
Fax: (270) 825-5908
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Taylor, Frank MD
Provider ID: 604835
Gender: Male
Baptist Health Medical
Group Inc
200 Clinic Dr 4th Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Heatherly, Steven MD
Provider ID: 1014566
Gender: Male
Baptist Health Medical
Group
800 Hospital Dr
Madisonville, KY 42431
(270) 825-5100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Ikram, Sohail MD
Provider ID: 601308
Gender: Male
University Medical
Associates
800 Hospital Dr
Madisonville, KY 42431
(270) 825-5100
Fax: (270) 825-5908
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Garimella, Satya MD
Provider ID: 622883
Gender: Male
Owensboro Health
Multicare Madisonv
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
Kapadia, Deepak MD
00 Yrs/99 Yrs
Provider ID: 604729
Owensboro Health
Gender: Male
Regional Hospital
Cardiology Consultants
Cardiac Electrophysiology M-F 8:00 AM - 5:00 PM
PSC
PCMH:
No
550 Hospital Dr Ste B
Akram, Muhammad MD
Madisonville, KY 42431
Havelda, Christopher MD (270) 821-5454
Provider ID: 601143
Fax: (270) 821-8818
Gender: Male
Provider ID: 488523
00 Yrs/99 Yrs
Baptist Health Medical
Gender: Male
Languages: German,
Group Inc
One Health Multicare
Hindi, Czech
44 McCoy Ave Ste 379
444 S Main St
M-F 8:00 AM - 4:00 PM
Madisonville, KY 42431
Madisonville, KY 42431
PCMH: No
(270) 842-6655
(270) 821-4444
Fax: (270) 821-2539
Fax: (271) 821-9188
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Languages: Urdu
Owensboro Health
M-F 8:00 AM - 5:00 PM
Regional Hospital
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 73
Kapadia, Deepak MD
Provider ID: 761953
Gender: Male
550 Hospital Dr Ste B
Madisonville, KY 42431
(270) 821-5454
Fax: (270) 821-8818
00 Yrs/99 Yrs
Languages: Spanish,
Urdu, Vietnamese,
Tagalog
M-F 9:00 AM - 5:00 PM
PCMH: No
Kapadia, Deepak MD
Provider ID: 604729
Gender: Male
Baptist Health Medical
Group Inc
800 Hospital Dr 1st Fl
Madisonville, KY 42431
(270) 836-3809
00 Yrs/99 Yrs
Languages: German,
Hindi, Czech
M-F 8:00 AM - 5:00 PM
PCMH: No
Lam, Michael MD
Provider ID: 1165624
Gender: Male
One Health Cardiology
Madisonville
44 McCoy Ave Ste 133
Madisonville, KY 42431
(270) 326-5422
Fax: (270) 329-5431
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Hopkins
Cardiology - cont.
Mathew, Roshan MD
Provider ID: 631385
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
Languages: Spanish
M-F 8:00 AM - 5:00 PM
PCMH: No
Mercer, Albert MD
Provider ID: 631712
Gender: Male
Owensboro Health
Multicare Madisonv
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Reader, Gayl MD
Provider ID: 622949
Gender: Male
One Health Cardiology
Madisonville
44 McCoy Ave Ste 133
Madisonville, KY 42431
(270) 326-5422
Fax: (270) 329-5431
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Sreekumar, Bhaskaran
MD
Provider ID: 604751
Gender: Male
Baptist Health Medical
Group Inc
44 McCoy Ave Ste 379
Madisonville, KY 42431
(270) 842-6655
18 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Vettiankal, George MD
Provider ID: 601788
Gender: Male
Baptist Health Medical
Group Inc
44 McCoy Ave Ste 379
Madisonville, KY 42431
(270) 842-6655
Fax: (270) 821-2539
18 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Cardiovascular Surgery
Akram, Muhammad MD
Provider ID: 601143
Gender: Male
Baptist Health Medical
Group Inc
44 McCoy Ave Ste 379
Madisonville, KY 42431
(270) 842-6655
Fax: (270) 821-2539
00 Yrs/99 Yrs
Languages: Urdu
M-F 8:00 AM - 5:00 PM
PCMH: No
Johnson, James MD
Ear, Nose & Throat
Provider ID: 604405
Gender: Male
Heart Care Associates
PSC
44 McCoy Ave Box 9
Madisonville, KY 42431
(270) 821-0677
Fax: (270) 821-2539
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Logan, William MD
Provider ID: 604564
Gender: Male
Bhm Associates
200 Clinic Dr
Madisonville, KY 42431
(270) 825-7200
Fax: (270) 824-3733
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Child Neurology
Logan, William MD
Provider ID: 604564
Gender: Male
Baptist Health Medical
Group Inc
800 Hospital Dr 3rd Fl
Madisonville, KY 42431
(270) 825-5100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Puri, Vinay MD
Provider ID: 765807
Gender: Male
Baptist Health Medical
Group Inc
200 Clinic Dr
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Chiropractic
Cranor, Robert DC
Provider ID: 601208
Gender: Male
Madisonville
Chiropractic
446 E Center St
Madisonville, KY 42431
(270) 821-7001
Fax: (270) 821-7009
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
PCMH: No
www.wellcare.com/Kentucky | 74
Peers, Christopher MD
Provider ID: 972451
Gender: Male
Baptist Health Medical
Group Inc
800 Hospital Dr 3rd Fl
Madisonville, KY 42431
(270) 825-5100
00 Yrs/99 Yrs
Baptist Health
Madisonville Rehab
Distin
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Hopkins
Endocrinology, Diabetes, Steinfeld, Carroll MD
Metabolism
Provider ID: 638172
Gender: Male
Figueroa, Sergio MD
Baptist Health Medical
Provider ID: 626989
Group
Gender: Male
800 Hospital Dr
Baptist Health Medical
Madisonville, KY 42431
Group
(270) 825-5100
800 Hospital Dr
Fax: (270) 825-5908
Madisonville, KY 42431
00 Yrs/99 Yrs
(270) 825-5100
Baptist Health
00 Yrs/99 Yrs
Madisonville
Baptist Health
M-F 8:00 AM - 5:00 PM
Madisonville
PCMH: No
M-F 8:00 AM - 5:00 PM
General Dentistry
PCMH: No
Figueroa, Sergio MD
Provider ID: 626989
Gender: Male
Baptist Health Medical
Group
900 Hospital Dr
Madisonville, KY 42431
(270) 825-5100
Fax: (270) 825-5947
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Gastroenterology
Dacosta, John MD
Provider ID: 602717
Gender: Male
Baptist Health Medical
Group
800 Hospital Dr
Madisonville, KY 42431
(270) 825-5100
Fax: (270) 825-5908
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Hill, Kimberly DMD
Mann, Robert DMD
Provider ID: TPV8625-01
Provider ID:
TPV26667-03
Gender: Female
Gender: Male
344 East Arch St
122 S Lee Trover Todd Jr
Madisonville, KY 42431
Hwy
(270) 821-8172
Earlington, KY 42410
Fax: (270) 821-5593
(270) 383-5511
03 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM Fax: (270) 383-5511
00 Yrs/99 Yrs
PCMH: No
jenell.
Littlepage, Randall DMD
stump@improvingoralhealth.
com
Provider ID: TPV3129-01
M-F 8:00 AM - 5:00 PM
Gender: Male
PCMH: No
77 East North St
Roy, John DMD
Madisonville, KY 42431
Brown, Terry DMD
Provider ID: TPV4165-01
(270) 825-4030
Provider ID: TPV3017-01
Gender: Male
Fax: (270) 825-2509
Gender: Male
1410 C Pride Ave
00 Yrs/99 Yrs
77 East North St
rlittlepagedentistry@yahoo. Madisonville, KY 42431
Madisonville, KY 42431
(270) 821-3423
com
(270) 821-2468
Fax: (270) 821-3205
MTTHF 9:00 AM - 6:00
Fax: (270) 825-2509
00 Yrs/99 Yrs
PM
00 Yrs/99 Yrs
dmdroy@madi.twcbc.
W 9:00 AM - 1:00 PM
M-TH 8:00 AM - 5:00 PM PCMH: No
com
PCMH: No
M-W 8:30 AM - 6:00 PM
Mann, Robert DMD
TH 8:30 AM - 1:00 PM
Crist, Richard DMD
Provider ID:
PCMH: No
Provider ID: TPV4230-01
TPV26667-04
Gender: Male
Sanders, Tammy DMD
Gender: Male
1340 South Main St
1175 South Main St Unit 4 Provider ID: TPV4139-01
Madisonville, KY 42431
Gender: Female
Madisonville, KY 42431
(270) 825-0676
122 South Lee Trover
(270) 383-5511
Fax: (270) 825-0696
Todd Jr Hwy
Fax: (270) 383-5511
00 Yrs/99 Yrs
Earlington, KY 42410
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM jenell.
(270) 383-5511
PCMH: No
stump@improvingoralhealth. Fax: (270) 383-5511
com
00 Yrs/99 Yrs
Hancock-Jones, Laura
M-F 8:00 AM - 5:00 PM
M-TH 9:00 AM - 5:00 PM
DMD
PCMH: No
F 9:00 AM - 2:00 PM
Provider ID: TPV3963-03
PCMH: No
Gender: Female
412 North Kentucky Ave
Madisonville, KY 42431
(270) 452-2553
01 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 75
06/01/2016
Specialty Physicians
Hopkins
General Dentistry - cont. Chapman, Darren MD
Sanders, Tammy DMD
Provider ID: TPV4139-02
Gender: Female
200 Clinic DR
Madisonville, KY 42431
(270) 681-5315
Fax: (270) 681-5315
00 Yrs/99 Yrs
mwhitmore@sarrelldental.
org
M-F 8:00 AM - 5:00 PM
PCMH: No
Provider ID: 603641
Gender: Male
Baptist Health Medical
Group
800 Hospital Dr
Madisonville, KY 42431
(270) 825-5100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Havens, Dennis MD
Provider ID: 1130310
Watson, Kwane DMD
Gender: Male
Provider ID: TPV8898-04 Baptist Health Medical
Gender: Male
Group Inc
122 S Lee Trover Todd Jr
800 Hospital Dr
Hwy
Madisonville, KY 42431
Earlington, KY 42410
(270) 326-4780
(270) 383-5511
Fax: (270) 326-4746
Fax: (270) 383-5511
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Jazarevic, Slobodan MD
General Surgery
Provider ID: 807513
Armstrong, James MD
Gender: Male
Provider ID: 999551
Baptist Health
Gender: Male
Madisonville
Baptist Health Medical
900 Hospital Dr
Group
Madisonville, KY 42431
800 Hospital Dr
(270) 825-5100
Madisonville, KY 42431
Fax: (270) 825-5644
(270) 825-5100
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Rao, Mohan MD
Provider ID: 614412
Gender: Male
Baptist Health Medical
Group
800 Hospital Dr
Madisonville, KY 42431
(270) 825-5100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Sharma, Vivek MD
Provider ID: 631428
Gender: Male
University Medical
Associates
425 N Kentucky Ave
Madisonville, KY 42431
(800) 998-5100
Fax: (270) 825-5100
00 Yrs/99 Yrs
Norton Hospital
M-F 8:00 AM - 5:00 PM
Hematology & Oncology PCMH: No
Kanbar, Ali MD
Suarez, Angeli MD
Provider ID: 728442
Provider ID: 618752
Gender: Male
Gender: Male
Baptist Health Medical
Pediatric Health Group
Group
PSC
900 Hospital Dr
550 Hospital Dr
Madisonville, KY 42431
Madisonville, KY 42431
(270) 825-5800
(270) 824-9898
Fax: (270) 326-4968
Fax: (270) 824-9185
00 Yrs/99 Yrs
00 Yrs/21 Yrs
Baptist Health
M-F 8:00 AM - 5:00 PM
Madisonville
PCMH: No
M-F 8:00 AM - 5:00 PM
Medical Oncology
PCMH: No
Ridenhour, Kevin MD
Provider ID: 907323
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 76
Kloecker, Goetz MD
Provider ID: 631556
Gender: Male
University Medical
Associates
425 N Kentucky Ave
Madisonville, KY 42431
(800) 998-5100
Fax: (270) 825-5100
00 Yrs/99 Yrs
Norton Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Hopkins
Medical Oncology - cont. Dosani, Imran MD
Maru, Mahendra MD
Mourad, Mohammad MD
Provider ID: 966192
Provider ID: 610837
Thomas, James MD
Provider ID: 622938
Gender: Male
Gender: Male
Provider ID: 631742
Pennyrile Nephrology
Ohio Valley Nephrology Gender: Male
Gender: Male
Associates PSC
Pennyrile Nephrology
1020 Waterfall Ct
One Health Multicare
Associates PSC
1020 Waterfall Ct
Madisonville, KY 42431
444 S Main St
1020 Waterfall Ct
Madisonville, KY 42431
(270) 399-5464
Madisonville, KY 42431
Madisonville, KY 42431
(270) 399-5434
Fax: (270) 825-3793
(270) 821-4444
(270) 399-5434
Fax: (270) 825-3793
16 Yrs/99 Yrs
Fax: (270) 821-9188
Fax: (270) 825-3793
00 Yrs/99 Yrs
MTTHF 9:00 AM - 5:00
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PM
Owensboro Health
Owensboro Health
PCMH: No
W 9:00 AM - 1:00 PM
Regional Hospital
Regional Hospital
PCMH: No
M-F 9:00 AM - 5:00 PM Haria, Dhiren MD
M-F 8:00 AM - 5:00 PM
Provider ID: 610799
Maru, Mahendra MD
PCMH: No
PCMH: No
Gender: Male
Provider ID: 966196
Nephrology
Sobel, Barry MD
Ohio Valley Nephrology Gender: Male
Provider ID: 602094
1020
Waterfall
Ct
Pennyrile
Nephrology
Bhasin, Vijay MD
Gender: Male
Associates
PSC
Madisonville, KY 42431
Provider ID: 603102
Barry J Sobel MD LLC
1020 Waterfall Ct
(270) 399-5464
Gender: Male
1015 College Dr
Madisonville, KY 42431
St Mary's Medical Group Fax: (270) 825-3793
Madisonville, KY 42431
(270)
399-5434
16
Yrs/99
Yrs
LLC
(270) 825-3667
Fax:
(270)
825-3793
MTTHF 9:00 AM - 5:00
200 Clinic Dr
Fax: (270) 825-3710
PM
00 Yrs/99 Yrs
Madisonville, KY 42431
00 Yrs/99 Yrs
W 9:00 AM - 1:00 PM
M-F 8:00 AM - 5:00 PM
(877) 491-6363
M-F 9:00 AM - 5:00 PM
PCMH:
No
PCMH:
No
00 Yrs/99 Yrs
PCMH: No
St Marys Medical
Haria, Dhiren MD
Mourad, Mohammad MD
Center-Evansville
Neurology
Provider ID: 622918
M-F 8:00 AM - 5:00 PM
Provider ID: 610848
Gender: Male
Mufti, Naghma MD
PCMH: No
Ohio Valley Nephrology Gender: Male
Associates
Ohio Valley Nephrology Provider ID: 623488
Dosani, Imran MD
Gender: Female
1020 Waterfall Ct
1020 Waterfall Ct
Provider ID: 614246
Ohio Valley Neurology
Madisonville, KY 42431
Madisonville, KY 42431
Gender: Male
LLC
(270) 399-5464
Ohio Valley Nephrology (270) 399-5434
200 Clinic Dr
Fax: (270) 825-3793
Fax: (270) 825-3793
1020 Waterfall Ct
Madisonville, KY 42431
00 Yrs/99 Yrs
16 Yrs/99 Yrs
Madisonville, KY 42431
(812) 479-7821
Owensboro Health
MTTHF 9:00 AM - 5:00
(270) 399-5464
Fax: (812) 479-7865
Regional Hospital
PM
Fax: (270) 825-3793
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
W 9:00 AM - 1:00 PM
16 Yrs/99 Yrs
M-W 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
MTTHF 9:00 AM - 5:00
PCMH: No
PM
W 9:00 AM - 1:00 PM
PCMH: No
www.wellcare.com/Kentucky | 77
06/01/2016
Specialty Physicians
Hopkins
Neurosurgery
Periyanayagam,
Srinivasan MD
Provider ID: 751207
Gender: Male
Neurosurgery PSC
99 Stagecoach Rd
Madisonville, KY 42431
(270) 821-0480
Fax: (270) 821-0057
12 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Littlehale, Mark MD
Provider ID: 595243
Gender: Male
Baptist Health Medical
Group
800 Hospital Dr
Madisonville, KY 42431
(270) 825-5100
Fax: (270) 825-5908
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Obstetrics/Gynecology
MacDonald, James MD
Henderson, Myra DO
Provider ID: 1000114
Gender: Female
Baptist Health Medical
Group Inc
800 Hospital Dr
Madisonville, KY 42431
(270) 326-3900
00 Yrs/99 Yrs
Hardin Memorial
Hospital
Languages: Spanish
M-F 8:00 AM - 5:00 PM
PCMH: No
Houser, Molly MD
Provider ID: 1093166
Gender: Female
Baptist Health Medical
Group Inc
800 Hospital Dr
Madisonville, KY 42431
(270) 825-5100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Provider ID: 1090935
Gender: Male
Baptist Health Medical
Group Inc
800 Hospital Dr
Madisonville, KY 42431
(270) 825-5100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Neely, Thomas MD
Provider ID: 606295
Gender: Male
Methodist Womens
Services of Madiso
44 McCoy Ave Ste 303
Madisonville, KY 42431
(270) 821-6818
Fax: (270) 824-6606
00 Yrs/99 Yrs
M-W 8:00 AM - 5:00 PM
TH 8:00 AM - 2:00 PM
PCMH: No
Quatro, Raymond MD
Provider ID: 614400
Gender: Male
Methodist Womens
Services of Madiso
44 McCoy Ave
Madisonville, KY 42431
(270) 821-6818
Fax: (270) 824-6606
18 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Tolar, Stewart MD
Provider ID: 927291
Gender: Male
Baptist Health Medical
Group
800 Hospital Dr
Madisonville, KY 42431
(270) 326-3900
Fax: (270) 326-0905
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Rashidian, Suzanne DO
Provider ID: 708672
Gender: Female
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Vanorsdoll, Christopher
DO
Provider ID: 1019768
Gender: Male
Methodist Womens
Services
44 McCoy Ave
Madisonville, KY 42431
(270) 827-4000
00 Yrs/99 Yrs
Methodist Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Sandhu, Manmeet MD
Provider ID: 1115952
Gender: Female
Baptist Health Medical
Group Inc
800 Hospital Dr
Madisonville, KY 42431
(270) 326-3900
Fax: (270) 326-0905
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Willcox, Amy DO
Provider ID: 908702
Gender: Female
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 78
06/01/2016
Specialty Physicians
Hopkins
Ophthalmology
Crist, Troy OD
Provider ID: TPV3237-01
Gender: Male
44 McCoy Ave
Madisonville, KY 42431
(270) 825-3937
Fax: (270) 326-2020
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Calvert, Harold MD
Provider ID: TPV3375-06
Gender: Male
1350 South Main St
Madisonville, KY 42431
(270) 886-2050
Fax: (270) 886-2007
00 Yrs/99 Yrs
admin@calverteyecenter.
com
French, Charles OD
MT 8:00 AM - 4:00 PM
Provider ID: TPV3931-02
PCMH: No
Gender: Male
1350 South Main St
Elliott, Allen MD
Madisonville, KY 42431
Provider ID: TPV4302-01
(270) 821-6241
Gender: Male
Fax: (270) 821-6279
200 Clinic DR
00 Yrs/99 Yrs
Madisonville, KY 42431
jbannster@vci.net
(270) 825-7200
M 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
TWTH 8:00 AM - 5:00
M-F 8:00 AM - 5:00 PM
PM
PCMH: No
PCMH: No
Fitzmaurice, Mark MD
Schertzinger, John OD
Provider ID: TPV4390-01
Gender: Male
200 Clinic DR
Madisonville, KY 42431
(270) 825-7200
Fax: (270) 825-6628
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Optometry
Brown, James OD
Provider ID: TPV3364-01
Gender: Male
344 East Arch St
Madisonville, KY 42431
(270) 821-2862
Fax: (270) 825-3300
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Provider ID:
TPV1770679490WL
Gender: Male
1756 East Center St
Madisonville, KY 42431
(270) 821-6388
03 Yrs/10 Yrs
MW 9:00 AM - 3:30 PM
TTH 9:00 AM - 5:30 PM
F 8:00 AM - 11:30 PM
Sat 9:00 AM - 12:00 PM
PCMH: No
Stoltz, Eric OD
Provider ID: TPV10050-01
Gender: Male
1756 East Center St
Madisonville, KY 42431
(270) 821-7177
00 Yrs/99 Yrs
M 9:00 AM - 6:00 PM
T 9:00 AM - 1:00 PM
PCMH: No
Taylor, Emily OD
Provider ID: TPV3511-01
Gender: Female
344 East Arch St
Madisonville, KY 42431
(270) 821-2862
Fax: (270) 825-2200
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Oral & Maxillofacial
Surgery
Acord, Timothy DDS
Provider ID: 623412
Gender: Male
Trover Clinic
200 Clinic Dr 3rd Fl
Madisonville, KY 42431
(270) 825-7441
Fax: (270) 825-7458
00 Yrs/99 Yrs
MT 9:00 AM - 5:00 PM
W 9:00 AM - 12:00 PM
PCMH: No
Harris, Warren DMD
Provider ID: 623415
Gender: Male
Trover Clinic
200 Clinic Dr 3rd Fl
Madisonville, KY 42431
(270) 825-7441
Fax: (270) 825-7458
12 Yrs/99 Yrs
MT 9:00 AM - 5:00 PM
W 9:00 AM - 12:00 PM
PCMH: No
www.wellcare.com/Kentucky | 79
Schulten, Thad DMD
Provider ID: 623403
Gender: Male
Trover Clinic
200 Clinic Dr 3rd Fl
Madisonville, KY 42431
(270) 825-7441
Fax: (270) 825-7458
00 Yrs/99 Yrs
MT 9:00 AM - 5:00 PM
PCMH: No
Orthopaedic Surgery
Dodds, James MD
Provider ID: 600977
Gender: Male
Baptist Health Medical
Group
44 McCoy Ave Ste 442
Madisonville, KY 42431
(270) 825-6655
Fax: (270) 825-6629
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Donley, James MD
Provider ID: 627239
Gender: Male
Baptist Health Medical
Group
44 McCoy Ave Ste 442
Madisonville, KY 42431
(270) 825-6655
Fax: (270) 825-6629
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Hopkins
Orthopaedic Surgery cont.
McBride, Anthony MD
Provider ID: 704369
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Mesa, Joseph MD
Provider ID: 604548
Gender: Male
Baptist Health Medical
Group
200 Clinic Dr
Madisonville, KY 42431
(270) 825-7200
Fax: (270) 824-3733
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Pain Management
Sanapati, Mahendra MD
Provider ID: 622867
Gender: Male
Advanced Pain Care
Clinic
200 Clinic Dr
Madisonville, KY 42431
(270) 326-6145
Fax: (270) 326-6146
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Pediatric Cardiology
Leahy, Ryan MD
Sparks, Joshua MD
Provider ID: 631604
Provider ID: 723048
Bullock, Smitha MD
Gender: Male
Gender: Male
Provider ID: 727257
Ulrf Pediatric Cardiology Ulrf Pediatric Cardiology
Gender: Female
200 Clinic Dr
200 Clinic Dr
Ulrf Pediatric Cardiology Madisonville, KY 42431
Madisonville, KY 42431
200 Clinic Dr
(502) 585-4802
(502) 585-4802
Madisonville, KY 42431
Fax: (502) 589-1256
Fax: (502) 589-1256
(502) 585-4802
00 Yrs/18 Yrs
00 Yrs/99 Yrs
Fax: (502) 589-1256
Kosair Childrens Medical M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Center Brownsb
PCMH: No
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Wright, Lucinda MD
PCMH: No
PCMH: No
Provider ID: 601497
Holland, Brian MD
Matta, Jyothi MD
Gender: Female
Provider ID: 604352
Provider ID: 602336
Ulrf Pediatric Cardiology
Gender: Male
Gender: Female
200 Clinic Dr
Ulrf Pediatric Cardiology Ulrf Pediatric Cardiology Madisonville, KY 42431
200 Clinic Dr
200 Clinic Dr
(502) 585-4802
Madisonville, KY 42431
Madisonville, KY 42431
Fax: (502) 589-1256
(502) 585-4802
(502) 585-4802
00 Yrs/18 Yrs
Fax: (502) 589-1256
Fax: (502) 589-1256
Kosair Childrens Medical
00 Yrs/18 Yrs
00 Yrs/99 Yrs
Center Brownsb
M-F 8:00 AM - 5:00 PM
Kosair Childrens Medical Norton Hospital
PCMH: No
Center Brownsb
M-F 8:00 AM - 5:00 PM
M-F
8:00
AM
5:00
PM
PCMH: No
Keller, Bradley MD
PCMH:
No
Provider ID: 631924
Pediatric Hematology/
Gender: Male
Oncology
Sobczyk, Walter MD
Ulrf Pediatric Cardiology Provider ID: 604601
Suarez, Angeli MD
200 Clinic Dr
Gender: Male
Madisonville, KY 42431
Ulrf Pediatric Cardiology Provider ID: 627669
Gender: Male
(502) 585-4802
200 Clinic Dr
Pediatric Health Group
Fax: (502) 589-1256
Madisonville, KY 42431
PSC
00 Yrs/18 Yrs
(502) 585-4802
550 Hospital Dr
M-F 8:00 AM - 5:00 PM
Fax: (502) 589-1256
Madisonville, KY 42431
PCMH: No
00 Yrs/18 Yrs
(270) 824-9898
Jennie Stuart Medical
Kim, Edward MD
Fax: (270) 824-9185
Center
Provider ID: 602973
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
Gender: Male
M-F 8:00 AM - 5:00 PM
PCMH: No
Ulrf Pediatric Cardiology
PCMH: No
200 Clinic Dr
Madisonville, KY 42431
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/99 Yrs
Norton Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 80
06/01/2016
Specialty Physicians
Hopkins
Pediatrics
Pulmonary Disease
Radiation Oncology
Matta, Jyothi MD
Provider ID: 602336
Bullock, Smitha MD
Gallo, Thomas MD
Locken, Peter MD
Gender: Female
Provider ID: 727257
Provider
ID:
604656
Provider ID: 618588
Ulrf Pediatric Cardiology
Gender: Female
Gender: Male
Gender: Male
200 Clinic Dr
Ulrf Pediatric Cardiology Madisonville, KY 42431
Baptist Health Medical
Baptist Health Medical
Group
Group
200 Clinic Dr
(502) 585-4802
200
Clinic
Dr
500 Hospital Dr
Madisonville, KY 42431
Fax: (502) 589-1256
Madisonville,
KY
42431
Madisonville, KY 42431
(502) 585-4802
00 Yrs/99 Yrs
(270) 825-5100
Fax: (502) 589-1256
Kosair Childrens Medical (270) 825-7200
00
Yrs/99
Yrs
Fax: (270) 825-5644
00 Yrs/99 Yrs
Center Brownsb
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
PCMH:
No
Baptist Health Paducah
PCMH: No
PCMH: No
Murray Calloway County
Gondal,
Muhammad
MD
Holland, Brian MD
Hospital
Sparks, Joshua MD
Provider ID: 604352
M-F 8:00 AM - 5:00 PM
Provider ID: 723048
Provider ID: 604110
Gender: Male
PCMH: No
Gender: Male
Ulrf Pediatric Cardiology Ulrf Pediatric Cardiology Gender: Male
Shah, Satish MD
Baptist Health Medical
200 Clinic Dr
200 Clinic Dr
Group
Inc
Provider ID: 618758
Madisonville, KY 42431
Madisonville, KY 42431
200 Clinic Dr 3rd Fl
Gender: Male
(502) 585-4802
(502) 585-4802
Madisonville,
KY
42431
Trover Clinic
Fax: (502) 589-1256
Fax: (502) 589-1256
(270)
825-7200
200 Clinic Dr
00 Yrs/18 Yrs
00 Yrs/99 Yrs
16
Yrs/99
Yrs
Madisonville, KY 42431
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Twin Lakes Regional Med (270) 825-7200
PCMH: No
PCMH: No
Center
Fax: (270) 824-3733
Leahy, Ryan MD
Languages: Urdu, Punjabi 00 Yrs/99 Yrs
Podiatry
Provider ID: 631604
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Hehemann, Dave DPM
Gender: Male
PCMH: No
PCMH: No
Ulrf Pediatric Cardiology
Muzoora, Michael MD
Shah, Satish MD
Provider ID: 758668
200 Clinic Dr
Provider
ID:
702633
Provider ID: 618758
Gender:
Male
Madisonville, KY 42431
Gender:
Male
Gender: Male
Baptist Health Medical
(502) 585-4802
One
Health
Multicare
Group
Baptist Health
Fax: (502) 589-1256
444
S
Main
St
Madisonville
200
Clinic
Dr
00 Yrs/18 Yrs
Madisonville,
KY
42431
500 Hospital Dr
Madisonville,
KY
42431
Kosair Childrens Medical
(270)
821-4444
Madisonville, KY 42431
(270)
825-7200
Center Brownsb
Fax:
(270)
821-4444
(270) 825-5100
Fax: (270) 326-4968
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 81
06/01/2016
Specialty Physicians
Hopkins
Radiation Oncology cont.
Shah, Satish MD
Provider ID: 618758
Gender: Male
Baptist Health Medical
Group
900 Hospital Dr
Madisonville, KY 42431
(270) 326-5000
Fax: (270) 326-5007
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Sleep Medicine
Mori, John MD
Provider ID: 1062302
Gender: Male
Baptist Health Medical
Group Inc
900 Hospital Dr 5th Fl
Madisonville, KY 42431
(270) 825-5100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Havens, Dennis MD
Provider ID: 1130310
Gender: Male
Baptist Health Medical
Group Inc
800 Hospital Dr
Madisonville, KY 42431
(270) 326-4780
Fax: (270) 326-4746
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Stanfield, T MD
Provider ID: 601073
Gender: Male
Baptist Health Medical
Group Inc
800 Hospital Dr 1st Fl
Madisonville, KY 42431
(270) 836-3809
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Urology
Fellows, James MD
Provider ID: 607030
Gender: Male
Thoracic & Cardiovascular Urology Partners of
Surgery
Western Kentuck
44 McCoy Ave Box 8
Hamman, Jack MD
Madisonville, KY 42431
Provider ID: 604705
(270) 825-0020
Gender: Male
Fax: (270) 825-0016
Baptist Health Medical
00 Yrs/99 Yrs
Group
Methodist Hospital
800 Hospital Dr
MT 9:00 AM - 5:00 PM
Madisonville, KY 42431
WTH 9:00 AM - 12:00 PM
(270) 825-5100
F 9:00 AM - 1:00 PM
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 82
06/01/2016
Specialty Physicians
McLean
General Dentistry
Thacker, Ralph DMD
Provider ID: TPV4239-01
Gender: Male
222 Main St
Livermore, KY 42352
(270) 278-2385
Fax: (270) 278-5111
03 Yrs/99 Yrs
thackerdental@bellsouth.
net
M-W 8:00 AM - 5:30 PM
TH 8:00 AM - 5:00 PM
PCMH: No
Geriatric Medicine
Crump Jr, William MD
Provider ID: 761716
Gender: Male
Regional Health Care
Affiliates
295 Main St
Calhoun, KY 42327
(270) 273-9310
Fax: (270) 273-9314
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Optometry
Roberts, Mallory OD
Provider ID: TPV1852-02
Gender: Female
255 Main St
Calhoun, KY 42327
(270) 273-3000
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 83
06/01/2016
Specialty Physicians
Muhlenberg
Allergy & Immunology
Clore, Lee MD
Provider ID: 604818
Gender: Male
Allergy Asthma
Specialists PSC
1010 Medical Center Dr
Powderly, KY 42367
(270) 684-6144
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
MWTHF 9:00 AM - 5:00
PM
T 7:30 AM - 5:00 PM
PCMH: No
Cardiology
Assefa, Getu MD
Provider ID: 643844
Gender: Male
Baptist Health Medical
Group
1010 Medical Center Dr
Powderly, KY 42367
(270) 337-1600
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Heatherly, Steven MD
Provider ID: 1014566
Gender: Male
Baptist Health Medical
Group
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Lam, Michael MD
Provider ID: 1165624
Gender: Male
One Health Cardiology
Muhlenberg
440 Hopkinsville St
Greenville, KY 42345
(270) 417-7500
Fax: (270) 417-7509
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Muldowney, James MD
Provider ID: 800279
Gender: Male
Vmg Powderly Clinic
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1717
Fax: (270) 377-1705
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No
Reader, Gayl MD
Provider ID: 622949
Gender: Male
One Health Cardiology
Muhlenberg Co
440 Hopkinsville St
Greenville, KY 42345
(270) 417-7500
Fax: (270) 417-7509
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Chiropractic
Vincent, Larry DC
Provider ID: 608068
Gender: Male
Vincent Chiropractic
Center
302 Medical Plz
Greenville, KY 42345
(270) 338-3348
Fax: (270) 338-3992
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Ear, Nose & Throat
Arora, Anil MD
Provider ID: 1130492
Gender: Male
One Health Ear, Nose,
and Troat Muh
101 Legion Dr
Central City, KY 42330
(270) 754-7223
Fax: (270) 754-7226
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Arora, Anil MD
Provider ID: 725702
Gender: Male
Anil Arora MD Ear Nose
and Throat
101 Legion Dr
Central City, KY 42330
(270) 757-0014
Fax: (270) 757-0020
00 Yrs/99 Yrs
Twin Lakes Regional Med
Center
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 84
Arora, Anil MD
Provider ID: 725702
Gender: Male
Anil Arora MD Ear Nose
Throat
440 Hopkinsville St
Greenville, KY 42345
(270) 338-8000
Fax: (270) 338-8278
00 Yrs/99 Yrs
Twin Lakes Regional Med
Center
M-F 8:00 AM - 5:00 PM
PCMH: No
Logan, William MD
Provider ID: 604564
Gender: Male
Baptist Health Medical
Group
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Peers, Christopher MD
Provider ID: 972451
Gender: Male
Baptist Health Medical
Group
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
00 Yrs/99 Yrs
Baptist Health
Madisonville Rehab
Distin
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Muhlenberg
Endocrinology, Diabetes,
Metabolism
Figueroa, Sergio MD
Provider ID: 626989
Gender: Male
Baptist Health Medical
Group
1010 Medical Center Dr
Powderly, KY 42367
(270) 337-1600
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
General Dentistry
Eades, William DMD
Provider ID: TPV3258-01
Gender: Male
132 East Main Cross
Greenville, KY 42345
(270) 338-2532
Fax: (270) 641-0237
00 Yrs/99 Yrs
MWTH 8:00 AM - 5:00
PM
TF 8:30 AM - 4:30 PM
PCMH: No
Dacosta, John MD
Provider ID: 602717
Gender: Male
Baptist Health Medical
Group
1010 Medical Center Dr
Powderly, KY 42367
(270) 337-1600
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Eades, William DMD
Provider ID: TPV3258-02
Gender: Male
1603 W. Everly Bro Blvd
Central Cty, KY 42330
(270) 754-1404
Fax: (270) 754-1461
00 Yrs/99 Yrs
eadesdentistry@gmail.
com
M 8:00 AM - 5:00 PM
TF 8:00 AM - 4:30 PM
W 8:00 AM - 12:30 PM
TH 2:00 AM - 8:00 PM
PCMH: No
Steinfeld, Carroll MD
Provider ID: 638172
Gender: Male
Baptist Health Medical
Group
1010 Medical Center Dr
Powderly, KY 42367
(270) 337-1600
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Fritsch, Timothy DMD
Provider ID:
TPV66969DM-01
Gender: Male
132 East Main Cross
Greenville, KY 42345
(270) 338-2532
Fax: (270) 641-0237
00 Yrs/99 Yrs
MWTH 8:00 AM - 5:00
PM
TF 8:30 AM - 4:30 PM
PCMH: No
Gastroenterology
Fritsch, Timothy DMD
Provider ID:
TPV66969DM-08
Gender: Male
1603 W. Everly Bro Blvd
Central Cty, KY 42330
(270) 754-1404
Fax: (270) 754-1461
00 Yrs/99 Yrs
eadesdentistry@gmail.
com
M 8:00 AM - 5:00 PM
TF 8:30 AM - 4:30 PM
W 8:30 AM - 12:30 PM
TH 2:00 AM - 8:00 PM
PCMH: No
Morehead, David DMD
Provider ID: TPV3635-01
Gender: Male
300 W. Broad St
Central City, KY 42330
(270) 754-1888
Fax: (270) 754-1808
00 Yrs/99 Yrs
M-TH 8:00 AM - 4:00 PM
PCMH: No
Webb-Brown, Mary DMD
Provider ID: TPV3147-01
Gender: Female
203 South Cherry St
Greenville, KY 42345
(270) 338-0606
Fax: (270) 338-0617
00 Yrs/99 Yrs
M-W 7:00 AM - 5:00 PM
TH 7:00 AM - 12:00 PM
PCMH: No
www.wellcare.com/Kentucky | 85
General Surgery
Armstrong, Aubrey MD
Provider ID: 675826
Gender: Male
MS Community Health
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
Fax: (270) 338-0229
00 Yrs/99 Yrs
Jennie Stuart Medical
Center
M-F 8:00 AM - 5:00 PM
PCMH: No
Armstrong, Aubrey MD
Provider ID: 675826
Gender: Male
Muhlenberg Community
Hospital
211 S Cherry St
Greenville, KY 42345
(270) 377-1952
Fax: (270) 377-1953
00 Yrs/99 Yrs
Jennie Stuart Medical
Center
M-F 8:00 AM - 5:00 PM
PCMH: No
Browning, William MD
Provider ID: 604887
Gender: Male
William I Browning MD
1010 Medical Center Dr
Powderly, KY 42367
(270) 338-6151
Fax: (270) 338-0106
00 Yrs/99 Yrs
Owensboro Health
Muhlenberg Community
Ho
M-TH 1:00 AM - 4:30 PM
PCMH: No
06/01/2016
Specialty Physicians
Muhlenberg
General Surgery - cont.
Glaser, Christopher MD
Patel, Ramesh MD
Haria, Dhiren MD
Provider ID: 626244
Provider ID: 610799
Cornell, Roy MD
Provider ID: 782823
Gender: Male
Gender: Male
Provider ID: 785687
Gender: Male
Gajera & Patel PLLC
Ohio Valley Nephrology
Gender: Male
One Health Orthopedics 1010 Medical Center Dr
222 Phillip Stone Way
One Health Orthopedics Muhlenberg
Powderly, KY 42367
Central City, KY 42330
Mulenberg
440 Hopkinsville St Ste
(270) 885-0570
(270) 754-4404
440 Hopkinsville St Ste
2E
Fax: (270) 885-0573
Fax: (270) 754-4370
2E
Greenville, KY 42345
00 Yrs/99 Yrs
16 Yrs/99 Yrs
Greenville, KY 42345
(270) 377-0111
M 8:00 AM - 4:00 PM
MTTHF 9:00 AM - 5:00
(270) 377-0111
Fax: (270) 377-0113
PM
PCMH: No
Fax: (270) 377-0113
00 Yrs/99 Yrs
W 9:00 AM - 1:00 PM
00 Yrs/99 Yrs
Nephrology
M-F 8:00 AM - 5:00 PM
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
Dosani, Imran MD
PCMH: No
Maru, Mahendra MD
Provider ID: 614246
West, Michael MD
Provider ID: 610837
Falcone, John MD
Gender: Male
Provider ID: 1038279
Gender: Male
Provider ID: 908310
Ohio Valley Nephrology Ohio Valley Nephrology
Gender: Male
Gender: Male
One Health Orthopedics 222 Phillip Stone Way
222 Phillip Stone Way
One Health Orthopedics Muhlenberg
Central City, KY 42330
Central City, KY 42330
Muhlenberg
440 Hopkinsville St Ste
(270) 754-4404
(270) 754-4404
440 Hopkinsville St Ste
2E
Fax: (270) 754-4370
Fax: (270) 754-4370
2E
Greenville, KY 42345
16 Yrs/99 Yrs
16 Yrs/99 Yrs
Greenville, KY 42345
(270) 377-0111
MTTHF 9:00 AM - 5:00
MTTHF 9:00 AM - 5:00
(270) 377-0111
Fax: (270) 377-0113
PM
PM
Fax: (270) 377-0113
00 Yrs/99 Yrs
W 9:00 AM - 1:00 PM
W 9:00 AM - 1:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
Haria, Dhiren MD
PCMH: No
Mourad, Mohammad MD
Hematology & Oncology Provider ID: 622918
Glaser, Christopher MD
Gender: Male
Provider ID: 610848
Gajera, Ratilal MD
Ohio Valley Nephrology Gender: Male
Provider ID: 615328
Provider ID: 626243
Associates
Ohio Valley Nephrology
Gender: Male
Gender: Male
222 Hwy 189 Byp
222 Phillip Stone Way
One Health Orthopedics Gajera & Patel PLLC
Central City, KY 42330
Central City, KY 42330
Muhlenberg
1010 Medical Center Dr
(270) 754-4404
(270) 754-4404
440 Hopkinsville St Ste
Powderly, KY 42367
Fax: (270) 754-4370
Fax: (270) 754-4370
2E
(270) 885-0570
00 Yrs/99 Yrs
16 Yrs/99 Yrs
Greenville, KY 42345
Fax: (270) 885-0573
Owensboro Health
MTTHF 9:00 AM - 5:00
(270) 377-0111
00 Yrs/99 Yrs
Regional Hospital
PM
Fax: (270) 377-0113
M 8:00 AM - 4:00 PM
M-F 9:00 AM - 5:00 PM
W 9:00 AM - 1:00 PM
00 Yrs/99 Yrs
PCMH: No
PCMH: No
PCMH: No
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 86
06/01/2016
Specialty Physicians
Muhlenberg
Nuclear Radiology
Davis, Mark MD
Provider ID: 671267
Gender: Male
Virtual Radiologic
Professionals LL
440 Hopkinsville St
Greenville, KY 42345
(270) 338-8000
00 Yrs/99 Yrs
Baptist Health
Madisonville
MTWTHFSat 8:00 AM 5:00 PM
PCMH: No
Obstetrics/Gynecology
Conatser, David MD
Provider ID: 617395
Gender: Male
Community Health
Centers of Western
226 Hopkinsville St
Greenville, KY 42345
(270) 377-3077
Fax: (270) 377-3002
12 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Conatser, David MD
Provider ID: 617395
Gender: Male
Community Health
Centers of Western
480 Hopkinsville St
Greenville, KY 42345
(270) 338-5777
Fax: (270) 338-5765
12 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
PCMH: No
Conatser, David MD
Provider ID: 617395
Gender: Male
Community Health
Centers of Western
504 Hopkinsville St
Greenville, KY 42345
(270) 338-6488
Fax: (270) 338-7868
12 Yrs/99 Yrs
M-F 8:00 AM - 5:30 PM
PCMH: No
Ricketts, Heather MD
Provider ID: 596868
Gender: Female
Baptist Health Medical
Group
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
PCMH: No
Optometry
Coats, Adam OD
Provider ID: TPV3567-01
Gender: Male
1725 W. Everly Brothers
Blvd
Central City, KY 42330
(270) 754-4512
00 Yrs/99 Yrs
MT 8:30 AM - 5:30 PM
W 8:30 AM - 2:30 PM
PCMH: No
Mayes, Freddie OD
Tarter, Larry OD
Provider ID: TPV4618-01
Provider ID: TPV3934-01
Gender: Male
Gender: Male
1601 W. Everly Bro. Blvd.
224 Hopkinsville St
Central City, KY 42330
Greenville, KY 42345
(270) 754-4515
(270) 338-2400
Fax: (270) 754-2547
Fax: (270) 338-2402
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-W 8:00 AM - 4:30 PM M 7:30 AM - 7:00 PM
TH 8:00 AM - 12:00 PM
TWTH 7:30 AM - 5:00
PM
F 8:00 AM - 4:00 PM
F 7:30 AM - 12:00 PM
PCMH: No
PCMH: No
Mayes, Tyler OD
Provider ID: TPV5628-01 Wood, George OD
Provider ID: TPV4141-01
Gender: Male
Gender: Male
1601 W. Everly Bro. Blvd.
609 W. Main St
Central City, KY 42330
Powderly, KY 42367
(270) 754-4515
(270) 338-4091
Fax: (270) 754-2547
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-W 8:00 AM - 4:30 PM MTTHF 8:30 AM - 5:00
PM
TH 8:00 AM - 12:00 PM
W 8:30 AM - 12:00 PM
F 8:00 AM - 4:00 PM
PCMH: No
PCMH: No
Soderling, John OD
Provider ID:
TPV1225029556CL
Gender: Male
136 East Main Cross St
Greenville, KY 42345
(270) 338-9636
Fax: (270) 338-9639
02 Yrs/10 Yrs
MWTH 8:00 AM - 5:00
PM
T 9:00 AM - 7:00 PM
F 7:30 AM - 1:00 PM
PCMH: No
www.wellcare.com/Kentucky | 87
Orthopaedic Surgery
Burkett, Benjamin MD
Provider ID: 937905
Gender: Male
Baptist Health Medical
Group
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Muhlenberg
Orthopaedic Surgery cont.
Sleep Medicine
Westbrook, Heloise MD Radiology - Interventional
&
Vascular
Provider ID: 1078808
Pope, Robert MD
Gender: Female
Dodds, James MD
Bardini,
John
MD
Pain Management Group
Provider ID: 600977
Provider ID: 603865
Provider ID: 609718
LLC
Gender: Male
Gender: Male
Gender: Male
440 Hopkinsville St
Baptist Health Medical
Virtual
Radiologic
Owensboro Medical
Greenville, KY 42345
Group
Professionals
LL
Practice Group
(270) 338-8392
1010 Medical Center Dr
440
Hopkinsville
St
1100 W Everly Brothers
Fax: (270) 338-8585
Blvd
Powderly, KY 42367
Greenville,
KY
42345
00 Yrs/99 Yrs
Central City, KY 42330
(270) 377-1600
(270) 338-8000
M-F 8:00 AM - 5:00 PM
(270) 757-9991
00 Yrs/99 Yrs
00 Yrs/99 Yrs
PCMH: No
Fax: (270) 757-9943
M-F 8:00 AM - 5:00 PM
Owensboro Health
Pulmonary Disease
Muhlenberg Community 16 Yrs/99 Yrs
PCMH: No
Ho
Owensboro Health
Genovese, Vincent MD
Chavda, Sanjay MD
M-F 9:00 AM - 5:00 PM
Regional Hospital
Provider ID: 1130493
Provider ID: 778771
St Marys Medical
PCMH: No
Gender: Male
Gender: Male
Center-Evansville
One Health Orthopedics Coal Miners Respiratory Montecalvo, Raymond
M-F 8:00 AM - 5:00 PM
MD
Muhlenberg
Clinic
PCMH: No
Provider ID: 603872
1010 Medical Center Dr
440 Hopkinsville St
Urology
Gender: Male
Powderly, KY 42367
Greenville, KY 42345
Virtual Radiologic
(270) 377-0111
(270) 338-8300
Dougherty, Hugh MD
Professionals LL
Fax: (270) 377-0113
Fax: (270) 338-8427
Provider ID: 752144
440 Hopkinsville St
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Gender: Male
Greenville, KY 42345
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Fairview Physicians
(270) 338-8000
PCMH: No
PCMH: No
Network LLC
00 Yrs/99 Yrs
1008 Medical Dr Ste A
Pain Management
Radiation Oncology
Owensboro Health
Muhlenberg Community Powderly, KY 42367
Danko, Michael MD
Cobb, Mariel MD
(270) 886-5141
Ho
Provider ID: 1011255
Provider ID: 671724
Fax: (270) 885-1877
M-F 9:00 AM - 5:00 PM
Gender: Male
Gender: Female
00 Yrs/99 Yrs
PCMH: No
Pain Management Group Virtual Radiologic
M 8:00 AM - 9:30 PM
LLC
Schreiner, Virgina MD
Professionals LL
PCMH: No
440 Hopkinsville St
Provider ID: 603875
440 Hopkinsville St
Greenville, KY 42345
Gender: Female
Greenville, KY 42345
(270) 338-8392
Virtual Radiologic
(270) 338-8000
Professionals LL
Fax: (270) 338-8585
00 Yrs/99 Yrs
440 Hopkinsville St
00 Yrs/99 Yrs
Baptist Health
Greenville, KY 42345
Owensboro Health
Madisonville
Muhlenberg Community MTWTHFSat 8:00 AM (270) 338-8000
Ho
5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Owensboro Health
PCMH: No
Muhlenberg Community
Ho
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 88
06/01/2016
Specialty Physicians
Muhlenberg
Vascular Surgery
Shuttleworth, W MD
Provider ID: 618787
Gender: Male
W Edward Shuttleworth
MD
1008 Medical Center Dr
Ste A
Powderly, KY 42367
(270) 338-9653
Fax: (270) 338-9656
00 Yrs/99 Yrs
Ohio County Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 89
06/01/2016
Specialty Physicians
Ohio
Ear, Nose & Throat
Hematology & Oncology
McCarty, Joseph DMD
Provider ID: TPV5888-01
Knox, Robert MD
Prajapati, Dattatraya MD
Gender: Male
Provider ID: 751742
904 Main St
Provider ID: 1002854
Gender: Male
Hartford, KY 42347
Gender: Male
Quick Care
(270) 298-3555
One Health Hematology
20 McMurtry Ave
00 Yrs/99 Yrs
Hartford, KY 42347
M-TH 8:00 AM - 5:00 PM and Oncology
1211 Main St
(270) 504-1300
PCMH: No
Hartford, KY 42347
Fax: (270) 504-1380
(270) 298-9507
Stemm, Wilson DMD
00 Yrs/99 Yrs
Fax: (270) 298-9937
Provider ID:
M-F 7:00 AM - 7:00 PM
TPV26216DM-02
00 Yrs/99 Yrs
Sat-Sun 9:00 AM - 5:00
Gender:
Male
M-F 8:00 AM - 5:00 PM
PM
1221 N Main St
PCMH: No
PCMH: No
Beaver Dam, KY 42320
Medical Oncology
Gastroenterology
(270) 274-3379
Fax: (270) 274-4600
Maheshwari, Jewraj MD
Riccio, Charles MD
00
Yrs/99
Yrs
Provider ID: 608119
Languages: Spanish
Provider ID: 618667
Gender: Male
M 11:00 AM - 7:00 PM
Gender: Male
Charles W Riccio MD
TW
9:00
AM
5:00
PM
One Health Hematology
112 E McMurtry Ave
PCMH:
No
and Oncology
Hartford, KY 42347
1211 Main St
(270) 298-7225
General Surgery
Hartford, KY 42347
Fax: (270) 298-4084
(270) 298-9507
Decker,
Philip
MD
03 Yrs/99 Yrs
Fax: (270) 298-9937
Provider ID: 784670
Ohio County Hospital
00 Yrs/99 Yrs
Owensboro Health
Gender: Male
Owensboro Health
Regional Hospital
One Health Ohio
Regional Hospital
MTTHF 9:00 AM - 5:00
County
M-F 8:00 AM - 5:00 PM
PM
1213 N Main St
PCMH: No
W 11:00 AM - 5:30 PM
Beaver Dam, KY 42320
PCMH: No
(270) 274-4771
Obstetrics/Gynecology
Fax:
(270)
274-4884
General Dentistry
12 Yrs/99 Yrs
Ottman, Elizabeth MD
M-F 8:00 AM - 5:00 PM
Alford, Kenneth DMD
PCMH: No
Provider ID: 629034
Provider ID: TPV3313-01
Gender: Female
Gender: Male
Ocsc Specialty
1269 Duvall Rd
1215 Old Main St
Beaver Dam, KY 42320
Hartford, KY 42347
(270) 274-4875
(270) 730-5344
Fax: (270) 274-2418
Fax: (270) 298-5285
00 Yrs/99 Yrs
12 Yrs/99 Yrs
M-TH 9:00 AM - 5:00 PM
Owensboro Health
PCMH: No
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 90
Optometry
Cohron, Wallace OD
Provider ID: TPV5287-02
Gender: Male
112 McMurtry Ave.
Hartford, KY 42347
(270) 298-7623
Fax: (270) 298-7624
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Roberts, Mallory OD
Provider ID: TPV1852-01
Gender: Female
1303 N Main St
Beaver Dam, KY 42320
(270) 274-3294
Fax: (270) 274-4811
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Shrewsbury, Jonathan
OD
Provider ID: TPV4791-01
Gender: Male
1303 N Main St
Beaver Dam, KY 42320
(270) 274-3294
Fax: (270) 274-4811
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Ohio
Sleep Medicine
Zachek, Michael MD
Provider ID: 618757
Gender: Male
Graves Gilbert Clinic
1121 Main St
Hartford, KY 42347
(270) 298-5193
Fax: (270) 298-5287
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
PCMH: No
Urology
Bell, Bradley MD
Provider ID: 633355
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Desai, Mukesh MD
Provider ID: 639358
Gender: Male
Ocsc Specialty
1215 Old Main St
Hartford, KY 42347
(270) 730-5344
Fax: (270) 298-5285
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Lewe, Robert MD
Provider ID: 633227
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Goodwin, Charles MD
Provider ID: 633255
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Lindner, Robert MD
Provider ID: 633177
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Jackson, M Brooks MD
Provider ID: 633170
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Buschemeyer, W Cooper
MD
Provider ID: 633103
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
Jurige, John MD
00 Yrs/99 Yrs
Provider ID: 633104
M-F 9:00 AM - 5:00 PM
Gender: Male
PCMH: No
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Medley, Richard MD
Provider ID: 633202
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Meiers, H Nicholas MD
Provider ID: 633068
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 91
Pecha, Barry MD
Provider ID: 633037
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Peterson, Matthew MD
Provider ID: 633190
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
Norton Audubon
Hospital
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Prendergast, Neal MD
Provider ID: 633311
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Ohio
Urology - cont.
Rao, Ganesh MD
Provider ID: 632989
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Rosenbaum, David MD
Provider ID: 633198
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Schrepferman,
Christopher MD
Provider ID: 633090
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Smith, Dennis MD
Provider ID: 633330
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Soergel, Trevor MD
Provider ID: 633223
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Steinbock, Gregory MD
Provider ID: 633368
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Sweitzer, Stephan MD
Provider ID: 633189
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Watkins, Samuel MD
Provider ID: 633318
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
18 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
Witten, Frederick MD
Provider ID: 633203
Gender: Male
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
18 Yrs/99 Yrs
Norton Hospital
Norton Suburban
Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 92
Vascular Surgery
Danetz, Jeffrey MD
Provider ID: 1084139
Gender: Female
Owensboro Health
Wound Center
1307 N Main St
Beaver Dam, KY 42320
(270) 274-5602
Fax: (270) 274-5612
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Specialty Physicians
Todd
Optometry
Murray, Brian OD
Provider ID: TPV4421-01
Gender: Male
81 Public Square
Elkton, KY 42220
(270) 265-9036
Fax: (270) 265-0013
00 Yrs/99 Yrs
Languages: Spanish
M-F 7:30 AM - 5:00 PM
PCMH: No
Majmudar, Manoj MD
Provider ID: 692307
Gender: Male
Elkton Clinic PSC
713 W Main St
Elkton, KY 42220
(270) 886-8840
Fax: (270) 886-8869
00 Yrs/99 Yrs
Jennie Stuart Medical
Center
M-F 8:30 AM - 4:00 PM
PCMH: No
Murray, Paula OD
Provider ID: TPV5038-01
Sleep Medicine
Gender: Female
Chavda, Sanjay MD
81 Public Square
Provider ID: 629014
Elkton, KY 42220
Gender: Male
(270) 265-9036
Bell Clinic PLLC
Fax: (270) 265-0013
105 Elk Fork Rd
00 Yrs/99 Yrs
M-TH 8:00 AM - 4:30 PM Elkton, KY 42220
(270) 265-2574
PCMH: No
Fax: (270) 265-3098
Pulmonary Disease
18 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Chavda, Sanjay MD
Sat 8:00 AM - 3:00 PM
Provider ID: 629014
PCMH: No
Gender: Male
Bell Clinic PLLC
105 Elk Fork Rd
Elkton, KY 42220
(270) 265-2574
Fax: (270) 265-3098
18 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 3:00 PM
PCMH: No
www.wellcare.com/Kentucky | 93
06/01/2016
Specialty Physicians
Trigg
Cardiac Electrophysiology
Schwender, Frank MD
Provider ID: 603816
Gender: Male
Southern Kentucky
Heart Institute
254 Main St
Cadiz, KY 42211
(270) 522-3215
Fax: (270) 495-1488
18 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
PCMH: No
Cardiology
Schwender, Frank MD
Provider ID: 603816
Gender: Male
Southern Kentucky
Heart Institute
254 Main St
Cadiz, KY 42211
(270) 522-3215
Fax: (270) 495-1488
18 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
PCMH: No
Velaga, Rao MD
Provider ID: 752318
Gender: Male
Trigg County Hospital
254 Main St
Cadiz, KY 42211
(270) 886-0251
Fax: (270) 886-0252
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
General Dentistry
Obstetrics/Gynecology
Green, Thomas MD
Provider ID: 599141
Gross, Michael DMD
Deeter, Dawn MD
Gender: Male
Provider ID:
Provider ID: 599001
Murray Womans Clinic
TPV52104DM-01
Gender: Female
254 Main St Medical Arts
Gender: Male
Murray Womans Clinic
Bldg
51 South Rd
250 Main St Medical Arts Cadiz, KY 42211
Cadiz, KY 42211
Bldg
(270) 522-5236
(270) 522-3484
Cadiz, KY 42211
00 Yrs/99 Yrs
Fax: (270) 522-4662
(270) 522-5236
Murray Calloway County
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Hospital
MTTH 8:00 AM - 5:00
Murray Calloway County Languages: Spanish
PM
Hospital
MT 9:00 AM - 4:00 PM
WF 8:00 AM - 12:00 PM
Languages: Spanish,
PCMH: No
French
PCMH: No
Optometry
MT 9:00 AM - 4:00 PM
Rose, Scarlett-Dawn
PCMH: No
DMD
Bostick, David OD
Provider ID:
Deeter, Dawn MD
Provider ID: TPV3503-01
TPV105379-01
Provider ID: 599001
Gender: Male
Gender: Female
Gender: Female
13 Hospital St
104 Commerce St
Murray Womans Clinic
Cadiz, KY 42211
Cadiz, KY 42211
254 Main St Medical Arts (270) 522-1234
(270) 522-7867
Bldg
Fax: (270) 522-2268
Fax: (270) 522-7870
Cadiz, KY 42211
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(270) 522-5236
M-F 9:00 AM - 5:00 PM
M-W 8:00 AM - 5:00 PM 00 Yrs/99 Yrs
PCMH: No
TH 8:00 AM - 3:00 PM
Murray Calloway County
Parker, Sarah OD
Hospital
PCMH: No
Provider ID: TPV2004-03
Languages: Spanish,
Nephrology
Gender: Female
French
258 Lakota Dr
MT 9:00 AM - 4:00 PM
Ali, Shaukat MD
Cadiz, KY 42211
PCMH: No
(270) 206-9067
Provider ID: 700588
Green, Thomas MD
Fax: (270) 206-9205
Gender: Male
Provider ID: 599141
00 Yrs/99 Yrs
Jpma DBA Western
Gender: Male
katie@parkereyecare.
Kidney Specialists
Murray Womans Clinic
com
2484 Main St
250 Main St Medical Arts M-TH 8:30 AM - 4:30 PM
Cadiz, KY 42211
Bldg
PCMH: No
(270) 522-0170
Cadiz, KY 42211
Fax: (270) 522-0171
(270) 522-5236
15 Yrs/99 Yrs
00 Yrs/99 Yrs
Languages: Spanish,
Murray Calloway County
Urdu, Punjabi
Hospital
M-F 8:00 AM - 5:00 PM
Languages: Spanish
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 94
06/01/2016
Specialty Physicians
Trigg
Optometry - cont.
Sutherland, Scott OD
Provider ID: TPV5157-01
Gender: Male
304 Main St
Cadiz, KY 42211
(270) 522-3263
Fax: (270) 522-6240
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 95
06/01/2016
Specialty Physicians
Union
Chiropractic
Baker, Jeremy DC
Provider ID: 1076021
Gender: Male
Baker Chiropractic
412 North Main St
Sturgis, KY 42459
(270) 333-4641
Fax: (270) 333-4641
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 12:00 PM
PCMH: No
Rigdon, Nancy DMD
Provider ID: TPV3025-01
Gender: Female
124 South Brady St
Morganfield, KY 42437
(270) 389-2855
Fax: (270) 997-4856
00 Yrs/99 Yrs
MTTHF 8:00 AM - 2:00
PM
W 8:00 AM - 5:00 PM
PCMH: No
General Surgery
Soni, Vinod MD
Harmon, Terry DC
Provider ID: 605215
Provider ID: 602766
Gender: Male
Gender: Male
Chi Rho Health Wellness Methodist Family
Medicine of Sturgi
Center
9064 US Hwy 60 W
114 E Main St
Sturgis, KY 42459
Morganfield, KY 42437
(270) 333-4349
(270) 389-9696
Fax: (270) 333-9292
Fax: (270) 389-9691
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Methodist Hospital
M 7:30 AM - 5:30 PM
M-F 8:00 AM - 5:00 PM
TTH 9:00 AM - 5:00 PM
PCMH: No
WF 7:30 AM - 5:00 PM
PCMH: No
Optometry
General Dentistry
Heck, Charles OD
Provider ID: TPV4464-03
Heine, Kember DMD
Gender: Male
Provider ID:
TPV78112DM-01
104 S Court St
Gender: Male
Morganfield, KY 42437
1107 North Main St
(270) 389-2029
Sturgis, KY 42459
Fax: (270) 389-2049
(270) 333-4030
00 Yrs/99 Yrs
Fax: (270) 333-7998
MT 8:30 AM - 4:30 PM
00 Yrs/99 Yrs
PCMH: No
M 9:00 AM - 5:00 PM
TWTH 8:00 AM - 5:00
PM
F 8:00 AM - 12:00 PM
PCMH: No
www.wellcare.com/Kentucky | 96
06/01/2016
Specialty Physicians
Webster
General Dentistry
Warren, Paige DMD
Provider ID: TPV3952-01
Gender: Female
125 East Main St
Providence, KY 42450
(270) 667-7301
Fax: (270) 667-7630
00 Yrs/99 Yrs
warrenpaigepdmd@bellsouth.net
M-W 8:30 AM - 5:00 PM
TH 8:30 AM - 4:00 PM
PCMH: No
Geriatric Medicine
Crump, William MD
Provider ID: 1074824
Gender: Male
Regional Health Care
Affiliates, In
215 E Main St
Providence, KY 42450
(270) 667-7017
Fax: (270) 667-5956
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 97
06/01/2016
Hospitals
Christian
Hospital
Jennie Stuart Medical
Center
Provider ID: 21132
320 W 18th St
Hopkinsville, KY 42240
(270) 887-6843
00 Yrs/99 Yrs
www.wellcare.com/Kentucky | 98
06/01/2016
Hospitals
Daviess
Hospital
Owensboro Health
Regional Hospital
Provider ID: 186244
1201 Pleasant Valley Rd
Owensboro, KY 42303
(270) 685-7500
Fax: (270) 685-7560
00 Yrs/99 Yrs
www.wellcare.com/Kentucky | 99
06/01/2016
Hospitals
Henderson
Hospital
Methodist Hospital
Provider ID: 272633
1305 N Elm St
Henderson, KY 42420
(270) 827-7700
00 Yrs/99 Yrs
www.wellcare.com/Kentucky | 100
06/01/2016
Hospitals
Hopkins
Hospital
Baptist Health
Madisonville
Provider ID: 199045
900 Hospital Dr
Madisonville, KY 42431
(270) 825-5100
Fax: (270) 825-5779
00 Yrs/99 Yrs
www.wellcare.com/Kentucky | 101
06/01/2016
Hospitals
Muhlenberg
Hospital
Owensboro Health
Muhlenberg Community
Ho
Provider ID: 284760
440 Hopkinsville St
Greenville, KY 42345
(270) 338-8000
Fax: (270) 338-8276
00 Yrs/99 Yrs
www.wellcare.com/Kentucky | 102
06/01/2016
Hospitals
Ohio
Critical Access Hospital
Ohio County Hospital
Provider ID: 227530
1211 Main St
Hartford, KY 42347
(270) 298-7411
Fax: (270) 298-5281
00 Yrs/99 Yrs
www.wellcare.com/Kentucky | 103
06/01/2016
Hospitals
Trigg
Critical Access Hospital
Trigg County Hospital
Provider ID: 504048
254 Main St
Cadiz, KY 42211
(270) 522-3215
Fax: (270) 522-6974
00 Yrs/99 Yrs
www.wellcare.com/Kentucky | 104
06/01/2016
Hospitals
Union
Critical Access Hospital
Methodist Hospital
Union
Provider ID: 271244
4604 US Hwy 60 W
Morganfield, KY 42437
(270) 389-5000
00 Yrs/99 Yrs
www.wellcare.com/Kentucky | 105
06/01/2016
Behavioral Health
Christian
Behavioral Health
Counseling
Heath, Dana LMHC
Provider ID: 652089
Gender: Female
Pennyroyal Center
15095-B Fort Campbell
Blvd
Oak Grove, KY 42262
(270) 640-6074
Fax: (270) 640-7297
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Heath, Dana LMHC
Provider ID: 652089
Gender: Female
Pennyroyal Center
735 North Dr
Hopkinsville, KY 42240
(270) 886-5163
Fax: (270) 886-5178
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Heath, Dana LMHC
Provider ID: 652089
Gender: Female
Pennyroyal Center
739 North Dr
Hopkinsville, KY 42240
(270) 886-9371
Fax: (270) 890-1791
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
McCarty, Sylvia LCSW
Provider ID: 1045113
Gender: Female
Pennyroyal Healthcare
Services Inc
739 North Dr
Hopkinsville, KY 42240
(270) 887-6152
Fax: (270) 887-6153
00 Yrs/99 Yrs
M 8:30 AM - 5:00 PM
TWTHF 8:30 AM - 6:00
PM
PCMH: No
Western State Hospital
Brook, James LCSW
Provider ID: 1088071
Provider ID: 619830
Gender: Male
2400 Russellville Rd
Pennyroyal Regional Mh/
Hopkinsville, KY 42241
Mr Board Inc
(270) 889-6025
15095-B Ft Campbell
Blvd
Fax: (270) 886-4487
Oak Grove, KY 42262
00 Yrs/99 Yrs
(270) 640-6074
PCMH: No
Fax: (270) 640-7297
Clinical Neurophysiology 18 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Sheth, Paresh MD
PCMH: No
Provider ID: 629779
Gender: Male
Brook, James LCSW
West
Ky
Neurological
Starling, Cynthia LCSW
Provider ID: 1088071
Medicine PLLC
Provider ID: 1036961
Gender: Male
1721 Canton St
Gender: Female
Pennyroyal Regional Mh/
Mr Board Inc
Cynthia M Starling LCSW Hopkinsville, KY 42240
(270)
885-5003
2400 Russellville Rd
905 North Dr
Fax:
(270)
885-5826
Hopkinsville, KY 42241
Hopkinsville, KY 42240
00 Yrs/99 Yrs
(270) 887-5697
(270) 885-9496
Languages: Hindi,
Fax: (270) 887-5849
00 Yrs/99 Yrs
Gujarati
18 Yrs/99 Yrs
Languages: Spanish
M-F
8:00
AM
5:00
PM
M-F 8:30 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
PCMH: No
Licensed Clinical Social Brook, James LCSW
Woodrow, Rebecca
Worker
LCSW
Provider ID: 1088071
Provider ID: 1036873
Gender: Male
Brook, James LCSW
Gender: Female
Pennyroyal Regional Mh/
Provider ID: 1088071
Mr Board Inc
Rebecca L Woodrow
Gender: Male
LCSW
Pennyroyal Regional Mh/ 506 Boales St
905 N Dr
Hopkinsville, KY 42240
Mr Board Inc
Hopkinsville, KY 42240
(270) 887-5099
100 Trilogy Ave
(270) 839-2449
Fax: (270) 887-6099
Hopkinsville, KY 42240
00 Yrs/99 Yrs
18 Yrs/99 Yrs
(270) 885-2902
M-F 8:00 AM - 5:00 PM
MTWTHFSatSun 6:00
Fax: (270) 885-2905
AM - 5:30 PM
PCMH: No
18 Yrs/99 Yrs
PCMH: No
Behavioral Health Facility M-F 8:30 AM - 5:00 PM
PCMH: No
Cumberland Hall
Provider ID: 692306
270 Walton Way
Hopkinsville, KY 42240
(270) 886-1919
Fax: (270) 889-2186
00 Yrs/99 Yrs
PCMH: No
www.wellcare.com/Kentucky | 106
06/01/2016
Behavioral Health
Christian
Licensed Clinical Social
Worker - cont.
Brook, James LCSW
Provider ID: 1088071
Gender: Male
Pennyroyal Regional Mh/
Mr Board Inc
607 Hammond Plaza
Hopkinsville, KY 42240
(270) 886-0486
Fax: (270) 890-1790
18 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Brook, James LCSW
Provider ID: 1088071
Gender: Male
Pennyroyal Regional Mh/
Mr Board Inc
735 North Dr
Hopkinsville, KY 42240
(270) 886-5163
Fax: (270) 886-5178
18 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Carter, James LCSW
Provider ID: 986452
Gender: Male
Pennyroyal Regional Mh
Mr Board Inc
100 Trilogy Ave
Hopkinsville, KY 42240
(270) 885-2902
Fax: (270) 885-2905
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:30 AM - 5:00 PM
PCMH: No
Carter, James LCSW
Provider ID: 986452
Gender: Male
Pennyroyal Regional Mh
Mr Board Inc
15095B Fort Campbell
Blvd
Oak Grove, KY 42262
(270) 640-6074
Fax: (270) 640-7297
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:30 AM - 5:00 PM
PCMH: No
Brook, James LCSW
Provider ID: 1088071
Gender: Male
Carter, James LCSW
Pennyroyal Regional Mh/
Mr Board Inc
Provider ID: 986452
739 North Dr
Gender: Male
Hopkinsville, KY 42240
Genesis
(270) 886-9371
2400 Russellville Rd
Fax: (270) 886-1791
Hopkinsville, KY 42240
18 Yrs/99 Yrs
(270) 887-5697
M-F 8:30 AM - 5:00 PM
Fax: (270) 887-5849
PCMH: No
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:30 AM - 5:00 PM
PCMH: No
Carter, James LCSW
Provider ID: 986452
Gender: Male
Pennyroyal Regional Mh
Mr Board Inc
506 Boales St
Hopkinsville, KY 42240
(270) 887-5099
Fax: (270) 887-6099
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:30 AM - 5:00 PM
PCMH: No
Carter, James LCSW
Provider ID: 986452
Gender: Male
Pennyroyal Regional Mh
Mr Board Inc
607 Hammond Plz
Hopkinsville, KY 42240
(270) 886-0486
Fax: (270) 890-1790
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:30 AM - 5:00 PM
PCMH: No
Carter, James LCSW
Provider ID: 986452
Gender: Male
Pennyroyal Regional Mh
Mr Board Inc
735 North Dr
Hopkinsville, KY 42240
(270) 886-5163
Fax: (270) 886-5178
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:30 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 107
Carter, James LCSW
Provider ID: 986452
Gender: Male
Pennyroyal Regional Mh
Mr Board Inc
739 North Dr
Hopkinsville, KY 42240
(270) 886-9371
Fax: (270) 890-1791
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:30 AM - 5:00 PM
PCMH: No
Davis, Mary LCSW
Provider ID: 1019350
Gender: Female
Davis Counseling
1715 S Virginia St Ste B
Hopkinsville, KY 42240
(270) 885-4878
Fax: (270) 885-6888
00 Yrs/99 Yrs
M 9:00 AM - 5:00 PM
TTH 8:00 AM - 7:00 PM
W 8:00 AM - 5:00 PM
F 8:00 AM - 2:00 PM
PCMH: No
Felts, Pamela LCSW
Provider ID: 1083523
Gender: Female
Pennyroyal Regional MhMr Board Inc
100 Trilogy Ave
Hopkinsville, KY 42240
(270) 885-2902
Fax: (270) 885-2905
02 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
06/01/2016
Behavioral Health
Christian
Licensed Clinical Social
Worker - cont.
Felts, Pamela LCSW
Hopwood, Christy LCSW Hopwood, Christy LCSW
Provider ID: 1083523
Provider ID: 989728
Provider ID: 989728
Gender: Female
Felts, Pamela LCSW
Gender: Female
Pennyroyal Regional Mh- Gender: Female
Provider ID: 1083523
Mr Board Inc
2400 Russellville Rd
739 North Dr
Gender: Female
735 North Dr
Hopkinsville, KY 42241
Hopkinsville, KY 42240
Pennyroyal Regional Mh- Hopkinsville, KY 42240
(270) 887-5697
(270) 886-9371
Mr Board Inc
(270) 886-5163
Fax: (270) 887-5849
Fax: (270) 890-1791
15095-B Ft Campbell
Fax: (270) 886-5178
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Blvd
02 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Oak Grove, KY 42262
M-F 8:30 AM - 5:00 PM
PCMH: No
PCMH: No
(270) 640-6074
PCMH: No
Fax: (270) 640-7297
Hopwood, Christy LCSW Lloyd, Courtney LCSW
02 Yrs/99 Yrs
Felts, Pamela LCSW
M-F 8:30 AM - 5:00 PM
Provider ID: 989728
Provider ID: 1148893
Provider ID: 1083523
PCMH: No
Gender: Female
Gender: Female
Gender: Female
Pennyroyal Regional MhPennyroyal Regional Mh- 506 Boales St
Felts, Pamela LCSW
Mr Board Inc
Mr Board Inc
Hopkinsville, KY 42240
Provider ID: 1083523
100 Trilogy Ave
739 North Dr
(270) 887-5099
Gender: Female
Hopkinsville, KY 42240
Hopkinsville, KY 42240
Fax: (270) 887-6099
Pennyroyal Regional Mh- (270) 886-9371
(270) 885-2902
00 Yrs/99 Yrs
Mr Board Inc
Fax: (270) 885-2905
Fax: (270) 890-1791
M-F 9:00 AM - 5:00 PM
506 Boales St
05 Yrs/99 Yrs
02 Yrs/99 Yrs
PCMH: No
Hopkinsville, KY 42240
M-F 8:30 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
(270) 887-5099
Hopwood,
Christy
LCSW
PCMH: No
PCMH: No
Fax: (270) 887-6099
02 Yrs/99 Yrs
Lloyd, Courtney LCSW
Hopwood, Christy LCSW Provider ID: 989728
MTWTHFSatSun 6:00
Gender: Female
AM - 5:30 PM
Provider ID: 1148893
Provider ID: 989728
607 Hammond Plaza
PCMH: No
Gender: Female
Gender: Female
Hopkinsville, KY 42240
Pennyroyal Regional Mh100 Trilogy Ave
(270) 886-0486
Felts, Pamela LCSW
Mr Board Inc
Hopkinsville, KY 42240
Fax: (270) 890-1790
Provider ID: 1083523
15095-B Ft Campbell
(270) 885-2902
00 Yrs/99 Yrs
Gender: Female
Blvd
Fax: (270) 885-2905
M-F 9:00 AM - 5:00 PM
Pennyroyal Regional Mh- 00 Yrs/99 Yrs
Oak Grove, KY 42262
PCMH: No
Mr Board Inc
(270) 640-6074
M-F 9:00 AM - 5:00 PM
607 Hammond Plaza
Hopwood,
Christy
LCSW
Fax: (270) 640-7297
PCMH: No
Hopkinsville, KY 42240
05 Yrs/99 Yrs
(270) 886-0486
Hopwood, Christy LCSW Provider ID: 989728
M-F 8:30 AM - 5:00 PM
Fax: (270) 890-1790
Gender: Female
PCMH: No
02 Yrs/99 Yrs
Provider ID: 989728
735 North Dr
M-F 8:30 AM - 5:00 PM
Gender: Female
Hopkinsville, KY 42240
PCMH: No
15095-B Ft Campbell
(270) 886-5163
Blvd
Fax: (270) 886-5178
Oak Grove, KY 42262
00 Yrs/99 Yrs
(270) 640-6074
M-F 9:00 AM - 5:00 PM
Fax: (270) 640-7297
PCMH: No
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 108
06/01/2016
Behavioral Health
Christian
Licensed Clinical Social
Worker - cont.
Lloyd, Courtney LCSW
Lloyd, Courtney LCSW
Provider ID: 1148893
Gender: Female
Pennyroyal Regional MhMr Board Inc
735 North Dr
Hopkinsville, KY 42240
(270) 886-5163
Fax: (270) 886-5178
05 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Robison, Marshele LCSW Schmitt, Stefanie LCSW
Provider ID: 652383
Gender: Female
Pennyroyal Center
15095B Fort Campbell
Blvd
Oak Grove, KY 42262
(270) 640-6074
Fax: (270) 640-7297
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:30 AM - 5:00 PM
PCMH: No
Provider ID: 1022906
Gender: Female
Pennyroyal Healthcare
Services Inc
739 North Dr
Hopkinsville, KY 42241
(270) 887-6152
Fax: (270) 887-6153
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Provider ID: 1148893
Gender: Female
Pennyroyal Regional MhMr Board Inc
2400 Russellville Rd
Hopkinsville, KY 42241
(270) 887-5697
Fax: (270) 887-5849
05 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM Lloyd, Courtney LCSW
Schmitt, Stefanie LCSW
PCMH: No
Robison, Marshele LCSW
Provider ID: 1148893
Provider ID: 1037938
Lloyd, Courtney LCSW
Gender: Female
Provider ID: 652383
Gender: Female
Pennyroyal Regional Mh- Gender: Female
Pennyroyal Healthcare
Provider ID: 1148893
Mr Board Inc
Services Inc
Pennyroyal Center
Gender: Female
739 North Dr
739 North Dr
735 North Dr
Pennyroyal Regional Mh- Hopkinsville, KY 42240
Hopkinsville, KY 42240
Hopkinsville, KY 42240
Mr Board Inc
(270) 886-9371
(270) 887-6152
(270) 886-5163
506 Boales St
Fax: (270) 890-1791
Fax: (270) 887-6153
Fax: (270) 886-5178
Hopkinsville, KY 42240
05 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(270) 887-5099
M-F 8:30 AM - 5:00 PM
M 8:30 AM - 5:00 PM
Languages: Spanish
Fax: (270) 887-6099
PCMH: No
TWTHF 8:30 AM - 6:00
M-F 8:30 AM - 5:00 PM
05 Yrs/99 Yrs
PM
PCMH: No
M-F 8:30 AM - 5:00 PM McCarty, Sylvia LCSW
PCMH: No
PCMH: No
Robison, Marshele LCSW
Provider ID: 1037869
Sherrill, Kimberly LCSW
Lloyd, Courtney LCSW
Gender: Female
Provider ID: 652383
Provider ID: 995633
Pennyroyal Healthcare
Gender: Female
Provider ID: 1148893
Services Inc
Gender: Female
Pennyroyal Center
Gender: Female
739 North Dr
100 Trilogy Ave
739 North Dr
Pennyroyal Regional Mh- Hopkinsville, KY 42240
Hopkinsville, KY 42240
Hopkinsville, KY 42240
Mr Board Inc
(270) 887-6152
(270) 885-2902
(270) 886-9371
607 Hammond Plaza
Fax: (270) 887-6153
Fax: (270) 885-2905
Fax:
(270)
890-1791
Hopkinsville, KY 42240
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(270) 881-9551
M 8:30 AM - 5:00 PM
Languages: Spanish
Languages: Spanish
Fax: (270) 885-5871
TWTHF 8:30 AM - 6:00
M-F 9:00 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
05 Yrs/99 Yrs
PM
PCMH: No
PCMH:
No
MTWTHFSatSun 8:30
PCMH: No
AM - 8:30 PM
PCMH: No
www.wellcare.com/Kentucky | 109
06/01/2016
Behavioral Health
Christian
Licensed Clinical Social
Worker - cont.
Sherrill, Kimberly LCSW
Provider ID: 995633
Gender: Female
15095B Fort Campbell
Blvd
Oak Grove, KY 42262
(270) 640-6074
Fax: (270) 640-7297
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No
Sherrill, Kimberly LCSW
Provider ID: 995633
Gender: Female
2400 Russellville Rd
Hopkinsville, KY 42240
(270) 887-5697
Fax: (270) 887-5849
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No
Sherrill, Kimberly LCSW
Provider ID: 995633
Gender: Female
506 Boales St
Hopkinsville, KY 42240
(270) 887-5099
Fax: (270) 887-6099
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No
Sherrill, Kimberly LCSW
Provider ID: 995633
Gender: Female
607 Hammond Plz
Hopkinsville, KY 42240
(270) 886-0486
Fax: (270) 890-1790
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No
Sherrill, Kimberly LCSW
Provider ID: 995633
Gender: Female
735 North Dr
Hopkinsville, KY 42240
(270) 886-5163
Fax: (270) 886-5178
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No
Sherrill, Kimberly LCSW
Provider ID: 995633
Gender: Female
739 North Dr
Hopkinsville, KY 42240
(270) 886-9371
Fax: (270) 890-1791
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No
Spikes, Melanie LCSW
Provider ID: 651947
Gender: Female
Pennyroyal Center
15095-B Fort Campbell
Blvd
Oak Grove, KY 42262
(270) 640-6074
Fax: (270) 640-7297
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Spikes, Melanie LCSW
Provider ID: 651947
Gender: Female
Pennyroyal Center
735 North Dr
Hopkinsville, KY 42240
(270) 886-5163
Fax: (270) 886-5178
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Spikes, Melanie LCSW
Provider ID: 651947
Gender: Female
Pennyroyal Center
739 North Dr
Hopkinsville, KY 42240
(270) 886-9371
Fax: (270) 890-1791
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Tomlinson, Tina LCSW
Provider ID: 972674
Gender: Female
Tina L Tomlinson LCSW
905 N Dr
Hopkinsville, KY 42240
(270) 885-9496
Fax: (270) 885-8770
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
PCMH: No
www.wellcare.com/Kentucky | 110
Tomlinson, Tina LCSW
Provider ID: 983315
Gender: Female
Tina L Tomlinson LCSW
905 North Dr
Hopkinsville, KY 42240
(270) 885-9496
Fax: (270) 885-8770
00 Yrs/99 Yrs
M 8:30 AM - 4:30 PM
T 9:00 AM - 12:00 PM
PCMH: No
Williams, Courtney
LCSW
Provider ID: 1086981
Gender: Female
Pennyroyal Regional MhMr Board Inc
100 Trilogy Ave
Hopkinsville, KY 42240
(270) 885-2902
Fax: (270) 885-2905
02 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Williams, Courtney
LCSW
Provider ID: 1086981
Gender: Female
Pennyroyal Regional MhMr Board Inc
15095-B Ft Campbell
Blvd
Oak Grove, KY 42262
(270) 640-6074
Fax: (270) 640-7297
02 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
06/01/2016
Behavioral Health
Christian
Licensed Clinical Social
Worker - cont.
Williams, Courtney
McMican, William LMFT McMican, William LMFT
LCSW
Provider ID: 1086981
Provider ID: 1123405
Provider ID: 1123405
Williams, Courtney
Gender: Female
Gender: Male
Gender: Male
LCSW
Pennyroyal Regional Mh- Pennyroyal Regional Mh- Pennyroyal Regional MhProvider ID: 1086981
Mr Board Inc
Mr Board Inc
Mr Board Inc
Gender: Female
739 North Dr
2400 Russellville Rd
735 North Dr
Pennyroyal Regional Mh- Hopkinsville, KY 42240
Hopkinsville, KY 42241
Hopkinsville, KY 42240
Mr Board Inc
(270) 886-9371
(270) 887-5697
(270) 886-5163
506 Boales St
Fax: (270) 890-1791
Fax: (270) 887-5849
Fax: (270) 886-5178
Hopkinsville, KY 42240
02 Yrs/99 Yrs
05 Yrs/99 Yrs
05 Yrs/99 Yrs
(270) 887-5099
M-F 8:30 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
Fax: (270) 887-6099
PCMH: No
PCMH: No
PCMH: No
02 Yrs/99 Yrs
Licensed Marriage and McMican, William LMFT McMican, William LMFT
MTWTHFSatSun 6:00
Family Therapist
AM - 5:30 PM
PCMH: No
Provider ID: 1123405
Provider ID: 1123405
McMican, William LMFT
Gender: Male
Gender: Male
Williams, Courtney
Pennyroyal Regional Mh- Pennyroyal Regional MhLCSW
Provider ID: 1123405
Mr Board Inc
Mr Board Inc
Provider ID: 1086981
Gender: Male
506 Boales St
739 North Dr
Gender: Female
Pennyroyal Regional Mh- Hopkinsville, KY 42240
Hopkinsville, KY 42240
Pennyroyal Regional Mh- Mr Board Inc
(270) 887-5099
(270) 886-9371
Mr Board Inc
100 Trilogy Ave
Fax: (270) 887-6099
Fax: (270) 890-1791
607 Hammond Plaza
Hopkinsville, KY 42240
05 Yrs/99 Yrs
05 Yrs/99 Yrs
Hopkinsville, KY 42240
(270) 885-2902
M-F 8:30 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
(270) 886-0486
Fax: (270) 885-2905
PCMH: No
PCMH: No
Fax: (270) 890-0790
05 Yrs/99 Yrs
02 Yrs/99 Yrs
Licensed Professional
M-F 8:30 AM - 5:00 PM McMican, William LMFT
Counselor
M-F 8:30 AM - 5:00 PM
PCMH: No
PCMH: No
Provider ID: 1123405
McMican, William LMFT
Boyd, Zane LPC
Gender: Male
Williams, Courtney
Pennyroyal Regional Mh- Provider ID: 1125130
LCSW
Provider ID: 1123405
Gender: Male
Mr Board Inc
Provider ID: 1086981
Gender: Male
Pennyroyal Regional Mh607 Hammond Plaza
Gender: Female
Pennyroyal Regional Mh- Hopkinsville, KY 42240
Mr Board Inc
Pennyroyal Regional Mh- Mr Board Inc
100 Trilogy Ave
(270) 886-0486
Mr Board Inc
15095-B Ft Campbell
Hopkinsville, KY 42240
Fax: (270) 890-1790
735 North Dr
Blvd
(270) 885-2902
05 Yrs/99 Yrs
Hopkinsville, KY 42240
Oak Grove, KY 42262
Fax: (270) 885-2905
M-F 8:30 AM - 8:30 PM
(270) 886-5163
(270) 640-6074
00 Yrs/99 Yrs
PCMH: No
Fax: (270) 886-5178
Fax: (270) 640-7297
M-F 8:30 AM - 5:00 PM
02 Yrs/99 Yrs
05 Yrs/99 Yrs
PCMH: No
M-F 8:30 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 111
06/01/2016
Behavioral Health
Christian
Licensed Professional
Counselor - cont.
Boyd, Zane LPC
Helton, Amanda LPC
Morse, Rebecca LPC
Provider ID: 1125130
Provider ID: 1168129
Provider ID: 1018707
Gender: Male
Gender: Female
Boyd, Zane LPC
Pennyroyal Regional Mh- Gender: Female
Pennyroyal Regional MhProvider ID: 1125130
Mr Board Inc
Pennyroyal Healthcare
Mr Board Inc
Gender: Male
Services
607 Hammond Plaza
2400 Russellville Rd
Pennyroyal Regional Mh- Hopkinsville, KY 42240
739 North Dr
Hopkinsville, KY 42241
Mr Board Inc
Hopkinsville, KY 42240
(270) 886-0486
(270) 887-5697
15095-B Ft Campbell
(270) 887-6152
Fax: (270) 890-1790
Fax: (270) 887-5849
Blvd
Fax:
(270)
887-6153
00 Yrs/99 Yrs
05 Yrs/99 Yrs
Oak Grove, KY 42262
00 Yrs/99 Yrs
M-F 8:30 AM - 8:30 PM
M-F 8:30 AM - 5:00 PM
(270) 640-6074
M-F 9:00 AM - 5:00 PM
PCMH: No
PCMH: No
Fax: (270) 640-7297
PCMH: No
00 Yrs/99 Yrs
Boyd, Zane LPC
Morse, Rebecca LPC
M-F 8:30 AM - 5:00 PM
Morse,
Rebecca
LPC
Provider ID: 1125130
Provider ID: 1168129
PCMH: No
Provider ID: 1168129
Gender: Male
Gender: Female
Pennyroyal Regional Mh- Gender: Female
Pennyroyal Regional MhBoyd, Zane LPC
Mr Board Inc
Pennyroyal Regional Mh- Mr Board Inc
Provider ID: 1125130
Mr Board Inc
735 North Dr
506 Boales St
Gender: Male
100
Trilogy
Ave
Hopkinsville, KY 42240
Hopkinsville, KY 42240
Pennyroyal Regional Mh- (270) 886-5163
Hopkinsville, KY 42240
(270) 887-5099
Mr Board Inc
(270) 885-2902
Fax: (270) 886-5178
Fax: (270) 887-6099
2400 Russellville Rd
Fax: (270) 885-2905
00 Yrs/99 Yrs
05 Yrs/99 Yrs
Hopkinsville, KY 42241
05
Yrs/99
Yrs
M-F 8:30 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
(270) 887-5697
M-F 8:30 AM - 5:00 PM
PCMH: No
PCMH: No
Fax: (270) 887-5849
PCMH: No
00 Yrs/99 Yrs
Boyd, Zane LPC
Morse, Rebecca LPC
M-F 8:30 AM - 5:00 PM
Morse, Rebecca LPC
Provider ID: 1125130
Provider ID: 1168129
PCMH: No
Provider
ID:
1168129
Gender: Male
Gender: Female
Pennyroyal Regional Mh- Gender: Female
Pennyroyal Regional MhBoyd, Zane LPC
Mr Board Inc
Pennyroyal Regional Mh- Mr Board Inc
Provider ID: 1125130
Mr Board Inc
739 North Dr
607 Hammond Plaza
Gender: Male
15095-B Ft Campbell
Hopkinsville, KY 42240
Hopkinsville, KY 42240
Pennyroyal Regional Mh- (270) 886-9371
Blvd
(270) 881-9551
Mr Board Inc
Oak Grove, KY 42262
Fax: (270) 890-1791
Fax: (270) 885-5871
506 Boales St
(270) 640-6074
00 Yrs/99 Yrs
05 Yrs/99 Yrs
Hopkinsville, KY 42240
Fax: (270) 640-7297
M-F 8:30 AM - 5:00 PM
MTWTHFSatSun 8:30
(270) 887-5099
05
Yrs/99
Yrs
AM - 8:30 PM
PCMH: No
Fax: (270) 887-6099
M-F 8:30 AM - 5:00 PM
PCMH: No
00 Yrs/99 Yrs
PCMH: No
M-F 8:30 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 112
06/01/2016
Behavioral Health
Christian
Licensed Professional
Counselor - cont.
Walker, Haley LPC
Walker, Haley LPC
Walker, Haley LPC
Provider ID: 1125134
Provider ID: 1125134
Provider ID: 1125134
Gender: Female
Gender: Female
Gender: Female
Morse, Rebecca LPC
Pennyroyal Regional Mh- Pennyroyal Regional Mh- Pennyroyal Regional MhProvider ID: 1168129
Mr Board Inc
Mr Board Inc
Mr Board Inc
Gender: Female
100 Trilogy Ave
506 Boales St
739 North Dr
Pennyroyal Regional Mh- Hopkinsville, KY 42240
Hopkinsville, KY 42240
Hopkinsville, KY 42240
Mr Board Inc
(270) 885-2902
(270) 887-5099
(270) 886-9371
735 North Dr
Fax: (270) 885-2905
Fax: (270) 887-6099
Fax: (270) 890-1791
Hopkinsville, KY 42240
18 Yrs/99 Yrs
18 Yrs/99 Yrs
18 Yrs/99 Yrs
(270) 886-5163
M-F 8:30 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
Fax: (270) 886-5178
PCMH: No
PCMH: No
PCMH: No
05 Yrs/99 Yrs
Neuropsychology
M-F 8:30 AM - 5:00 PM Walker, Haley LPC
Walker, Haley LPC
PCMH: No
Provider ID: 1125134
Provider ID: 1125134
Thore, Steven MD
Gender: Female
Gender: Female
Morse, Rebecca LPC
Pennyroyal Regional Mh- Pennyroyal Regional Mh- Provider ID: 603295
Provider ID: 1168129
Gender: Male
Mr Board Inc
Mr Board Inc
Gender: Female
Pennyroyal Healthcare
15095-B Ft Campbell
607 Hammond Plaza
Pennyroyal Regional Mh- Blvd
Services
Hopkinsville, KY 42240
Mr Board Inc
739 North Dr
Oak Grove, KY 42262
(270) 886-0486
739 North Dr
Hopkinsville, KY 42240
(270) 640-6074
Fax: (270) 890-1790
Hopkinsville, KY 42240
(270) 887-6152
Fax: (270) 640-7297
18 Yrs/99 Yrs
(270) 886-9371
Fax: (270) 887-6153
18 Yrs/99 Yrs
M-F 8:30 AM - 8:30 PM
Fax: (270) 890-1791
18 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
05 Yrs/99 Yrs
Languages: Spanish
PCMH: No
M-F 8:30 AM - 5:00 PM
Walker, Haley LPC
M-F 9:00 AM - 5:00 PM
Walker, Haley LPC
PCMH: No
Provider ID: 1125134
PCMH: No
Provider ID: 1125134
Gender: Female
Radford, Anthony LPC
Psychiatry
Gender: Female
Pennyroyal Regional MhPennyroyal Regional Mh- Mr Board Inc
Light, Michael MD
Provider ID: 1169742
Mr Board Inc
735 North Dr
Provider ID: 669084
Gender: Male
2400 Russellville Rd
Hopkinsville, KY 42240
Gender: Male
Anthony Todd Radford
Hopkinsville, KY 42241
(270) 886-5163
Abs Lincs Ky Inc DBA
319 Linda Dr
(270) 887-5697
Fax: (270) 886-5178
Cumberland Hal
Hopkinsville, KY 42240
Fax: (270) 887-5849
18 Yrs/99 Yrs
270 Walton Way
(270) 839-4576
18 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Hopkinsville, KY 42240
Fax: (800) 539-0672
M-F 8:30 AM - 8:30 PM
PCMH: No
(270) 886-1919
00 Yrs/99 Yrs
PCMH: No
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Owensboro Health
PCMH: No
Regional Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 113
06/01/2016
Behavioral Health
Christian
Psychiatry - cont.
Wellman, Sarah PsyD
Provider ID: 1109404
Patel, Deepak MD
Gender: Female
Provider ID: 601037
Pennyroyal Regional MhGender: Male
Mr Board Inc
Deepak V Patel MD PLLC 15095-B Ft Campbell
1609 S Main St
Blvd
Hopkinsville, KY 42240
Oak Grove, KY 42262
(270) 887-0781
(270) 640-6074
Fax: (270) 887-0785
Fax: (270) 640-7297
00 Yrs/99 Yrs
05 Yrs/99 Yrs
Jennie Stuart Medical
M-F 8:30 AM - 5:00 PM
Center
PCMH: No
Languages: Gujarati
M-F 9:00 AM - 5:00 PM
PCMH: No
Psychology
Taylor, Alicia PsyD
Provider ID: 1021483
Gender: Female
Pennyroyal Healthcare
Services Inc
739 North Dr
Hopkinsville, KY 42241
(270) 887-6152
Fax: (270) 887-6153
00 Yrs/99 Yrs
M 8:30 AM - 5:00 PM
TWTHF 8:30 AM - 6:00
PM
PCMH: No
Taylor, Alicia PsyD
Provider ID: 1037946
Gender: Female
Pennyroyal Healthcare
Services Inc
739 North Dr
Hopkinsville, KY 42240
(270) 887-6152
Fax: (270) 887-6153
00 Yrs/99 Yrs
M 8:30 AM - 5:00 PM
TWTHF 8:30 AM - 6:00
PM
PCMH: No
www.wellcare.com/Kentucky | 114
06/01/2016
Behavioral Health
Daviess
Behavioral Health
Counseling
Acumen Counseling
Services
Provider ID: 657791
1100 Walnut St
Owensboro, KY 42301
(270) 689-6500
Fax: (270) 689-6677
00 Yrs/99 Yrs
M-F 2:00 AM - 5:00 PM
PCMH: No
Barker, Gary LPC
Provider ID: 1061980
Gender: Male
Gary Barker Counseling
Services
920 Frederica St Ste 211
Owensboro, KY 42301
(270) 315-3571
00 Yrs/99 Yrs
M-F 9:00 AM - 9:00 PM
PCMH: No
Fritz, Laura LCSW
Provider ID: 1062269
Gender: Female
Owensboro Health
Outpatient Behavio
1006 Ford Ave
Owensboro, KY 42301
(270) 688-4845
Fax: (270) 688-4811
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Garrard, Brent LPC
Wilson, Wendy
Boehman, Marla LCSW
Provider ID: 1070646
Provider ID: 1018549
Provider ID: 972471
Gender: Male
Gender: Female
Brent C Garrard
Health First Community Gender: Female
Owensboro Health
2707 Breckenridge St Ste Health Center
Outpatient Behavio
4
2816 Veach Rd Ste 205
1006 Ford Ave
Owensboro, KY 42303
Owensboro, KY 42303
Owensboro, KY 42301
(270) 925-7857
(270) 926-9821
(270) 685-2392
Fax: (270) 288-0318
Fax: (270) 667-9065
Fax: (270) 852-4924
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM M-F 8:00 AM - 5:00 PM
7:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
PCMH: No
Distinct Part Unit Rehab
Hargiss, Jamie
Boehman, Marla LCSW
Owensboro
Health
Provider ID: 1066779
Regional Hospital Rehab Provider ID: 972471
Gender: Female
Gender: Female
Lighthouse Counseling
Provider ID: 637111
Services Inc
OH Outpatient
Behavioral Services
920 Frederica St Ste 308 Owensboro Health
Regional
Hospital
1201 Pleasant Valley Rd
Owensboro, KY 42301
1201
Pleasant
Valley
Rd
Owensboro, KY 42303
(270) 689-0073
Owensboro, KY 42303
(270) 417-7980
Fax: (270) 689-0083
(270) 685-7500
Fax: (270) 417-7989
00 Yrs/99 Yrs
Fax:
(270)
685-7560
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
00
Yrs/99
Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
PCMH: No
McDaniel, Jennifer LMHC
Licensed Clinical Social Boehman, Marla LCSW
Provider ID: 1020141
Worker
Gender: Female
Provider ID: 972471
Lighthouse Counseling
Bell, Summer LCSW
Gender: Female
Services Inc
Provider ID: 957114
Owensboro Health
920 Frederica St Ste 308 Gender: Female
Outpatient Behavio
Owensboro, KY 42301
Lighthouse Counseling
2211 Mayfair Dr Ste 409
(270) 689-0073
Services Inc
Fax: (270) 689-0083
920 Frederica St Ste 308 Owensboro, KY 42301
(270) 417-7980
00 Yrs/99 Yrs
Owensboro, KY 42301
Fax: (270) 417-7989
M-F 8:00 AM - 5:00 PM
(270) 689-0073
00 Yrs/99 Yrs
PCMH: No
Fax: (270) 686-0083
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 115
06/01/2016
Behavioral Health
Daviess
Licensed Clinical Social
Worker - cont.
Buckby-Reddish, Lori
LCSW
Provider ID: 982699
Gender: Female
Owensboro Health
Outpatient Behavio
1201 Pleasant Valley Rd
Owensboro, KY 42303
(270) 417-3772
Fax: (270) 417-3709
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Buckby-Reddish, Lori
LCSW
Provider ID: 982699
Gender: Female
Owensboro Health
Outpatient Behavio
2211 Mayfair Dr Ste 409
Owensboro, KY 42301
(270) 417-7980
Fax: (270) 417-7989
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Calvert, Jennifer LCSW
Provider ID: 987846
Gender: Female
Lighthouse Counseling
Services Inc
920 Frederica St Ste 308
Owensboro, KY 42301
(270) 689-0073
Fax: (270) 689-0083
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Carter, Cori LCSW
Provider ID: 1058826
Gender: Female
Sunrise Childrens
Services
2720 Frederica St
Owensboro, KY 42301
(502) 538-1000
Fax: (502) 538-1100
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Eaves, Elizabeth LCSW
Provider ID: 1008358
Gender: Female
Family Options Inc
1711 Parrish Plaza Dr
Owensboro, KY 42301
(270) 691-0501
Fax: (270) 691-0510
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Greenwell, Karon LCSW
Provider ID: 1189670
Gender: Female
Garrard-Howell
Therapeutic Partners
100 W. 3rd St Ste 304
Owensboro, KY 42303
(270) 228-0340
Fax: (270) 228-0341
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Greenwell, Karon LCSW
Provider ID: 949715
Gender: Female
Lighthouse Counseling
Services Inc
920 Frederica St Ste 308
Owensboro, KY 42301
(270) 689-0073
Fax: (270) 689-0083
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
PCMH: No
Hill, Elizabeth LCSW
Provider ID: 949482
Gender: Female
Lighthouse Counseling
Services Inc
920 Frederica St Ste 308
Owensboro, KY 42301
(270) 689-0073
Fax: (270) 689-0083
00 Yrs/99 Yrs
MWTHF 8:00 AM - 5:00
PM
T 10:00 AM - 5:00 PM
PCMH: No
Jennings, John LCSW
Provider ID: 992765
Gender: Male
Family Options Inc
1711 Parrish Plaza Dr
Owensboro, KY 42301
(270) 691-0501
Fax: (270) 691-0510
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 116
Karn, Allyson LCSW
Provider ID: 1173474
Gender: Female
Garrard-Howell
Therapeutic Partners
100 W. 3rd St Ste 304
Owensboro, KY 42303
(270) 302-5848
05 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Lyles, Lonnie LCSW
Provider ID: 1189399
Gender: Male
Counseling Connections
LLC
1401 Spring Bank Dr Box 1
Owensboro, KY 42303
(270) 316-7332
Fax: (270) 906-1150
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
PCMH: No
Matthews, Barbie LCSW
Provider ID: 1017140
Gender: Female
Lighthouse Counseling
Services Inc
920 Frederica St Ste 407
Owensboro, KY 42301
(270) 689-0073
Fax: (270) 689-0083
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 7:00 PM
PCMH: No
06/01/2016
Behavioral Health
Daviess
Licensed Clinical Social
Worker - cont.
Roehm, Stephen LCSW
Provider ID: 952240
Gender: Male
Meacham, Victoria LCSW Lighthouse Counseling
Services Inc
Provider ID: 974243
920 Frederica St Ste 308
Gender: Female
Owensboro, KY 42301
1401 Spring Bank Dr Bldg (270) 689-0073
C Ste 1
Fax: (270) 689-0083
Owensboro, KY 42303
00 Yrs/99 Yrs
(270) 316-7332
M-F 9:00 AM - 5:00 PM
Fax: (270) 906-1150
PCMH: No
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM Scott, Amy LCSW
Sat 9:00 AM - 12:00 PM
Provider ID: 962407
PCMH: No
Gender: Female
Owensboro Health
Moore, Lisa LCSW
Outpatient Behavio
Provider ID: 1132645
1006 Ford Ave
Gender: Female
Owensboro, KY 42301
Family Options Inc
(270) 688-4845
1711 Parrish Plaza Dr
Fax: (270) 688-4811
Owensboro, KY 42301
00 Yrs/99 Yrs
(270) 691-0501
M-F 8:00 AM - 5:00 PM
Fax: (270) 691-0510
PCMH: No
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM Slaton, James LCSW
F 8:00 AM - 12:00 PM
Provider ID: 1132644
PCMH: No
Gender: Male
Lighthouse Counseling
Ratliff, Staci LCSW
Services Inc
Provider ID: 1189669
920 Frederica St Ste 308
Gender: Female
Owensboro, KY 42301
Counseling Connections (270) 689-0073
LLC
Fax: (270) 689-0083
1401 Spring Bank Dr Box 1 00 Yrs/99 Yrs
Owensboro, KY 42303
M-F 8:00 AM - 5:00 PM
(270) 316-7332
PCMH: No
Fax: (270) 906-1150
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
F 9:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
PCMH: No
Wigginton, Carrie LCSW
Provider ID: 1001102
Gender: Female
Family Options Inc
1711 Parrish Plaza Dr
Owensboro, KY 42303
(270) 691-0501
Fax: (270) 691-0510
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Licensed Marriage and
Family Therapist
Smith, Ginger LMFT
Provider ID: 1079177
Gender: Female
Sunrise Childrens
Services
2720 Frederica St
Owensboro, KY 42301
(877) 992-5242
00 Yrs/18 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Licensed Professional
Counselor
Barker, Gary LPC
Provider ID: 1134607
Gender: Male
Garrard Howell
Therapeutic Partners
100 W. 3rd St Ste 304
Owensboro, KY 42303
(270) 315-3571
00 Yrs/99 Yrs
MT 8:00 AM - 9:00 PM
WTHFSat 8:00 AM - 5:00
PM
PCMH: No
www.wellcare.com/Kentucky | 117
Barker, Gary LPC
Provider ID: 1052452
Gender: Male
Sunrise Childrens
Services
2720 Frederica St
Owensboro, KY 42301
(270) 926-2484
Fax: (270) 685-6510
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Birch, Corey LPC
Provider ID: 1161572
Gender: Male
Necco Inc Owensboro
5000 Back Square DR Ste
C
Owensboro, KY 52301
(270) 685-5500
Fax: (270) 685-5565
00 Yrs/18 Yrs
M-F 8:00 AM - 8:00 PM
PCMH: No
Boyken, Deidra LPC
Provider ID: 1093465
Gender: Female
Lighthouse Counseling
Services Inc
920 Frederica St Ste 407
Owensboro, KY 42301
(270) 689-0073
Fax: (270) 689-0083
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Behavioral Health
Daviess
Licensed Professional
Counselor - cont.
Branson, Joanne LPC
Provider ID: 1196426
Gender: Female
Regional Health Care
Affiliates, In
1600 Breckinridge St
Owensboro, KY 42303
(270) 215-6436
Fax: (270) 215-6473
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Branson, Joanne LPC
Provider ID: 1196426
Gender: Female
Regional Health Care
Affiliates, In
2816 Veach Rd Ste 205
Owensboro, KY 42303
(270) 926-9821
Fax: (270) 667-9065
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Caselden, Kenneth LPC
Provider ID: 949932
Gender: Male
Lighthouse Counseling
Services Inc
920 Frederica St Ste 308
Owensboro, KY 42301
(270) 689-0073
Fax: (270) 689-0083
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Conley, Kelly LPC
Provider ID: 1099579
Gender: Female
Necco Inc Paducah
125 Eagle Nest DR
Paducah, KY 52003
(270) 898-1293
Fax: (270) 898-1187
00 Yrs/18 Yrs
M-F 8:00 AM - 8:00 PM
PCMH: No
Evans, Kerry LPC
Garrard, Brent LPC
Provider ID: 1088249
Provider ID: 1011491
Gender: Female
Gender: Male
Necco Inc
Brent Christopher
5000 Back Square DR Ste Garrard Lpcc
C
2707 Breckenridge St Ste
4
Owensboro, KY 42301
Owensboro, KY 42303
(270) 685-5500
(270) 925-7857
Fax: (270) 685-5565
Fax: (270) 215-4011
00 Yrs/18 Yrs
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 8:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Conley, Kelly LPC
Provider ID: 1099579
Fraust, Kelly LPC
Garrard, Brent LPC
Gender: Female
Provider ID: 1190222
Provider ID: 1011491
Necco Inc Owensboro
Gender: Male
5000 Back Square DR Ste Gender: Male
Kelly Fraust Counseling
Lighthouse Counseling
C
Services Inc
100
W.
Third
St
Ste
304
Owensboro, KY 52301
920 Frederica St Ste 308
Owensboro, KY 42301
(270) 685-5500
Owensboro, KY 42301
(270) 315-2969
Fax: (270) 685-5565
(270) 689-0073
Fax: (270) 683-1123
00 Yrs/18 Yrs
Fax: (270) 689-0083
00
Yrs/99
Yrs
M-F 8:00 AM - 8:00 PM
M-W 9:00 AM - 6:00 PM 00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
Crisp, Hollie LPC
PCMH: No
Garrard, Brent LPC
Provider ID: 1174135
Green, Doris LPC
Provider ID: 1191952
Gender: Male
Provider ID: 615314
Necco Inc - Owensboro Gender: Male
Gender: Female
5000 Back Square Dr Ste Garrard-Howell
Therapeutic Partners
Enclave Family
C
Healthcare Plc
100 W Third St Ste 304
Owensboro, KY 42301
3500 Villa Point Ste 110
Owensboro,
KY
42303
(270) 685-5500
Owensboro, KY 42303
(270) 228-0340
Fax: (270) 685-5565
(270) 685-3722
Fax: (270) 228-0341
00 Yrs/18 Yrs
Fax: (270) 688-9123
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
00 Yrs/99 Yrs
M-F
8:00
AM
5:00
PM
PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 118
06/01/2016
Behavioral Health
Daviess
Licensed Professional
Counselor - cont.
Harris, Arvel LPC
Provider ID: 949462
Gender: Male
Lighthouse Counseling
Services Inc
920 Frederica St Ste 308
Owensboro, KY 42301
(270) 689-0073
Fax: (270) 689-0083
00 Yrs/99 Yrs
MW 8:30 AM - 5:00 PM
TTH 9:00 AM - 6:00 PM
F 9:00 AM - 3:00 PM
PCMH: No
Higgins, David LPC
Provider ID: 957474
Gender: Male
Health First Community
Health Center
2816 Veach Rd Ste 205
Owensboro, KY 42303
(270) 926-9821
Fax: (270) 667-9065
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Hutchason, Janice LPC
Provider ID: 987839
Gender: Female
Lighthouse Counseling
Services Inc
920 Frederica St Ste 308
Owensboro, KY 42301
(270) 689-0073
Fax: (270) 689-0083
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Jankura, Lauren LPC
Provider ID: 1130609
Gender: Female
Lighthouse Counseling
Services Inc
920 Frederica St Ste 308
Owensboro, KY 42301
(270) 689-0073
Fax: (270) 689-0083
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Messer, Janet LPC
Provider ID: 949501
Gender: Female
Lighthouse Counseling
Services Inc
920 Frederica St Ste 308
Owensboro, KY 42301
(270) 689-0073
Fax: (270) 689-0083
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Kelley, Jarred LPC
Miller-Simone, Bree LPC
Provider ID: 1166363
Provider ID: 949476
Gender: Male
Gender: Female
Jarred Kelley Counseling Lighthouse Counseling
2707 Breckenridge St Ste Services Inc
4
920 Frederica St Ste 308
Owensboro, KY 42301
Owensboro, KY 42301
(270) 215-4000
(270) 689-0073
Fax: (270) 215-4011
Fax: (270) 689-0083
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 7:00 AM - 6:00 PM
M-F 8:00 AM - 5:00 PM
Sat 7:00 AM - 12:00 PM
Sat 8:00 AM - 12:00 PM
PCMH: No
PCMH: No
Rasnake, Robert LPC
Provider ID: 1092276
Gender: Male
Necco Inc
5000 Back Square DR Ste
C
Owensboro, KY 42301
(270) 685-5500
Fax: (270) 685-5565
00 Yrs/18 Yrs
MTWTHFSatSun 8:00
AM - 8:00 PM
PCMH: No
Richardson, Whitney LPC
Provider ID: 1092274
Gender: Female
Necco Inc
5000 Back Square DR Ste
C
Owensboro, KY 42301
(270) 685-5500
Fax: (270) 685-5565
00 Yrs/18 Yrs
MTWTHFSatSun 8:00
AM - 8:00 PM
PCMH: No
Kelley, Jarred LPC
Moons, Christopher LPC
Provider ID: 1180715
Wilson Casteel, Gara LPC
Provider ID: 1094403
Gender: Male
Jarred Kelley Counseling Gender: Male
Provider ID: 1100813
2707 Breckenridge St Ste Necco Inc Owensboro
4
5000 Back Square DR Ste Gender: Female
Necco Inc Owensboro
C
Owensboro, KY 42301
5000 Back Square DR Ste
Owensboro, KY 52301
(270) 215-4000
C
(270) 685-5500
Fax: (270) 215-4011
Owensboro, KY 52301
Fax: (270) 685-5565
00 Yrs/99 Yrs
(270) 685-5500
00 Yrs/18 Yrs
M-F 7:00 AM - 6:00 PM
Fax: (270) 685-5565
M-F 8:00 AM - 8:00 PM
Sat 7:00 AM - 12:00 PM
00 Yrs/18 Yrs
PCMH: No
PCMH: No
M-F 8:00 AM - 8:00 PM
PCMH: No
www.wellcare.com/Kentucky | 119
06/01/2016
Behavioral Health
Daviess
Pediatrics Behavioral and Harrison, Joseph MD
Developmental
Provider ID: 1057165
Gender: Male
Mendoza, Maria MD
One Health Behavioral
Provider ID: 1074150
Services
Gender: Female
1201 Pleasant Valley Rd
Ulrf Neonatal Follow Up Owensboro, KY 42303
1000 Breckenridge St Ste (270) 417-3772
301
Fax: (207) 417-3709
Owensboro, KY 42303
00 Yrs/99 Yrs
(502) 852-7049
M-F 8:00 AM - 5:00 PM
Fax: (502) 852-0135
PCMH: No
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Harrison, Joseph MD
PCMH: No
Provider ID: 1057165
Gender: Male
Psychiatry
One Health Behavioral
Services
Chapman, William MD
2211 Mayfair Dr Ste 409
Provider ID: 622944
Owensboro, KY 42301
Gender: Male
(270) 417-7980
Owensboro Health
Fax: (270) 417-7989
Outpatient Behavio
00 Yrs/99 Yrs
1201 Pleasant Valley Rd
M-F 8:00 AM - 4:30 PM
Owensboro, KY 42303
PCMH: No
(270) 417-3772
Fax: (270) 417-3709
Jackson, Willie MD
00 Yrs/99 Yrs
Provider ID: 1165603
Owensboro Health
Gender: Female
Regional Hospital
Owensboro Health
M-F 8:00 AM - 5:00 PM
Outpatient Behavio
PCMH: No
1201 Pleasant Valley Rd
Owensboro, KY 42303
Chapman, William MD
(270) 417-3772
Provider ID: 622944
Fax: (270) 417-3709
Gender: Male
00 Yrs/99 Yrs
Owensboro Health
M-F 8:00 AM - 4:30 PM
Outpatient Behavio
PCMH: No
2211 Mayfair Dr Ste 409
Owensboro, KY 42301
(270) 417-7980
Fax: (270) 417-7989
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
PCMH: No
Jackson, Willie MD
Provider ID: 1165603
Gender: Female
One Health Behavioral
Services
2211 Mayfair Dr Ste 409
Owensboro, KY 42301
(270) 417-7980
Fax: (270) 417-7989
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 8:00 PM
PCMH: No
Veeravalli, Snehamala
MD
Provider ID: 812226
Gender: Female
One Health Behavioral
Services
2211 Mayfair Dr Ste 409
Owensboro, KY 42301
(270) 417-7980
Fax: (270) 417-7989
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Silva, Rogelio MD
Provider ID: 1057183
Gender: Male
Owensboro Health
Outpatient Behavio
1201 Pleasant Valley Rd
Owensboro, KY 42303
(270) 417-3772
Fax: (270) 417-3709
00 Yrs/99 Yrs
Methodist Hospital
Languages: Spanish
M-F 8:00 AM - 5:00 PM
PCMH: No
Waggoner, David MD
Provider ID: 1043588
Gender: Male
Owensboro Health
Outpatient Behavio
2211 Mayfair Dr Ste 409
Owensboro, KY 42301
(270) 417-7980
Fax: (270) 417-7989
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 4:30 PM
PCMH: No
Silva, Rogelio MD
Provider ID: 1057183
Gender: Male
Owensboro Health
Outpatient Behavio
2211 Mayfair Dr Ste 409
Owensboro, KY 42301
(270) 417-7980
Fax: (270) 417-7989
00 Yrs/99 Yrs
Methodist Hospital
Languages: Spanish
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 120
Psychology
Lear, Susan PsyD
Provider ID: 1054089
Gender: Female
Susan Lear PSY D
Psychologist
920 Frederica St Ste 205
Owensboro, KY 42301
(270) 302-2600
Fax: (270) 771-4044
00 Yrs/99 Yrs
M-TH 8:00 AM - 8:00 PM
F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Behavioral Health
Daviess
Psychology - cont.
Owen, Paul PsyD
Provider ID: 1010162
Gender: Male
Lighthouse Counseling
Services Inc
920 Frederica St Ste 407
Owensboro, KY 42301
(270) 689-0073
Fax: (270) 689-0083
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
F 9:00 AM - 3:00 PM
PCMH: No
Schumacher, Elizabeth
PHD
Provider ID: 1066059
Gender: Female
Ulrf Neonatal Follow Up
1000 Breckenridge St Ste
301
Owensboro, KY 42303
(502) 852-7049
Fax: (502) 852-0135
00 Yrs/99 Yrs
Kosair Childrens Medical
Center Brownsb
M-F 8:00 AM - 5:00 PM
PCMH: No
Walpert, Marcy PsyD
Provider ID: 958976
Gender: Female
Marcy E Walpert MA Lpp
920 Frederica St Ste 205
Owensboro, KY 42301
(270) 684-0077
Fax: (270) 683-7962
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 121
06/01/2016
Behavioral Health
Hancock
Licensed Clinical Social
Worker
McFarling, Jessica LCSW
Provider ID: 1153231
Gender: Female
Jessica Gayle McFarling
1210 4th St
Lewisport, KY 42351
(270) 295-6450
00 Yrs/99 Yrs
MTWTHFSat 7:00 AM 7:00 PM
PCMH: No
www.wellcare.com/Kentucky | 122
06/01/2016
Behavioral Health
Henderson
Behavioral Health
Counseling
Hargiss, Jamie
Provider ID: 1066779
Gender: Female
Lighthouse Counseling
Services Inc
230 2nd St Ste 406
Henderson, KY 42420
(270) 826-8761
Fax: (270) 826-8737
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Wilson, Wendy
Provider ID: 1018549
Gender: Female
Health First Community
Health Center
472 Klutey Park Plaza Dr
Ste B
Henderson, KY 42420
(270) 856-5522
Fax: (270) 826-5525
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Fox, Kelli LCSW
Provider ID: 949902
Gender: Female
Lighthouse Counseling
Services Inc
230 2nd St Ste 406
Henderson, KY 42420
(270) 826-8761
Fax: (270) 826-8737
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
PCMH: No
Behavioral Health Facility Hill, Elizabeth LCSW
Provider ID: 949482
McDaniel, Jennifer LMHC Lighthouse Counseling
Gender: Female
Provider ID: 1020141
Lighthouse Counseling
Provider ID: 806540
Gender: Female
Services Inc
230 2nd St Ste 406
Lighthouse Counseling
230 2nd St Ste 406
Services Inc
Henderson, KY 42420
Henderson, KY 42420
230 2nd St Ste 406
(270) 826-8761
(270) 826-8761
Henderson, KY 42420
Fax: (270) 826-8737
Fax: (270) 826-8737
(270) 826-8761
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 826-8737
M-F 9:00 AM - 5:00 PM
MWTHF 8:00 AM - 5:00
00 Yrs/99 Yrs
PCMH: No
PM
M-F 8:00 AM - 5:00 PM
T 10:00 AM - 5:00 PM
Licensed Clinical Social
PCMH: No
PCMH: No
Worker
Wilson, Wendy
Matthews, Barbie LCSW
Calvert, Jennifer LCSW
Provider ID: 1018549
Gender: Female
Provider ID: 1017140
Provider ID: 987846
Lighthouse Counseling
Gender: Female
Gender: Female
Services Inc
Lighthouse Counseling
Lighthouse Counseling
230 2nd St Ste 406
Services Inc
Services Inc
Henderson, KY 42420
230 2nd St Ste 406
230 2nd St Ste 406
(270) 826-8761
Henderson, KY 42420
Henderson, KY 42420
Fax: (270) 826-8737
(270) 826-8761
(270) 826-8761
00 Yrs/99 Yrs
Fax: (270) 826-8737
Fax: (270) 826-8737
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
PCMH: No
MTWTHFSatSun 8:00
M-F 8:00 AM - 5:00 PM
AM - 7:00 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 123
Roehm, Stephen LCSW
Provider ID: 952240
Gender: Male
Lighthouse Counseling
Services Inc
230 2nd St Ste 406
Henderson, KY 42420
(270) 826-8761
Fax: (270) 826-8737
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Slaton, James LCSW
Provider ID: 1132644
Gender: Male
Lighthouse Counseling
Services Inc
230 2nd St Ste 406
Henderson, KY 42420
(270) 826-8761
Fax: (270) 826-8737
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Wham, Steven LCSW
Provider ID: 952227
Gender: Male
Lighthouse Counseling
Services Inc
230 2nd St Ste 406
Henderson, KY 42420
(270) 826-8761
Fax: (270) 826-8737
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
PCMH: No
06/01/2016
Behavioral Health
Henderson
Licensed Professional
Counselor
Boyken, Deidra LPC
Provider ID: 1093465
Gender: Female
Lighthouse Counseling
Services Inc
230 2nd St Ste 406
Henderson, KY 42420
(270) 826-8761
Fax: (270) 826-8737
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Branson, Joanne LPC
Provider ID: 1196426
Gender: Female
Regional Health Care
Affiliates, In
472 Klutey Park Plaza Dr
Ste B
Henderson, KY 42420
(270) 826-5522
Fax: (270) 826-5525
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Branson, Joanne LPC
Provider ID: 1196426
Gender: Female
Regional Health Care
Affiliates, In
700 Dr Martin Luther
King Jr Ave
Henderson, KY 42420
(270) 826-4800
Fax: (270) 826-5090
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Caselden, Kenneth LPC
Provider ID: 949932
Gender: Male
Lighthouse Counseling
Services Inc
230 2nd St Ste 406
Henderson, KY 42420
(270) 689-0073
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Garrard, Brent LPC
Provider ID: 1011491
Gender: Male
Lighthouse Counseling
Services Inc
230 2nd St Ste 406
Henderson, KY 42420
(270) 826-8761
Fax: (270) 826-8737
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Higgins, David LPC
Provider ID: 957474
Gender: Male
Health First Community
Health Center
472 Klutey Park Plaza Dr
Ste B
Henderson, KY 42420
(270) 856-5522
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Jankura, Lauren LPC
Provider ID: 1130609
Gender: Female
Lighthouse Counseling
Services Inc
230 2nd St Ste 406
Henderson, KY 42420
(270) 826-8761
Fax: (270) 826-8737
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 9:00 AM - 3:00 PM
PCMH: No
McDonald, Lori LPC
Provider ID: 1066315
Gender: Female
Lighthouse Counseling
Services Inc
230 2nd St Ste 406
Henderson, KY 42420
(270) 826-8761
Fax: (270) 826-8737
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Messer, Janet LPC
Provider ID: 949501
Gender: Female
Lighthouse Counseling
Services Inc
230 2nd St Ste 406
Henderson, KY 42420
(270) 689-0073
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 124
Miller-Simone, Bree LPC
Provider ID: 949476
Gender: Female
Lighthouse Counseling
Services Inc
230 2nd St Ste 406
Henderson, KY 42420
(270) 826-8761
Fax: (270) 826-8737
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
F 8:00 AM - 3:00 PM
Sat 8:00 AM - 12:00 PM
PCMH: No
Psychiatry
Silva, Rogelio MD
Provider ID: 604650
Gender: Male
Dr Silva and Associates
1413 N Elm St Ste 205
Henderson, KY 42420
(270) 827-5469
Fax: (270) 826-3201
00 Yrs/99 Yrs
Methodist Hospital
Languages: Spanish
M-TH 9:00 AM - 5:00 PM
F 9:00 AM - 1:00 PM
PCMH: No
Psychology
Gray, Kendra PsyD
Provider ID: 948839
Gender: Female
Methodist
Comprehensive Care
110 2nd St
Henderson, KY 42420
(270) 830-8032
Fax: (270) 830-8132
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Behavioral Health
Henderson
Psychology - cont.
Owen, Paul PsyD
Provider ID: 1010162
Gender: Male
Lighthouse Counseling
Services Inc
230 2nd St Ste 406
Henderson, KY 42420
(270) 826-8761
Fax: (270) 826-8737
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
F 9:00 AM - 3:00 PM
PCMH: No
www.wellcare.com/Kentucky | 125
06/01/2016
Behavioral Health
Hopkins
Behavioral Health
Counseling
Fritz, Laura LCSW
Provider ID: 1062269
Gender: Female
Owensboro Health
Outpatient Behavio
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Hargiss, Jamie
Provider ID: 1066779
Gender: Female
Lighthouse Counseling
Services Inc
145 E Center St Ste 1D
Madisonville, KY 42431
(270) 689-0073
Fax: (270) 689-0083
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Heath, Dana LMHC
Provider ID: 652089
Gender: Female
Pennyroyal Center
1303 W Noel Ave
Madisonville, KY 42431
(270) 821-8874
Fax: (270) 821-8883
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
McDaniel, Jennifer LMHC Brook, James LCSW
Carter, James LCSW
Provider ID: 1020141
Provider ID: 1088071
Provider ID: 986452
Gender: Female
Gender: Male
Lighthouse Counseling
Pennyroyal Regional Mh/ Gender: Male
Services Inc
Mr Board Inc
Pennyroyal Regional MhMr Board Inc
145 E Center St Ste 1D
436 North Main St
436 N Main St
Madisonville, KY 42431
Madisonville, KY 42431
Madisonville, KY 42431
(270) 689-0073
(270) 821-0632
(270) 821-0632
Fax: (270) 689-0083
Fax: (270) 821-0634
Fax: (270) 821-0634
00 Yrs/99 Yrs
18 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
Languages: Spanish
PCMH: No
PCMH: No
M-F 8:30 AM - 5:00 PM
Wilson, Wendy
Calvert, Jennifer LCSW
PCMH: No
Provider ID: 1018549
Provider ID: 987846
Felts, Pamela LCSW
Gender: Female
Provider ID: 1083523
Health First Community Gender: Female
Health Center
Lighthouse Counseling
Gender: Female
Services Inc
107 E Main St
Pennyroyal Regional Mh145
E
Center
St
Ste
1D
Mr Board Inc
Earlington, KY 42410
Madisonville, KY 42431
200 Clinic Dr
(270) 905-4084
(270) 689-0073
Madisonville, KY 42431
Fax: (270) 905-4087
Fax: (270) 689-0083
(270) 821-8874
00 Yrs/99 Yrs
00
Yrs/99
Yrs
Fax: (270) 821-8883
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
02 Yrs/99 Yrs
PCMH: No
PCMH: No
M-F 8:30 AM - 5:00 PM
Licensed Clinical Social
PCMH: No
Worker
Carter, James LCSW
Felts, Pamela LCSW
Brook, James LCSW
Provider ID: 986452
Provider ID: 1083523
Provider ID: 1088071
Gender: Male
Gender: Female
Gender: Male
Pennyroyal Regional Mh Pennyroyal Regional MhPennyroyal Regional Mh/ Mr Board Inc
Mr Board Inc
Mr Board Inc
200 Clinic Dr
436 North Main St
200 Clinic Dr
Madisonville, KY 42431
Madisonville, KY 42431
Madisonville, KY 42431
(270) 821-8874
(270) 821-0632
(270) 821-8874
Fax: (270) 821-8883
Fax: (270) 821-0634
Fax: (270) 821-8883
00 Yrs/99 Yrs
02 Yrs/99 Yrs
18 Yrs/99 Yrs
Languages: Spanish
M-F 8:30 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
PCMH: No
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 126
06/01/2016
Behavioral Health
Hopkins
Licensed Clinical Social
Worker - cont.
Hopwood, Christy LCSW
Provider ID: 989728
Gender: Female
200 Clinic Dr
Madisonville, KY 42431
(270) 821-8874
Fax: (270) 821-8883
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Hopwood, Christy LCSW
Provider ID: 989728
Gender: Female
436 N Main St
Madisonville, KY 42431
(270) 821-0632
Fax: (270) 821-0634
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No
Kubach, Mary LCSW
Provider ID: 950042
Gender: Female
Lighthouse Counseling
Services Inc
145 E Center St
Madisonville, KY 42431
(270) 827-8884
Fax: (270) 821-8885
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Lloyd, Courtney LCSW
Provider ID: 1148893
Gender: Female
Pennyroyal Regional MhMr Board Inc
200 Clinic Dr
Madisonville, KY 42431
(270) 821-0632
Fax: (270) 821-0844
05 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Lloyd, Courtney LCSW
Sherrill, Kimberly LCSW
Provider ID: 995633
Gender: Female
200 Clinic Dr
Madisonville, KY 42431
(270) 821-8874
Fax: (270) 821-8883
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No
Sherrill, Kimberly LCSW
Provider ID: 995633
Provider ID: 1148893
Gender: Female
Gender: Female
436 N Main St
Pennyroyal Regional Mh- Madisonville, KY 42431
Mr Board Inc
(270) 821-0632
436 North Main St
Fax: (270) 821-0634
Madisonville, KY 42431
00 Yrs/99 Yrs
(270) 821-0632
Languages: Spanish
Fax: (270) 821-0844
M-F 9:00 AM - 5:00 PM
05 Yrs/99 Yrs
PCMH: No
M-F 8:30 AM - 5:00 PM
Slaton, James LCSW
PCMH: No
Provider ID: 1132644
Robison, Marshele LCSW Gender: Male
Lighthouse Counseling
Provider ID: 652383
Services Inc
Gender: Female
145 E Center St Ste 1D
Pennyroyal Center
Madisonville, KY 42431
1303 W Noel Ave
(270) 821-8884
Madisonville, KY 42431
Fax: (270) 821-8885
(270) 821-8874
00 Yrs/99 Yrs
Fax: (270) 821-8883
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
PCMH: No
Languages: Spanish
M-F 8:30 AM - 5:00 PM Spikes, Melanie LCSW
Provider ID: 651947
PCMH: No
Gender: Female
Pennyroyal Center
1303 W Noel Ave
Madisonville, KY 42431
(270) 821-8874
Fax: (270) 821-8883
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 127
Williams, Courtney
LCSW
Provider ID: 1086981
Gender: Female
Pennyroyal Regional MhMr Board Inc
200 Clinic Dr
Madisonville, KY 42431
(270) 821-8874
Fax: (270) 821-8883
02 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Williams, Courtney
LCSW
Provider ID: 1086981
Gender: Female
Pennyroyal Regional MhMr Board Inc
436 N Main St
Madisonville, KY 42431
(270) 821-0632
Fax: (270) 821-0844
02 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Licensed Marriage and
Family Therapist
Lake, Richard LMFT
Provider ID: 652887
Gender: Male
Mobile Psychology LLC
1830 Lantaff Blvd Ste 200
Madisonville, KY 42431
(270) 875-2544
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
PCMH: No
06/01/2016
Behavioral Health
Hopkins
Licensed Marriage and
Family Therapist - cont.
Licensed Professional
Counselor
Boyken, Deidra LPC
Provider ID: 1093465
Gender: Female
Lake, Richard LMFT
Boyd, Zane LPC
Lighthouse Counseling
Provider ID: 652887
Provider ID: 1125130
Services Inc
Gender: Male
Gender: Male
145 E Center St Ste 1D
Mobile Psychology LLC
Pennyroyal Regional Mh- Madisonville, KY 42431
Mr Board Inc
345 Leroy Rd
(270) 821-8884
200 Clinic Dr
Hanson, KY 42413
Fax: (270) 821-8885
Madisonville, KY 42431
(270) 875-2544
00 Yrs/99 Yrs
(270) 821-8874
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 821-8883
Languages: Spanish
PCMH: No
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM Boyken, Deidra LPC
PCMH: No
PCMH: No
Provider ID: 1093465
McMican, William LMFT
Gender: Female
Boyd, Zane LPC
Wade Through Water
Provider ID: 1123405
Provider ID: 1125130
Counseling
Gender: Male
Gender: Male
295 S Main St Ste A
Pennyroyal Regional Mh- Pennyroyal Regional Mh- Madisonville, KY 42431
Mr Board Inc
Mr Board Inc
(270) 339-5653
200 Clinic Dr
436 N Main St
Fax: (270) 322-8242
Madisonville, KY 42431
Madisonville, KY 42431
00 Yrs/99 Yrs
(270) 821-8874
(270) 821-0632
M-F 8:00 AM - 5:00 PM
Fax: (270) 821-8883
Fax: (270) 821-0844
PCMH: No
05 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM Branson, Joanne LPC
PCMH: No
PCMH: No
Provider ID: 1196426
Gender: Female
McMican, William LMFT Boyken, Deidra LPC
Regional Health Care
Provider ID: 1108244
Affiliates, In
Provider ID: 1123405
Gender: Female
107 E Main St
Gender: Male
Wade Through Water
Earlington, KY 42410
Pennyroyal Regional Mh- Counseling
(270) 905-4084
Mr Board Inc
108 S Main St
Fax: (270) 905-4087
436 N Main St
Madisonville, KY 42431
00 Yrs/99 Yrs
Madisonville, KY 42431
(270) 339-5653
M-F 8:00 AM - 5:00 PM
(270) 821-0632
Fax: (270) 322-8242
PCMH: No
Fax: (270) 821-0844
00 Yrs/99 Yrs
05 Yrs/99 Yrs
MTWTHFSatSun 8:00
M-F 8:30 AM - 5:00 PM
AM - 6:00 PM
PCMH: No
PCMH: No
www.wellcare.com/Kentucky | 128
Caselden, Kenneth LPC
Provider ID: 949932
Gender: Male
Lighthouse Counseling
Services Inc
145 E Center St
Madisonville, KY 42431
(270) 827-8884
Fax: (270) 821-8885
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Garrard, Brent LPC
Provider ID: 1011491
Gender: Male
Lighthouse Counseling
Services Inc
145 E Center St Ste 1D
Madisonville, KY 42431
(270) 689-0073
Fax: (270) 689-0083
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Gary Cheirs, Shellie LPC
Provider ID: 1180000
Gender: Female
Caris Counseling and
Behavioral Hea
108 South Main St Ste
104
Madisonville, KY 42431
(270) 681-2273
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 8:00 AM - 7:00 PM
Sun 1:00 AM - 6:00 PM
PCMH: No
06/01/2016
Behavioral Health
Hopkins
Licensed Professional
Counselor - cont.
Higgins, David LPC
Provider ID: 957474
Gender: Male
Cabell Platt Medical
Center
107 E Main St
Earlington, KY 42410
(270) 905-4084
Fax: (270) 905-4087
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Jankura, Lauren LPC
Provider ID: 1130609
Gender: Female
Lighthouse Counseling
Services Inc
145 E Center St Ste 1D
Madisonville, KY 42431
(270) 821-8884
Fax: (270) 821-8885
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Messer, Janet LPC
Provider ID: 949501
Gender: Female
Lighthouse Counseling
Services Inc
145 E Center St
Madisonville, KY 42431
(270) 827-8884
Fax: (270) 821-8885
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Morse, Rebecca LPC
Walker, Haley LPC
Jungblom, Rita PsyD
Provider ID: 1168129
Provider ID: 1125134
Provider ID: 652228
Gender: Female
Gender: Female
Gender: Female
Pennyroyal Regional Mh- Pennyroyal Regional Mh- Mobile Psychology LLC
Mr Board Inc
Mr Board Inc
1840 Lantaff Blvd Ste 100
200 Clinic Dr
436 N Main St
Hanson, KY 42413
Madisonville, KY 42431
Madisonville, KY 42431
(270) 875-2544
(270) 821-8874
(270) 821-0632
Fax: (270) 342-5411
Fax: (270) 821-8883
Fax: (270) 821-0634
00 Yrs/99 Yrs
05 Yrs/99 Yrs
18 Yrs/99 Yrs
Languages: Spanish
M-F 8:30 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
MWTHF 8:00 AM - 5:00
PCMH: No
PCMH: No
PM
T 10:00 AM - 6:00 PM
Pediatric Psychiatry
Morse, Rebecca LPC
PCMH: No
Provider ID: 1168129
Suess, Lawrence DO
Gender: Female
Laird, Roger PsyD
Pennyroyal Regional Mh- Provider ID: 622469
Provider ID: 652111
Gender: Male
Mr Board Inc
Gender: Male
Western Ky Centre For
436 North Main St
Baptist Health Medical
Psychiatric M
Madisonville, KY 42431
Group Inc
7805 N Hanson Rd
(270) 821-0632
200 Clinic Dr 1st Fl
Hanson, KY 42413
Fax: (270) 821-0844
Madisonville, KY 42431
(270) 322-1122
05 Yrs/99 Yrs
(270) 825-7200
Fax:
(270)
322-1155
M-F 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
PCMH: No
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 6:00 PM
PCMH: No
Walker, Haley LPC
Sat 8:00 AM - 12:00 PM
Provider ID: 1125134
PCMH: No
Gender: Female
Psychology
Pennyroyal Regional MhMr Board Inc
Jungblom, Rita PsyD
200 Clinic Dr
Provider ID: 652228
Madisonville, KY 42431
Gender: Female
(270) 821-8874
Mobile Psychology LLC
Fax: (270) 821-8883
1830 Lantaff Blvd Ste 200
18 Yrs/99 Yrs
Madisonville, KY 42431
M-F 8:30 AM - 5:00 PM
(270) 875-2544
PCMH: No
Fax: (270) 875-2544
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 129
06/01/2016
Behavioral Health
McLean
Behavioral Health
Counseling
Wilson, Wendy
Provider ID: 1018549
Gender: Female
Health First Community
Health Center
295 Main St
Calhoun, KY 42327
(270) 273-9310
Fax: (270) 273-9314
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Licensed Clinical Social
Worker
Gray Dalton, Annie
LCSW
Provider ID: 1123417
Gender: Female
Gray Counseling Services
PLLC
180 Main St
Calhoun, KY 42327
(270) 273-3050
Fax: (270) 273-3052
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Licensed Professional
Counselor
Higgins, David LPC
Provider ID: 957474
Gender: Male
Health First Community
Health Center
295 Main St
Calhoun, KY 42327
(270) 273-9310
Fax: (270) 273-9314
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 130
06/01/2016
Behavioral Health
Muhlenberg
Behavioral Health
Counseling
Felts, Pamela LCSW
Robison, Marshele LCSW Slaton, James LCSW
Provider ID: 1083523
Provider ID: 1193161
Provider ID: 652383
Gender: Female
Gender: Male
Heath, Dana LMHC
Pennyroyal Regional Mh- Gender: Female
Community Health
Provider ID: 652089
Mr Board Inc
Pennyroyal Center
Centers of Western
Gender: Female
506 Hopkinsville St
506 Hopkinsville St
226 Hopkinsville St
Pennyroyal Center
Greenville, KY 42345
Greenville, KY 42345
Greenville, KY 42345
506 Hopkinsville St
(270) 338-5211
(270) 338-5211
(270) 377-3077
Greenville, KY 42345
Fax: (270) 338-1624
Fax: (270) 338-1624
Fax: (270) 377-3002
(270) 338-5211
02 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 338-1624
M-F 8:30 AM - 5:00 PM
Languages: Spanish
M-F 8:00 AM - 4:30 PM
00 Yrs/99 Yrs
PCMH: No
M-F 8:30 AM - 5:00 PM
PCMH: No
M-F 8:30 AM - 5:00 PM
PCMH: No
Hopwood, Christy LCSW
Slaton, James LCSW
PCMH: No
Sherrill, Kimberly LCSW
Provider ID: 1132644
Licensed Clinical Social
Provider ID: 989728
Gender: Male
Worker
Gender: Female
Provider ID: 995633
Community Health
506
Hopkinsville
St
Gender:
Female
Centers of Western
Brook, James LCSW
Greenville,
KY
42345
506
Hopkinsville
St
480 Hopkinsville St
Provider ID: 1088071
(270) 338-5211
Greenville, KY 42345
Greenville, KY 42345
Gender: Male
Fax:
(270)
338-1624
(270)
338-5211
(270) 338-5777
Pennyroyal Regional Mh/
00
Yrs/99
Yrs
Fax:
(270)
338-1624
Fax: (270) 338-5765
Mr Board Inc
M-F
9:00
AM
5:00
PM
00
Yrs/99
Yrs
00 Yrs/99 Yrs
506 Hopkinsville St
PCMH: No
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Greenville, KY 42345
M-F
9:00
AM
5:00
PM
PCMH: No
(270) 338-5211
Lloyd, Courtney LCSW
PCMH:
No
Fax: (270) 338-1624
Slaton, James LCSW
18 Yrs/99 Yrs
Provider ID: 1148893
Slaton, James LCSW
Provider ID: 1193161
M-F 8:30 AM - 5:00 PM
Gender: Female
Provider ID: 1132644
Gender: Male
PCMH: No
Pennyroyal Regional Mh- Gender: Male
Community Health
Mr
Board
Inc
Centers of Western
Community
Health
Carter, James LCSW
506 Hopkinsville St
Centers of Western
480 Hopkinsville St
Greenville,
KY
42345
226
Hopkinsville
St
Greenville, KY 42345
Provider ID: 986452
(270)
338-5211
Greenville, KY 42345
(270) 338-5777
Gender: Male
Fax:
(270)
338-1624
(270)
377-3077
Fax: (270) 338-5765
Pennyroyal Regional Mh
05
Yrs/99
Yrs
Fax:
(270)
377-3002
00 Yrs/99 Yrs
Mr Board Inc
M-F
8:30
AM
5:00
PM
00
Yrs/99
Yrs
M-F 8:00 AM - 4:30 PM
506 Hopkinsville St
PCMH:
No
M-F 8:00 AM - 5:00 PM
PCMH: No
Greenville, KY 42345
PCMH:
No
(270) 338-5211
Fax: (270) 338-1624
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:30 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 131
06/01/2016
Behavioral Health
Muhlenberg
Licensed Clinical Social
Worker - cont.
Slaton, James LCSW
Provider ID: 1193161
Gender: Male
Community Health
Centers of Western
504 Hopkinsville St
Greenville, KY 42345
(270) 338-6488
Fax: (270) 338-7868
00 Yrs/99 Yrs
M-F 8:00 AM - 5:30 PM
PCMH: No
Spikes, Melanie LCSW
Provider ID: 651947
Gender: Female
Pennyroyal Center
506 Hopkinsville St
Greenville, KY 42345
(270) 338-5211
Fax: (270) 338-1624
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
Licensed Marriage and
Family Therapist
Walker, Haley LPC
Provider ID: 1125134
Gender: Female
McMican, William LMFT
Pennyroyal Regional MhMr Board Inc
Provider ID: 1123405
506 Hopkinsville St
Gender: Male
Greenville, KY 42345
Pennyroyal Regional Mh- (270) 338-5211
Mr Board Inc
Fax: (270) 338-1624
506 Hopkinsville St
18 Yrs/99 Yrs
Greenville, KY 42345
M-F 8:30 AM - 5:00 PM
(270) 338-5211
PCMH: No
Fax: (270) 338-1624
05 Yrs/99 Yrs
Psychology
M-F 8:30 AM - 5:00 PM
Wellman, Sarah PsyD
PCMH: No
Provider ID: 1109404
Licensed Professional
Gender: Female
Counselor
Pennyroyal Regional MhMr Board Inc
Boyd, Zane LPC
506 Hopkinsville St
Provider ID: 1125130
Greenville, KY 42345
Gender: Male
(270) 338-5211
Pennyroyal Regional Mh- Fax: (270) 338-1624
Mr Board Inc
05 Yrs/99 Yrs
506 Hopkinsville St
M-F 8:30 AM - 5:00 PM
Greenville, KY 42345
PCMH: No
(270) 338-5211
Fax: (270) 338-1624
Williams, Courtney
00 Yrs/99 Yrs
LCSW
M-F 8:30 AM - 5:00 PM
Provider ID: 1086981
PCMH: No
Gender: Female
Pennyroyal Regional MhMorse, Rebecca LPC
Mr Board Inc
Provider ID: 1168129
506 Hopkinsville St
Gender: Female
Greenville, KY 42345
Pennyroyal Regional Mh(270) 338-5211
Mr Board Inc
Fax: (270) 338-1624
506 Hopkinsville St
02 Yrs/99 Yrs
Greenville, KY 42345
M-F 8:30 AM - 5:00 PM
(270) 338-5211
PCMH: No
Fax: (270) 338-1624
05 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 132
06/01/2016
Behavioral Health
Ohio
Licensed Clinical Social
Worker
Hayes, Pamela LCSW
Provider ID: 1129957
Gender: Female
Sabrina L West LCSW
121 Apple Alley
Hartford, KY 42347
(270) 298-0088
Fax: (270) 298-0088
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
West, Sabrina LCSW
Provider ID: 933640
Gender: Female
Sabrina L West LCSW
121 Apple Aly
Hartford, KY 42347
(270) 298-0088
Fax: (270) 298-0088
06 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 133
06/01/2016
Behavioral Health
Todd
Licensed Clinical Social
Worker
Davis, Mary LCSW
Provider ID: 1019350
Gender: Female
Helping Hands Health
Clinic Inc
810 S Main St
Elkton, KY 42220
(270) 265-5600
Fax: (270) 265-5655
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Davis, Mary LCSW
Provider ID: 1205263
Gender: Female
Helping Hands Health
Clinic Inc
810 South Main St
Elkton, KY 42220
(270) 253-5600
Fax: (270) 265-5605
00 Yrs/99 Yrs
M-F 7:30 AM - 4:30 PM
PCMH: No
www.wellcare.com/Kentucky | 134
06/01/2016
Behavioral Health
Union
Behavioral Health
Counseling
Floyd, Nancy LCSW
Provider ID: 957102
Gender: Female
Lighthouse Counseling
Services Inc
130 N Morgan St Ste 201
Morganfield, KY 42437
(270) 389-4405
Fax: (270) 389-4813
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Slaton, James LCSW
Provider ID: 1132644
Gender: Male
Lighthouse Counseling
Services Inc
130 N Morgan St Ste 201
Morganfield, KY 42437
(270) 389-4405
Fax: (270) 389-4813
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Burgess, Farrah LPC
Provider ID: 987092
Gender: Female
Lighthouse Counseling
Services Inc
130 N Morgan St Ste 201
Morganfield, KY 42437
(270) 389-4405
Fax: (270) 389-4813
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Hill, Elizabeth LCSW
Provider ID: 949482
Gender: Female
McDaniel, Jennifer LMHC Lighthouse Counseling
Provider ID: 1020141
Services Inc
Gender: Female
130 N Morgan St Ste 201
Lighthouse Counseling
Morganfield, KY 42437
Services Inc
(270) 389-4405
130 N Morgan St Ste 201
Fax: (270) 389-4813
Morganfield, KY 42437
00 Yrs/99 Yrs
(270) 389-4405
MWTHF 8:00 AM - 5:00
Fax: (270) 389-4813
PM
00 Yrs/99 Yrs
T 10:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
PCMH: No
PCMH: No
Roehm, Stephen LCSW
Licensed Clinical Social
Provider ID: 952240
Worker
Gender: Male
Lighthouse Counseling
Calvert, Jennifer LCSW
Services Inc
130 N Morgan St Ste 201
Provider ID: 987846
Morganfield, KY 42437
Gender: Female
(270) 389-4405
Lighthouse Counseling
Fax: (270) 389-4813
Services Inc
00 Yrs/99 Yrs
130 N Morgan St Ste 201
M-F 9:00 AM - 5:00 PM
Morganfield, KY 42437
PCMH: No
(270) 389-4405
Fax: (270) 389-4813
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Wham, Steven LCSW
Provider ID: 952227
Gender: Male
Lighthouse Counseling
Services Inc
130 N Morgan St Ste 201
Morganfield, KY 42437
(270) 389-4405
Fax: (270) 389-4813
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Caselden, Kenneth LPC
Provider ID: 949932
Gender: Male
Lighthouse Counseling
Services Inc
130 N Morgan St Ste 201
Morganfield, KY 42437
(270) 389-4405
Fax: (270) 389-4813
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Licensed Professional
Counselor
Garrard, Brent LPC
Provider ID: 1011491
Gender: Male
Lighthouse Counseling
Services Inc
130 N Morgan St Ste 201
Morganfield, KY 42437
(270) 389-4405
Fax: (270) 389-4813
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Hargiss, Jamie
Provider ID: 1066779
Gender: Female
Lighthouse Counseling
Services Inc
130 N Morgan St Ste 201
Morganfield, KY 42437
(270) 389-4405
Fax: (270) 389-4813
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Boyken, Deidra LPC
Provider ID: 1093465
Gender: Female
Lighthouse Counseling
Services Inc
130 N Morgan St Ste 201
Morganfield, KY 42437
(270) 389-4405
Fax: (270) 389-4813
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 135
06/01/2016
Behavioral Health
Union
Licensed Professional
Counselor - cont.
Jankura, Lauren LPC
Provider ID: 1130609
Gender: Female
Lighthouse Counseling
Services Inc
130 N Morgan St Ste 201
Morganfield, KY 42437
(270) 389-4405
Fax: (270) 389-4813
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Messer, Janet LPC
Provider ID: 949501
Gender: Female
Lighthouse Counseling
Services Inc
130 N Morgan St Ste 201
Morganfield, KY 42437
(270) 389-4405
Fax: (270) 389-4813
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 136
06/01/2016
Behavioral Health
Webster
Behavioral Health
Counseling
Wilson, Wendy
Provider ID: 1018549
Gender: Female
Health First Community
Health Center
215 E Main St
Providence, KY 42450
(270) 667-7017
Fax: (270) 667-9065
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Wilson, Wendy
Provider ID: 1018549
Gender: Female
Health First Community
Health Center
9086 State Rte 132 W
Clay, KY 42404
(270) 664-2526
Fax: (270) 664-6082
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Licensed Professional
Counselor
Branson, Joanne LPC
Provider ID: 1196426
Gender: Female
Regional Health Care
Affiliates, In
215 E Main St
Providence, KY 42450
(270) 667-7017
Fax: (270) 667-5956
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Higgins, David LPC
Provider ID: 957474
Gender: Male
David L Higgins
205 Maple St Ste 4
Providence, KY 42450
(270) 667-2020
Fax: (270) 667-2014
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Higgins, David LPC
Provider ID: 957474
Gender: Male
Health First Community
Health Center
215 E Main St
Providence, KY 42450
(270) 667-7017
Fax: (270) 677-5956
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
Higgins, David LPC
Provider ID: 957474
Gender: Male
Health First Community
Health Center
9086 State Rte 132 W
Clay, KY 42404
(270) 664-2526
Fax: (270) 664-6082
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PCMH: No
www.wellcare.com/Kentucky | 137
06/01/2016
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
www.wellcare.com/Kentucky | 138
06/01/2016
Ancillary Providers
Christian
Ambulatory Surgery
Center
Jennie Stuart Medical
Center Ambulatory
Provider ID: 750206
Jennie Stuart Medical
Center
8250 Eagle Way
Hopkinsville, KY 42240
(270) 885-6200
Fax: (270) 886-2393
00 Yrs/99 Yrs
M-F 6:00 AM - 5:00 PM
Clinic
Jennie Stuart Medical
Center Convenient
Provider ID: 720479
320 W 18th St
Hopkinsville, KY 42240
(270) 887-6813
00 Yrs/99 Yrs
M-F 1:00 AM - 9:00 PM
Sat-Sun 9:00 AM - 6:00
PM
Pennyroyal Healthcare
Services Inc
Provider ID: 700499
Pennyroyal Healthcare
Services
739 North Dr
Hopkinsville, KY 42240
(270) 886-2205
Fax: (270) 886-0392
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Dialysis
Home Health Care
Pennyrile Home Medical
Hopkinsville
Christian County Dialysis Provider ID: 1067696
Gentiva Health Services
Pennyrile Home Medical
Provider ID: 651347
Provider ID: 652092
217 Burley Ave
200 Burley Ave
Gentiiva Certified
Hopkinsville, KY 42240
Healthcare Corp
Hopkinsville, KY 42240
(270) 885-2500
540 Noel Ave
(270) 707-0701
Fax: (270) 889-9431
Hopkinsville, KY 42240
Fax: (270) 707-0780
00 Yrs/99 Yrs
(270) 885-7887
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Fax: (270) 886-2096
MTWTHFSat 7:00 AM 3:00 PM
Western Kentucky
18 Yrs/99 Yrs
Pulmonary Clinic
M-F 8:30 AM - 5:30 PM
Hopkinsville Dialysis
Provider ID: 909492
Provider ID: 633578
Jennie Stuart Home
1724 Kenton St Ste 1B
Health
1914 S Virginia St
Hopkinsville, KY 42240
Provider ID: 720653
Hopkinsville, KY 42240
(270) 886-8840
320 W 18th St
(270) 885-7750
Fax: (270) 886-8869
Hopkinsville, KY 42240
Fax: (270) 885-8439
06 Yrs/99 Yrs
(270) 887-0100
18 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 887-6822
MTWTHFSat 6:30 AM Epsdt Special Services
2:00 PM
00 Yrs/99 Yrs
Sun 6:30 AM - 10:30 PM
M-F 9:00 AM - 5:00 PM
Pennyrile Home Medical
Durable Medical
Paducah
Lifeline Health Care of
Equipment
Lincare
Provider ID: 600869
Provider ID: 790473
217 Burley Ave
Advanced Home Medical Hopkinsville, KY 42240
Gamma Acquisition Inc
Provider ID: 622844
DBA Lifeline
(270) 885-2500
2212 Fort Campbell Blvd
210 Burley Ave Ste D
Fax: (270) 889-9431
Hopkinsville, KY 42240
Hopkinsville, KY 42240
00 Yrs/99 Yrs
(270) 886-2544
(270) 885-6353
M-F 8:00 AM - 5:00 PM
Fax: (270) 881-4799
00 Yrs/99 Yrs
Family Planning
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Christian Co Health Dept Orthotics & Prosthetics
Pennyrile Home Medical Provider ID: 645565
Cooks Orthopedics Inc
Provider ID:
1700 Canton St
TPVV0520A-01
Provider ID: 654601
Hopkinsville, KY 42240
217 Burley Ave
114 Navaho Trl
(270) 887-4160
Hopkinsville, KY 42240
Hopkinsville, KY 42240
Fax: (270) 887-4165
(270) 885-2500
(270) 886-9200
00 Yrs/99 Yrs
Fax: (270) 889-9431
Fax: (270) 556-9200
M-F 8:00 AM - 4:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
www.vgmhomelink.com
M-F 9:00 AM - 5:00 PM
M-F 7:00 AM - 7:00 PM
www.wellcare.com/Kentucky | 139
06/01/2016
Ancillary Providers
Christian
Pediatric Dentistry
Nunn, William DDS
Provider ID: TPV3163-01
Gender: Male
522 B Noel Ave
Hopkinsville, KY 42240
(270) 885-7146
00 Yrs/12 Yrs
M-W 8:00 AM - 3:00 PM
www.wellcare.com/Kentucky | 140
06/01/2016
Ancillary Providers
Daviess
Ambulatory Surgery
Center
Durable Medical
Equipment
Owensboro Surgery
All Care Home Health
Center
Provider ID: 795027
Provider ID: 626964
3245 Mount Moriah Ste
1000 Breckenridge St Ste 6
100
Owensboro, KY 42303
Owensboro, KY 42303
(270) 683-3661
(270) 683-2751
Fax: (270) 683-3662
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 6:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Danhauer Drug Co Inc
Provider ID: 639461
Danhauer Drugs DME
330 Frederica St
Owensboro, KY 42301
(270) 684-2341
Fax: (270) 684-2396
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 8:00 AM - 5:00 PM
Sun 10:00 AM - 5:00 PM
Medi Home Care
Provider ID:
TPVV11357AQ-01
1202 Triplett St
Owensboro, KY 42303
(270) 683-3830
Fax: (270) 683-3937
00 Yrs/99 Yrs
www.vgmhomelink.com
M-F 7:00 AM - 7:00 PM
Medi Home Care-Boyd
Provider ID: 615316
Clinic
Cherri Care
Foot and Ankle Specialist Medi Home Care
Provider ID: 691966
1202 Triplett St
Matthew 25 Aids
1726 Sweeney St
Provider ID: 794560
Owensboro, KY 42303
Services Inc
Owensboro, KY 42303
Sheldon
Simon
DPM
(270) 683-3830
Provider ID: 731955
(270) 926-2252
DBA
Foot
and
Ankl
Fax: (270) 683-3937
1600 Breckinridge St Rm Fax: (270) 926-7691
1915
W
Parrish
Ave
Ste
00 Yrs/99 Yrs
112
00 Yrs/99 Yrs
300
M-F 8:00 AM - 5:00 PM
Owensboro, KY 42303
M-F 8:00 AM - 5:00 PM
Owensboro, KY 42301
(270) 826-0200
Orthopaedics and Sports
(270) 683-4844
Fax: (866) 607-6590
Ck Lewis Enterprises Inc
Medicine Owensbo
Fax: (270) 926-8366
00 Yrs/99 Yrs
Provider ID: 1068407
00 Yrs/99 Yrs
M 9:00 AM - 5:00 PM
Provider ID: 646021
Orthopaedics and
Ck Lewis Enterprises Inc. M-F 9:00 AM - 5:00 PM
Sports Medicine Ow
Dialysis
3000 Alvey Park Dr W
Lincare Inc
2831 New Hartford Rd
Owensboro, KY 42303
Owensboro Dialysis
Provider ID: 918563
Owensboro, KY 42303
(270) 926-4080
Center
3645 Edna Ct
(270) 926-4100
Fax: (270) 684-4407
Provider ID: 651230
Owensboro, KY 42301
Fax: (270) 684-4678
00 Yrs/99 Yrs
1930 E Parrish Ave
(270) 683-3900
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Owensboro, KY 42303
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
(270) 926-0120
M-F 8:00 AM - 5:00 PM
Pooles Pharmacy Care
Fax: (270) 691-9865
Corner Homecare
Lincare
Respiratory
and
Inc
18 Yrs/99 Yrs
Provider ID: 716182
DME-Owensboro
Provider ID: 619131
MWF 5:45 AM - 6:30 PM Corner Homecare
Provider
ID:
638509
2200 E Parrish Ave Ste
TTHSat 5:45 AM - 1:15 PM Owensboro
Lincare Respiratory and
102
5010 Backsquare Dr
DME Owensbo
Owensboro Home
Owensboro, KY 42303
Owensboro, KY 42301
Dialysis
3645 Edna Ct
(270) 926-6260
(270) 686-7000
Provider ID: 1182857
Owensboro, KY 42301
Fax: (270) 926-0502
Fax: (270) 926-4448
Martin Dialysis, LLC
(270) 683-3900
00 Yrs/99 Yrs
00 Yrs/99 Yrs
3250 Kidron Valley Way
Fax: (270) 685-1984
M-F 8:30 AM - 5:30 PM
M-F 8:00 AM - 5:00 PM
Owensboro, KY 42303
00 Yrs/99 Yrs
Sat 9:00 AM - 12:00 PM
(270) 691-9605
MTWTHFSat 8:00 AM 5:00 PM
Fax: (270) 691-9563
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 141
06/01/2016
Ancillary Providers
Daviess
Durable Medical
Equipment - cont.
Quality Supply LLC
Provider ID: 608092
1126 Triplett St Ste 103
Owensboro, KY 42303
(270) 852-4343
Fax: (270) 852-4344
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Shaws Prosthetics Plus
Provider ID: 622846
1019 Old Hartford Rd
Owensboro, KY 42303
(270) 684-7672
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Shoe Stop Inc
Provider ID: 608938
4650 Frederica St
Owensboro, KY 42301
(270) 686-7429
Fax: (270) 686-7558
00 Yrs/99 Yrs
MTWTHFSat 9:00 AM 5:00 PM
Epsdt Special Services
Cherri Care
Provider ID: 691966
1726 Sweeney St
Owensboro, KY 42303
(270) 926-2252
Fax: (270) 926-7691
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Corner Homecare
Provider ID: 716182
Corner Homecare
Owensboro
5010 Backsquare Dr
Owensboro, KY 42301
(270) 686-7000
Fax: (270) 926-4448
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Family Planning
Daviess Co Health
Center
Provider ID: 645040
1600 Breckenridge St
Owensboro, KY 42303
(270) 686-7744
Fax: (270) 926-8677
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Home Health Care
Amedisys Home Health
Care Owensboro
Provider ID: 1043273
2200 E Parrish Ave Ste
103E
Owensboro, KY 42303
(270) 852-4811
Fax: (270) 852-4812
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Caretenders
Provider ID: 614075
Caretenders Vs of
Western Ky LLC
5000 Back Square Dr
Bldg D
Owensboro, KY 42301
(270) 685-3876
Fax: (270) 691-9405
00 Yrs/99 Yrs
M-F 8:00 AM - 5:30 PM
Christian Care At Home
Provider ID: 601543
1030 Burlew Blvd
Owensboro, KY 42303
(270) 885-1211
Fax: (270) 885-3455
00 Yrs/99 Yrs
Community Health
Services Inc
Provider ID: 620492
726 Harvard St
Owensboro, KY 42301
(270) 685-4663
Fax: (270) 685-4683
00 Yrs/99 Yrs
M-F 7:30 AM - 4:00 PM
Green River District
Home Health
Provider ID: 622856
Green River District
Health Departm
1600 Breckenridge St
Owensboro, KY 42303
(270) 686-7747
Fax: (270) 926-9862
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Omhs Home Care
Services
Provider ID: 804588
2211 Mayfair Dr
Owensboro, KY 42301
(270) 688-2182
Fax: (270) 688-5224
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Laboratory Pathology
Testing
The Springs Medical
Laboratory LLC
Provider ID: 608379
Springs Medical Lab
2200 E Parrish Ave Bldg
H Ste 102
Owensboro, KY 42303
(270) 683-7991
Fax: (270) 683-8471
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Tristate Medical Lab
Provider ID: 708725
Tristate Medical Lab
Group
2754 Veach Rd
Owensboro, KY 42303
(270) 852-7771
Fax: (270) 852-7773
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Orthotics & Prosthetics
Tom Watson Prosthetic
Orthotic Lab
Provider ID: 613502
Tom Watson Prosthetics
and Orthotic
Hospice
2819 W 4th St Ste B12
Hospice & Palliative Care Owensboro, KY 42301
of Ohio Valley
(270) 684-6128
Provider ID: 611529
Fax: (270) 684-6411
3419 Wathens Xing
00 Yrs/99 Yrs
Owensboro, KY 42301
M-F 9:00 AM - 5:00 PM
(270) 926-7565
Pediatric Dentistry
Fax: (270) 926-1223
00 Yrs/99 Yrs
Braun, Carol DDS
M-F 8:00 AM - 5:00 PM
Provider ID: TPV4069-01
Gender: Female
2816 Veach Rd Ste 201
Owensboro, KY 42303
(270) 683-7114
Fax: (270) 684-0152
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 142
06/01/2016
Ancillary Providers
Daviess
Pediatric Dentistry - cont.
Crews, James DMD
Provider ID:
TPV75182DM-01
Gender: Male
2200 East Parrish Ste 202
Owensboro, KY 42303
(270) 683-7447
Fax: (270) 852-1625
00 Yrs/3 Yrs
M-TH 8:00 AM - 5:00 PM
Rehabilitation Facility
Wendell Foster's Campus
For Developmenta
Provider ID: 654722
Wendell Foster's Campus
For Develop
815 Triplett St
Owensboro, KY 42303
(270) 683-4517
Fax: (270) 852-1491
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Skilled Nursing Facility
Signature Healthcare At
Hillcrest
Provider ID: 996516
3740 Old Hartford Rd
Owensboro, KY 42303
(270) 684-7259
Fax: (270) 686-8126
18 Yrs/99 Yrs
Languages: Spanish
www.wellcare.com/Kentucky | 143
06/01/2016
Ancillary Providers
Henderson
Cardiac Monitoring
Rehman, Asim MD
Provider ID: 671433
Gender: Male
Methodist Hospital
1305 N Elm St
Henderson, KY 42420
(270) 827-7700
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Clinic
Growing Minds Learning
Center
Provider ID: 917160
1040 Market St
Henderson, KY 42420
(270) 635-2601
Fax: (270) 837-0159
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
The Childrens Advocacy
Cntr of Green Riv
Provider ID: 621263
537 S Green St
Henderson, KY 42420
(270) 830-8400
Fax: (270) 830-8262
00 Yrs/18 Yrs
M-F 8:30 AM - 4:30 PM
Durable Medical
Equipment
Dunaways Imperial
Pharmacy
Provider ID: 719116
110 3rd St
Henderson, KY 42420
(270) 826-6565
Fax: (270) 830-0083
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 3:00 PM
Hls Health and Wellne
Provider ID: 1038421
426 N Elm St
Henderson, KY 42420
(270) 869-9197
Fax: (270) 844-8045
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Peter James Doll DPM
DME
Provider ID: 787157
323 8th St
Henderson, KY 42420
(270) 827-2548
Fax: (270) 827-4557
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
T and T Drug Stores Inc
Provider ID: 619610
1331 Clay St
Henderson, KY 42420
(270) 827-3503
Fax: (270) 827-4934
00 Yrs/99 Yrs
M-F 8:00 AM - 7:00 PM
Sat 8:00 AM - 6:00 PM
Sun 12:00 AM - 6:00 PM
Wheelchair Resources
Inc
Provider ID: 612643
2701 Saint Patrick Dr
Henderson, KY 42420
(270) 826-5440
Fax: (270) 826-5440
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Family Planning
Henderson County
Health Center
Provider ID: 645081
472 Klutey Park Plz
Henderson, KY 42420
(270) 826-3951
Fax: (270) 827-5527
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Home Health Care
Caretenders
Provider ID: 614079
Caretenders Vs of
Western Ky
1630 Second St
Henderson, KY 42420
(270) 827-3005
Fax: (270) 827-3355
M-F 8:00 AM - 5:30 PM
Fc of Kentucky Inc
Morganfield
Provider ID: 648313
Fc of Kentucky Inc
201 Klutey Park Plaza
Henderson, KY 42420
(270) 827-4842
Fax: (270) 827-8244
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Methodist Hospital
Homecare
Provider ID: 657422
Kentucky Homecare of
Henderson LLC
505 Klutey Park Plaza Dr
Ste A
Henderson, KY 42420
(270) 869-1997
Fax: (270) 869-1884
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
www.wellcare.com/Kentucky | 144
Hospice
Lucy Smith King Care
Center
Provider ID: 619056
St Anthonys Hospice
1305 N Elm St
Henderson, KY 42420
(270) 826-2326
Fax: (270) 831-2169
00 Yrs/99 Yrs
Pediatric Dentistry
Ellis, James DMD
Provider ID: TPV3079-01
Gender: Male
801 North Elm St
Henderson, KY 42420
(270) 827-2555
Fax: (270) 827-4145
03 Yrs/25 Yrs
M-W 8:30 AM - 4:00 PM
TH 8:30 AM - 1:00 PM
Fulkerson, Brad DMD
Provider ID: TPV3906-01
Gender: Male
700 A Barret Blvd
Henderson, KY 42420
(270) 827-5522
Fax: (270) 827-8272
01 Yrs/14 Yrs
MTTH 8:00 AM - 5:00
PM
W 8:00 AM - 1:00 PM
Urgent Care Center
Henderson Minor
Outpatient Medicine
Provider ID: 622890
1015 N Elm St
Henderson, KY 42420
(270) 826-8009
Fax: (270) 826-7010
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
06/01/2016
Ancillary Providers
Hopkins
Community Health
Center
Hometown RX
Provider ID: 613560
728 S Main St
Hopkins Co Health Dept Madisonville, KY 42431
(270) 821-8500
Provider ID: 644979
Fax: (270) 821-8351
412 N Kentucky Ave
00 Yrs/99 Yrs
Madisonville, KY 42431
M-F 8:30 AM - 6:00 PM
(270) 821-5242
Sat 9:00 AM - 2:00 PM
Fax: (270) 825-0138
00 Yrs/99 Yrs
Thrifty Home Medical
M-F 8:00 AM - 4:30 PM
Provider ID:
TPVV37434C-01
Dialysis
200 E Arch St
Madisonville, KY 42431
Madisonville Dialysis
(270) 821-0662
Center
Fax: (270) 821-0663
Provider ID: 643472
00 Yrs/99 Yrs
255 E North St
www.vgmhomelink.com
Madisonville, KY 42431
M-F 7:00 AM - 7:00 PM
(270) 821-7824
Fax: (270) 821-6659
Thrifty Home Medical
18 Yrs/99 Yrs
Provider ID: 777432
MWF 6:15 AM - 5:30 PM
200 East Arch St
TTHSat 6:15 AM - 2:00
Madisonville, KY 42431
PM
(270) 821-0662
Fax: (270) 821-0663
Durable Medical
Equipment
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Bluegrass Home Medical
Epsdt Special Services
Provider ID: 618821
Baptist Health Home
Bluegrass IV Care Inc
Care
1128 N Main St Ste 2
Provider ID: 657411
Madisonville, KY 42431
Regional Medical Center
(270) 825-9661
Home Health
Fax: (270) 825-3692
435 N Kentucky Ave
00 Yrs/99 Yrs
Madisonville, KY 42431
M-F 8:00 AM - 6:00 PM
(270) 824-3470
Sat 9:00 AM - 3:00 PM
Fax: (270) 824-3480
Bluegrass Pharmacy
Provider ID: 614821
1128 N Main St Ste 1
Madisonville, KY 42431
(270) 825-2775
Fax: (270) 825-0413
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
Baptist Health Home
Care
Provider ID: 657411
900 Hospital Dr
Madisonville, KY 42431
(270) 824-3470
Fax: (270) 824-3480
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Home Health Care
Hospice
Baptist Health Hospice
Provider ID: 639055
418 North Scott St
Madisonville, KY 42431
(270) 326-4660
Fax: (270) 326-4869
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Laboratory Pathology
Baptist Health Home
Testing
Care
Provider ID: 657411
Regional Medical Center Multicare Laboratory
Multicare Specialis
Home Health
Provider ID: 700484
435 N Kentucky Ave
One Health Multicare
Madisonville, KY 42431
Laboratory
(270) 824-3470
444 S Main St
Fax: (270) 824-3480
Madisonville, KY 42431
00 Yrs/99 Yrs
(270) 821-4444
MTWTHFSat 8:00 AM Fax: (270) 821-9188
5:00 PM
00 Yrs/99 Yrs
Baptist Health Home
M-F 8:00 AM - 5:00 PM
Care
Pediatric Dentistry
Provider ID: 657411
900 Hospital Dr
Brummer, Vaughn DDS
Madisonville, KY 42431
(270) 824-3470
Provider ID: TPV3031-01
Fax: (270) 824-3480
Gender: Male
00 Yrs/99 Yrs
1400 Pride Ave
M-F 8:00 AM - 5:00 PM
Madisonville, KY 42431
(270) 821-7386
Christian Care At Home
Fax: (270) 821-7401
Provider ID: 601543
00 Yrs/99 Yrs
44 McCoy Ave
M-F 8:00 AM - 4:00 PM
Madisonville, KY 42431
(270) 825-9300
Fax: (270) 825-8569
00 Yrs/99 Yrs
www.wellcare.com/Kentucky | 145
06/01/2016
Ancillary Providers
Hopkins
Pediatric Dentistry - cont.
McGrath, Ellen DMD
Provider ID: TPV15981-01
Gender: Female
1400 Pride Ave
Madisonville, KY 42431
(270) 821-7386
Fax: (270) 821-7401
00 Yrs/99 Yrs
ellen.j.travis@gmail.com
M 2:00 AM - 5:00 PM
TWTH 8:30 AM - 5:00
PM
Travis, Randolph DMD
Provider ID: TPV3090-01
Gender: Male
1400 Pride Ave
Madisonville, KY 42431
(270) 821-7386
Fax: (270) 821-7401
00 Yrs/14 Yrs
rttdmd@gmail.com
M-F 8:30 AM - 5:00 PM
Urgent Care Center
The Clinic At Walmart
Provider ID: 602603
Trover Healthcare
Convenient Care D
1756 E Center St
Madisonville, KY 42431
(270) 821-3300
Fax: (270) 821-2100
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 146
06/01/2016
Ancillary Providers
McLean
Durable Medical
Equipment
Pooles Pharmacy Care
Inc
Provider ID: 619129
311 Henton St
Livermore, KY 42352
(270) 278-5537
Fax: (270) 278-5539
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
Family Planning
McLean County Health
Center
Provider ID: 645583
200 Hwy 81 North Ste 101
Calhoun, KY 42327
(270) 273-3062
Fax: (270) 273-9983
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Skilled Nursing Facility
Riverside Care and
Rehabilitation Center
Provider ID: 1033213
190 East Hwy 136
Calhoun, KY 42327
(270) 273-3783
Fax: (270) 273-3794
18 Yrs/99 Yrs
Languages: Spanish
www.wellcare.com/Kentucky | 147
06/01/2016
Ancillary Providers
Muhlenberg
Ambulatory Surgery
Center
Muhlenberg Surgery
Center LLC
Provider ID: 629432
1008 Medical Center Dr
Ste B
Powderly, KY 42367
(270) 338-9929
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Durable Medical
Equipment
Community Oxygen &
Medical Eq. Inc
Provider ID: 611112
603 W Everly Bros Blvd
Central City, KY 42330
(270) 754-3187
Fax: (270) 754-3234
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Pooles Pharmacy Care
Provider ID: 619111
Pooles Pharmacy Care
Inc
102 W Broad St
Central City, KY 42330
(270) 754-1545
Fax: (270) 754-9069
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
Family Planning
Muhlenberg Cohealth
Depart
Provider ID: 645598
105 Legion DR
Central City, KY 42330
(270) 754-3200
Fax: (270) 757-9855
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Home Health Care
Conatser, David MD
Provider ID: 617395
Owensboro Health
Gender: Male
Muhlenberg Community Community Health
Ho
Centers of Western
Provider ID: 678288
504 Hopkinsville St
Owensboro Health
Greenville, KY 42345
Muhlenberg Communi
(270) 338-6488
211 S Cherry St
Fax: (270) 338-7868
Greenville, KY 42345
12 Yrs/99 Yrs
(270) 338-8348
M-F 8:00 AM - 5:30 PM
Fax: (270) 338-8351
00 Yrs/99 Yrs
Rural Health Center
M-F 8:00 AM - 5:00 PM
Central City Clinic Family
Primary Care Center
Care
Provider ID: 993007
Conatser, David MD
101 Legion Dr
Provider ID: 617395
Central City, KY 42330
Gender: Male
(270) 754-5400
Community Health
Fax: (270) 754-5406
Centers of Western
00 Yrs/99 Yrs
226 Hopkinsville St
M-F 9:00 AM - 5:00 PM
Greenville, KY 42345
(270) 377-3077
Muhlenberg Medical
Fax: (270) 377-3002
Center
12 Yrs/99 Yrs
Provider ID: 656965
M-F 8:00 AM - 4:30 PM
Muhlenberg Medical
Center
Conatser, David MD
1010 Medical Center Dr
Provider ID: 617395
Powderly, KY 42367
Gender: Male
(270) 377-0111
Community Health
00 Yrs/99 Yrs
Centers of Western
M-F 9:00 AM - 5:00 PM
480 Hopkinsville St
Greenville, KY 42345
(270) 338-5777
Fax: (270) 338-5765
12 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
www.wellcare.com/Kentucky | 148
06/01/2016
Ancillary Providers
Ohio
Durable Medical
Equipment
King Drug and Homecare
Provider ID: 635141
312 Main St
Hartford, KY 42347
(270) 298-3278
Fax: (270) 298-3290
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Infusion Therapy
King Drug and Homecare
Provider ID: 635141
312 Main St
Hartford, KY 42347
(270) 298-3278
Fax: (270) 298-3290
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Family Planning
Ohio Co Health Center
Provider ID: 645690
1336 Clay St
Hartford, KY 42347
(270) 298-3663
Fax: (270) 298-4777
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Home Health Care
Caretenders
Provider ID: 614164
Caretenders Vs of
Western Ky LLC
112 E McMurty Ave Ste 2
Hartford, KY 42347
(270) 298-0066
Fax: (270) 298-0043
00 Yrs/99 Yrs
M-F 8:00 AM - 5:30 PM
Hospice
Hospice of Ohio County
Provider ID: 677844
107 Gillispie St
Hartford, KY 42347
(270) 298-5281
Fax: (270) 298-5269
00 Yrs/99 Yrs
www.wellcare.com/Kentucky | 149
06/01/2016
Ancillary Providers
Todd
Clinic
Bell Clinic PLLC
Provider ID: 1022163
105 Elk Fork Rd
Elkton, KY 42220
(270) 886-8840
Fax: (270) 886-8869
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Family Planning
Todd County Health
Dept
Provider ID: 644989
205 McReynolds
Elkton, KY 42220
(270) 265-2362
Fax: (270) 265-0602
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
Rural Health Center
Elkton Clinic PSC
Provider ID: 1053559
713 W Main St
Elkton, KY 42220
(270) 265-5353
Fax: (270) 265-5350
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Helping Hands Health
Clinic
Provider ID: 969704
810 S Main St
Elkton, KY 42220
(270) 265-5600
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 150
06/01/2016
Ancillary Providers
Trigg
Dialysis
Home Health Care
FMC Trigg County
Provider ID: 634757
NNA of Paducah
2484 Main St
Cadiz, KY 42211
(270) 522-0170
Fax: (270) 522-0171
00 Yrs/99 Yrs
M-W 6:15 AM - 4:30 PM
Trigg County Home
Health Inc
Provider ID: 872460
1724 Canton Rd
Cadiz, KY 42211
(270) 522-0488
Fax: (270) 522-0489
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Durable Medical
Equipment
Pennyrile Home Medical
Provider ID:
TPVV0520-01
307 Main St
Cadiz, KY 42211
(270) 522-8002
Fax: (270) 522-0614
00 Yrs/99 Yrs
www.vgmhomelink.com
M-F 7:00 AM - 7:00 PM
Epsdt Special Services
Pennyrile Home Medical
Paducah
Provider ID: 600869
Pennyrile Home Medical
307 Main St
Cadiz, KY 42211
(270) 522-8002
Fax: (270) 522-0614
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Family Planning
Trigg Co Health Center
Provider ID: 645288
196 Main St
Cadiz, KY 42211
(270) 522-8121
Fax: (270) 522-5384
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
F 8:00 AM - 11:30 PM
www.wellcare.com/Kentucky | 151
06/01/2016
Ancillary Providers
Union
Durable Medical
Equipment
Clements Drug
Provider ID: 620241
225 N Morgan St
Morganfield, KY 42437
(270) 389-2440
Fax: (270) 389-2494
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 4:00 PM
Family Planning
Union County Health
Center
Provider ID: 645732
218 W. McElroy
Morganfield, KY 42437
(270) 389-1230
Fax: (270) 389-9031
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Home Health Care
Fc of Kentucky Inc
Morganfield
Provider ID: 648313
Fc of Kentucky Inc
1381 US Hwy 60 W.
Morganfield, KY 42437
(270) 389-4551
Fax: (270) 389-1506
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rural Health Center
Methodist Family
Practice of Morganfield
Provider ID: 920206
Methodist Family
Practice of Morgan
1284 US Kwy 60W
Morganfield, KY 42437
(270) 827-0353
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 152
06/01/2016
Ancillary Providers
Webster
Durable Medical
Equipment
Thrifty Home Medical
Provider ID: 620790
116 Wallace St
Providence, KY 42450
(270) 667-0940
Fax: (270) 667-0941
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Thrifty Home Medical
Provider ID:
TPVV37434-01
116 Wallace St
Providence, KY 42450
(270) 667-0940
Fax: (270) 667-0941
00 Yrs/99 Yrs
www.vgmhomelink.com
M-F 7:00 AM - 7:00 PM
Family Planning
Webster County Health
Center
Provider ID: 645247
80 Clayton Ave
Dixon, KY 42409
(270) 639-9315
Fax: (270) 636-7866
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
www.wellcare.com/Kentucky | 153
06/01/2016
Allied Providers
Christian
Nurse Practitioner
Beall, Vicky ARNP
Provider ID: 1078796
Gender: Female
Baptist Health Medical
Group Inc
300 Clinic Dr
Hopkinsville, KY 42240
(270) 707-4262
Fax: (270) 326-4968
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Bossuah, Kwaghdoo
APRN
Provider ID: 1108239
Gender: Female
Baptist Health Medical
Group Inc
300 Clinic Dr
Hopkinsville, KY 42240
(270) 707-4262
Fax: (270) 821-2100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Brown, Sandra APRN
Provider ID: 1041489
Gender: Female
Fairview Physicians
Network LLC DBA
223 Burley Ave
Hopkinsville, KY 42240
(270) 887-6565
Fax: (270) 887-6575
00 Yrs/99 Yrs
MTWTHFSat 9:00 AM 9:00 PM
Brown, Sandra APRN
Provider ID: 1061607
Gender: Female
Fairview Physicians
Network LLC DBA
223 Burley Ave
Hopkinsville, KY 42240
(270) 887-6565
Fax: (270) 887-6575
00 Yrs/99 Yrs
MTWTHFSat 9:00 AM 9:00 PM
Buckley, Christina APRN
Provider ID: 1100792
Gender: Female
Baptist Health Medical
Group Inc
300 Clinic Dr
Hopkinsville, KY 42240
(270) 707-4262
Fax: (270) 326-4968
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Buckley, Christina APRN
Provider ID: 1100792
Gender: Female
Baptist Health Medical
Group Inc
500 Clinic Dr Ste 201
Hopkinsville, KY 42240
(270) 707-3390
Fax: (270) 707-3390
00 Yrs/99 Yrs
M-F 7:00 AM - 4:00 PM
Camp, Dawn APRN
Provider ID: 1057082
Gender: Female
Generations Primary
Care PSC
270 Burley Ave
Hopkinsville, KY 42240
(270) 887-6767
Fax: (270) 887-6161
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Camp, Dawn APRN
Provider ID: 977583
Gender: Female
Generations Primary
Care PSC
270 Burley Ave
Hopkinsville, KY 42240
(270) 887-6767
Fax: (270) 887-6161
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Clark, Hope APRN
Provider ID: 1206478
Gender: Female
Fairview Physicians
Network LLC
1717 High St Ste 4B
Hopkinsville, KY 42240
(270) 885-8003
Fax: (270) 707-2103
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
Childers, Mandy APRN
Clark, Hope APRN
Provider ID: 675916
Gender: Female
OB GYN Associates PSC
1717 High St Ste 4A
Hopkinsville, KY 42240
(270) 887-9058
Fax: (270) 887-9241
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
Provider ID: 1041493
Gender: Female
Fairview Physicians
Network LLC DBA
223 Burley Ave
Hopkinsville, KY 42240
(270) 887-6565
Fax: (270) 887-6575
00 Yrs/99 Yrs
MTWTHFSat 9:00 AM 9:00 PM
Childers, Mandy APRN
Provider ID: 1061610
Gender: Female
Fairview Physicians
Network LLC DBA
223 Burley Ave
Hopkinsville, KY 42240
(270) 887-6565
Fax: (270) 887-6575
00 Yrs/99 Yrs
MTWTHFSat 9:00 AM 9:00 PM
www.wellcare.com/Kentucky | 154
Cook, Leslie APRN
Provider ID: 1082838
Gender: Female
Baptist Health Medical
Group Inc
500 Clinic Dr
Hopkinsville, KY 42240
(270) 707-3300
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 5:00 PM
Cook, Leslie APRN
Provider ID: 1074700
Gender: Female
Pennyroyal Healthcare
Services, Inc
739 North DR
Hopkinsville, KY 42240
(270) 887-6152
Fax: (270) 887-6153
00 Yrs/99 Yrs
M 8:30 AM - 5:00 PM
TWTHF 8:30 AM - 6:00
PM
06/01/2016
Allied Providers
Christian
Nurse Practitioner - cont. Curry, Donna APRN
Provider ID: 1109063
Cook, Misty APRN
Gender: Female
Provider ID: 935336
Baptist Health Medical
Gender: Female
Group Inc
Pennyrile General and
300 Clinic Dr
Weight Loss S
Hopkinsville, KY 42240
1724 Kenton St Ste 2B
(270) 707-4262
Hopkinsville, KY 42240
Fax: (270) 326-4968
(270) 632-4555
00 Yrs/99 Yrs
Fax: (270) 632-4556
Languages: Spanish
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Davis, Jacqueline APRN
Cunningham, Glenda
Provider ID: 1165515
APRN
Gender: Female
Provider ID: 935356
Baptist Health Medical
Gender: Female
Group Inc
Baptist Health Medical
500 Clinic Dr
Group
Hopkinsville, KY 42240
300 Clinic Dr
(270) 707-3300
Hopkinsville, KY 42240
00 Yrs/99 Yrs
(270) 707-4262
M-F 8:00 AM - 5:00 PM
Fax: (270) 326-4968
00 Yrs/99 Yrs
Dillard, Mary APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 1002168
Gender: Female
Cunningham, Glenda
739 North Dr
APRN
Hopkinsville, KY 42241
Provider ID: 935356
(270) 887-6152
Gender: Female
Fax: (270) 887-6153
Baptist Health Medical
00 Yrs/99 Yrs
Group
M 8:30 AM - 5:00 PM
500 Clinic Dr
TWTHF 8:30 AM - 6:00
Hopkinsville, KY 42240
PM
(270) 707-3390
Fax: (270) 707-3320
Dossett, Kristien APRN
00 Yrs/99 Yrs
Provider ID: 759092
M-F 8:00 AM - 5:00 PM
Gender: Female
Baptist Health Medical
Group Inc
300 Clinic Dr
Hopkinsville, KY 42240
(270) 707-4262
Fax: (270) 707-4280
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Dossett, Kristien APRN
Provider ID: 759092
Gender: Female
Baptist Health Medical
Group
500 Clinic Dr
Hopkinsville, KY 42240
(270) 707-3300
Fax: (270) 707-3348
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gott, Melissa APRN
Provider ID: 1037423
Gender: Female
Baptist Health Medical
Group
300 Clinic Dr
Hopkinsville, KY 42240
(270) 707-4262
Fax: (270) 326-4968
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Foster, Stephanie APRN
Hare, Carolyn APRN
Provider ID: 1165588
Gender: Female
Baptist Health Medical
Group
300 Clinic Dr
Hopkinsville, KY 42240
(270) 707-4262
Fax: (270) 326-4968
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 977543
Gender: Female
Geeta S Chavda MD
PLLC
1739 Canton St
Hopkinsville, KY 42240
(270) 881-1411
Fax: (270) 881-4730
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Foster, Stephanie APRN
Provider ID: 977546
Gender: Female
Pulmonary Sleep Clinic
PLLC
1739 Canton St
Hopkinsville, KY 42240
(270) 881-1813
Fax: (270) 881-4730
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Friedrich, Kristie APRN
Provider ID: 1196904
Gender: Female
Baptist Health Medical
Group Inc
300 Clinic Dr
Hopkinsville, KY 42240
(270) 707-4262
Fax: (270) 326-4968
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 155
Hawk, Amy APRN
Provider ID: 1196915
Gender: Female
Baptist Health Medical
Group Inc
500 Clinic Dr
Hopkinsville, KY 42240
(270) 707-3300
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Herman, Vicki APRN
Provider ID: 1196738
Gender: Female
Jennie Stuart Medical
Center Inc Db
320 W 18th St
Hopkinsville, KY 42240
(270) 887-0100
Fax: (270) 887-0232
00 Yrs/99 Yrs
06/01/2016
Allied Providers
Christian
Nurse Practitioner - cont. Kaylor, Jewell APRN
Provider ID: 935958
Huang, Qiyu APRN
Gender: Female
Provider ID: 1024910
Fairview Physicians
Gender: Female
Network LLC DBA
Baptist Health Medical
223 Burley Ave
Group
Hopkinsville, KY 42240
300 Clinic Dr
(270) 887-6565
Hopkinsville, KY 42240
Fax: (270) 887-6575
(270) 707-4262
00 Yrs/99 Yrs
Fax: (270) 326-4968
MTWTHFSat 9:00 AM 00 Yrs/99 Yrs
9:00 PM
M-F 8:00 AM - 5:00 PM
Kendall, Denise APRN
Humes, Pamela APRN
Provider ID: 1086975
Provider ID: 1079336
Gender: Female
Gender: Female
Prakash N Shah MD
Baptist Health Medical
1724 Kenton St Ste 1D
Group Inc
Hopkinsville, KY 42240
500 Clinic Dr
(270) 887-9066
Hopkinsville, KY 42240
Fax: (270) 887-9199
(270) 707-3390
00 Yrs/18 Yrs
Fax: (270) 707-3320
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Moody, Chelcia APRN
Provider ID: 1119986
Jones, Mollie APRN
Gender: Female
Provider ID: 925953
Pennyroyal Healthcare
Gender: Female
Services Inc
Fairview Physicians
739 North DR
Network LLC
Hopkinsville, KY 42240
1722 High St
(270) 887-6152
Hopkinsville, KY 42240
Fax: (270) 887-6153
(270) 885-8505
00 Yrs/99 Yrs
Fax: (270) 885-8564
M 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
TWTHF 8:30 AM - 6:00
M-TH 8:15 AM - 5:00 PM PM
F 8:15 AM - 12:00 PM
Mote, Wendy APRN
Kaylor, Jewell APRN
Provider ID: 1165668
Provider ID: 935958
Gender: Female
Gender: Female
Baptist Health Medical
Fairview Physicians
Group Inc
Network LLC Db
300 Clinic Dr
222 W 18th St
Hopkinsville, KY 42240
Hopkinsville, KY 42240
(270) 707-3300
(270) 707-2100
Fax: (270) 707-3351
Fax: (270) 707-2103
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Muhlethaler, Maresa
APRN
Provider ID: 940402
Gender: Female
Western Kentucky
Pulmonary Clinic P
1724 Kenton St Ste 1B
Hopkinsville, KY 42240
(270) 886-8840
Fax: (270) 886-8869
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Nelson, Jennifer CNP
Provider ID: 1075997
Gender: Female
Pennyroyal Regional MhMr Board Inc
15095-B Ft Campbell
Blvd
Oak Grove, KY 42262
(270) 640-6074
Fax: (270) 640-7297
18 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Naghtin, Ellry APRN
Provider ID: 1119998
Gender: Female
Pennyroyal Healthcare
Services Inc
739 North DR
Hopkinsville, KY 42240
(270) 887-6152
Fax: (270) 887-6153
00 Yrs/99 Yrs
M 8:30 AM - 5:00 PM
TWTHF 8:30 AM - 6:00
PM
Nelson, Jennifer CNP
Provider ID: 1075997
Gender: Female
Genesis
2400 Russellville Rd
Hopkinsville, KY 42241
(270) 887-5697
Fax: (270) 887-5849
18 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Nelson, Jennifer CNP
Provider ID: 1075997
Gender: Female
Nelson, Jennifer CNP
Pennyroyal Regional MhProvider ID: 1075997
Mr Board Inc
Gender: Female
506 Boales St
Pennyroyal Regional Mh- Hopkinsville, KY 42240
Mr Board Inc
(270) 887-5099
100 Trilogy Ave
Fax: (270) 887-6099
Hopkinsville, KY 42240
18 Yrs/99 Yrs
(270) 885-2902
MTWTHFSatSun 6:00
Fax: (270) 885-2905
AM - 5:30 PM
18 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM Nelson, Jennifer CNP
Provider ID: 1075997
Gender: Female
Pennyroyal Regional MhMr Board Inc
607 Hammond Plaza
Hopkinsville, KY 42240
(270) 886-0486
Fax: (270) 890-1790
18 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
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06/01/2016
Allied Providers
Christian
Nurse Practitioner - cont. Obryan, Hallie APRN
Provider ID: 759001
Nelson, Jennifer CNP
Gender: Female
Provider ID: 1075997
Baptist Health Medical
Gender: Female
Group
Pennyroyal Regional Mh- 500 Clinic Dr
Mr Board Inc
Hopkinsville, KY 42240
735 North Dr
(270) 707-3300
Hopkinsville, KY 42240
00 Yrs/99 Yrs
(270) 886-5163
M-F 8:00 AM - 5:00 PM
Fax: (270) 886-5178
Packer, Robyn APRN
18 Yrs/99 Yrs
Provider ID: 1168518
M-F 8:30 AM - 5:00 PM
Gender: Female
Nelson, Jennifer CNP
Fairview Physicians
Provider ID: 1075997
Network LLC
Gender: Female
222 W 18th St
Pennyroyal Regional Mh- Hopkinsville, KY 42240
Mr Board Inc
(270) 707-2100
739 North Dr
Fax: (270) 707-2103
Hopkinsville, KY 42240
00 Yrs/99 Yrs
(270) 886-9371
M-F 8:00 AM - 5:00 PM
Fax: (270) 890-1791
Polete, Christina APRN
18 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Provider ID: 1152258
Noisworthy, Abby APRN Gender: Female
Provider ID: 758864
Western Kentucky
Gender: Female
Pulmonary Clinic P
Baptist Health Medical
1724 Kenton St Ste 1B
Group
Hopkinsville, KY 42240
500 Clinic Dr
(270) 886-8840
Hopkinsville, KY 42240
Fax: (270) 886-8869
(270) 707-3300
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Price, Sondra APRN
Obryan, Hallie APRN
Provider ID: 818867
Provider ID: 758570
Gender: Female
Gender: Female
Vanderbilt Integrated
Baptist Health Medical
Providers-Ped
Group
1717 High St Ste 3-A
300 Clinic Dr
Hopkinsville, KY 42240
Hopkinsville, KY 42240
(270) 885-8445
(270) 707-4262
Fax: (270) 886-9106
Fax: (270) 326-4968
00 Yrs/21 Yrs
00 Yrs/99 Yrs
Vanderbilt Univ Med
M-F 8:00 AM - 5:00 PM
Center
Ross, Jamie APRN
Provider ID: 596986
Gender: Female
Baptist Health Medical
Group
300 Clinic Dr
Hopkinsville, KY 42240
(270) 707-4262
Fax: (270) 326-4968
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Russell, Lezlie APRN
Provider ID: 1158326
Gender: Female
Baptist Health Medical
Group Inc
300 Clinic Dr
Hopkinsville, KY 42240
(270) 707-3300
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Russell, Lezlie APRN
Provider ID: 759192
Gender: Female
Baptist Health Medical
Group
500 Clinic Dr
Hopkinsville, KY 42240
(270) 707-3300
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Skipworth, Cagney APRN
Provider ID: 1148926
Gender: Female
Fairview Physicians
Network LLC
227 Burley Ave
Hopkinsville, KY 42240
(270) 885-7300
Fax: (270) 885-7198
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 157
Smith, Abbie APRN
Provider ID: 939097
Gender: Female
The Perinatal Group
1717 High St
Hopkinsville, KY 42240
(931) 572-0086
Fax: (931) 572-1078
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Staples, James APRN
Provider ID: 1214047
Gender: Male
Staples Health Clinic LLC
1724 Kenton St Ste 2 E
Hopkinsville, KY 42240
(270) 542-8888
Fax: (270) 542-7335
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Staples, Stacia APRN
Provider ID: 1214147
Gender: Female
Staples Health Clinic LLC
1724 Kenton St Ste 2 E
Hopkinsville, KY 42240
(270) 542-8888
Fax: (270) 542-7335
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Stevens, Margaret APRN
Provider ID: 607210
Gender: Female
Vanderbilt Integrated
Providers-Ped
1717 High St Ste 3-A
Hopkinsville, KY 42240
(270) 885-8445
Fax: (270) 886-9106
00 Yrs/21 Yrs
Jennie Stuart Medical
Center
M-F 9:00 AM - 5:00 PM
06/01/2016
Allied Providers
Christian
Nurse Practitioner - cont. Vespie, Patricia APRN
Provider ID: 595653
Stevens, Margaret ARNP Gender: Female
Baptist Health Medical
Provider ID: 674972
Group
Gender: Female
300 Clinic Dr
VIP DBA Pediatric
Hopkinsville, KY 42240
Associates
(270) 707-4262
1717 High St Ste 3A
00 Yrs/99 Yrs
Hopkinsville, KY 42240
M-F 8:00 AM - 5:00 PM
(270) 885-8445
Fax: (270) 886-9106
Wells, Amy APRN
00 Yrs/18 Yrs
Provider ID: 793374
M-TH 8:00 AM - 6:00 PM Gender: Female
F 8:00 AM - 5:00 PM
739 N Dr
Sat 8:30 AM - 12:00 PM
Hopkinsville, KY 42241
(270) 887-6152
Stewart, Ronnika APRN
Fax: (270) 887-6153
Provider ID: 1081070
00 Yrs/99 Yrs
Gender: Female
M-F 9:00 AM - 5:00 PM
Baptist Health Medical
Group Inc
Wells, Amy APRN
300 Clinic Dr
Provider ID: 1036837
Hopkinsville, KY 42240
Gender: Female
(270) 707-4262
Pennyroyal Healthcare
Fax: (270) 326-4968
Services
00 Yrs/99 Yrs
739 North Dr
M-F 8:00 AM - 5:00 PM
Hopkinsville, KY 42241
(270) 887-6152
Stowe-Byrd, Carol APRN Fax: (270) 887-6153
Provider ID: 691868
00 Yrs/99 Yrs
Gender: Female
M-F 8:30 AM - 5:00 PM
Pennyroyal Healthcare
Services
Wyatt, Sheryl APRN
739 North Dr
Provider ID: 1109844
Hopkinsville, KY 42240
Gender: Female
(270) 887-6152
Baptist Health Medical
Fax: (270) 887-6153
Group Inc
00 Yrs/99 Yrs
300 Clinic Dr
M-F 8:00 AM - 5:00 PM
Hopkinsville, KY 42240
(270) 707-4262
Fax: (270) 821-2100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pain Management
Stevens, Margaret APRN
Segler, Leesa CRNA
Provider ID: 693988
Gender: Female
Christian County
Anesthesia PLLC
320 W 18th St
Hopkinsville, KY 42240
(270) 885-1640
Fax: (270) 889-0628
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
Provider ID: 607210
Gender: Female
Vanderbilt Integrated
Providers-Ped
1717 High St Ste 3-A
Hopkinsville, KY 42240
(270) 885-8445
Fax: (270) 886-9106
00 Yrs/21 Yrs
Jennie Stuart Medical
Center
M-F 9:00 AM - 5:00 PM
Turner, Vicki CRNA
Provider ID: 757486
Gender: Female
Christian County
Anesthesia PLLC
320 W 18th St
Hopkinsville, KY 42240
(270) 885-1640
Fax: (270) 889-0628
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
Pediatrics
Price, Sondra APRN
Provider ID: 818867
Gender: Female
Vanderbilt Integrated
Providers-Ped
1717 High St Ste 3-A
Hopkinsville, KY 42240
(270) 885-8445
Fax: (270) 886-9106
00 Yrs/21 Yrs
Vanderbilt Univ Med
Center
www.wellcare.com/Kentucky | 158
Physical Therapy
Cool, Haley PT
Provider ID: 1000898
Gender: Female
Orthopedics Plus
Physical Therapy
103 Keeton St
Hopkinsville, KY 42240
(270) 707-7376
Fax: (270) 707-7377
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hancock, Elizabeth PT
Provider ID: 1019852
Gender: Female
Orthopedics Plus
Physical Therapy
103 Keaton St
Hopkinsville, KY 42240
(270) 707-7376
Fax: (270) 707-7377
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Christian
Physical Therapy - cont.
Hancock, Elizabeth PT
Provider ID: 1019852
Gender: Female
Hancock Physical
Therapy Specialist
1222 Skyline Dr
Hopkinsville, KY 42240
(270) 719-9407
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McAlister, John PT
Provider ID: 1000964
Gender: Male
Orthopedics Plus
Physical Therapy
103 Keeton St
Hopkinsville, KY 42240
(270) 707-7376
Fax: (270) 707-7377
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Moore, Marina PT
Provider ID: 1019642
Gender: Female
Orthopedics Plus
Physical Therapy
103 Keeton St
Hopkinsville, KY 42240
(270) 707-7376
Fax: (270) 707-7377
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Perry, Carrie PT
Provider ID: 1019840
Gender: Female
Orthopedics Plus
Physical Therapy
103 Keaton St
Hopkinsville, KY 42240
(270) 707-7376
Fax: (270) 707-7377
00 Yrs/99 Yrs
M-F 7:30 AM - 6:00 PM
Pinerola, Jase PT
Provider ID: 908810
Gender: Male
Orthopedics Plus
Physical Therapy
103 Keaton St
Hopkinsville, KY 42240
(270) 707-7376
Fax: (270) 707-7377
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sutton, Erin PT
Provider ID: 1084134
Gender: Female
Orthopedics Plus
Physical Therapy
103 Keeton St
Hopkinsville, KY 42240
(270) 707-7376
Fax: (270) 707-7377
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Dougherty, John PA
Provider ID: 671630
Gender: Male
Baptist Health
Occupational Medicin
500 Clinic Dr
Hopkinsville, KY 42240
(270) 707-3390
Fax: (270) 707-3320
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Richardson, Daniel PT
Provider ID: 1000869
Gender: Male
Orthopedics Plus
Physical Therapy
103 Keeton St
Hopkinsville, KY 42240
(270) 707-7376
Fax: (270) 707-7377
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Webster, Krista PT
Provider ID: 1019617
Gender: Female
Orthopedics Plus
Physical Therapy
103 Keaton St
Hopkinsville, KY 42240
(270) 707-7376
Fax: (270) 707-7377
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Howard, William PA
Provider ID: 688305
Gender: Male
Jennie Stuart Medical
Center DBA Js
320 W 18th St
Hopkinsville, KY 42240
(270) 887-0100
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Richardson, Daniel PT
Provider ID: 1000869
Gender: Male
Orthopedics Plus
Physical Therapy
1048 Ashley St Ste 101
Hopkinsville, KY 42240
(270) 745-0987
Fax: (270) 745-0986
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physician Assistant
Shah, Ketki PT
Provider ID: 600559
Gender: Female
Pennyrile Physical
Therapy
101 Forbes Dr
Hopkinsville, KY 42240
(270) 889-9996
Fax: (270) 889-9993
00 Yrs/99 Yrs
Languages: Hindi
M-F 9:00 AM - 5:00 PM
Adkisson, Amy PA
Provider ID: 957072
Gender: Female
Baptist Health Medical
Group Inc
500 Clinic Dr 3rd Fl
Hopkinsville, KY 42240
(270) 707-3390
Fax: (270) 707-3320
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Dixon, Kara PA
Provider ID: 977588
Gender: Female
Generations Primary
Care PSC
270 Burley Ave
Hopkinsville, KY 42240
(270) 887-6767
Fax: (270) 887-6161
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 159
McPherson, Terry PA
Provider ID: 653212
Gender: Male
Jennie Stuart Medical
Center DBA Js
320 W 18th St
Hopkinsville, KY 42240
(270) 887-0100
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Parker, Kenneth PA
Provider ID: 751862
Gender: Male
West Kentucky
Orthopaedics and Spor
105 Keeton Dr
Hopkinsville, KY 42240
(270) 889-0701
Fax: (270) 889-0556
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
06/01/2016
Allied Providers
Christian
Physician Assistant - cont. McGinnis, Sarah SLP
Provider ID: 1200000
Parker, Kenneth PA
Gender: Female
Provider ID: 977594
Speech Spot LLC
Gender: Male
1910 S Virginia St Ste 200
Fairview Physicians
Hopkinsville, KY 42240
Network LLC DBA
(270) 707-3454
105 Keeton Dr
00 Yrs/99 Yrs
Hopkinsville, KY 42240
M-TH 8:00 AM - 6:00 PM
(270) 889-0701
F 8:00 AM - 5:00 PM
Fax: (270) 889-0556
00 Yrs/99 Yrs
M-F 8:30 AM - 4:30 PM
Sleep Medicine
Parker, Kenneth PA
Provider ID: 751862
Gender: Male
West Kentucky
Orthopaedics and Spor
105 Keeton Dr
Hopkinsville, KY 42240
(270) 889-0701
Fax: (270) 889-0556
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Speech Therapy
McGinnis, Sarah SLP
Provider ID: 1172366
Gender: Female
Speech Spot LLC
1910 S Virginia St Ste 200
Hopkinsville, KY 42240
(270) 707-3454
Fax: (270) 889-9911
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
www.wellcare.com/Kentucky | 160
06/01/2016
Allied Providers
Daviess
Children With Special
Health Care Needs
Nurse Midwife
Booker, Kerri APRN
Provider ID: 1129907
Wimsatt, Lisa CNM
Gender: Female
Commission For Children Provider ID: 608074
One Health Physical
With Special
Gender: Female
Medicine & Reha
Provider ID: 616818
Elizabeth H Ottman MD 1301 Pleasant Valley Rd
Owensboro Regional
PSC
Ste 500D
Ccshcn
2851 New Hartford Rd
Owensboro, KY 42303
1600 Breckenridge
Ste B
(270) 417-7925
Owensboro, KY 42303
Owensboro, KY 42303
Fax: (270) 417-7909
(270) 687-7038
(270) 688-6035
00 Yrs/99 Yrs
Fax: (270) 687-7040
Fax: (270) 688-6056
M-F 8:00 AM - 5:00 PM
00 Yrs/21 Yrs
15 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
M-F 8:00 AM - 5:00 PM Boothe, Kristin APRN
Provider ID: 899500
Critical Access Hospital
Nurse Practitioner
Gender: Female
The Clinic At Walmart
Branson, Joanne LPC
Allen, Nicole APRN
3151 Leitchfield Rd
Provider ID: 1129909
Provider ID: 1143023
Owensboro, KY 42303
Gender: Female
Gender: Female
(270) 685-1260
920 Frederica St Ste 407 One Health Surgical
Fax: (270) 685-1284
Owensboro, KY 42301
Specialists
00 Yrs/99 Yrs
(270) 689-0073
2801 New Hartford Rd
M-F 8:00 AM - 5:00 PM
Fax: (270) 689-0083
Owensboro, KY 42303
00 Yrs/99 Yrs
(270) 683-3720
Boothe, Kristin APRN
M-F 8:00 AM - 5:00 PM
Fax: (270) 686-7331
Provider ID: 899500
00 Yrs/99 Yrs
Gender: Female
Newman, Tabitha LPC
M-F 8:00 AM - 5:00 PM
The Clinic At Walmart
Provider ID: 1129986
5031 Frederica St
Gender: Female
Boarman, Linda APRN
Owensboro, KY 42301
1711 Parrish Plaza Dr
Provider ID: 606213
(270) 691-8040
Owensboro, KY 42301
Gender: Female
Fax: (270) 868-1403
(270) 691-0501
Balanced Life Primary
00 Yrs/99 Yrs
Care
Fax: (270) 691-0510
M-F 8:00 AM - 5:00 PM
3240 Mt Moriah Ave
00 Yrs/99 Yrs
Owensboro, KY 42303
M-F 8:00 AM - 5:00 PM
Braun, Jacqueline APRN
(270) 686-6168
Provider ID: 1182185
Infectious Disease
Fax: (270) 686-6140
Gender: Female
00 Yrs/99 Yrs
Walker, Amy APRN
One Health Urgent Care
M-F 8:00 AM - 5:00 PM
Ford
Provider ID: 907345
2211 Mayfair Dr Ste 101
Gender: Female
Owensboro, KY 42301
Matthew 25 Aids
Services Inc
(270) 688-1352
1600 Breckenridge Dr
Fax: (270) 683-4313
Owensboro, KY 42303
00 Yrs/99 Yrs
(270) 826-0200
M-F 8:00 AM - 5:00 PM
Fax: (270) 826-0212
00 Yrs/99 Yrs
M 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 161
Braun, Jacqueline APRN
Provider ID: 1104544
Gender: Female
The Clinic At Walmart
3151 Leitchfield Rd
Owensboro, KY 42303
(270) 685-1260
Fax: (270) 685-1284
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Braun, Jacqueline APRN
Provider ID: 1104545
Gender: Female
The Clinic At Walmart
5031 Frederica St
Owensboro, KY 42301
(270) 686-1399
Fax: (270) 686-1403
00 Yrs/99 Yrs
MTWTHFSat 9:00 AM 7:00 PM
Brossman, Karen APRN
Provider ID: 647126
Gender: Female
One Health Urgent Care
Ford
2211 Mayfair Dr Ste 101
Owensboro, KY 42301
(270) 688-1352
Fax: (270) 683-4313
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Brossman, Karen APRN
Provider ID: 647126
Gender: Female
The Clinic At Walmart
3151 Leitchfield Rd
Owensboro, KY 42303
(270) 685-1260
Fax: (270) 685-1284
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
06/01/2016
Allied Providers
Daviess
Nurse Practitioner - cont. Burnett, Diane APRN
Carrico, Judy APRN
Chambers, Ja-Mae APRN
Provider ID: 631800
Provider ID: 622914
Brossman, Karen APRN
Provider ID: 670920
Gender: Female
Gender: Female
Gender: Male
Ulrf Pediatric
Owensboro Medical
Provider ID: 647126
Hematology Oncology
Carrico Congleton
Practice Group
Gender: Female
Family
Practice
L
1000 Breckenridge St Ste
1200 Breckenridge St Ste
The Clinic At Walmart
301
2315 Mayfair Dr Ste 11
101
5031 Frederica St
Owensboro, KY 42303
Owensboro, KY 42301
Owensboro, KY 42303
Owensboro, KY 42301
(502) 588-3600
(270) 215-0234
(270) 683-8672
(270) 686-1399
Fax: (502) 588-3600
Fax: (270) 216-0316
Fax: (270) 685-8233
Fax: (270) 686-1403
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Owensboro Health
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Regional Hospital
Cain, Stacie APRN
M-F 8:00 AM - 5:00 PM Chambers, Ja-Mae APRN
Brown, Tricia ARNP
Provider ID: 908071
Provider ID: 622914
Provider ID: 1027655
Carter,
Stacy
APRN
Gender: Female
Gender: Female
Gender: Female
One Health Urgent Care Provider ID: 1180572
One Health Infectious
Ulrf Pediatric Cardiology Ford
Gender: Female
Disease
1000 Breckenridge St Ste 2211 Mayfair Dr Ste 101
Ulrf Pediatric
1301 Pleasant Valley Rd
301
Hematology/Oncology
Ste 405
Owensboro, KY 42301
Owensboro, KY 42303
1000
Breckenridge
St
Ste
Owensboro, KY 42303
(270) 688-1352
(502) 585-4802
301
(270) 417-7850
Fax: (270) 683-4313
Fax: (502) 589-1289
Owensboro, KY 42303
Fax: (270) 417-7859
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(502) 588-3600
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Fax: (502) 588-3600
M-F 8:00 AM - 5:00 PM
Cain, Stacie APRN
00 Yrs/99 Yrs
Burch, Megan APRN
Provider ID: 908071
M-F 8:00 AM - 5:00 PM Chapman, Melanie APRN
Provider ID: 1165488
Gender: Female
Gender: Female
Chambers, Ja-Mae APRN Provider ID: 1145053
The Clinic At Walmart
The Womens Pavilion
Provider ID: 622914
Gender: Female
3151 Leitchfield Rd
PSC
Gender:
Female
Regional Health Care
Owensboro, KY 42303
2200 E Parrish Ave Ste
Affiliates, In
Owensboro Medical
(270) 685-1260
201B
Practice Group
1600 Breckinridge St
Fax: (270) 685-1284
Owensboro, KY 42303
1200
Breckenridge
St
Owensboro, KY 42303
00 Yrs/99 Yrs
(270) 926-3700
Owensboro,
KY
42303
(270) 215-6436
M-TH 8:00 AM - 5:00 PM
Fax: (270) 926-2114
(270) 683-8672
Fax: (270) 215-6473
00 Yrs/99 Yrs
Cain, Stacie APRN
Fax: (270) 685-8233
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 908071
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gender: Female
M-F 9:00 AM - 5:00 PM
The Clinic At Walmart
5031 Frederica St
Owensboro, KY 42301
(270) 686-1399
Fax: (270) 686-1403
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 162
06/01/2016
Allied Providers
Daviess
Nurse Practitioner - cont. Coleman, Christy APRN
Chapman, Melanie APRN
Provider ID: 1145059
Gender: Female
Regional Health Care
Affiliates, In
2816 Veach Rd Ste 205
Owensboro, KY 42303
(270) 926-9821
Fax: (270) 667-9065
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Clark, Deborah APRN
Provider ID: 647113
Gender: Female
Owensboro Health
Wound Center
1325 Triplett St
Owensboro, KY 42303
(270) 688-4325
Fax: (270) 687-4322
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Cline, Jayme APRN
Provider ID: 1066409
Gender: Female
Ulrf Pediatric
Endocrinology
1000 Brekenridge St Ste
301
Owensboro, KY 42303
(502) 629-8821
Fax: (502) 629-8824
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 603661
Gender: Female
Main Street Family
Medicine LLC
10015 Main St
Whitesville, KY 42378
(270) 233-1884
Fax: (270) 233-9520
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Combs, Kyle APRN
Provider ID: 972256
Gender: Female
Ulrf Pediatric Cardiology
1000 Breckenridge St Ste
301
Owensboro, KY 42303
(502) 585-4802
Fax: (502) 589-1289
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Congleton, Terri APRN
Provider ID: 602811
Gender: Female
Carrico Congleton
Family Practice L
2315 Mayfair Dr Ste 11
Owensboro, KY 42301
(270) 215-0234
Fax: (270) 215-0324
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Cox, Wendy APRN
Provider ID: 1082856
Gender: Female
One Health Cardiology
1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7509
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Danhauer, Mary APRN
Provider ID: 1085329
Gender: Female
Green River District
Health Departm
1600 Breckenridge St
Owensboro, KY 42303
(270) 686-7747
Fax: (270) 926-9862
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Daniel, Susan APRN
Provider ID: 787773
Gender: Female
One Health Hospitalist
1201 Pleasant Valley Rd
Owensboro, KY 42303
(270) 417-4700
Fax: (270) 417-4709
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Daniel, Susan APRN
Provider ID: 647803
Gender: Female
One Health McAuley
Primary Care
811 E Parrish Ave
Owensboro, KY 42303
(270) 961-8040
Fax: (270) 691-8049
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
Davis, Shelly APRN
Provider ID: 669323
Gender: Female
Ky Em1 Medical Services
PSC
3245 Mt Moriah Ave Ste
10
Owensboro, KY 42303
(270) 663-0955
Fax: (270) 689-0051
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Devine, Beth APRN
Provider ID: 1135072
Gender: Female
Regional Health Care
Affiliates, In
1600 Breckinridge St
Owensboro, KY 42303
(270) 215-6436
Fax: (270) 215-6473
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Daniel, Susan APRN
Provider ID: 647803
Cox, Sandra APRN
Gender: Female
Provider ID: 653092
One Health Urgent Care
Dilday, Susan APRN
Gender: Female
Ford
Provider ID: 779996
Owensboro
2211 Mayfair Dr Ste 101
Dermatology Associates Owensboro, KY 42301
Gender: Female
Ps
1000 Breckenridge St Ste
(270) 688-1352
2821 New Hartford Rd
301
Fax: (270) 683-4313
Owensboro, KY 42303
Owensboro, KY 42303
00 Yrs/99 Yrs
(270) 685-5777
(502) 852-7743
Owensboro Health
Fax: (270) 685-0190
Fax: (502) 852-7670
Regional Hospital
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-TH 7:30 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
F 7:30 AM - 12:00 PM
www.wellcare.com/Kentucky | 163
06/01/2016
Allied Providers
Daviess
Nurse Practitioner - cont. Eaton, Jennifer APRN
Provider ID: 1115406
Dukes, Lisa APRN
Gender: Female
Provider ID: 717367
Regional Health Care
Gender: Female
Affiliates Inc
Owensboro Health
2816 Veach Rd Ste 205
Outpatient Behavio
Owensboro, KY 42303
2211 Mayfair Dr Ste 409
(270) 926-9821
Owensboro, KY 42301
Fax: (270) 667-9065
(270) 417-7980
00 Yrs/99 Yrs
Fax: (270) 417-7989
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Ebelhar, Leslie APRN
Provider ID: 659338
Dunn, Brittney APRN
Gender: Female
Provider ID: 1164862
Midwest ENT of
Gender: Female
Owensboro
Regional Health Care
2841 New Hartford Rd
Affiliates Inc
Owensboro, KY 42303
1600 Breckinridge St
(270) 691-6161
Owensboro, KY 42303
Fax: (270) 926-2634
(270) 215-6436
00 Yrs/99 Yrs
Fax: (270) 215-6473
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Estes, Jessica APRN
Provider ID: 622905
Dunn, Brittney APRN
Gender: Female
Provider ID: 1164870
Owensboro Health
Gender: Female
Outpatient Behavio
Regional Health Care
2211 Mayfair Dr Ste 409
Affiliates Inc
Owensboro, KY 42301
2816 Veach Rd Ste 205
(270) 417-7980
Owensboro, KY 42303
Fax: (270) 417-7989
(270) 926-9821
00 Yrs/99 Yrs
Fax: (270) 667-9065
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Estes, Jessica APRN
Provider ID: 984855
Eaton, Jennifer APRN
Gender: Female
Provider ID: 1139550
Estes Behavioral Health
Gender: Female
Lcc
Regional Health Care
2851 New Hartford Rd
Affiliates, In
Ste B
1600 Breckinridge St
Owensboro, KY 42303
Owensboro, KY 42303
(270) 927-6003
(270) 215-6436
Fax: (270) 927-6004
Fax: (270) 215-6473
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Fares, Maghan APRN
Provider ID: 1129940
Gender: Female
One Health Urology
1301 Pleasant Valley Rd
Ste 302
Owensboro, KY 42303
(270) 688-4480
Fax: (270) 688-4489
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Flener, Angela APRN
Provider ID: 631418
Gender: Female
Owensboro Health
Radiation Therapy
1020 Breckenridge St
Owensboro, KY 42303
(270) 417-7515
Fax: (270) 688-3673
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Flener, Angela APRN
Provider ID: 631418
Gender: Female
One Health
Pulmonology
1301 Pleasant Valley Rd
Ste 404
Owensboro, KY 42303
(270) 417-7515
Fax: (270) 417-7699
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Glenn-Birkhead, Cynthia
APRN
Provider ID: 607865
Gender: Female
Main Street Family
Medicine LLC
10015 Main St
Whitesville, KY 42378
(270) 233-1884
Fax: (270) 233-9520
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Goedde, Ashley ARNP
Provider ID: 647123
Gender: Female
The Clinic At Walmart
3151 Leitchfield Rd
Owensboro, KY 42303
(270) 685-1260
Fax: (270) 685-1284
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Goedde, Ashley ARNP
Provider ID: 647123
Gender: Female
The Clinic At Walmart
5031 Frederica St
Owensboro, KY 42301
(270) 686-1399
Fax: (270) 686-1403
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gollar, Kelly APRN
Provider ID: 633192
Futrell Lake, Leigh APRN Gender: Female
First Urology PSC
Provider ID: 609795
1100 Walnut St Ste 206
Gender: Female
Owensboro, KY 42301
Owensboro Medical
(812) 282-3899
Practice Group
Fax: (812) 282-4172
1200 Breckenridge St
00 Yrs/99 Yrs
Owensboro, KY 42303
Norton Hospital
(270) 683-8672
M-F 9:00 AM - 5:00 PM
Fax: (270) 685-8233
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
www.wellcare.com/Kentucky | 164
06/01/2016
Allied Providers
Daviess
Nurse Practitioner - cont. Hawkins, Robyn APRN
Goodall, Heather APRN
Provider ID: 1129947
Gender: Female
Bridgewater Medical
Center
750 Salem Dr
Owensboro, KY 42303
(270) 686-8008
Fax: (270) 686-8066
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gore, Cheryl APRN
Provider ID: 1112597
Gender: Female
One Health Behavioral
Services
1201 Pleasant Valley Rd
Owensboro, KY 42303
(271) 417-3772
Fax: (270) 417-3709
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Gore, Cheryl APRN
Provider ID: 1112597
Gender: Female
One Health Behavioral
Services
2211 Mayfair Dr Ste 409
Owensboro, KY 42301
(271) 417-7980
Fax: (270) 417-7989
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Hawkins, Robyn APRN
Provider ID: 1139555
Gender: Female
Regional Health Care
Affiliates, In
1600 Breckinridge St
Owensboro, KY 42303
(270) 215-6436
Fax: (270) 215-6473
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Higgs, Tisha APRN
Houston, Lola APRN
Provider ID: 1165597
Provider ID: 607848
Provider ID: 1074721
Gender: Female
Gender: Female
Gender: Female
One Health Family
Geriatric Nurse
Regional Health Care
Medicine Breckenr
Practitioner Servic
Affiliates, In
1000 Breckenridge St Ste 6652 Waterford Pl
2816 Veach Rd Ste 205
401
Owensboro, KY 42303
Owensboro, KY 42303
Owensboro, KY 42303
(270) 929-9971
(270) 926-9821
(270) 688-4401
Fax: (270) 281-4009
Fax: (270) 667-9065
Fax: (270) 688-4409
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 - 5:00 PM
M-F 7:30 AM - 5:00 PM
Jackson, Kimberly APRN
Head, Stacy APRN
Holbrook, Tina APRN
Provider ID: 711001
Provider ID: 1060580
Provider ID: 1130890
Gender: Female
Gender: Female
Gender: Female
Owensboro Primary
One Health Urgent Care Regional Health Care
Care
Ford
Affiliates, In
1200 Breckenridge St
2211 Mayfair Dr Ste 101
1600 Breckinridge St
Owensboro, KY 42303
Owensboro, KY 42301
Owensboro, KY 42303
(270) 685-8224
(270) 688-1352
(270) 215-6436
Fax: (270) 685-8228
Fax: (270) 683-4313
Fax: (270) 215-6473
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
F 8:00 AM - 12:00 PM
Holbrook, Tina APRN
Jackson, Kimberly APRN
Heady, Crystal APRN
Provider ID: 1060580
Provider ID: 1072714
Provider ID: 1038236
Gender: Female
Gender: Female
Gender: Female
The Clinic At Walmart
Regional Health Care
Owensboro Health
3151 Leitchfield Rd
Affiliates Inc
Radiation Therapy
Owensboro, KY 42303
2816 Veach Rd Ste 205
1020 Breckenridge St
(270) 685-1260
Owensboro, KY 42303
Owensboro, KY 42303
Fax: (270) 685-1284
(270) 926-9821
(270) 688-3600
00 Yrs/99 Yrs
Fax: (270) 667-9065
Fax: (270) 688-3673
M-F 9:00 AM - 7:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM Holbrook, Tina APRN
Provider ID: 1060580
Heady, Crystal APRN
Gender: Female
Provider ID: 1038236
The Clinic At Walmart
Gender: Female
5031 Frederica St
One Health
Owensboro, KY 42301
Pulmonology
(270) 686-1399
1301 Pleasant Valley Rd
Fax: (270) 686-1403
Ste 404
00 Yrs/99 Yrs
Owensboro, KY 42303
M-F 8:00 AM - 5:00 PM
(270) 417-7515
Fax: (270) 417-7699
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 165
06/01/2016
Allied Providers
Daviess
Nurse Practitioner - cont. Kimberlin, Melissa APRN
Provider ID: 1110458
Johnson, Bridget APRN
Gender: Female
Provider ID: 758954
Saint Camillus Urgent
Gender: Female
Care
Jeremy L Bradley MD
3600 Frederica St Ste A
3122 Commonwealth
&B
Court
Owensboro, KY 42301
Owensboro, KY 42303
(270) 684-0023
(270) 684-7711
Fax: (270) 684-0065
Fax: (270) 684-7753
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Baptist Health
Kirkendoll, Dodie APRN
Madisonville
Owensboro Health
Provider ID: 1067200
Regional Hospital
Gender: Female
M-F 8:00 AM - 5:00 PM
One Health Family
Medicine Breckenr
Johnson, Lacey APRN
1000 Breckenridge St Ste
Provider ID: 803081
401
Gender: Female
Owensboro, KY 42303
The Clinic At Walmart
(270) 688-4401
3151 Leitchfield Rd
Fax: (270) 688-4409
Owensboro, KY 42303
00 Yrs/99 Yrs
(270) 685-1260
M-F 8:00 AM - 5:00 PM
Fax: (270) 685-1284
Kirkendoll, Dodie APRN
00 Yrs/99 Yrs
Provider ID: 618388
M-F 9:00 AM - 7:00 PM
Gender: Female
Johnson, Lacey APRN
One Health Family
Provider ID: 803081
Medicine Breckenr
Gender: Female
1000 Breckenridge St Ste
The Clinic At Walmart
401
5031 Frederica St
Owensboro, KY 42303
Owensboro, KY 42301
(270) 688-4401
(270) 686-1399
Fax: (270) 688-4409
Fax: (270) 868-1403
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
MTWTHFSat 9:00 AM Kirkendoll, Dodie APRN
7:00 PM
Provider ID: 1144176
Gender: Female
One Health Urgent Care
Ford
2211 Mayfair Dr Ste 101
Owensboro, KY 42301
(270) 688-1352
Fax: (270) 683-4313
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Koller, Patricia APRN
Provider ID: 974048
Gender: Female
East Side Medical Clinic
1030 E 18th St
Owensboro, KY 42303
(270) 240-5005
Fax: (270) 240-5007
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Kroeger, Josie APRN
Provider ID: 669017
Gender: Female
Owensboro Pediatrics
1102 Triplett St Ste 1000
Owensboro, KY 42303
(270) 926-8828
Fax: (270) 926-0760
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Leanhart, Jennifer APRN
Provider ID: 633293
Gender: Female
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
18 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
McBride, Gail APRN
Provider ID: 1150914
Gender: Female
One Health
Cardiothoracic Surgery
1301 Pleasant Valley Rd
Ste 201
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7529
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
McCauley, Stacy APRN
Provider ID: 632004
Gender: Female
Ulrf Pediatric
Endocrinology
1000 Breckenridge St Ste
301
Owensboro, KY 42303
(502) 629-8821
Fax: (502) 629-8824
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McLimore, Ellen APRN
Provider ID: 618686
Gender: Female
One Health
Cardiothoracic Surgery
1301 Pleasant Valley Rd
Ste 201
Owensboro, KY 42303
(270) 417-7500
Marshall, Kimberly APRN Fax: (270) 417-7529
00 Yrs/99 Yrs
Provider ID: 630871
M-F 8:00 AM - 5:00 PM
Gender: Female
One Health Hospitalists McMurray, Laura APRN
Provider ID: 669035
1201 Pleasant Valley Rd
Gender: Female
Owensboro, KY 42303
One Health Urgent Care
(270) 417-4700
Ford
Fax: (270) 417-4709
2211 Mayfair Dr Ste 101
00 Yrs/99 Yrs
Owensboro, KY 42301
Owensboro Health
(270) 688-1352
Regional Hospital
Fax: (270) 683-4313
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 166
06/01/2016
Allied Providers
Daviess
Nurse Practitioner - cont. Mefford, Harriet APRN
Provider ID: 788384
McMurray, Laura APRN
Gender: Female
Provider ID: 669035
Gateway Urgent Care
Gender: Female
LLC
The Clinic At Walmart
3245 Mount Moriah Ave
3151 Leitchfield Rd
Ste 10
Owensboro, KY 42303
Owensboro, KY 42303
(270) 685-1260
(270) 663-0955
Fax: (270) 685-1284
Fax: (270) 689-0051
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 7:00 AM - 7:00 PM
McMurray, Laura APRN
Provider ID: 669037
Gender: Female
The Clinic At Walmart
5031 Frederica St
Owensboro, KY 42301
(270) 686-1399
Fax: (270) 868-1403
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Meade, Janelle ARNP
Provider ID: 624047
Gender: Female
Gateway Urgent Care
LLC
3245 Mount Moriah Ave
Ste 10
Owensboro, KY 42303
(270) 663-0955
Fax: (270) 689-0051
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Medley, Krystal APRN
Provider ID: 902252
Gender: Female
Owensboro Health
Wound Center
1325 Triplett St
Owensboro, KY 42303
(270) 688-4325
Fax: (270) 687-4322
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Milligan, Dana APRN
Provider ID: 942109
Gender: Female
Main Street Family
Medicine LLC
10015 Main St
Whitesville, KY 42378
(270) 233-1884
Fax: (270) 233-9520
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Motycka, Jenna APRN
Meschko, Kara APRN
Provider ID: 669041
Provider ID: 691837
Gender: Female
Gender: Female
The Clinic At Walmart
One Health Urgent Care 5031 Frederica St
Food
Owensboro, KY 42301
2211 Mayfair Ave Ste 101
(270) 686-1399
Owensboro, KY 42301
Fax: (270) 868-1403
(270) 688-1352
00 Yrs/99 Yrs
Fax: (270) 683-4313
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Neely, Jennifer ARNP
Provider ID: 810847
Meschko, Kara APRN
Gender: Female
Provider ID: 691840
One Health
Gender: Female
Rheumatology
The Clinic At Walmart
1301 Pleasant Valley Rd
3151 Leitchfield Rd
Ste 500A
Owensboro, KY 42303
Owensboro, KY 42303
(270) 685-1260
(270) 417-7900
Fax: (270) 685-1284
Fax: (270) 417-7909
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Meschko, Kara APRN
Provider ID: 691841
Gender: Female
The Clinic At Walmart
5031 Frederica St
Owensboro, KY 42301
(270) 686-1399
Fax: (270) 868-1403
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Ogaz, Veletta APRN
Provider ID: 1143078
Gender: Female
Bridgewater Medical
Center
750 Salem Dr
Owensboro, KY 42303
(270) 686-8008
Fax: (270) 832-6272
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM
F 8:30 AM - 1:00 PM
www.wellcare.com/Kentucky | 167
Ohr, Andrea APRN
Provider ID: 633044
Gender: Female
First Urology PSC
1100 Walnut St Ste 206
Owensboro, KY 42301
(812) 282-3899
Fax: (812) 282-4172
18 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
Osborne, Sarah APRN
Provider ID: 995181
Gender: Female
One Health Pediatrics
1000 Breckenridge St Ste
300
Owensboro, KY 42303
(270) 688-4480
Fax: (270) 688-4480
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pendleton Sr, Michael
APRN
Provider ID: 790006
Gender: Male
Gateway Urgent Care
LLC
3245 Mount Moriah Ave
Ste 10
Owensboro, KY 42303
(270) 663-0955
Fax: (270) 689-0051
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
06/01/2016
Allied Providers
Daviess
Nurse Practitioner - cont. Pierce, Beth APRN
Provider ID: 1074725
Pfanenstiel, Yvonne
Gender: Female
APRN
Regional Health Care
Provider ID: 622021
Affiliates, In
Gender: Female
2816 Veach Rd Ste 205
Health Quest Medical
Owensboro, KY 42303
Care PSC
(270) 926-9821
2200 E Parrish Ave Bldg
Fax: (270) 667-9065
C Ste 101
00 Yrs/99 Yrs
Owensboro, KY 42303
M-F 8:00 AM - 5:00 PM
(270) 298-4889
Fax: (270) 298-9003
Powers, Misty APRN
00 Yrs/99 Yrs
Provider ID: 722786
M-F 8:00 AM - 5:00 PM
Gender: Female
Elizabeth H Ottman MD
Phelps, Leslie APRN
PSC
Provider ID: 607861
2851 New Hartford Rd
Gender: Female
Ste B
The Clinic At Walmart
Owensboro, KY 42303
3151 Leitchfield Rd
(270) 688-6035
Owensboro, KY 42303
Fax: (270) 688-6056
(270) 685-1260
00 Yrs/99 Yrs
Fax: (270) 685-1284
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Price, Micah APRN
Owensboro Health
Regional Hospital
Provider ID: 1104608
M-F 9:00 AM - 5:00 PM
Gender: Female
Owensboro Health
Phelps, Leslie APRN
Pediatric Center
Provider ID: 630570
1000 Breckenridge St Ste
Gender: Female
300
The Clinic At Walmart
Owensboro, KY 42303
5031 Frederica St
(270) 688-4480
Owensboro, KY 42301
Fax: (270) 688-4489
(270) 686-1399
00 Yrs/99 Yrs
Fax: (270) 868-1403
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Puckett, Angela APRN
Owensboro Health
Provider ID: 1131747
Regional Hospital
Gender: Female
M-F 9:00 AM - 5:00 PM
Owensboro Health
Outpatient Behavio
1201 Pleasant Valley Rd
Owensboro, KY 42303
(270) 417-3772
Fax: (270) 417-3709
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Puckett, Angela APRN
Provider ID: 1131747
Gender: Female
Owensboro Health
Outpatient Behavio
2211 Mayfair Dr Ste 409
Owensboro, KY 42301
(270) 417-7980
Fax: (270) 417-7989
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Robison, Regina APRN
Provider ID: 1090961
Gender: Female
One Health Behavioral
Services
2211 Mayfair Dr Ste 409
Owensboro, KY 42301
(270) 417-7980
Fax: (270) 417-7989
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rednour, Kelly APRN
Provider ID: 1165693
Gender: Female
One Health Internal
Medicine Veach
2816 Veach Rd Ste 403
Owensboro, KY 42303
(270) 684-1145
Fax: (270) 684-1190
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Roby, Shauna APRN
Provider ID: 671462
Gender: Female
Owensboro Medical
Practice Group
1200 Breckenridge St Ste
101
Owensboro, KY 42303
(270) 683-8672
Fax: (270) 685-8233
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rhinehart, Ashley APRN
Rush, Heather APRN
Provider ID: 1053148
Provider ID: 912856
Gender: Female
Ulrf Pediatric Cardiology Gender: Female
1000 Breckenridge St Ste Ulrf Pediatric
Endocrinology
301
1000 Breckenridge St Ste
Owensboro, KY 42303
301
(502) 585-4802
Owensboro, KY 42303
Fax: (502) 589-1289
(502) 629-8821
00 Yrs/99 Yrs
Fax: (502) 629-8824
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Robison, Regina APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 1090961
Salkic, Suvada APRN
Gender: Female
Provider ID: 1150927
One Health Behavioral
Gender: Female
Services
The Clinic At Walmart
1201 Pleasant Valley Rd
3151 Leitchfield Rd
Owensboro, KY 42303
Owensboro, KY 42303
(270) 417-3772
(270) 685-1260
Fax: (270) 417-3709
Fax: (270) 685-1284
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
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Allied Providers
Daviess
Nurse Practitioner - cont. Stevenson, Nicole APRN
Provider ID: 948452
Salkic, Suvada APRN
Gender: Female
Provider ID: 1150931
The Clinic At Walmart
Gender: Female
3151 Leitchfield Rd
The Clinic At Walmart
Owensboro, KY 42303
5031 Frederica St
(270) 685-1260
Owensboro, KY 42301
Fax: (270) 685-1284
(270) 686-1399
00 Yrs/99 Yrs
Fax: (270) 686-1403
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
MTWTHFSat 9:00 AM - Stevenson, Nicole APRN
7:00 PM
Provider ID: 948452
Sun 12:00 AM - 6:00 PM
Gender: Female
The Clinic At Walmart
Sanders, Jason APRN
5031 Frederica St
Provider ID: 609797
Owensboro, KY 42301
Gender: Male
(270) 686-1399
Owensboro Medical
Fax: (270) 686-1403
Practice Group
00 Yrs/99 Yrs
1200 Breckenridge St
M-F 8:00 AM - 5:00 PM
Owensboro, KY 42303
(270) 683-7553
Strader, Elizabeth APRN
Fax: (270) 685-8226
00 Yrs/99 Yrs
Provider ID: 1164914
M-F 8:30 AM - 5:00 PM
Gender: Female
Regional Health Care
Simpson, Kathi APRN
Affiliates, In
Provider ID: 808722
1600 Breckinridge St
Gender: Female
Owensboro, KY 42303
Owensboro Pediatrics
(270) 215-6436
2200 E Parrish Ave Ste
Fax: (270) 215-6473
101
00 Yrs/99 Yrs
Owensboro, KY 42303
M-F 8:00 AM - 5:00 PM
(270) 683-3232
Fax: (270) 852-1600
Strader, Elizabeth APRN
00 Yrs/99 Yrs
Provider ID: 1074727
M-F 8:00 AM - 5:00 PM
Gender: Female
Stettenbenz, Michelle
Regional Health Care
APRN
Affiliates, In
Provider ID: 797941
2816 Veach Rd Ste 205
Gender: Female
Owensboro, KY 42303
Cep America LLC
(270) 926-9821
1201 Pleasant Valley Rd
Fax: (270) 667-9065
Owensboro, KY 42303
00 Yrs/99 Yrs
(270) 417-2000
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Stroud, Michele APRN
Thiesse, Kathy APRN
Provider ID: 1057188
Provider ID: 1181023
Gender: Female
Gender: Female
One Health Urgent Care Owensboro Health
Ford
Wound Center
2211 Mayfair Dr Ste 101
1325 Triplett St
Owensboro, KY 42301
Owensboro, KY 42303
(270) 688-1352
(270) 688-4325
Fax: (270) 683-4313
Fax: (270) 687-4322
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Stroud, Michele APRN
Provider ID: 1057188
Gender: Female
The Clinic At Walmart
3151 Leitchfield Rd
Owensboro, KY 42303
(270) 685-1260
Fax: (270) 685-1284
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Stroud, Michele APRN
Provider ID: 1057188
Gender: Female
The Clinic At Walmart
5031 Frederica St
Owensboro, KY 42301
(270) 686-1399
Fax: (270) 686-1403
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Thomas, Mary APRN
Provider ID: 932719
Gender: Female
1600 Breckenridge St Rm
112
Owensboro, KY 42303
(270) 826-0200
Fax: (270) 826-0212
00 Yrs/99 Yrs
MT 9:00 AM - 5:00 PM
Unsel, Lindie APRN
Provider ID: 708699
Gender: Female
One Health Radiation
Therapy
1020 Breckenridge St
Owensboro, KY 42303
(270) 688-3600
Fax: (270) 688-3673
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sweatt, Sylvia APRN
Provider ID: 705072
Unsel, Lindie APRN
Gender: Female
Provider ID: 708699
Sylvia Sweatt Family
Gender: Female
Practice LLC
2707 Breckenridge St Ste One Health
Pulmonology
2
1301 Pleasant Valley Rd
Owensboro, KY 42303
Ste 404
(270) 683-1808
Owensboro, KY 42303
Fax: (270) 683-1848
(270) 417-7515
00 Yrs/99 Yrs
Fax: (270) 417-7699
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
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Allied Providers
Daviess
Nurse Practitioner - cont. Whited, Leta APRN
Provider ID: 1139611
Ward, Albert APRN
Gender: Female
Provider ID: 609801
Regional Health Care
Gender: Male
Affiliates, In
Saint Camillus Urgent
1600 Breckinridge St
Care
Owensboro, KY 42303
3600 Frederica St Ste A
(270) 215-6436
&B
Fax: (270) 215-6473
Owensboro, KY 42301
00 Yrs/99 Yrs
(270) 684-0023
M-F 8:00 AM - 5:00 PM
Fax: (270) 684-0065
00 Yrs/99 Yrs
Whited, Leta APRN
M-F 8:30 AM - 5:00 PM
Provider ID: 1074730
Gender: Female
White, Donna APRN
Regional Health Care
Provider ID: 956096
Affiliates, In
Gender: Female
2816 Veach Rd Ste 205
One Health Urgent Care Owensboro, KY 42303
Ford
(270) 926-9821
2211 Mayfair Dr Ste 101
Fax: (270) 667-9065
Owensboro, KY 42301
00 Yrs/99 Yrs
(270) 688-1352
M-F 8:00 AM - 5:00 PM
Fax: (270) 683-4313
00 Yrs/99 Yrs
Wilkerson, Christina
M-F 8:00 AM - 5:00 PM APRN
Provider ID: 908489
White, Donna APRN
Gender: Female
Provider ID: 956096
Saint Camillus Urgent
Gender: Female
Care
The Clinic At Walmart
3600 Frederica St Ste A
3151 Leitchfield Rd
&B
Owensboro, KY 42303
Owensboro, KY 42301
(270) 685-1260
(270) 684-0023
Fax: (270) 685-1284
Fax: (270) 684-0065
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
White, Donna APRN
Provider ID: 956096
Gender: Female
The Clinic At Walmart
5031 Frederica St
Owensboro, KY 42301
(270) 686-1399
Fax: (270) 686-1403
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Willis, Jennifer APRN
Provider ID: 700486
Gender: Female
Norton Mfm Specialists
815 E Parrish Ave
Owensboro, KY 42303
(270) 686-1782
Fax: (270) 686-6404
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wilson, Annie APRN
Wolfe, Malea APRN
Provider ID: 1129348
Provider ID: 911763
Gender: Female
Gender: Female
Bluegrass Internal
One Health McAuley
Medicine
Primary Care
3346 Professional Park Dr 811 E Parrish Ave
Owensboro, KY 42303
Owensboro, KY 42303
(270) 685-1066
(270) 691-8040
Fax: (270) 685-0881
Fax: (270) 691-8049
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Wolfe, Malea APRN
Woodruff, Kellie APRN
Provider ID: 911763
Provider ID: 631314
Gender: Female
Gender: Female
One Health Urgent Care Ulrf Pediatric
Ford
Endocrinology
2211 Mayfair Dr Ste 101
1000 Breckenridge St Ste
301
Owensboro, KY 42301
Owensboro, KY 42303
(270) 688-1352
(502) 629-8821
Fax: (270) 683-4313
Fax: (502) 629-8824
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Wolfe, Malea APRN
Wright, Krystal APRN
Provider ID: 911763
Provider ID: 1010139
Gender: Female
Gender: Female
The Clinic At Walmart
Gateway Urgent Care
3151 Leitchfield Rd
LLC
Owensboro, KY 42303
3245 Mt Moriah Ave Ste
(270) 685-1260
10
Fax: (270) 685-1284
Owensboro, KY 42303
00 Yrs/99 Yrs
(270) 663-0955
M-F 9:00 AM - 7:00 PM
Fax: (270) 689-0051
Sat-Sun 12:00 AM - 6:00
00 Yrs/99 Yrs
PM
M-F 8:00 AM - 5:00 PM
Wolfe, Malea APRN
Wright, Krystal APRN
Provider ID: 911763
Provider ID: 1071467
Gender: Female
Gender: Female
The Clinic At Walmart
Gateway Urgent Care
5031 Frederica St
LLC
Owensboro, KY 42301
3245 Mt Moriah Ave Ste
(270) 686-1399
10
Fax: (270) 686-1403
Owensboro, KY 42303
00 Yrs/99 Yrs
(270) 663-0955
MTWTHFSat 9:00 AM Fax: (270) 689-0051
7:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
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Allied Providers
Daviess
Nurse Practitioner - cont. Beach, Melissa OT
Provider ID: 1165167
Zimmerman, Kimberly
Gender: Female
APRN
Tri-State Orthopaedic
Provider ID: 1164924
Surgeons Inc
Gender: Female
2831 New Hartford Rd
Regional Health Care
Owensboro, KY 42303
Affiliates, In
(812) 471-1591
1600 Breckinridge St
Fax: (812) 471-6650
Owensboro, KY 42303
00 Yrs/99 Yrs
(270) 215-6436
M-F 8:00 AM - 5:00 PM
Fax: (270) 215-6473
00 Yrs/99 Yrs
Beach, Melissa OT
M-F 8:00 AM - 5:00 PM
Provider ID: 972911
Gender: Female
Zimmerman, Kimberly
Rehabilitation and
APRN
Performance Inst
Provider ID: 1164929
2831 New Hartford Rd
Gender: Female
Owensboro, KY 42303
Regional Health Care
(270) 926-2131
Affiliates, In
Fax: (270) 926-2520
2816 Veach Rd Ste 205
00 Yrs/99 Yrs
Owensboro, KY 42303
M-F 8:00 AM - 5:00 PM
(270) 926-9821
Fax: (270) 667-9065
Beach, Melissa OT
00 Yrs/99 Yrs
Provider ID: 1165167
M-F 8:00 AM - 5:00 PM
Gender: Female
Tri-State Orthopaedic
Occupational Therapy
Surgeons Inc
3245 Mount Moriah Ave
Abney, Jerry OT
Ste 4
Provider ID: 676976
Owensboro, KY 42303
Gender: Male
(270) 926-3131
Occupational Therapy
Fax: (812) 471-6650
Services DBA H
00 Yrs/99 Yrs
3221 Frederica St Ste B
M-F 8:00 AM - 5:00 PM
Owensboro, KY 42301
(270) 926-2212
Beach, Melissa OT
Fax: (270) 926-2215
Provider ID: 972911
00 Yrs/99 Yrs
Gender: Female
M-F 8:00 AM - 5:00 PM
Rehabilitation and
Performance Inst
3245 Mount Moriah Ave
Ste 4
Owensboro, KY 42303
(888) 872-4551
Fax: (706) 650-1034
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Lynn, Dale OT
Provider ID: 972907
Gender: Male
Lynn Occupational
Therapy LLC
1003 Burlew Blvd Ste C
Owensboro, KY 42303
(270) 688-8449
00 Yrs/99 Yrs
M-F 7:00 AM - 6:00 PM
Lynn, Jessica OT
Provider ID: 974551
Gender: Female
Lynn Occupational
Therapy LLC
1003 Burlew Blvd Ste C
Owensboro, KY 42303
(270) 688-8449
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rhodes, Audry MD
Provider ID: 631392
Gender: Male
One Health At Work
Owensboro
2211 Mayfair Dr Ste 101
Owensboro, KY 42301
(270) 686-6180
Fax: (270) 683-4313
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
Venditti, Tricia OT
Provider ID: 671466
Gender: Female
Advanced Therapy
Innovations
1102 Triplett St Ste 2300
Owensboro, KY 42301
(270) 926-7779
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
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Woods, Tracy OT
Provider ID: 795874
Gender: Female
Ulrf Neonatal Follow Up
1000 Breckenridge St Ste
301
Owensboro, KY 42303
(502) 852-7049
Fax: (502) 852-0135
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physical Therapy
Adkins, James PT
Provider ID: 919754
Gender: Male
Orthopaedics & Sports
Medicine PSC
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
M-F 7:00 AM - 5:00 PM
Adkins, James PT
Provider ID: 919754
Gender: Male
Orthopaedics & Sports
Medicine PSC
3245 Mount Moriah Ave
Ste 4
Owensboro, KY 42303
(270) 240-4682
Fax: (270) 240-4690
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Barringer, Tonya PT
Provider ID: 1165421
Gender: Female
Orthopaedics & Sports
Medicine PSC
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Daviess
Physical Therapy - cont.
Brown, Kevin PT
Provider ID: 1165473
Gender: Male
Orthopaedics & Sports
Medicine PSC
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Cummings, Tammy PT
Provider ID: 952270
Gender: Female
Advanced Therapy
Innovations
1102 Triplett St Ste 2300
Owensboro, KY 42303
(270) 926-7779
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fallin, Allison PT
Provider ID: 1128812
Gender: Female
Rehabilitation and
Performance Inst
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-2131
Fax: (270) 926-2520
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gillim, Rex PT
Provider ID: 1074176
Gender: Male
Orthopaedics & Sports
Medicine PSC
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
M-F 7:00 AM - 5:00 PM
Hartman, Chelsea PT
Provider ID: 1165591
Gender: Female
Orthopaedics & Sports
Medicine PSC
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fallin, Allison PT
Provider ID: 950088
Gender: Female
Orthopaedics & Sports
Medicine
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gray, Natalie PT
Provider ID: 1130473
Gender: Female
Hand Therapy
3221 Frederica St Ste B
Owensboro, KY 42301
(270) 926-2212
Fax: (270) 926-2215
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Jankowski, Sarah OT
Provider ID: 622912
Gender: Female
Rehabilitation and
Performance Inst
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Dean, Tanea PT
Provider ID: 648215
Gender: Female
Rehabilitation and
Performance Inst
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fallin, Allison PT
Provider ID: 1128812
Gender: Female
Rehabilitation and
Performance Inst
3245 Mount Moriah Ave
Ste 4
Owensboro, KY 42303
(270) 240-4682
Fax: (270) 240-4690
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Dean, Tanea PT
Provider ID: 648215
Gender: Female
Rehabilitation and
Performance Inst
3245 Mount Moriah Ave
Ste 4
Owensboro, KY 42303
(270) 240-4682
Fax: (270) 240-4690
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fallin, Allison PT
Provider ID: 950088
Gender: Female
Orthopaedics & Sports
Medicine
3245 Mount Moriah Ave
Ste 4
Owensboro, KY 42303
(270) 240-4682
Fax: (270) 240-4690
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Grewe, Lauren PT
Provider ID: 1081155
Gender: Female
Rehabilitation and
Performance Inst
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-2131
Fax: (270) 926-2520
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Grewe, Lauren PT
Provider ID: 1081155
Gender: Female
Rehabilitation and
Performance Inst
3245 Mount Moriah Ave
Ste 4
Owensboro, KY 42303
(270) 240-4682
Fax: (270) 240-4690
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 172
Jankowski, Sarah OT
Provider ID: 622912
Gender: Female
Rehabilitation and
Performance Inst
3245 Mount Moriah Ave
Ste 4
Owensboro, KY 42303
(270) 926-2131
Fax: (270) 926-2520
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Julian, Chelsea PT
Provider ID: 1165615
Gender: Female
Orthopaedics & Sports
Medicine PSC
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Daviess
Physical Therapy - cont.
Kenner, Morgan PT
Provider ID: 1165618
Gender: Female
Orthopaedics & Sports
Medicine PSC
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Phifer, Craig PT
Provider ID: 615310
Gender: Male
Rehabilitation and
Performance Inst
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Phifer, Craig PT
Provider ID: 615310
Gender: Male
Rehabilitation and
Performance Inst
3245 Mount Moriah Ave
Ste 4
Owensboro, KY 42303
(270) 240-4682
Fax: (270) 240-4690
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Reeves, Cathy PT
Provider ID: 758699
Gender: Female
Rehabilitation and
Performance Inst
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-9179
00 Yrs/99 Yrs
M-TH 7:00 AM - 5:30 PM
Reeves, Cathy PT
Provider ID: 758699
Gender: Female
Rehabilitation and
Performance Inst
3245 Mount Moriah Ave
Ste 4
Owensboro, KY 42303
(270) 240-4682
Fax: (270) 240-4690
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Tyler, Shelly PT
Provider ID: 667334
Gender: Female
Rehabilitation and
Performance Inst
3245 Mount Moriah Ave
Ste 4
Owensboro, KY 42303
(270) 240-4682
Fax: (270) 240-4690
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rinaldo, Jacquelyn PT
Provider ID: 806664
Gender: Female
Advanced Therapy
Innovations
1102 Triplett St Ste 2300
Owensboro, KY 42301
(270) 926-7779
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wood, Ryan PT
Provider ID: 1078884
Gender: Male
Orthopaedics & Sports
Medicine PSC
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Solomon, Derek PT
Provider ID: 1165725
Gender: Male
Orthopaedics & Sports
Medicine PSC
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-4678
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Tyler, Shelly PT
Provider ID: 667334
Gender: Female
Rehabilitation and
Performance Inst
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-4100
Fax: (270) 684-9179
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wood, Ryan PT
Provider ID: 1104976
Gender: Male
Rehabilitation and
Performance Inst
2831 New Hartford Rd
Owensboro, KY 42303
(270) 926-2131
Fax: (270) 926-2520
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wood, Ryan PT
Provider ID: 1104976
Gender: Male
Rehabilitation and
Performance Inst
3245 Mount Moriah Ave
Ste 4
Owensboro, KY 42303
(270) 240-4682
Fax: (270) 240-4690
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 173
Young, Jason PT
Provider ID: 818815
Gender: Male
Progressive Sports
Therapy LLC
1605 Scherm Rd Ste 3
Owensboro, KY 42301
(270) 691-8900
Fax: (270) 691-8900
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physician Assistant
Ahnell, Kirsten PA
Provider ID: 712839
Gender: Male
One Health Urgent Care
Ford
2211 Mayfair Ave Ste 101
Owensboro, KY 42301
(270) 686-6180
Fax: (270) 683-4313
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Ahnell, Kirsten PA
Provider ID: 712839
Gender: Male
The Clinic At Walmart
3151 Leitchfield Rd
Owensboro, KY 42303
(270) 685-1260
Fax: (270) 685-1284
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Ahnell, Kirsten PA
Provider ID: 712839
Gender: Male
The Clinic At Walmart
5031 Frederica St
Owensboro, KY 42301
(270) 686-1399
Fax: (270) 868-1403
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Daviess
Physician Assistant - cont. Carter, Jenelle PA
Provider ID: 987380
Booth, Robin PA
Gender: Female
Provider ID: 1129908
The Clinic At Walmart
Gender: Female
5031 Frederica St
One Health Cardiology
Owensboro, KY 42301
1301 Pleasant Valley Rd
(270) 686-1399
Ste 202
Fax: (270) 686-1403
Owensboro, KY 42303
00 Yrs/99 Yrs
(270) 417-7500
M-F 8:00 AM - 5:00 PM
Fax: (270) 417-7509
00 Yrs/99 Yrs
Chapman, Deanna PA
M-F 8:00 AM - 5:00 PM
Provider ID: 935466
Gender: Female
Burgan, Richard PA
One Health Urgent Care
Provider ID: 712828
Ford
Gender: Male
2211 Mayfair Dr Ste 101
One Health
Owensboro, KY 42301
Pulmonology
(270) 688-1352
1301 Pleasant Valley Rd
Fax: (270) 683-4313
Ste 404
00 Yrs/99 Yrs
Owensboro, KY 42303
M-F 8:00 AM - 5:00 PM
(270) 417-7515
Fax: (270) 417-7699
Coyne, Vincent PA
00 Yrs/99 Yrs
Provider ID: 700535
M-F 8:00 AM - 5:00 PM
Gender: Male
One Health Orthopedics
Carter, Jenelle PA
1301 Pleasant Valley Rd
Provider ID: 631970
Ste 500B
Gender: Female
Owensboro, KY 42303
One Health Urgent Care (270) 417-7940
Ford
Fax: (270) 417-7949
2211 Mayfair Dr Ste 101
00 Yrs/99 Yrs
Owensboro, KY 42301
Owensboro Health
(270) 688-1352
Regional Hospital
Fax: (270) 683-4313
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Coyne, Vincent PA
Provider ID: 651685
Carter, Jenelle PA
Gender: Male
Provider ID: 987378
Orthopedics Surgical
Gender: Female
Specialists Ps
The Clinic At Walmart
220 E Parrish Ave Ste
3151 Leitchfield Rd
201B
Owensboro, KY 42303
Owensboro, KY 42303
(270) 685-1260
(270) 683-3538
Fax: (270) 685-1284
Fax: (270) 683-9494
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
Coyne, Vincent PA
Provider ID: 651685
Gender: Male
Orthopaedic Surgical
Specialists
811 E Parrish Ave Ste 201
Owensboro, KY 42303
(270) 683-3538
Fax: (270) 683-9494
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Davenport, Cory PA
Provider ID: 667401
Gender: Male
One Health
Cardiothoracic Surgery
1301 Pleasant Valley Rd
Ste 201
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7529
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Doughman, Matthew PA
Provider ID: 793518
Gender: Male
Cep America LLC
1201 Pleasant Vallye Rd
Owensboro, KY 42303
(270) 417-2000
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Dulabh, Candace PA
Provider ID: 1124894
Gender: Female
One Health Family
Medicine Breckenr
1000 Breckenridge St Ste
401
Owensboro, KY 42303
(270) 688-4401
Fax: (270) 688-4409
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 174
Finkelmeier, Nicole PA
Provider ID: 1024852
Gender: Female
Ulrf Pediatric
Hematology Oncology
1000 Breckenridge St Ste
301
Owensboro, KY 42303
(502) 588-3600
Fax: (502) 588-3600
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Garber, Monique PA
Provider ID: 921722
Gender: Female
Ulrf Pediatric
Hematology Oncology
1000 Breckenridge St Ste
301
Owensboro, KY 42303
(502) 588-3600
Fax: (502) 588-3600
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hagerman, James PA
Provider ID: 668404
Gender: Male
One Health
Pulmonology
1301 Pleasant Valley Rd
Ste 404
Owensboro, KY 42303
(270) 417-7515
Fax: (270) 417-7699
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Daviess
Physician Assistant - cont. Lewis, Kathryn PA
Provider ID: 609800
Hagerman, James PA
Gender: Female
Provider ID: 669049
Owensboro Medical
Gender: Male
Practice Group
Owensboro Health
1200 Breckenridge St Ste
Cardiology
101
1301 Pleasant Valley Rd
Owensboro, KY 42303
Ste 202
(270) 683-8672
Owensboro, KY 42303
Fax: (270) 685-8233
(270) 417-7500
00 Yrs/99 Yrs
Fax: (270) 417-7509
M-F 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Mayfield, Gary PA
Provider ID: 607876
Hagerman, James PA
Gender: Male
Provider ID: 669138
Owensboro Family
Gender: Male
Medicine
Jeremy L Bradley MD
1325 Triplett St
3122 Commonwealth
Owensboro, KY 42303
Court
(270) 686-8500
Owensboro, KY 42302
Fax: (270) 685-5467
(270) 684-7711
00 Yrs/99 Yrs
Fax: (570) 684-7753
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Mayfield, Gary PA
Provider ID: 607878
Hook, Jason PA
Gender: Male
Provider ID: 812360
Maclimore Clinic DBA
Gender: Male
Springs Urgent
One Health
2200 E Parrish Ave Bldg
Cardiothoracic Surgery
C Ste 104
1301 Pleasant Valley Rd
Owensboro, KY 42303
Ste 201
(270) 852-1632
Owensboro, KY 42303
Fax: (270) 852-1633
(270) 417-7500
00 Yrs/99 Yrs
Fax: (270) 417-7509
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Mazhawidza, Williard PA
Provider ID: 1165644
Gender: Male
One Health
Cardiothoracic Surgery
1301 Pleasant Valley Rd
Ste 201
Owensboro, KY 42303
(270) 417-7500
Fax: (270) 417-7529
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Murphy, Amanda PA
Provider ID: 651816
Gender: Female
Owensboro Pediatrics
1102 Triplett St Ste 1000
Owensboro, KY 42303
(270) 926-8828
Fax: (270) 926-0760
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rhodes, Ada PA
Provider ID: 631404
Gender: Female
The Clinic At Walmart
5031 Frederica St
Owensboro, KY 42301
(270) 686-1399
Fax: (270) 868-1403
00 Yrs/03 Yrs
M-F 9:00 AM - 5:00 PM
Quisenberry, Adair PA
Provider ID: 1129997
Gender: Female
Owensboro Pediatrics
2200 E Parrish Ave Ste
101
Owensboro, KY 42303
(270) 683-3232
Fax: (270) 852-1600
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rhodes, Benjamin PA
Provider ID: 1180952
Gender: Male
Springs Urgent Care
2200 E Parrish Ave Bldg
C 104
Owensboro, KY 42303
(270) 852-1632
Fax: (270) 852-1633
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rhodes, Ada PA
Rhodes, Benjamin PA
Provider ID: 631404
Provider ID: 1171016
Gender: Female
One Health Urgent Care Gender: Male
Food
Tri-State Orthopaedic
Surgeons Inc
2211 Mayfair Dr Ste 101
2831 New Hartford Rd
Owensboro, KY 42301
Owensboro, KY 42303
(270) 688-1352
(812) 471-1591
Fax: (270) 683-4313
Fax: (812) 471-6650
00 Yrs/03 Yrs
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 8:00 PM
M-F 8:00 AM - 5:00 PM
Rhodes, Ada PA
Provider ID: 631404
Gender: Female
The Clinic At Walmart
3151 Leitchfield Rd
Owensboro, KY 42303
(270) 685-1260
Fax: (270) 685-1284
00 Yrs/03 Yrs
M-F 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 175
Rhodes, Benjamin PA
Provider ID: 1171016
Gender: Male
Tri-State Orthopaedic
Surgeons Inc
3245 Mount Moriah Ave
Ste 4
Owensboro, KY 42303
(812) 471-1591
Fax: (812) 471-6650
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Daviess
Physician Assistant - cont. Seidehamel, Randall PA Menser, Jill SLP
Provider ID: 928892
Provider ID: 1165649
Rinell, Katelyn PA
Gender: Male
Gender: Female
Provider ID: 950064
Springs Urgent Care
Lynn Occupational
Gender: Female
Therapy LLC
2200 E Parrish Ave Bldg
Allergy & Asthma
C104
1003 Burlew Blvd Ste C
Specialists PSC
Owensboro, KY 42303
Owensboro, KY 42303
3604 Wathens Xing
(270) 852-1632
(270) 688-8449
Owensboro, KY 42301
Fax: (270) 852-1633
00 Yrs/99 Yrs
(270) 684-6144
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 684-2944
M-F 8:00 AM - 5:00 PM
Wight, Karen SLP
00 Yrs/99 Yrs
Provider ID: 1121818
M-F 8:00 AM - 5:00 PM Seidehamel, Randall PA
Provider ID: 651702
Gender: Female
Salisbury, Julie PA
Gender: Male
Wight Speech and
Provider ID: 647105
Language Services
Orthopaedics Sports
Gender: Female
Medici
1115 Tamarack Rd Ste 400
One Health Urgent Care 2831 New Hartford Rd
Owensboro, KY 42301
Ford
Owensboro, KY 42303
(270) 926-8534
2211 Mayfair Dr Ste 101
(270) 926-4100
Fax: (270) 685-2058
Owensboro, KY 42301
Fax: (270) 684-4678
00 Yrs/99 Yrs
(270) 688-1352
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 683-4313
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Settles, Nicholas PA
Provider ID: 1130004
Salisbury, Julie PA
Gender: Male
Provider ID: 647105
Advanced Pain Care
Gender: Female
Clinic
The Clinic At Walmart
920 Frederica St Ste 104
3151 Leitchfield Rd
Owensboro, KY 42301
Owensboro, KY 42303
(270) 689-4001
(270) 685-1260
Fax: (270) 689-4005
Fax: (270) 685-1284
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Speech Therapy
Salisbury, Julie PA
Castlen, Theresa SLP
Provider ID: 647106
Provider ID: 1124883
Gender: Female
Gender: Female
The Clinic At Walmart
Wight Speech and
5031 Frederica St
Language Services
Owensboro, KY 42301
1115 Tamarack Rd Ste 400
(270) 686-1399
Owensboro, KY 42301
Fax: (270) 868-1403
(270) 926-8534
00 Yrs/99 Yrs
Fax: (270) 685-2058
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 176
06/01/2016
Allied Providers
Hancock
Nurse Practitioner
Curry, Donna CNP
Provider ID: 791797
Gender: Male
Owensboro Medical
Practice Group
185 State Rte 271 S
Lewisport, KY 42351
(270) 927-9991
Fax: (270) 927-9990
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Danhauer, Mary APRN
Provider ID: 1085329
Gender: Female
Green River District
Health Departm
175 Harrison St
Hawesville, KY 42348
(270) 927-8803
Fax: (270) 927-9467
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Estes, Jessica APRN
Provider ID: 1118446
Gender: Female
Estes Behavioral Health
LLC
1210 4th St
Lewisport, KY 42351
(270) 295-6450
Fax: (270) 295-6452
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Estes, Jessica APRN
Provider ID: 984855
Gender: Female
Estes Behavioral Health
Lcc
1210 4th St
Lewisport, KY 42351
(270) 295-6450
Fax: (270) 295-6452
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Estes, Jessica APRN
Provider ID: 1118446
Gender: Female
1840 4th St The Oaks
Personal Care Home
Lewisport, KY 42351
(270) 295-4255
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Johnson, Monica APRN
Provider ID: 915330
Gender: Female
Estes Behavioral Health
LLC
1210 4th St
Lewisport, KY 42351
(270) 295-6450
Fax: (270) 295-6452
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Estes, Jessica ARNP
Provider ID: 753703
Gender: Female
Johnson, Monica APRN
Estes Behavioral Health
Provider ID: 915330
LLC
Gender: Female
227 Monroe St
Estes Behavioral Health
Hawesville, KY 42348
LLC
(270) 927-6003
1840 4th St The Oaks
Personal Care Home
Fax: (270) 927-6004
Lewisport, KY 42351
00 Yrs/99 Yrs
M-TH 8:00 AM - 6:00 PM (270) 295-4255
00 Yrs/99 Yrs
Goodall, Heather APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 1203725
Gender: Female
Bridgewater Medical
Center
35 Joshua Lane
Hawesville, KY 42348
(270) 927-8585
Fax: (270) 927-8911
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Head, Stacy APRN
Provider ID: 711001
Gender: Female
The Hancock Clinic
185 State Rt 271 S
Lewisport, KY 42351
(270) 927-9991
Fax: (270) 927-9990
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Keith, Linda ARNP
Provider ID: 1132411
Gender: Female
Saint Camillus Urgent
Care of Lewis
1520 4th St
Lewisport, KY 42351
(270) 295-3890
Fax: (270) 295-3891
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Ogaz, Veletta APRN
Provider ID: 1203734
Gender: Female
Bridgewater Medical
Center
35 Joshua Lane
Hawesville, KY 42348
(270) 927-8585
Fax: (270) 927-8911
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM
F 8:30 AM - 1:00 PM
Roby, Shauna APRN
Provider ID: 671462
Gender: Female
Owensboro Medical
Practice Group
185 State Rte 271 S
Lewisport, KY 42351
(270) 927-9991
Fax: (270) 927-9990
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Ward, Albert APRN
Provider ID: 609801
Gender: Male
Ack Healthcare
Management LLC DBA S
1520 4th St
Lewisport, KY 42351
(270) 295-3890
Fax: (270) 295-3891
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Kimberlin, Melissa APRN
Provider ID: 1110458
Wilkerson, Christina
Gender: Female
APRN
Saint Camillus Urgent
Provider ID: 908489
Care of Lewis
Gender: Female
1520 4th St
Saint Camillus Urgent
Lewisport, KY 42351
Care of Lewis
(270) 295-3890
1520 4th St
Fax: (270) 295-3891
Lewisport, KY 42351
00 Yrs/99 Yrs
(270) 295-3890
M-F 8:00 AM - 5:00 PM
Fax: (270) 295-3891
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 177
06/01/2016
Allied Providers
Hancock
Physician Assistant
Lewis, Kathryn PA
Provider ID: 609800
Gender: Female
Owensboro Medical
Practice Group
185 State Rte 271 S
Lewisport, KY 42351
(270) 927-9991
Fax: (270) 927-9990
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 178
06/01/2016
Allied Providers
Henderson
Critical Access Hospital
Braun, Jacqueline APRN
Chapman, Melanie APRN Davis, Yvonne APRN
Provider ID: 614330
Branson, Joanne LPC
Provider ID: 1104542
Provider ID: 1160435
Gender: Male
Provider ID: 1129909
Gender: Female
Gender: Female
Yvonne M Davis
Gender: Female
The Clinic At Walmart
Regional Health Care
1413 N Elm St
230 2nd St Ste 406
Affiliates, In
1195 Barrett Blvd
Henderson, KY 42420
Henderson, KY 42420
700 Dr Martin Luther
Henderson, KY 42420
(270) 826-9595
(270) 826-8761
King Jr Ave
(270) 827-3494
Fax: (270) 826-3656
Fax: (270) 826-8737
Henderson, KY 42420
Fax: (270) 827-3927
10 Yrs/99 Yrs
00 Yrs/99 Yrs
(270) 826-4800
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-TH 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM
Fax: (270) 826-5090
Dempewolf, Martha
F 9:00 AM - 3:00 PM
00 Yrs/99 Yrs
Brossman, Karen APRN
M-F 8:00 AM - 5:00 PM APRN
Newman, Tabitha LPC
Provider ID: 647134
Provider ID: 1212052
Provider ID: 1129986
Danhauer,
Mary
APRN
Gender: Female
Gender: Female
Gender: Female
Provider ID: 1085329
The Clinic At Walmart
Methodist
215 1st St
Gender: Female
Comprehensive Care
1195 Barrett Blvd
Henderson, KY 42420
Green River District
110 2nd St
Henderson, KY 42420
(270) 691-0501
Health
Departm
Henderson, KY 42420
(270) 827-3494
Fax: (270) 691-0510
472
Klutey
Park
Plaza
(270) 826-4646
Fax: (270) 827-3927
00 Yrs/99 Yrs
Henderson, KY 42420
Fax: (270) 826-7476
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
(270) 826-3951
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Fax: (270) 827-5527
M-F 8:00 AM - 5:00 PM
Infectious Disease
Cain, Stacie APRN
00 Yrs/99 Yrs
Provider ID: 908071
M-F 8:00 AM - 5:00 PM Dempewolf, Martha
Walker, Amy APRN
APRN
Gender:
Female
Provider ID: 907345
Davis, Yvonne APRN
Provider ID: 928599
The
Clinic
At
Walmart
Gender: Female
Provider
ID:
1124607
Gender: Female
1195 Barrett Blvd
Matthew 25 Aids
Gender:
Female
Mfm of Henderson
Henderson, KY 42420
Services Inc
Methodist
Atkinson
(270) 827-3494
452 Old Corydon Rd
Comprehensive
Care
1413 N Elm St Ste 201
Fax: (270) 827-3927
Henderson, KY 42420
110
2nd
St
Henderson, KY 42420
00 Yrs/99 Yrs
(270) 826-0200
Henderson,
KY
42420
(270) 827-8662
M-F 8:00 AM - 5:00 PM
Fax: (270) 826-0212
(270) 830-8032
Fax: (270) 826-8220
00 Yrs/99 Yrs
Chapman, Melanie APRN Fax: (270) 830-8132
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider
ID:
1145067
M-F
8:00
AM
5:00
PM
Nurse Practitioner
Dempewolf, Martha
Gender: Female
Davis,
Yvonne
APRN
APRN
Regional Health Care
Boothe, Kristin APRN
Provider
ID:
1150581
Provider ID: 1061868
Affiliates, In
Provider ID: 899500
Gender: Male
Gender: Female
472 Klutey Park Plaza Dr
Gender: Female
Mfm
of
Henderson
Mfm of Henderson
Ste
B
The Clinic At Walmart
Atkinson
North Elm
Henderson,
KY
42420
1195 Barrett Blvd
1413
N
Elm
St
2000 N Elm St Ste 1A
(270) 826-5522
Henderson, KY 42420
Henderson,
KY
42420
Henderson, KY 42420
Fax: (270) 826-5525
(270) 827-3494
(270) 827-8662
(270) 869-0401
00 Yrs/99 Yrs
Fax: (270) 827-3927
Fax:
(270)
826-8220
Fax: (270) 869-0210
M-F
8:00
AM
5:00
PM
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 - 5:00 PM
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 179
06/01/2016
Allied Providers
Henderson
Nurse Practitioner - cont. Dunn, Brittney APRN
Provider ID: 1164876
Devine, Beth APRN
Gender: Female
Provider ID: 1135072
Regional Health Care
Gender: Female
Affiliates Inc
Regional Health Care
472 Klutey Park Plaza Dr
Affiliates, In
Ste B
472 Klutey Park Plaza Dr
Henderson, KY 42420
Ste B
(270) 826-5522
Henderson, KY 42420
Fax: (270) 826-5525
(270) 826-5522
00 Yrs/99 Yrs
Fax: (270) 826-5525
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Dunn, Brittney APRN
Provider ID: 1160442
Devine, Beth APRN
Gender: Female
Provider ID: 1135072
Regional Health Care
Gender: Female
Affiliates Inc
Regional Health Care
700 Dr Martin Luther
Affiliates, In
King Jr Ave
700 Dr Martin Luther
Henderson, KY 42420
King Jr Ave
(270) 826-4800
Henderson, KY 42420
Fax: (270) 826-5090
(270) 827-1388
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Eaton, Jennifer APRN
Devine, Beth APRN
Provider ID: 1115402
Provider ID: 1160441
Gender: Female
Gender: Female
Regional Health Care
Regional Health Care
Affiliates Inc
Affiliates, In
472 Klutely Park Plaza Dr
700 Dr Martin Luther
Ste B
King Jr Ave
Henderson, KY 42420
Henderson, KY 42420
(270) 826-5522
(270) 826-4800
Fax: (270) 826-5525
Fax: (270) 826-5090
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Eaton, Jennifer APRN
Provider ID: 1160444
Gender: Female
Regional Health Care
Affiliates, In
700 Dr Martin Luther
King Jr Ave
Henderson, KY 42420
(270) 826-4800
Fax: (270) 826-5090
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Estes, Jessica APRN
Provider ID: 1118446
Gender: Female
Estes Behavioral Health
LLC
851 Kimsey Lane
Redbanks
Henderson, KY 42420
(270) 826-6436
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gilkey, Anne APRN
Provider ID: 786033
Gender: Female
Methodist Surgical
Services
110 3rd St Ste 130
Henderson, KY 42420
(270) 830-9973
Fax: (270) 830-9975
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Goedde, Ashley ARNP
Provider ID: 647123
Gender: Female
The Clinic At Walmart
1195 Barrett Blvd
Henderson, KY 42420
(270) 827-3494
Fax: (270) 827-3927
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Greenwell Perkins,
Kathryn APRN
Floyd, Kimberly ARNP
Provider ID: 913406
Provider ID: 1104579
Gender: Female
Gender: Female
Deaconess Clinic Inc
St Marys Medical Group 1035 N Elm St
LLC
Henderson, KY 42420
914 Elm St
(270) 827-4596
Henderson, KY 42420
Fax: (270) 826-2838
(270) 830-6651
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Hartmire, Misty APRN
Fulcher, Brittney APRN
Provider ID: 762275
Provider ID: 667394
Gender: Female
Gender: Female
Methodist Physician
St Camillus Urgent Care
Services
of Henderso
1305 N Elm St Ste G
612 Barrett Blvd
Henderson, KY 42420
Henderson, KY 42420
(270) 826-0002
(270) 844-8232
Fax: (270) 826-0003
Fax: (270) 844-2838
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 4:00 PM
www.wellcare.com/Kentucky | 180
06/01/2016
Allied Providers
Henderson
Nurse Practitioner - cont. Holbrook, Tina APRN
Jackson, Kimberly APRN
Provider ID: 1060580
Hartmire, Misty APRN
Provider ID: 1160448
Gender: Female
Provider ID: 762275
Gender: Female
The Clinic At Walmart
Gender: Female
Regional Health Care
1195 Barrett Blvd
Methodist Physician
Affiliates, In
Henderson, KY 42420
Services
700 Dr Martin Luther
(270) 827-3494
1413 N Elm St Ste 105
King Jr Ave
Fax: (270) 827-3927
Henderson, KY 42420
Henderson, KY 42420
00 Yrs/99 Yrs
(270) 826-0002
(270) 826-4800
M-F 8:00 AM - 5:00 PM
Fax: (270) 826-0003
Fax: (270) 826-5090
00 Yrs/99 Yrs
Hopper, Sarah APRN
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM Provider ID: 1121800
M-F 8:00 AM - 5:00 PM
F 8:30 AM - 12:00 PM
Gender: Female
Johnson, Monica APRN
Methodist Physician
Hawkins, Robyn APRN
Provider ID: 915330
Services
Gender: Female
1305 N Elm St Ste G
Provider ID: 1164895
Estes Behavioral Health
Henderson, KY 42420
Gender: Female
LLC
(270) 826-0002
Regional Health Care
851 Kimsey Lane
Fax: (270) 826-0003
Affiliates Inc
Redbanks
00 Yrs/99 Yrs
472 Klutey Park Plaza Dr
M-TH 8:00 AM - 4:00 PM Henderson, KY 42420
Ste B
(270) 826-6436
F 8:00 AM - 12:00 PM
Henderson, KY 42420
00 Yrs/99 Yrs
(270) 826-5522
Jackson, Kimberly APRN
M-F 8:00 AM - 5:00 PM
Fax: (270) 826-5525
Johnston, Matthew
00 Yrs/99 Yrs
Provider ID: 1057556
APRN
M-F 8:00 AM - 5:00 PM
Gender: Female
Provider ID: 997777
Regional Health Care
Hawkins, Robyn APRN
Gender: Male
Affiliates Inc
Health First Community
472 Klutey Park Plaza Dr
Provider ID: 1160445
Health Center
Ste B
Gender: Female
472 Klutey Park Plaza Dr
Henderson, KY 42420
Regional Health Care
Ste B
(270) 826-5522
Affiliates, In
Henderson, KY 42420
Fax: (270) 826-5525
700 Dr Martin Luther
(270) 856-5522
00 Yrs/99 Yrs
King Jr Ave
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Henderson, KY 42420
M-F 8:00 AM - 5:00 PM
(270) 826-4800
Keith, Linda ARNP
Fax: (270) 826-5090
Provider ID: 1132411
00 Yrs/99 Yrs
Gender: Female
M-F 8:00 AM - 5:00 PM
Saint Camillus Urgent
Care of Lewis
1704 2nd St
Henderson, KY 42420
(270) 826-4433
Fax: (270) 826-4222
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 181
Kimberlin, Melissa APRN
Provider ID: 1110458
Gender: Female
Saint Camillus Urgent
Care of Lewis
1704 2nd St
Henderson, KY 42420
(270) 826-4433
Fax: (270) 826-4222
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Knapp, Emily APRN
Provider ID: 948832
Gender: Female
Methodist Orthopaedic
Services
471 Klutey Park Plaza Dr
Henderson, KY 42420
(270) 830-8032
Fax: (270) 830-8132
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Mack, Shauna APRN
Provider ID: 1178801
Gender: Female
Methodist
Comprehensive Care
110 2nd St
Henderson, KY 42420
(270) 830-8032
Fax: (270) 830-8132
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Mack, Shauna APRN
Provider ID: 630673
Gender: Female
Mfm of Henderson
North Elm
2000 N Elm St Ste 1A
Henderson, KY 42420
(270) 869-0401
Fax: (270) 869-0210
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Henderson
Nurse Practitioner - cont. Overby, Hillary APRN
Provider ID: 1200011
Matcheswala, Katherine
Gender: Female
APRN
Methodist Pediatrics
Provider ID: 849991
2000 N Elm St Ste 1B
Gender: Female
Henderson, KY 42420
Vaaca of Ky
(270) 844-8144
180 Imperial Bldg 110
Fax: (270) 844-8145
Third St
00 Yrs/99 Yrs
Henderson, KY 42420
M-F 8:00 AM - 5:00 PM
(888) 635-6936
Fax: (502) 634-3926
Owens, Carol APRN
00 Yrs/99 Yrs
Provider ID: 758594
M-F 9:00 AM - 5:00 PM
Gender: Female
Urology Partners of
McDonald, Carolyn
Western Kentuck
APRN
110 3rd St
Provider ID: 722020
Henderson, KY 42420
Gender: Female
(270) 827-2915
The Lung Centre
Fax: (270) 643-0082
319 8th St
00 Yrs/99 Yrs
Henderson, KY 42420
MW 9:00 AM - 4:30 PM
(270) 844-1101
TTHF 9:00 AM - 5:00 PM
Fax: (270) 844-1105
00 Yrs/99 Yrs
Owens, Melissa APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 631375
Gender: Female
Mills, Shara APRN
John Rashidian MD
Provider ID: 959024
1023 N Elm St
Gender: Female
Henderson, KY 42420
Mfm of Henderson
(270) 826-0838
North Elm
Fax: (270) 830-0371
2000 N Elm St Ste 1A
00 Yrs/99 Yrs
Henderson, KY 42420
M-TH 8:00 AM - 3:00 PM
(270) 869-0401
F 9:00 AM - 5:00 PM
Fax: (270) 869-0210
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Motycka, Jenna APRN
Provider ID: 669041
Gender: Female
The Clinic At Walmart
1195 Barrett Blvd
Henderson, KY 42420
(270) 827-3494
Fax: (270) 827-3927
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Phelps, Leslie APRN
Provider ID: 607858
Gender: Female
The Clinic A Walmart
1195 Barrett Blvd
Henderson, KY 42420
(270) 827-3494
Fax: (270) 827-3927
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 9:00 AM - 5:00 PM
Roberts, Lacey APRN
Provider ID: 1107847
Gender: Female
Methodist Hospital
1305 N Elm St
Henderson, KY 42420
(270) 827-7700
Fax: (270) 827-7475
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Shields, Sharon APRN
Provider ID: 812178
Gender: Female
Methodist Pediatrics
110 Third St Ste 180
Henderson, KY 42420
(270) 827-3573
Fax: (270) 827-1250
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Salkic, Suvada APRN
Provider ID: 1150925
Gender: Female
The Clinic At Walmart
1195 Barrett Blvd
Henderson, KY 42420
(270) 827-3494
Fax: (270) 827-3927
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Shields, Sharon APRN
Provider ID: 812184
Gender: Female
Methodist Pediatrics
2000 N Elm St Ste 1B
Henderson, KY 42420
(270) 844-8144
Fax: (270) 844-8145
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Shelton, Sheryl APRN
Provider ID: 812190
Gender: Female
Methodist Pediatrics
Imperial
110 3rd St Ste 180
Henderson, KY 42420
(270) 827-3573
Fax: (270) 827-1250
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Stevenson, Nicole APRN
Provider ID: 948452
Gender: Female
The Clinic At Walmart
1195 Barrett Blvd
Henderson, KY 42420
(270) 827-3494
Fax: (270) 827-3927
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Shelton, Sheryl APRN
Provider ID: 812200
Gender: Female
Methodist Pediatrics
2000 N Elm St Ste 1B
Henderson, KY 42420
(270) 844-8144
Fax: (270) 844-8145
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 182
Strader, Elizabeth APRN
Provider ID: 1160460
Gender: Female
Regional Health Care
Affiliates, In
700 Dr Martin Luther
King Jr Ave
Henderson, KY 42420
(270) 826-4800
Fax: (270) 826-5090
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Henderson
Nurse Practitioner - cont. White, Donna APRN
Provider ID: 956096
Stroud, Michele APRN
Gender: Female
Provider ID: 1057188
The Clinic At Walmart
Gender: Female
1195 Barrett Blvd
The Clinic At Walmart
Henderson, KY 42420
1195 Barrett Blvd
(270) 827-3494
Henderson, KY 42420
Fax: (270) 827-3927
(270) 827-3494
00 Yrs/99 Yrs
Fax: (270) 827-3927
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Whited, Leta APRN
Provider ID: 1074809
Ward, Albert APRN
Gender: Female
Provider ID: 609801
Regional Health Care
Gender: Male
Affiliates, In
Saint Camillus Urgent
472 Klutey Park Plaza Dr
Care of Lewis
Ste B
1704 2nd St
Henderson, KY 42420
Henderson, KY 42420
(270) 826-5522
(270) 826-4433
Fax: (270) 826-5525
Fax: (270) 826-4222
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Whited, Leta APRN
Ward, Albert APRN
Provider ID: 1160462
Provider ID: 609801
Gender: Female
Gender: Male
Regional Health Care
St Camillus Urgent Care
Affiliates, In
of Henderso
700 Dr Martin Luther
612 Barrett Blvd
King Jr Ave
Henderson, KY 42420
Henderson, KY 42420
(270) 844-8232
(270) 826-4800
Fax: (270) 844-2838
Fax: (270) 826-5090
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Wells, Kimberly APRN
Provider ID: 595721
Gender: Female
Methodist Pediatrics
2000 N Elm St Ste 1B
Henderson, KY 42420
(270) 844-8144
Fax: (270) 844-8145
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wildeman, Jacki APRN
Provider ID: 653829
Gender: Female
The Heart Group PC
1138 N Elm St
Henderson, KY 42420
(270) 827-8844
Fax: (270) 827-1221
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Wilkerson, Christina
APRN
Provider ID: 908489
Gender: Female
Saint Camillus Urgent
Care of Lewis
1704 2nd St
Henderson, KY 42420
(270) 826-4433
Fax: (270) 826-4222
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wolfe, Malea APRN
Provider ID: 911763
Gender: Female
The Clinic At Walmart
1195 Barrett Blvd
Henderson, KY 42420
(270) 827-3494
Fax: (270) 827-3927
00 Yrs/99 Yrs
M-F 9:00 AM - 7:00 PM
Zimmerman, Kimberly
APRN
Provider ID: 986642
Gender: Female
472 Klutey Park Plaza Dr
Ste B
Henderson, KY 42420
(270) 856-5522
Fax: (270) 826-5525
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Zimmerman, Kimberly
APRN
Provider ID: 1160463
Gender: Female
Regional Health Care
Affiliates, In
700 Dr Martin Luther
King Jr Ave
Henderson, KY 42420
(270) 826-4800
Fax: (270) 826-5090
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 183
Obstetrics/Gynecology
Owens, Melissa APRN
Provider ID: 601427
Gender: Female
John Rashidian MD
1023 N Elm St
Henderson, KY 42420
(270) 826-0838
Fax: (270) 830-0371
00 Yrs/99 Yrs
M-TH 8:00 AM - 3:00 PM
F 9:00 AM - 5:00 PM
Physician Assistant
Ahnell, Kirsten PA
Provider ID: 712839
Gender: Male
The Clinic At Walmart
1195 Barrett Blvd
Henderson, KY 42420
(270) 827-3494
Fax: (270) 827-3927
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Carter, Jenelle PA
Provider ID: 644002
Gender: Female
The Clinic At Walmart
1195 Barrett Blvd
Henderson, KY 42420
(270) 827-3494
Fax: (270) 827-3927
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Chapman, Deanna PA
Provider ID: 931421
Gender: Female
The Clinic At Walmart
1195 Barrett Blvd
Henderson, KY 42420
(270) 827-3494
Fax: (270) 827-3927
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Henderson
Physician Assistant - cont.
Speech Therapy
Coyne, Vincent PA
Provider ID: 700535
Gender: Male
One Health Henderson
3135 Zion Rd Ste B
Henderson, KY 42420
(270) 826-9444
Fax: (270) 826-9002
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
Mathis, Kathy SLP
Provider ID: 1116135
Gender: Female
Mathis Therapy and
Sensory Learning
2003 Stapp Dr Ste C
Henderson, KY 42420
(270) 827-4857
Fax: (270) 827-9773
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
F 8:00 AM - 1:00 PM
Rhodes, Ada PA
Provider ID: 631404
Gender: Female
The Clinic At Walmart
1195 Barrett Blvd
Henderson, KY 42420
(270) 827-3494
Fax: (270) 827-3927
00 Yrs/03 Yrs
M-F 9:00 AM - 5:00 PM
Rinell, Katelyn PA
Provider ID: 950064
Gender: Female
Allergy & Asthma
Specialists PSC
1035 N Elm St
Henderson, KY 42420
(270) 684-6144
Fax: (270) 684-2944
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wells, Jama PA
Provider ID: 791664
Gender: Female
St Mary's Medical Group
LLC
2000 N Elm Ste 2
Henderson, KY 42420
(270) 831-6651
Fax: (270) 831-1133
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 184
06/01/2016
Allied Providers
Hopkins
Audiology
Donnelly, Rebekah AUD
Provider ID:
TPV1992802516-0
Gender: Female
800 Hospital Dr
Madisonville, KY 42431
(270) 326-4800
Fax: (270) 326-4820
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Critical Access Hospital
Branson, Joanne LPC
Provider ID: 1129909
Gender: Female
145 E Center St Ste 1D
Madisonville, KY 42431
(270) 821-8884
Fax: (270) 821-8885
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Nurse Midwife
Kerr, Donica CNM
Provider ID: 1133483
Gender: Female
Baptist Health Medical
Group Inc
800 Hospital Dr
Madisonville, KY 42431
(270) 825-5100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Nurse Practitioner
Ball, Linda APRN
Provider ID: 1124874
Gender: Female
Mobile Psychology LLC
1830 Lantaff Blvd Ste 200
Madisonville, KY 42431
(270) 875-2544
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Black, Carrie APRN
Provider ID: 596273
Gender: Female
Baptist Health Medical
Group
1756 E Center St
Madisonville, KY 42431
(270) 821-3300
Fax: (270) 326-4968
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Bossuah, Kwaghdoo
APRN
Provider ID: 1108239
Gender: Female
Baptist Health Medical
Group Inc
1756 E Center St
Madisonville, KY 42431
(270) 821-3300
Fax: (270) 821-2100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Bossuah, Kwaghdoo
APRN
Provider ID: 1108239
Gender: Female
Baptist Health Medical
Group Inc
200 Clinic Dr
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Carpenter, Dawn APRN
Provider ID: 1087869
Gender: Female
First Care
1350 North Main St
Madisonville, KY 42431
(270) 245-2554
Fax: (270) 245-2689
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 8:00 AM - 6:00 PM
Sun 1:00 AM - 6:00 PM
Chandler, Shelly APRN
Provider ID: 1024697
Gender: Female
Baptist Health Medical
Group Inc
200 Clinic Dr 1st Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Cook, Leslie APRN
Provider ID: 1082838
Gender: Female
Baptist Health Medical
Group
800 Hospital Dr
Madisonville, KY 42431
(270) 825-5100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Chapman, Melanie APRN Cook, Misty APRN
Provider ID: 667064
Provider ID: 1164516
Gender: Female
Gender: Female
Baptist Health Medical
Regional Health Care
Group
Affiliates Inc
900 Hospital Dr
107 E Main St
Madisonville, KY 42431
Earlington, KY 42410
(270) 825-5100
(270) 905-4084
Fax: (270) 825-5644
Fax: (270) 905-4087
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Curry, Donna APRN
Combs, Alicia APRN
Provider ID: 1109063
Provider ID: 1066017
Gender: Female
Gender: Female
Baptist Health Medical
Baptist Health Medical
Group
Group
1756 E Center St
1756 E Center St
Madisonville, KY 42431
Madisonville, KY 42431
(270) 821-3300
(270) 821-3300
Fax: (270) 326-4968
Fax: (270) 326-4968
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Combs, Alicia APRN
Provider ID: 1066017
Gender: Female
Baptist Health Medical
Group Inc
200 Clinic Dr 1st Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 185
Davis, Jacqueline APRN
Provider ID: 1165514
Gender: Female
Baptist Health Medical
Group Inc
200 Clinic Dr
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Hopkins
Nurse Practitioner - cont. Floyd, Kimberly ARNP
Hagan, Tracy ARNP
Provider ID: 1104579
Provider ID: 654596
Devine, Beth APRN
Gender: Female
Gender: Female
Provider ID: 1135072
St Marys Medical Group Baptist Health Medical
Gender: Female
LLC
Group
Regional Health Care
200 Clinic Dr
900 Hospital Dr
Affiliates, In
Madisonville, KY 42431
Madisonville, KY 42431
107 E Main St
(877) 491-6363
(270) 825-5100
Earlington, KY 42410
Fax: (812) 491-6491
Fax: (270) 825-5947
(270) 905-4084
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 905-4087
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Hare, Carolyn APRN
M-F 8:00 AM - 5:00 PM Friedrich, Kristie APRN
Provider ID: 1165588
Dunn, Brittney APRN
Provider ID: 1196904
Gender: Female
Provider ID: 1164857
Gender: Female
Baptist Health Medical
Gender: Female
Baptist Health Medical
Group
Regional Health Care
Group Inc
1756 E Center St
Affiliates Inc
1756 E Center St
Madisonville, KY 42431
107 E Main St
Madisonville, KY 42431
(270) 821-3300
Earlington, KY 42410
(270) 821-3300
Fax: (270) 326-4968
(270) 905-4084
Fax: (270) 326-4968
00 Yrs/99 Yrs
Fax: (270) 905-4087
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hare, Carolyn APRN
M-F 8:00 AM - 5:00 PM
Friedrich, Kristie APRN
Provider ID: 1178815
Eaton, Jennifer APRN
Gender: Female
Provider ID: 1139549
Provider ID: 1208050
Baptist Health Medical
Gender: Female
Gender: Female
Group
Regional Health Care
Baptist Health Medical
200 Clinic Dr
Affiliates, In
Group
Madisonville, KY 42431
107 E Main St
200 Clinic Dr
(270) 825-7200
Earlington, KY 42410
Madisonville, KY 42431
00 Yrs/99 Yrs
(270) 905-4084
(270) 825-7200
M-F 8:00 AM - 5:00 PM
Fax: (270) 905-4087
Fax: (270) 825-7200
Harris, Peggy APRN
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Provider ID: 1165590
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Gender: Female
Edelen, Cheryl APRN
Goodall, Heather APRN
One Health Multicare
Provider ID: 600809
Provider ID: 1129948
444 S Main St
Gender: Female
Gender: Female
Madisonville, KY 42431
Baptist Health Medical
Bridgewater Medical
(270) 821-4444
Group
Center
Fax: (270) 821-9188
800 Hospital Dr
2100 N Main St Ste 1A
00 Yrs/99 Yrs
Madisonville, KY 42431
Madisonville, KY 42431
M-F 7:00 AM - 8:00 PM
(270) 825-5100
(270) 821-6262
Sat-Sun 8:00 AM - 5:00
Fax: (270) 825-5908
Fax: (270) 821-6272
PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 186
Hawk, Amy APRN
Provider ID: 1196910
Gender: Female
Baptist Health Medical
Group Inc
1756 E Center St
Madisonville, KY 42431
(270) 821-3300
Fax: (270) 326-4968
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hawk, Amy APRN
Provider ID: 1196912
Gender: Female
Baptist Health Medical
Group Inc
200 Clinic Dr
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hawkins, Robyn APRN
Provider ID: 1139554
Gender: Female
Regional Health Care
Affiliates, In
107 E Main St
Earlington, KY 42410
(270) 905-4084
Fax: (270) 905-4087
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Haynie, Amy APRN
Provider ID: 997737
Gender: Female
Madisonville Pediatrics
15 N Harrig St
Madisonville, KY 42431
(270) 245-2351
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Hopkins
Nurse Practitioner - cont. Holt, Faith APRN
Provider ID: 1152244
Haynie, Amy APRN
Gender: Female
Provider ID: 997748
First Care
Gender: Female
1350 North Main St
Madisonville Pediatrics
Madisonville, KY 42431
240 E Ayr Pwky
(270) 245-2554
Madisonville, KY 42431
Fax: (270) 245-2689
(270) 821-6284
00 Yrs/99 Yrs
00 Yrs/21 Yrs
M-F 8:00 AM - 8:00 PM
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 6:00 PM
Sun 1:00 AM - 6:00 PM
Hendrickson, Cassaidy
APRN
Humes, Pamela APRN
Provider ID: 1139799
Provider ID: 1079336
Gender: Female
Gender: Female
First Care
Bhm Associates
1350 North Main St
200 Clinic Dr
Madisonville, KY 42431
Madisonville, KY 42431
(270) 245-2554
(270) 825-7200
Fax: (270) 245-2689
00 Yrs/99 Yrs
05 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 8:00 PM
Sat 8:00 AM - 6:00 PM
Jackson, Kimberly APRN
Sun 1:00 AM - 6:00 PM
Provider ID: 1130888
Hensley, Carmel APRN
Gender: Female
Regional Health Care
Provider ID: 1172360
Affiliates, In
Gender: Female
107 E Main St
First Care
Earlington, KY 42410
1350 North Main St
(270) 905-4084
Madisonville, KY 42431
Fax: (270) 905-4087
(270) 245-2554
00 Yrs/99 Yrs
Fax: (270) 245-2689
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM Jaynes, Leslie APRN
Provider ID: 1106221
Sat 8:00 AM - 6:00 PM
Gender: Female
Sun 1:00 AM - 6:00 PM
First Care
1350 North Main St
Madisonville, KY 42431
(270) 245-2554
Fax: (270) 245-2689
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 8:00 AM - 6:00 PM
Sun 1:00 AM - 6:00 PM
Johnston, Matthew
APRN
Provider ID: 709218
Gender: Male
BMA Associates
200 Clinic Dr
Madisonville, KY 42431
(270) 825-7200
Fax: (270) 824-3733
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McDowell, Amy APRN
Provider ID: 615100
Gender: Female
Baptist Health Medical
Group Inc
200 Clinic Dr 2nd Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Miller, Jamie APRN
Langford, Marlena ARNP Provider ID: 758938
Provider ID: 982337
Gender: Female
Gender: Female
Baptist Health Medical
Group
Advanced Pain Care
Clinic
800 Hospital Dr
200 Clinic Dr Fl 6
Madisonville, KY 42431
Madisonville, KY 42431
(270) 825-5100
(812) 477-7246
00 Yrs/99 Yrs
Fax: (270) 326-6140
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Moore, Gerri APRN
Provider ID: 849491
Larkins, Erin APRN
Gender: Female
Provider ID: 602561
One Health Multicare
Gender: Female
444 S Main St
Baptist Health Medical
Madisonville, KY 42431
Group Inc
(270) 821-4444
800 Hospital Dr
Fax: (270) 821-9188
Madisonville, KY 42431
00 Yrs/99 Yrs
(270) 825-5100
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Mosley, Janet APRN
Provider ID: 1171530
Larkins, Erin APRN
Gender: Female
Provider ID: 602561
First Care
Gender: Female
1350 North Main St
Baptist Health
Madisonville, KY 42431
Madisonville
(270) 245-2554
900 Hospital Dr
Fax: (270) 245-2689
Madisonville, KY 42431
00 Yrs/99 Yrs
(270) 825-5100
M-F 8:00 AM - 8:00 PM
Fax: (270) 825-5644
Sat 8:00 AM - 6:00 PM
00 Yrs/99 Yrs
Sun 1:00 AM - 6:00 PM
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 187
06/01/2016
Allied Providers
Hopkins
Nurse Practitioner - cont. Ogaz, Veletta APRN
Provider ID: 1203731
Mote, Wendy APRN
Gender: Female
Provider ID: 1165668
Bridgewater Medical
Gender: Female
Center
Baptist Health Medical
2100 N Main St Ste 1A
Group Inc
Madisonville, KY 42431
1756 E Center St
(270) 821-6262
Madisonville, KY 42431
Fax: (270) 821-6272
(270) 821-3300
00 Yrs/99 Yrs
Fax: (270) 821-2100
M-TH 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
F 8:30 AM - 1:00 PM
M-F 8:00 AM - 5:00 PM
Owens, Carol APRN
Mundy, Stephanie APRN Provider ID: 758594
Provider ID: 596805
Gender: Female
Gender: Female
Urology Partners of
Baptist Health Medical
Western Kentuck
Group
44 McCoy Ave Box 8
1756 E Center St
Madisonville, KY 42431
Madisonville, KY 42431
(270) 825-0020
(270) 821-3300
Fax: (270) 825-0016
Fax: (270) 326-4968
00 Yrs/99 Yrs
00 Yrs/99 Yrs
MWTHF 9:00 AM - 5:00
M-F 8:00 AM - 5:00 PM
PM
T 9:00 AM - 4:00 PM
Nelson, Jennifer CNP
Provider ID: 1075997
Pendleton, Michael
Gender: Female
APRN
Pennyroyal Regional Mh- Provider ID: 788598
Mr Board Inc
Gender: Male
200 Clinic Dr
Baptist Health
Madisonville, KY 42431
Madisonville
(270) 821-8874
900 Hospital Dr
Fax: (270) 821-8883
Madisonville, KY 42431
18 Yrs/99 Yrs
(270) 825-5100
M-F 8:30 AM - 5:00 PM
Fax: (270) 825-5947
00 Yrs/99 Yrs
Nelson, Jennifer CNP
M-F 8:00 AM - 5:00 PM
Provider ID: 1075997
Gender: Female
Pennyroyal Regional MhMr Board Inc
436 North Main St
Madisonville, KY 42431
(270) 821-0632
Fax: (270) 821-0844
18 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Pennington, Rebecca
ARNP
Provider ID: 1088129
Gender: Female
First Care
1350 North Main St
Madisonville, KY 42431
(270) 245-2554
Fax: (270) 245-2689
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 8:00 AM - 6:00 PM
Sun 1:00 AM - 6:00 PM
Rager, Michael APRN
Provider ID: 595013
Gender: Male
Baptist Health Medical
Group Inc
200 Clinic Dr 1st Fl
Madisonville, KY 42431
(270) 825-7226
Fax: (270) 825-6632
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
Peyton, Russell APRN
Provider ID: 595622
Gender: Male
Baptist Health Medical
Group
1756 E Center St
Madisonville, KY 42431
(270) 821-3300
Fax: (270) 326-4968
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Robison, Regina APRN
Provider ID: 617048
Gender: Female
Baptist Health Medical
Group
900 Hospital Dr
Madisonville, KY 42431
(270) 824-3620
Fax: (270) 825-5669
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 5:00 PM
Peyton, Russell APRN
Provider ID: 595622
Gender: Male
Baptist Health Medical
Group
44 McCoy Ave Ste 442
Madisonville, KY 42431
(270) 825-6655
Fax: (270) 825-6629
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Quisenberry, Michelle
APRN
Provider ID: 691917
Gender: Female
Cornerstone Family
Health
343 E Center St
Madisonville, KY 42431
(270) 825-0111
Fax: (270) 825-0112
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 188
Sanders, Jason APRN
Provider ID: 1104959
Gender: Male
Baptist Health Medical
Group Inc
200 Clinic Dr 1st Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Stephens, Brenda APRN
Provider ID: 595066
Gender: Female
Baptist Health Medical
Group
800 Hospital Dr
Madisonville, KY 42431
(270) 825-5100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Hopkins
Nurse Practitioner - cont. Tapp, Kellye APRN
Provider ID: 654586
Stroud, Tamara APRN
Gender: Female
Provider ID: 630592
Baptist Health Medical
Gender: Female
Group
One Health Multicare
200 Clinic Dr
444 S Main St
Madisonville, KY 42431
Madisonville, KY 42431
(270) 825-7200
(270) 821-4444
Fax: (270) 824-3733
Fax: (270) 821-9188
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Thomas, Gwendolynn
Sutton, Jennifer ARNP
APRN
Provider ID: 1104965
Provider ID: 799861
Gender: Female
Gender: Female
Baptist Health Medical
Advanced Pain Care
Group Inc
Clinic
1756 E Center St
200 Clinic Dr Fl 6
Madisonville, KY 42431
Madisonville, KY 42431
(270) 821-3300
(812) 477-7246
Fax: (270) 326-4968
Fax: (812) 477-7240
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Townsend, Jeana APRN
Swanner, Kevin APRN
Provider ID: 991578
Provider ID: 1148876
Gender: Female
Gender: Male
One Health Multicare
First Care
444 S Main St
1350 North Main St
Madisonville, KY 42431
Madisonville, KY 42431
(270) 821-4444
(270) 245-2554
Fax: (270) 821-9188
Fax: (270) 245-2689
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 8:00 PM
Vespie, Patricia APRN
Sat 8:00 AM - 6:00 PM
Provider ID: 595653
Sun 1:00 AM - 6:00 PM
Gender: Female
Tapp, Kellye APRN
Baptist Health Medical
Provider ID: 1158334
Group
Gender: Female
1756 E Center St
Baptist Health Medical
Madisonville, KY 42431
Group Inc
(270) 821-3300
1756 E Center St
Fax: (270) 326-4968
Madisonville, KY 42431
00 Yrs/99 Yrs
(270) 821-3300
M-F 8:00 AM - 5:00 PM
Fax: (270) 326-4968
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
West, Lorrie APRN
Provider ID: 1152247
Gender: Female
First Care
1350 North Main St
Madisonville, KY 42431
(270) 245-2554
Fax: (270) 245-2689
05 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 8:00 AM - 6:00 PM
Sun 1:00 AM - 6:00 PM
Whited, Leta APRN
Provider ID: 1139610
Gender: Female
Regional Health Care
Affiliates, In
107 E Main St
Earlington, KY 42410
(270) 905-4084
Fax: (270) 905-4087
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Whitehair, Robyn APRN
Provider ID: 671458
Gender: Female
St Marys Physician
Network
200 Clinic Dr
Madisonville, KY 42431
(877) 491-6363
00 Yrs/99 Yrs
Baptist Health
Madisonville
M-F 8:00 AM - 5:00 PM
Wilson, Annie APRN
Provider ID: 812216
Gender: Female
Baptist Health Medical
Group Inc
200 Clinic Dr 1st Fl
Madisonville, KY 42431
(270) 825-7200
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 189
Wilson, Annie APRN
Provider ID: 812216
Gender: Female
Baptist Health Medical
Group Inc
800 Hospital Dr 1st Fl
Madisonville, KY 42431
(270) 825-5100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wyatt, Sheryl APRN
Provider ID: 1109839
Gender: Female
Baptist Health Medical
Group Inc
1756 E Center St
Madisonville, KY 42431
(270) 821-3300
Fax: (270) 821-2100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Young, Teresa APRN
Provider ID: 1148877
Gender: Female
First Care
1350 North Main St
Madisonville, KY 42431
(270) 245-2554
Fax: (270) 245-2689
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 8:00 AM - 6:00 PM
Sun 1:00 AM - 6:00 PM
Occupational Therapy
Rhodes, Audry MD
Provider ID: 631392
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Hopkins
Physical Therapy
Physician Assistant
Crider, Ian PT
Provider ID: 1152099
Gender: Male
One Health Multicare
Physical Thera
444 S Main St
Madisonville, KY 42431
(270) 825-0069
Fax: (270) 824-9777
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Clayton, Tammy PA
Provider ID: 630579
Gender: Female
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Goulooze, Nicholas PT
Provider ID: 1067769
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Goulooze, Nicholas PT
Provider ID: 1067769
Gender: Male
One Health Multicare
Physical Thera
444 South Main St
Madisonville, KY 42431
(270) 825-0069
Fax: (270) 824-9777
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hunt, Tammy PT
Provider ID: 1065142
Gender: Female
One Health Multicare
Physical Thera
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 688-4409
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Coyne, Vincent PA
Provider ID: 700535
Gender: Male
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
Owensboro Health
Regional Hospital
M-F 8:00 AM - 5:00 PM
Dougherty, John PA
Provider ID: 671630
Gender: Male
Baptist Health
Occupational Medicin
200 Clinic Dr
Madisonville, KY 42431
(270) 825-7351
Fax: (270) 825-6630
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Johnson, David PA
Provider ID: 601425
Gender: Male
Baptist Health Medical
Group
800 Hospital Dr
Madisonville, KY 42431
(270) 825-5100
Fax: (270) 825-5908
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rhodes, Ada PA
Provider ID: 631404
Gender: Female
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/03 Yrs
M-F 8:00 AM - 5:00 PM
Rinell, Katelyn PA
Provider ID: 950064
Gender: Female
Allergy & Asthma
Specialists PSC
444 S Main St
Madisonville, KY 42431
(270) 684-6144
Fax: (270) 684-2944
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rothwell, Nikki PA
Provider ID: 630588
Gender: Female
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Settles, Nicholas PA
Provider ID: 1130004
Gender: Male
Advanced Pain Care
Clinic
200 Clinic Dr
Madisonville, KY 42431
(270) 326-6145
Fax: (270) 326-6146
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 190
Terry, Alicia PA
Provider ID: 647096
Gender: Female
One Health Multicare
444 S Main St
Madisonville, KY 42431
(270) 821-4444
Fax: (270) 821-9188
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
McLean
Nurse Practitioner
Boarman, Linda APRN
Provider ID: 712921
Gender: Female
Main Street Family
Medicine LLC
273 Main St
Calhoun, KY 42327
(270) 233-1884
Fax: (270) 233-9520
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Coleman, Christy APRN
Provider ID: 643694
Gender: Female
Main Street Family
Medicine LLC
273 Main St
Calhoun, KY 42327
(270) 273-3773
Fax: (270) 273-3787
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Curry, Donna CNP
Provider ID: 788814
Gender: Male
Owensboro Medical
Practice
215 Hill St
Livermore, KY 42352
(270) 278-2531
Fax: (270) 278-9221
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Danhauer, Mary APRN
Provider ID: 1085329
Gender: Female
Green River District
Health Departm
200 Hwy 81 N Ste 101
Calhoun, KY 42327
(270) 273-3062
Fax: (270) 273-9983
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Eaton, Jennifer APRN
Provider ID: 1115404
Gender: Female
Regional Health Care
Affiliates Inc
295 Main St
Calhoun, KY 42327
(270) 273-9310
Fax: (270) 273-9314
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Milligan, Dana APRN
Provider ID: 948039
Gender: Female
Main Street Family
Medicin
273 Main St
Calhoun, KY 42327
(270) 233-1884
Fax: (270) 233-9520
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Glenn-Birkhead, Cynthia
APRN
Provider ID: 712953
Gender: Female
Main Street Family
Medicine LLC
273 Main St
Calhoun, KY 42327
(270) 233-1884
Fax: (270) 233-9520
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Ogaz, Veletta APRN
Provider ID: 1203736
Gender: Female
Bridgewater Medical
Center
760 Main St
Sacramento, KY 42372
(270) 736-2444
Fax: (270) 736-2442
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM
F 8:30 AM - 1:00 PM
Goodall, Heather APRN
Provider ID: 1129949
Gender: Female
Bridgewater Medical
Center
760 Main St
Sacramento, KY 42372
(270) 736-2444
Fax: (270) 736-2442
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pierce, Beth ARNP
Provider ID: 682635
Gender: Female
Health First CHCCalhoun
295 Main St
Calhoun, KY 42327
(270) 273-9310
Fax: (270) 273-9314
00 Yrs/99 Yrs
Languages: French,
German, Gujarati, Czech
M-F 8:00 AM - 5:00 PM
Head, Stacy APRN
Provider ID: 711001
Gender: Female
Strader, Elizabeth APRN
The McLean Clinic
Provider ID: 972600
215 Hill St
Gender: Female
Livermore, KY 42352
295 Main St
(270) 278-2531
Calhoun, KY 42327
Fax: (270) 278-9221
(270) 273-9310
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM Fax: (270) 273-9314
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 191
Zimmerman, Kimberly
APRN
Provider ID: 986634
Gender: Female
295 Main St
Calhoun, KY 42327
(270) 273-9310
Fax: (270) 273-9314
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
06/01/2016
Allied Providers
Muhlenberg
Family Practice
Barker, Tracey APRN
Provider ID: 1152991
Kirby, Jacquelyn ARNP
Gender: Female
Community Health
Provider ID: 616294
Centers of Western
Gender: Female
480 Hopkinsville St
Community Health
Greenville, KY 42345
Cancer of Western Ky
(270) 338-5777
480 Hopkinsville St Ste 2 Fax: (270) 338-5765
Greenville, KY 42345
00 Yrs/99 Yrs
(270) 338-5777
M-F 8:00 AM - 4:30 PM
Fax: (273) 338-5765
00 Yrs/99 Yrs
Barker, Tracey APRN
M-F 8:00 AM - 4:30 PM
Provider ID: 1152996
Gender: Female
Nurse Practitioner
Community Health
Centers of Western
Adler, Lorraine APRN
504 Hopkinsville St
Provider ID: 914472
Greenville, KY 42345
Gender: Female
(270) 338-6488
MS Community Health
Fax: (270) 338-7868
1010 Medical Center Dr
00 Yrs/99 Yrs
Powderly, KY 42367
M-F 8:00 AM - 5:30 PM
(270) 377-1600
Fax: (270) 338-0229
Barrineau, Rhonda APRN
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 1153061
Gender: Female
Barker, Tracey APRN
Community Health
Provider ID: 1152987
Centers of Western
Gender: Female
226 Hopkinsville St
Community Health
Greenville, KY 42345
Centers of Western
(270) 338-5777
226 Hopkinsville St
Fax: (270) 338-5765
Greenville, KY 42345
02 Yrs/99 Yrs
(270) 377-3077
M-F 8:00 AM - 4:30 PM
Fax: (270) 377-3002
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Barrineau, Rhonda APRN Chandler, Shelly APRN
Provider ID: 1153065
Gender: Female
Community Health
Centers of Western
504 Hopkinsville St
Greenville, KY 42345
(270) 338-6488
Fax: (270) 338-7868
02 Yrs/99 Yrs
M-F 8:00 AM - 5:30 PM
Beall, Vicky ARNP
Provider ID: 1118020
Gender: Female
MS Community Health
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
Fax: (270) 338-0229
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Bossuah, Kwaghdoo
APRN
Provider ID: 1214010
Gender: Female
MS Community Health
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
Fax: (270) 338-0229
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Barrineau, Rhonda APRN Brumfield, Randa APRN
Provider ID: 974057
Gender: Female
Community Health
Centers of Western
226 Hopkinsville St
Greenville, KY 42345
(270) 377-3077
Fax: (270) 377-3002
02 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Provider ID: 627610
Gender: Female
Community Health
Centers of Western
480 Hopkinsville St
Greenville, KY 42345
(270) 338-5777
Fax: (270) 338-5765
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
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Provider ID: 1211633
Gender: Female
Baptist Health Medical
Group Inc
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fleming, Kristy APRN
Provider ID: 1032359
Gender: Female
Central City Clinic
101 Legion Dr
Central City, KY 42330
(270) 757-0014
Fax: (270) 757-0020
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fleming, Kristy APRN
Provider ID: 1142124
Gender: Female
Kristy Fleming APRN
PLLC
310 N 3rd St
Central City, KY 42330
(270) 977-2703
Fax: (270) 747-5647
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Fleming, Kristy APRN
Provider ID: 687211
Gender: Female
Muhlenberg Rapid Care
440 Hopkinsville St
Greenville, KY 42345
(270) 338-8302
Fax: (270) 338-8427
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Muhlenberg
Nurse Practitioner - cont. Johnson, Lacey APRN
Provider ID: 803081
Fogle, Cheri APRN
Gender: Female
Provider ID: 595137
One Health Rapid Care
Gender: Female
440 Hopkinsville St
MS Community Health
Greenville, KY 42345
203 N 2nd St
(270) 338-8302
Central City, KY 42330
Fax: (270) 338-8427
(270) 377-1600
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Keith, Rebecca APRN
Gardner, Mitzi APRN
Provider ID: 595827
Provider ID: 782265
Gender: Female
Gender: Female
Rebecca H Keith ARNP
One Health Greenville
105 Legion Dr
601 Greene Dr
Central City, KY 42330
Greenville, KY 42345
(270) 754-3200
(270) 338-0600
Fax: (270) 757-9855
Fax: (270) 338-0605
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Languages: German
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Groves, Barry APRN
Miller, Jamie APRN
Provider ID: 1130873
Provider ID: 677737
Gender: Male
Gender: Female
Community Health
Baptist Health Medical
Centers of Western
Group
480 Hopkinsville St
1010 Medical Center Dr
Greenville, KY 42345
Powderly, KY 42367
(270) 338-5777
(270) 377-1621
Fax: (270) 338-5765
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 4:30 PM
Moore, Gerri APRN
Humes, Pamela APRN
Provider ID: 924450
Provider ID: 1079336
Gender: Female
Gender: Female
One Health Greenville
Baptist Health Medical
601 Greene Dr
Group Inc
Greenville, KY 42345
1010 Medical Center Dr
(270) 338-0600
Powderly, KY 42367
Fax: (270) 338-0605
(370) 371-1600
00 Yrs/99 Yrs
Fax: (270) 824-3675
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Nelson, Jennifer CNP
Rose-Welborn, Donna
APRN
Provider ID: 1075997
Provider ID: 597296
Gender: Female
Pennyroyal Regional Mh- Gender: Female
Mr Board Inc
MS Community Health
506 Hopkinsville St
1010 Medical Center Dr
Greenville, KY 42345
Powderly, KY 42367
(270) 338-5211
(270) 377-1600
Fax: (270) 338-1624
Fax: (270) 338-0229
18 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Languages: Spanish
M-F 8:00 AM - 4:00 PM
Newman, Lisa APRN
Provider ID: 596767
Stevens, Judy APRN
Gender: Female
Provider ID: 1036052
Central City Clinic
Gender: Female
101 Legion Dr Ste 1
MS Community Health
Central City, KY 42330
1010 Medical Center Dr
(270) 754-5400
Powderly, KY 42367
Fax: (270) 754-5406
(270) 377-1600
00 Yrs/99 Yrs
Fax: (270) 338-0229
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Sat 8:00 AM - 12:00 PM
M-F 8:00 AM - 5:00 PM
Pendley, Kimberly APRN
Provider ID: 616295
Gender: Female
Community Health
Centers of Western
480 Hopkinsville St
Greenville, KY 42345
(270) 338-5777
Fax: (270) 338-5765
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Reed, Jane APRN
Provider ID: 785977
Gender: Female
MS Community Health
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
Fax: (270) 338-0229
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 193
Stroud, Tamara APRN
Provider ID: 904456
Gender: Female
One Health Greenville
601 Greene Dr
Greenville, KY 42345
(270) 338-0600
Fax: (270) 338-0605
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wilson, Annie APRN
Provider ID: 1181062
Gender: Female
Muhlenberg Rapid Care
440 Hopkinsville St
Greenville, KY 42345
(270) 338-8302
Fax: (270) 338-8427
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Muhlenberg
Pediatrics
Brumfield, Randa APRN
Provider ID: 627611
Gender: Female
Community Health
Centers of Western
226 Hopkinsville St
Greenville, KY 42345
(270) 377-3077
Fax: (270) 377-3002
00 Yrs/21 Yrs
M-F 8:00 AM - 4:30 PM
Brumfield, Randa APRN
Provider ID: 650051
Gender: Female
Community Health
Centers of Western
480 Hopkinsville St
Greenville, KY 42345
(270) 338-5777
Fax: (270) 338-5765
00 Yrs/21 Yrs
M-F 8:00 AM - 4:30 PM
Physical Therapy
Brown, Justin PT
Provider ID: 991132
Gender: Male
MS Community Health
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
Fax: (270) 338-0229
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Walker, Sandi PT
Provider ID: 1037014
Gender: Female
MS Community Health
1010 Medical Center Dr
Powderly, KY 42367
(270) 377-1600
Fax: (270) 338-0229
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physician Assistant
Clayton, Tammy PA
Provider ID: 1045092
Gender: Not Available
Owensboro Health
Multicare Greenvil
601 Greene Dr
Greenville, KY 42345
(270) 338-0600
Fax: (270) 338-0605
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Clayton, Tammy PA
Provider ID: 904420
Gender: Female
One Health Greenville
601 Greene Dr
Greenville, KY 42345
(270) 338-0600
Fax: (270) 338-0605
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Primary Care Center
Coyne, Vincent PA
Provider ID: 700535
Pendley, Kimberly APRN
Gender: Male
One Health Orthopedics
Provider ID: 616295
Muhlenberg
Gender: Female
440 Hopkinsville St Ste
Community Health
2E
Centers of Western
Greenville, KY 42345
480 Hopkinsville St
(270) 377-0111
Greenville, KY 42345
Fax: (270) 377-0113
(270) 338-5777
00 Yrs/99 Yrs
Fax: (270) 338-5765
Owensboro Health
00 Yrs/99 Yrs
Regional Hospital
M-F 8:00 AM - 4:30 PM
M-F 8:00 AM - 5:00 PM
Johnson, David PA
Provider ID: 601425
Gender: Male
Baptist Health Medical
Group
1010 Medical Center Dr
Powderly, KY 42367
(270) 337-1600
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rinell, Katelyn PA
Provider ID: 950064
Gender: Female
Allergy & Asthma
Specialists PSC
1010 Medical Center Dr
Powderly, KY 42367
(270) 684-6144
Fax: (270) 684-2944
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rothwell, Nikki PA
Provider ID: 904434
Gender: Female
One Health Greenville
601 Greene Dr
Greenville, KY 42345
(270) 338-0600
Fax: (270) 338-0605
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
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06/01/2016
Allied Providers
Ohio
Nurse Practitioner
Bratcher, Tommy APRN
Provider ID: 1158062
Gender: Male
Ohio County Family
Care Beaver Dam
1313 W Main St
Beaver Dam, KY 42320
(270) 274-0134
Fax: (270) 274-9953
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Bratcher, Tommy APRN
Provider ID: 724877
Gender: Male
Ohio County Family
Care Hartford
20 McMurtry Ave
Hartford, KY 42647
(270) 504-1300
Fax: (270) 504-1380
00 Yrs/99 Yrs
M-F 9:00 AM - 7:00 PM
Sat-Sun 9:00 AM - 5:00
PM
Bratcher, Tommy APRN
Provider ID: 1158059
Gender: Male
Fordsville Area Medical
Clinic
44 W Main St
Fordsville, KY 42343
(270) 276-9953
Fax: (270) 276-9958
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Bunner, Angela APRN
Provider ID: 793651
Gender: Female
Och Specialty Clinic
1215 Old Main St
Hartford, KY 42347
(270) 730-5344
Fax: (270) 298-5285
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Bunner, Angela APRN
Provider ID: 793651
Gender: Female
Ohio County Family
Care Beaver Dam
1313 N Main St
Beaver Dam, KY 42320
(270) 274-0134
Fax: (270) 274-9953
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Bunner, Angela APRN
Provider ID: 793651
Gender: Female
Ohio County Pain Care
1520 N Main St
Beaver Dam, KY 42320
(270) 274-7112
Fax: (270) 274-7698
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Bunner, Angela APRN
Provider ID: 793651
Gender: Female
Ohio County Family
Care Hartford
20 McMurtry Ave
Hartford, KY 42347
(270) 504-1300
Fax: (270) 504-1380
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Bunner, Angela APRN
Provider ID: 793651
Gender: Female
Fordsville Area Medical
Clinic
44 W Main St
Fordsville, KY 42343
(270) 276-9953
Fax: (270) 276-9958
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Clark, Deborah APRN
Provider ID: 1094399
Gender: Female
Ohio County Family
Care Beaver Dam
1520 N Main St
Beaver Dam, KY 42320
(270) 274-7104
Fax: (270) 274-9698
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Clark, Deborah APRN
Provider ID: 1094399
Gender: Female
Och Specialty Clinic
1215 Old Main St
Hartford, KY 42347
(270) 730-5344
Fax: (270) 298-5285
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Clark, Deborah APRN
Provider ID: 1094399
Gender: Female
Ohio County Family
Care Hartford
20 McMurtry Ave
Hartford, KY 42347
(270) 504-1300
Fax: (270) 504-1380
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Clark, Deborah APRN
Provider ID: 647113
Gender: Female
Owensboro Health
Wound Center
1307 N Main St
Beaver Dam, KY 42320
(270) 274-5602
Fax: (270) 274-5612
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Clark, Deborah APRN
Provider ID: 1094399
Gender: Female
Ohio County Family
Care Beaver Dam
1313 N Main St
Beaver Dam, KY 42320
(270) 274-9953
Fax: (270) 274-0134
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 195
Clark, Deborah APRN
Provider ID: 1094399
Gender: Female
Fordsville Area Medical
Clinic
44 W Main St
Fordsville, KY 42343
(270) 276-9953
Fax: (270) 276-9958
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Danhauer, Mary APRN
Provider ID: 1085329
Gender: Female
Green River District
Health Departm
1336 Clay St
Hartford, KY 42347
(270) 298-3663
Fax: (270) 298-4777
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Ohio
Nurse Practitioner - cont. English, Steven APRN
Provider ID: 753641
English, Rita ARNP
Gender: Male
Provider ID: 1158406
Ocfc Beaver Dam
Gender: Female
1313 N Main St
Ohio County Family
Beaver Dam, KY 42320
Care Beaver Dam
(270) 274-9928
1313 N Main St
Fax: (270) 274-0134
Beaver Dam, KY 42320
00 Yrs/99 Yrs
(270) 274-0134
M-F 8:00 AM - 5:00 PM
Fax: (270) 274-9953
00 Yrs/99 Yrs
English, Steven APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 753641
Gender: Male
English, Rita ARNP
Ohio County Pain Care
Provider ID: 749487
1520 N Main St
Gender: Female
Beaver Dam, KY 42320
Ohio County Family
(270) 274-7112
Care Hartford
Fax: (270) 274-7698
20 McMurtry Ave
00 Yrs/99 Yrs
Hartford, KY 42347
M-F 8:00 AM - 5:00 PM
(270) 504-1300
Fax: (270) 504-1380
English, Steven APRN
00 Yrs/99 Yrs
Provider ID: 753641
M-F 8:00 AM - 5:00 PM
Gender: Male
Ohio County Family
English, Rita ARNP
Care
Provider ID: 1158401
20 McMurtry Ave
Gender: Female
Hartford, KY 42347
Fordsville Area Medical
(270) 504-1300
Clinic
Fax: (270) 504-1380
44 W Main St
00 Yrs/99 Yrs
Fordsville, KY 42343
M-F 8:00 AM - 5:00 PM
(270) 276-9953
Fax: (270) 276-9958
English, Steven APRN
00 Yrs/99 Yrs
Provider ID: 753641
M-F 8:00 AM - 5:00 PM
Gender: Male
Fordsville Area Medical
English, Steven APRN
Clinic
Provider ID: 753641
44 W Main St
Gender: Male
Fordsville, KY 42343
Och Specialty Clinic
(270) 276-9953
1215 Old Main St
Fax: (270) 276-9958
Hartford, KY 42347
00 Yrs/99 Yrs
(270) 730-5344
M-F 8:00 AM - 5:00 PM
Fax: (270) 298-5285
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gollar, Kelly APRN
Provider ID: 633192
Gender: Female
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
Leanhart, Jennifer APRN
McWhorter, Annette
APRN
Provider ID: 1127987
Gender: Female
Fordsville Area Medical
Clinic
44 W Main St
Fordsville, KY 42343
(270) 276-9953
Fax: (270) 298-3824
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 633293
Gender: Female
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
18 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
Medley, Krystal APRN
Provider ID: 902252
Gender: Female
Owensboro Health
Wound Center
1307 N Main St
Beaver Dam, KY 42320
(270) 274-5602
Fax: (270) 274-5612
00 Yrs/99 Yrs
M-W 8:00 AM - 4:30 PM
McWhorter, Annette
APRN
Provider ID: 1127984
Gender: Female
Ocfc Beaver Dam
1313 N Main St
Beaver Dam, KY 42320
(270) 274-9928
Fax: (270) 274-0134
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Neidlinger, Velda APRN
Provider ID: 995259
Gender: Female
One Health Ohio
County
1213 N Main St
Beaver Dam, KY 42320
(270) 274-4771
Fax: (270) 274-4884
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McWhorter, Annette
APRN
Provider ID: 1127985
Gender: Female
Ocfc Hartford
20 McMurtry Ave
Hartford, KY 42347
(270) 504-1300
Fax: (270) 504-1380
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Ohr, Andrea APRN
Provider ID: 633044
Gender: Female
First Urology PSC
112 McMurty Ave
Hartford, KY 42347
(812) 282-3899
Fax: (812) 282-4172
18 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
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06/01/2016
Allied Providers
Ohio
Nurse Practitioner - cont. Runion, Ashley APRN
Provider ID: 1098317
Rice, Susan APRN
Gender: Female
Provider ID: 594955
Ohio County Family
Gender: Female
Care Beaver Dam
Fyi Healthcare Clinic
1313 N Main St
PLLC
Beaver Dam, KY 42320
1219 N Main St Ste 101
(270) 274-0134
Beaver Dam, KY 42320
Fax: (270) 274-9953
(270) 274-0638
00 Yrs/99 Yrs
Fax: (270) 274-5600
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM Runion, Ashley APRN
Provider ID: 1098321
Roberts, Terra APRN
Gender: Female
Provider ID: 1158417
Ohio County Family
Gender: Female
Care Beaver Dam
Ohio County Family
1520 N Main St
Care Beaver Dam
Beaver Dam, KY 42320
1313 N Main St
(270) 274-7104
Beaver Dam, KY 42320
Fax: (270) 274-9698
(270) 274-0134
00 Yrs/99 Yrs
Fax: (270) 274-9953
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Runion, Ashley APRN
Provider ID: 1098332
Roberts, Terra APRN
Gender: Female
Provider ID: 1158414
Ohio County Family
Gender: Female
Care Hartford
Ohio County Family
20 McMurtry Ave
Care Hartford
Hartford, KY 42347
20 McMurtry Ave
(270) 504-1300
Hartford, KY 42347
Fax: (270) 504-1380
(270) 504-1300
00 Yrs/99 Yrs
Fax: (270) 504-1380
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Runion, Ashley APRN
Provider ID: 1098324
Roberts, Terra APRN
Gender: Female
Provider ID: 596743
Fordsville Area Medical
Gender: Female
Clinic
Fordsville Area Medical
44 W Main St
Clinic
Fordsville, KY 42343
44 W. Main St
(270) 276-9953
Fordsville, KY 42343
00 Yrs/99 Yrs
(270) 276-9953
M-F 8:00 AM - 5:00 PM
Fax: (270) 276-9958
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sanders, Jason APRN
Taylor, Tabitha APRN
Provider ID: 917627
Provider ID: 707248
Gender: Female
Gender: Male
Doctors Clinic
Ohio County Family
20 McMurtry Ave
Care
Hartford, KY 42347
20 McMurtry Ave
(270) 504-1300
Hartford, KY 42347
Fax: (270) 504-1380
(270) 504-1300
00 Yrs/99 Yrs
Fax: (270) 504-1380
M-F 7:00 AM - 7:00 PM
00 Yrs/99 Yrs
Sat-Sun 9:00 AM - 5:00
M-TH 3:00 AM - 8:00 PM PM
F 12:00 AM - 8:00 PM
Sat-Sun 9:00 AM - 4:00 Taylor, Tabitha APRN
Provider ID: 973250
PM
Gender: Female
Stroud, Tamara APRN
Fordsville Area Medical
Provider ID: 630590
Practice
Gender: Female
44 W Main St
One Health Ohio
Fordsville, KY 42343
County
(270) 276-9953
1213 N Main St
Fax: (270) 276-9958
Beaver Dam, KY 42320
00 Yrs/99 Yrs
(270) 274-4771
M-F 8:00 AM - 5:00 PM
Fax: (270) 274-4884
Thiesse, Kathy APRN
00 Yrs/99 Yrs
Provider ID: 1181023
M-F 9:00 AM - 5:00 PM
Gender: Female
Taylor, Tabitha APRN
Owensboro Health
Provider ID: 973245
Wound Center
Gender: Female
1307 N Main St
Och Specialty Clinic
Beaver Dam, KY 42320
1215 Old Main St
(270) 274-5602
Hartford, KY 42347
Fax: (270) 274-5612
(270) 730-5344
00 Yrs/99 Yrs
Fax: (270) 298-5285
MTWTHFSatSun 8:00
00 Yrs/99 Yrs
AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Wilson, Cynthia ARNP
www.wellcare.com/Kentucky | 197
Provider ID: 1158421
Gender: Female
Ohio County Family
Care Beaver Dam
1313 N Main St
Beaver Dam, KY 42320
(270) 274-0134
Fax: (270) 274-9953
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Ohio
Nurse Practitioner - cont. Woosley, Teresa APRN
Wilson, Cynthia ARNP
Provider ID: 1158419
Gender: Female
Ohio County Family
Care Hartford
20 McMurtry Ave
Hartford, KY 42347
(270) 504-1300
Fax: (270) 504-1380
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wilson, Cynthia ARNP
Provider ID: 1158420
Gender: Female
Fordsville Area Medical
Clinic
44 W Main St
Fordsville, KY 42343
(270) 276-9953
Fax: (270) 276-9958
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Woosley, Teresa APRN
Provider ID: 1163216
Gender: Female
Beaver Dam Clinic
1520 N Main St
Beaver Dam, KY 42320
(270) 274-7104
Fax: (270) 274-9698
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Provider ID: 1158424
Gender: Female
Ohio County Family
Care Hartford
20 McMurtry Ave
Hartford, KY 42347
(270) 504-1300
Fax: (270) 504-1380
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Woosley, Teresa APRN
Provider ID: 1158427
Gender: Female
Fordsville Area Medical
Clinic
44 W Main St
Fordsville, KY 42343
(270) 276-9953
Fax: (270) 276-9958
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physical Therapy
Brooks, Karen PT
Provider ID: 601136
Gender: Female
Elite Physical Therapy
Fitness PSC
1217 N Main St
Beaver Dam, KY 42320
(270) 274-7311
Fax: (270) 274-7313
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Davis, Roger PT
Rinell, Katelyn PA
Provider ID: 1041952
Provider ID: 950064
Gender: Male
Gender: Female
Fuller Physical Therapy
Allergy & Asthma
500 North Main St Ste B Specialists PSC
1211 Old Main St
Beaver Dam, KY 42340
Hartford, KY 42347
(270) 274-9221
(270) 684-6144
Fax: (270) 274-9226
Fax: (270) 684-2944
00 Yrs/99 Yrs
MTTH 1:00 AM - 7:00 PM 00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
WF 8:30 AM - 7:00 PM
Sat 10:00 AM - 2:00 PM
Fuller, David PT
Provider ID: 1031140
Gender: Male
Fuller Physical Therapy
500 N Main St Ste B
Beaver Dam, KY 42320
(270) 274-9221
Fax: (270) 274-9226
00 Yrs/99 Yrs
M-F 8:30 AM - 7:00 PM
Fuller, David PT
Provider ID: 965642
Gender: Male
Fuller Physical Therapy
500 N Main St Ste B
Beaver Dam, KY 42320
(270) 274-9221
Fax: (270) 274-9226
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physician Assistant
Clayton, Tammy PA
Provider ID: 1045073
Gender: Female
One Health Ohio
County
1213 N Main St
Beaver Dam, KY 42320
(270) 274-4771
Fax: (270) 274-4884
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
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Allied Providers
Todd
Nurse Practitioner
Beam, Sarah APRN
Provider ID: 1196414
Gender: Female
Helping Hands Health
Clinic, Inc
810 South Main St
Elkton, KY 42220
(270) 253-5600
Fax: (270) 265-5605
00 Yrs/99 Yrs
M-F 7:30 AM - 4:30 PM
Cole, Shannon APRN
Provider ID: 977530
Gender: Female
Fairview Physicians
Network LLC DBA
120 N Main St
Trenton, KY 42286
(270) 466-9300
Fax: (270) 466-3300
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Dossett, Ashley APRN
Provider ID: 1117730
Gender: Female
Bell Clinic PLLC
105 Elk Fork Rd
Elkton, KY 42220
(270) 265-2574
Fax: (270) 265-3098
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 3:00 PM
Foster, Stephanie APRN
Provider ID: 977538
Gender: Female
Bell Clinic PLLC
105 Elk Fork Rd
Elkton, KY 42220
(270) 265-2574
Fax: (270) 265-3098
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 3:00 PM
Guess, Dietta APRN
Provider ID: 940399
Gender: Female
Elkton Clinic PSC
713 W Main St
Elkton, KY 42220
(270) 265-5353
Fax: (270) 265-5350
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Kaylor, Jewell APRN
Provider ID: 935958
Gender: Female
Fairview Physicians
Network LLC DBA
10220 Dixie Beeline Hwy
Guthrie, KY 42234
(270) 483-2525
Fax: (270) 483-2575
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Kendall, Denise APRN
Provider ID: 1135704
Gender: Female
Elkton Clinic PSC
713 W Main St
Elkton, KY 42220
(270) 265-5353
Fax: (270) 265-5350
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
McClain, David APRN
Provider ID: 709152
Gender: Male
Bell Clinic PLLC
105 Elk Fork Rd
Elkton, KY 42220
(270) 265-2574
Fax: (270) 265-3098
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 3:00 PM
Muhlethaler, Maresa
APRN
Provider ID: 940402
Gender: Female
Elkton Clinic PSC
713 W Main St
Elkton, KY 42220
(270) 265-5353
Fax: (270) 265-5350
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hancock, Elizabeth PT
Provider ID: 1019852
Gender: Female
Orthopedics Plus
Physical Therapy
70 Public Sq
Elkton, KY 42220
(270) 265-3168
Fax: (270) 265-3170
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Russell, J Colleen APRN
Johnson, Ashley PT
Provider ID: 1074182
Gender: Female
Orthopedics Plus
Physical Therapy
70 Public Square
Elkton, KY 42220
(270) 265-3168
Fax: (270) 265-3170
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 977569
Gender: Female
Elkton Clinic PSC
713 W Main St
Elkton, KY 42220
(270) 265-5353
Fax: (270) 265-5350
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
Sullivan, Allison APRN
Provider ID: 1158461
Gender: Female
Fairview Physicians
Network LLC
120 Main St
Trenton, KY 42286
(270) 466-9300
Fax: (270) 466-3300
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physical Therapy
Cool, Haley PT
Provider ID: 1000898
Gender: Female
Orthopedics Plus
Physical Therapy
70 Public Square
Elkton, KY 42220
(270) 265-3168
Fax: (270) 265-3170
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 199
McAlister, John PT
Provider ID: 1000964
Gender: Male
Orthopedics Plus
Physical Therapy
70 Public Square
Elkton, KY 42220
(270) 265-3168
Fax: (270) 265-3170
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Moore, Marina PT
Provider ID: 1019642
Gender: Female
Orthopedics Plus
Physical Therapy
70 Public Sq
Elkton, KY 42220
(270) 265-3168
Fax: (270) 265-3170
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Todd
Physical Therapy - cont.
Perry, Carrie PT
Provider ID: 1019840
Gender: Female
Orthopedics Plus
Physical Therapy
70 Public Sq
Elkton, KY 42220
(270) 265-3168
Fax: (270) 265-3170
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Webster, Krista PT
Provider ID: 1019617
Gender: Female
Orthopedics Plus
Physical Therapy
70 Public Sq
Elkton, KY 42220
(270) 265-3168
Fax: (270) 265-3170
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pinerola, Jase PT
Provider ID: 908810
Gender: Male
Orthopedics Plus
Physical Therapy
70 Public Square
Elkton, KY 42220
(270) 265-3168
Fax: (270) 265-3170
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Richardson, Daniel PT
Provider ID: 1000869
Gender: Male
Orthopedics Plus
Physical Therapy
70 Public Square
Elkton, KY 42220
(270) 265-3168
Fax: (270) 265-3170
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sutton, Erin PT
Provider ID: 1084134
Gender: Female
Orthopedics Plus
Physical Therapy
70 Public Square
Elkton, KY 42220
(270) 265-3168
Fax: (270) 265-3170
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
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Allied Providers
Trigg
Family Practice
Hale, Christy APRN
Provider ID: 930021
Gender: Female
Trigg County Primary
Care
214 Main St
Cadiz, KY 42211
(270) 522-0898
Fax: (270) 522-5636
00 Yrs/99 Yrs
M 8:00 AM - 5:00 PM
Gierhart, Lillian APRN
Provider ID: 669961
Gender: Female
Trigg County Primary
Care
250 Main St
Cadiz, KY 42211
(270) 522-3444
Fax: (270) 522-3425
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Weatherspoon,
Christopher APRN
Provider ID: 1078834
Gender: Male
Trigg County Primary
Care
214 Main St
Cadiz, KY 42211
(270) 522-0898
Fax: (270) 522-5636
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
James, Mary APRN
Weatherspoon,
Provider ID: 629764
Nurse Practitioner
Christopher APRN
Gender: Female
Provider ID: 1078836
Princeton Family Care
Freeman, Sherry APRN
Gender: Male
PLLC
Provider ID: 600407
Trigg County Primary
110
South
Cave
Gender: Female
Care
Cadiz,
KY
42211
Murray Womans Clinic
250 Main St
250 Main St Medical Arts (270) 365-2494
Cadiz, KY 42211
Fax: (270) 365-2496
Bldg
(270) 522-3444
00 Yrs/99 Yrs
Cadiz, KY 42211
Fax: (270) 522-3425
Languages:
French
(270) 522-5236
00 Yrs/99 Yrs
MTWF 8:00 AM - 5:00
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
PM
Languages: Spanish
Sat 9:00 AM - 1:00 PM
TH 8:00 AM - 12:00 PM
M-F 9:00 AM - 5:00 PM
Physician Assistant
Toliver, Laura APRN
Freeman, Sherry APRN
Provider
ID:
1201275
Provider ID: 600407
Murphy, Melissa PA
Gender: Female
Gender: Female
Provider ID: 599519
Trigg County Primary
Murray Womans Clinic
Gender: Female
Care
254 Main St Medical Arts 214 Main St
Trigg County Primary
Bldg
Care
Cadiz, KY 42211
Cadiz, KY 42211
250 Main St
(270) 522-0898
(270) 522-5236
Cadiz, KY 42211
Fax: (270) 522-6647
00 Yrs/99 Yrs
(270) 522-0898
00 Yrs/99 Yrs
Languages: Spanish
M-TH 8:00 AM - 6:00 PM Fax: (270) 522-5636
MT 9:00 AM - 4:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 201
Rutherford, Andrew PA
Provider ID: 1063636
Gender: Female
Trigg County Primary
Care
214 Main St
Cadiz, KY 42211
(270) 522-0898
Fax: (270) 522-5636
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rutherford, Andrew PA
Provider ID: 1078825
Gender: Male
Trigg County Primary
Care
214 Main St
Cadiz, KY 42211
(270) 522-0898
Fax: (270) 522-5636
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rutherford, Andrew PA
Provider ID: 1063636
Gender: Female
Trigg County Primary
Care
250 Main St
Cadiz, KY 42211
(270) 522-3444
Fax: (270) 522-3425
00 Yrs/99 Yrs
M-TH 1:00 AM - 5:00 PM
Rutherford, Andrew PA
Provider ID: 1078829
Gender: Male
Trigg County Primary
Care
250 Main St
Cadiz, KY 42211
(270) 522-3444
Fax: (270) 522-3425
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Union
Critical Access Hospital
Branson, Joanne LPC
Provider ID: 1129909
Gender: Female
130 N Morgan St Ste 201
Morganfield, KY 42437
(270) 389-4405
Fax: (270) 389-4813
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Nurse Practitioner
Croft, Christie ARNP
Provider ID: 605030
Gender: Female
Methodist Family
Medicine of Sturgi
9064 US Hwy 60 W
Sturgis, KY 42459
(270) 333-4349
Fax: (270) 333-9292
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Danhauer, Mary APRN
Provider ID: 1085329
Gender: Female
Green River District
Health Departm
218 W McElroy St
Morganfield, KY 42437
(270) 389-1230
Fax: (270) 389-9031
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Mills, Shara APRN
Provider ID: 937049
Gender: Female
Methodist Family
Practice
1284 US Hwy 60 W
Morganfield, KY 42437
(270) 389-2323
Fax: (270) 389-0526
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Mills, Shara APRN
Provider ID: 1048360
Gender: Female
Family Medicine of
Sturgis
9064 US Hwy 60 W
Sturgis, KY 42459
(270) 333-4349
Fax: (270) 333-9292
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Robison, Regina APRN
Provider ID: 957649
Gender: Female
Lighthouse Counseling
Services Inc
130 N Morgan St Ste 201
Morganfield, KY 42437
(270) 389-4405
Fax: (270) 389-4813
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Overby, Hillary APRN
Provider ID: 1200008
Gender: Female
Methodist Family
Practice
1284 US Hwy 60 W
Morganfield, KY 42437
(270) 389-2323
Fax: (270) 389-0526
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Peek, Theresa ARNP
Provider ID: 653085
Gender: Female
Methodist Family
Practice
1284 US Hwy 60 W
Morganfield, KY 42437
(270) 389-2323
Fax: (270) 389-0526
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Peek, Theresa APRN
Provider ID: 712973
Gender: Female
Methodist Family
Practice
1284 US Hwy 60 W
Morganfield, KY 42437
(270) 389-2323
Fax: (270) 389-0526
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
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06/01/2016
Allied Providers
Webster
Nurse Practitioner
Davis, Heather APRN
Provider ID: 921654
Chapman, Melanie APRN Gender: Female
Webster County Family
Provider ID: 1145055
Medicine
Gender: Female
1355 US Hwy 41A S
Regional Health Care
Dixon, KY 42409
Affiliates, In
(270) 639-9101
215 E Main St
Fax: (270) 639-9332
Providence, KY 42450
00 Yrs/99 Yrs
(270) 667-7017
M-F 8:00 AM - 5:00 PM
Fax: (270) 667-5956
00 Yrs/99 Yrs
Dunn, Brittney APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 1164866
Gender: Female
Chumley, Christina APRN Regional Health Care
Provider ID: 942725
Affiliates Inc
Gender: Female
215 E Main St
Methodist Family
Providence, KY 42450
Medicine of Provid
(270) 667-7017
121 E Main St
Fax: (270) 667-5956
Providence, KY 42450
00 Yrs/99 Yrs
(270) 667-2412
M-F 8:00 AM - 5:00 PM
Fax: (270) 667-7518
00 Yrs/99 Yrs
Eaton, Jennifer APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 1115408
Gender: Female
Chumley, Christina APRN Regional Health Care
Provider ID: 948514
Affiliates Inc
Gender: Female
215 E Main St
Webster County Family
Providence, KY 42450
Medicine
(270) 667-7017
1355 US Hwy 41A S
Fax: (270) 667-5956
Dixon, KY 42409
00 Yrs/99 Yrs
(270) 639-9101
M-F 8:00 AM - 5:00 PM
Fax: (270) 639-9332
00 Yrs/99 Yrs
Eaton, Jennifer APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 1115399
Gender: Female
Davis, Heather APRN
Regional Health Care
Provider ID: 618380
Affiliates Inc
Gender: Female
9086 State Rte 132 W
Methodist Family
Clay, KY 42404
Medicine of Provid
(270) 664-2526
121 E Main St
Fax: (270) 664-6082
Providence, KY 42450
00 Yrs/99 Yrs
(270) 667-2412
M-F 8:00 AM - 5:00 PM
Fax: (270) 667-7518
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Elder, Regina APRN
Provider ID: 1165548
Gender: Female
One Health Dixon
1871 US Hwy 41A S
Dixon, KY 42409
(270) 639-9440
Fax: (270) 639-9446
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Elder, Regina APRN
Provider ID: 904384
Gender: Female
Hometown Care LLC
1871 US Hwy 41A
Dixon, KY 42409
(270) 639-9440
Fax: (270) 664-2698
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hawkins, Robyn APRN
Provider ID: 1164883
Gender: Female
Regional Health Care
Affiliates Inc
215 E Main St
Providence, KY 42450
(270) 667-7017
Fax: (270) 667-5956
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Jackson, Kimberly APRN
Provider ID: 1057552
Gender: Female
Regional Health Care
Affiliates Inc
215 E Main St
Providence, KY 42450
(270) 667-7017
Fax: (270) 667-5956
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 203
Pierce, Beth APRN
Provider ID: 595139
Gender: Female
Regional Health Care
Affiliates Inc
215 E Main St
Providence, KY 42450
(270) 667-7017
Fax: (270) 677-5956
00 Yrs/99 Yrs
Baptist Health
Madisonville
Languages: French,
Gujarati
M-F 9:00 AM - 5:00 PM
Pierce, Beth ARNP
Provider ID: 682623
Gender: Female
Health First CHC-Clay
9086 State Rte 132 W
Clay, KY 42404
(270) 664-2526
Fax: (270) 664-6082
00 Yrs/99 Yrs
Languages: French,
German, Gujarati, Czech
M-F 8:00 AM - 5:00 PM
Robison, Regina APRN
Provider ID: 617048
Gender: Female
Western Kentucky
Behavioral Health
1871 US Hwy 41A
Dixon, KY 42409
(270) 639-9440
Fax: (270) 639-9446
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
06/01/2016
Allied Providers
Webster
Nurse Practitioner - cont. Strader, Elizabeth APRN
Skinner, Connie APRN
Provider ID: 670009
Gender: Female
Methodist Family
Medicine of Sebree
47 W Webster St
Sebree, KY 42455
(270) 835-2436
Fax: (270) 835-7802
00 Yrs/99 Yrs
M 8:00 AM - 5:00 PM
TWTHF 9:00 AM - 5:00
PM
Provider ID: 972607
Gender: Female
9086 State Rte 132 W
Clay, KY 42404
(270) 644-2526
Fax: (270) 644-6082
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Zimmerman, Kimberly
APRN
Provider ID: 986638
Gender: Female
9086 State Rte 132 W
Clay, KY 42404
(270) 664-2526
Fax: (270) 664-6082
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Townsend, Jeana APRN
Provider ID: 1208100
Gender: Female
One Health Dixon
1871 US Hwy 41A S
Dixon, KY 42409
(270) 639-9440
Fax: (270) 639-9440
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Skinner, Connie APRN
Provider ID: 594812
Gender: Female
Sebree Clinic LLC
7139 Hwy 56E
Sebree, KY 42455
(270) 835-2200
Whited, Leta APRN
Fax: (270) 835-2204
Provider ID: 1074805
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM Gender: Female
Regional Health Care
F 8:00 AM - 12:00 PM
Affiliates, In
Strader, Elizabeth APRN
215 E Main St
Providence, KY 42450
Provider ID: 972599
(270) 667-7017
Gender: Female
Fax: (270) 667-5956
215 E Main St
00 Yrs/99 Yrs
Providence, KY 42450
M-F 8:00 AM - 5:00 PM
(270) 273-9310
Zimmerman, Kimberly
Fax: (270) 667-9065
APRN
00 Yrs/99 Yrs
Provider ID: 941791
M-F 9:00 AM - 5:00 PM
Gender: Female
Strader, Elizabeth APRN
215 E Mian St
Providence, KY 42450
Provider ID: 972608
(270) 667-7017
Gender: Female
Fax: (270) 667-9065
472 Klutey Park Plaza Dr
00 Yrs/99 Yrs
Ste B
M-F 9:00 AM - 5:00 PM
Henderson, KY 42404
(270) 826-5522
Fax: (270) 826-5525
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
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Pharmacy
Christian
Retail
Cayces Eagle Way
Pharmacy
Provider ID:
TPV1184910531-0
211 Burley Ave
Hopkinsville, KY 42240
(270) 885-1220
Fax: (270) 885-5454
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 2:00 PM
Cayces Pharmacy
Provider ID:
TPV1609867290-0
1112 W 7th St
Hopkinsville, KY 42240
(270) 886-4466
Fax: (270) 886-8915
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 2:00 PM
Crofton Pharmacy
Provider ID:
TPV1063580066-0
110 E Main St
Crofton, KY 42217
(270) 424-8965
Fax: (270) 424-8965
00 Yrs/99 Yrs
MTTHF 8:00 AM - 6:00
PM
W 8:00 AM - 4:00 PM
Kroger
Provider ID:
TPV1598799355-0
1213 Skyline Dr
Hopkinsville, KY 42240
(270) 886-4594
Fax: (270) 866-4978
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 6:00 PM
Sun 12:00 AM - 6:00 PM
RITE AID
Provider ID:
TPV1225147713-0
2412 Fort Campbell Blvd
Hopkinsville, KY 42240
(270) 885-6025
Fax: (270) 885-5065
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 4:00 PM
Sattellite Pharmacy
Provider ID:
TPV1598708836-0
320 W 18th St
Hopkinsville, KY 42240
(270) 887-0348
Fax: (270) 887-6804
00 Yrs/99 Yrs
Languages: Spanish
MTWTHFSatSun 8:00
AM - 4:00 PM
Save More Drugs
Provider ID:
TPV1356616007-0
2208 Ft Campbell Blvd
Hopkinsville, KY 42240
(270) 885-5515
Fax: (270) 885-5591
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 1:00 PM
Toms Family Pharmacy
Provider ID:
TPV1275548802-0
815 Country Club Ln
Hopkinsville, KY 42240
(270) 885-1524
Fax: (270) 885-5022
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 1:00 PM
Towne Country Discount Western State Hospital
Drugs
Pharmacy
Provider ID:
Provider ID:
TPV1093852592-0
TPV1124144456-0
3217 Lafayette Rd
2400 Russellville Rd
Hopkinsville, KY 42240
Hopkinsville, KY 42240
(270) 885-6131
(270) 889-6025
Fax: (270) 885-6132
Fax: (270) 889-5062
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
M-F 8:00 AM - 4:00 PM
Sat 9:00 AM - 12:00 PM
Sat 8:00 AM - 11:00 PM
Walgreens
Provider ID:
TPV1134134372-0
Walgreens
2901 Fort Campbell Blvd
Hopkinsville, KY 42240
(270) 886-0128
Fax: (270) 886-1027
00 Yrs/99 Yrs
M-F 8:00 AM - 10:00 PM
Sat 9:00 AM - 6:00 PM
Sun 10:00 AM - 6:00 PM
Walmart Pharmacy
Provider ID:
TPV1891712139-0
14800 Fort Campbell
Blvd
Oak Grove, KY 42262
(270) 640-5848
Fax: (270) 640-5844
00 Yrs/99 Yrs
M-F 9:00 AM - 9:00 PM
Sat 9:00 AM - 6:00 PM
Sun 11:00 AM - 5:00 PM
Walmart Pharmacy
Provider ID:
TPV1083631311-0
300 Clinic Dr
Hopkinsville, KY 42240
(270) 886-9863
Fax: (270) 886-9853
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 7:00 PM
Sun 10:00 AM - 6:00 PM
www.wellcare.com/Kentucky | 205
06/01/2016
Pharmacy
Daviess
Retail
CVS
Provider ID:
TPV1174711493-0
1221 Frederica St
Owensboro, KY 42301
(270) 683-5086
Fax: (270) 683-9027
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
CVS
Provider ID:
TPV1285737924-0
3311 Hwy 54
Owensboro, KY 42303
(270) 684-3439
Fax: (270) 684-9307
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Danhauer Drugs
Provider ID:
TPV1144213406-0
330 Frederica St
Owensboro, KY 42301
(270) 684-2341
Fax: (270) 684-2396
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 8:00 AM - 5:00 PM
Emory Centre Pharmacy
Provider ID:
TPV1386742351-0
527 Emory Dr
Owensboro, KY 42301
(270) 684-0649
Fax: (270) 684-0132
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 2:00 PM
King Drug Home Care
Provider ID:
TPV1437193281-0
1156 Carter Rd
Owensboro, KY 42301
(270) 683-7010
Fax: (270) 683-7342
00 Yrs/99 Yrs
M-F 7:00 AM - 6:00 PM
Sat 9:00 AM - 5:00 PM
Lincoln Pharmacy Inc
Provider ID:
TPV1134348444-0
2816 Veach Rd
Owensboro, KY 42303
(270) 684-7278
Fax: (270) 685-1576
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 2:00 PM
Kroger
Provider ID:
TPV1790719516-0
1670 Starlite Dr
Owensboro, KY 42301
(270) 926-2340
Fax: (270) 926-3864
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 6:00 PM
Sun 12:00 AM - 6:00 PM
Nations Medicines
Provider ID:
TPV1659435618-0
3000 Alvey Park Dr W
Owensboro, KY 42303
(270) 926-4080
Fax: (270) 684-4407
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 12:00 PM
Kroger
Provider ID:
TPV1083648828-0
2308 E 4th St
Owensboro, KY 42303
(270) 926-7751
Fax: (270) 683-9717
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 6:00 PM
Sun 12:00 AM - 6:00 PM
Nations Medicines
Provider ID:
TPV1366546327-0
3030 Burlew Blvd
Owensboro, KY 42303
(270) 685-4931
Fax: (270) 685-5742
00 Yrs/99 Yrs
M-F 10:00 AM - 6:00 PM
Sat 10:00 AM - 3:00 PM
Kroger
Provider ID:
TPV1730104431-0
2630 Frederica St
Owensboro, KY 42301
(270) 926-4977
Fax: (270) 684-4419
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 6:00 PM
Sun 12:00 AM - 6:00 PM
Nations Medicines
Provider ID:
TPV1992809958-0
415 Carter Rd
Owensboro, KY 42301
(270) 685-0557
Fax: (270) 685-5858
00 Yrs/99 Yrs
M-F 10:00 AM - 6:00 PM
Sat 10:00 AM - 3:00 PM
www.wellcare.com/Kentucky | 206
Owensboro Family
Pharmacy and Wellness
Provider ID:
TPV1861857617-0
720 W Byers Ave
Owensboro, KY 42303
(270) 683-2400
Fax: (270) 685-4825
00 Yrs/99 Yrs
M-F 10:00 AM - 6:00 PM
Sat 10:00 AM - 1:00 PM
Owensboro Health
Outpatient Pharmacy
Provider ID:
TPV1194149682-0
1301 Pleasant Vally Rd Ste
104
Owensboro, KY 42303
(270) 417-6701
Fax: (270) 417-6705
00 Yrs/99 Yrs
M-F 7:00 AM - 7:00 PM
Sat-Sun 9:00 AM - 5:00
PM
Pooles Pharmacy Care
Provider ID:
TPV1861413221-0
2200 E Parrish Ave Ste
102
Owensboro, KY 42303
(270) 926-6260
Fax: (270) 926-0502
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
RITE AID
Provider ID:
TPV1124138037-0
1735 Scherm Rd
Owensboro, KY 42301
(270) 685-3143
Fax: (270) 685-2961
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 9:00 PM
06/01/2016
Pharmacy
Daviess
Retail - cont.
RITE AID
Provider ID:
TPV1164531638-0
1921 W Parrish Ave
Owensboro, KY 42301
(270) 683-0223
Fax: (270) 683-3820
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 9:00 PM
Sun 8:00 AM - 8:00 PM
RITE AID
Provider ID:
TPV1831209659-0
2440 New Hartford Rd
Owensboro, KY 42303
(270) 684-0205
Fax: (270) 684-5275
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 9:00 PM
Sun 8:00 AM - 8:00 PM
RITE AID
Provider ID:
TPV1053420521-0
3026 E 4th St
Owensboro, KY 42303
(270) 684-9261
Fax: (270) 684-4747
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 9:00 PM
Target
Provider ID:
TPV1790867166-0
Target Pharmacy
5151 Frederica St
Owensboro, KY 42301
(270) 684-4362
Fax: (270) 297-9563
00 Yrs/99 Yrs
M-F 9:00 AM - 7:00 PM
Sat 9:00 AM - 5:00 PM
Sun 11:00 AM - 5:00 PM
Walgreens
Provider ID:
TPV1124033378-0
Walgreens
2318 Frederica St
Owensboro, KY 42301
(270) 686-7873
Fax: (270) 686-7864
00 Yrs/99 Yrs
Walgreens
Provider ID:
TPV1972790327-0
Walgreens
3312 Ky 54
Owensboro, KY 42303
(270) 683-6422
00 Yrs/99 Yrs
M-F 8:00 AM - 10:00 PM
Sat 9:00 AM - 6:00 PM
Sun 10:00 AM - 6:00 PM
Walmart Pharmacy
Provider ID:
TPV1467470948-0
3151 Leitchfield Rd
Owensboro, KY 42303
(270) 683-4099
Fax: (270) 683-3052
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 7:00 PM
Sun 10:00 AM - 6:00 PM
Walmart Pharmacy
Provider ID:
TPV1811914237-0
5031 Frederica St
Owensboro, KY 42301
(270) 685-0027
Fax: (270) 685-0235
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 7:00 PM
Sun 1:00 AM - 8:00 PM
www.wellcare.com/Kentucky | 207
06/01/2016
Pharmacy
Hancock
Retail
Freds Pharmacy
Provider ID:
TPV1841598067-0
8525 US Hwy 60 W
Lewisport, KY 42351
(270) 295-3356
Fax: (270) 295-3055
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 12:00 PM
www.wellcare.com/Kentucky | 208
06/01/2016
Pharmacy
Henderson
Retail
Dunaways Imperial
Pharmacy
Provider ID:
TPV1619950615-0
110 3rd St
Henderson, KY 42420
(270) 826-6565
Fax: (270) 830-0083
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 3:00 PM
KMART
Provider ID:
TPV1093746067-0
2606 Zion Rd
Henderson, KY 42420
(270) 827-4151
Fax: (270) 826-1089
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 9:00 AM - 5:00 PM
Sun 10:00 AM - 4:00 PM
RITE AID
Provider ID:
TPV1265449102-0
1355 2nd St
Henderson, KY 42420
(270) 827-9857
Fax: (270) 826-8377
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 9:00 PM
T T Drug Store
Provider ID:
TPV1497797286-0
1331 Clay St
Henderson, KY 42420
(270) 827-3503
Fax: (270) 827-4934
00 Yrs/99 Yrs
M-F 8:00 AM - 7:00 PM
Sat 8:00 AM - 5:00 PM
Sun 12:00 AM - 5:00 PM
Walgreens
Provider ID:
TPV1457453714-0
Walgreens
402 2nd St
Henderson, KY 42420
(270) 830-6502
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Walmart Pharmacy
Provider ID:
TPV1275550691-0
1195 Barrett Blvd
Henderson, KY 42420
(270) 826-6926
Fax: (270) 826-7916
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 7:00 PM
Sun 10:00 AM - 6:00 PM
RITE AID
Provider ID:
TPV1336155639-0
517 N Green St
Henderson, KY 42420
(270) 827-1897
Fax: (270) 827-1809
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 9:00 PM
www.wellcare.com/Kentucky | 209
06/01/2016
Pharmacy
Hopkins
Retail
Bluegrass LTC Pharmacy
Provider ID:
TPV1225106057-0
1128 N Main St Ste 3
Madisonville, KY 42431
(270) 821-7335
Fax: (270) 821-7382
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 3:00 PM
Bluegrass Pharmacy
Provider ID:
TPV1437158730-0
1128 N Main St
Madisonville, KY 42431
(270) 825-2775
Fax: (270) 825-0413
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 3:00 PM
CVS
Provider ID:
TPV1740383488-0
920 N Main St
Madisonville, KY 42431
(270) 825-4770
Fax: (270) 824-9139
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Don Peeler Pharmacy
Provider ID:
TPV1235273467-0
127 E North St
Madisonville, KY 42431
(270) 821-5440
Fax: (270) 825-3924
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 2:00 PM
Hanson Pharmacy and
Wellness Cntr LLC
Provider ID:
TPV1255381646-0
7455 Hanson Rd
Hanson, KY 42413
(270) 322-1234
Fax: (270) 322-1235
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 1:00 PM
Hometown RX
Provider ID:
TPV1720190671-0
728 S Main St
Madisonville, KY 42431
(270) 821-8500
Fax: (270) 821-8396
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 2:00 PM
King Drug and Home
Care
Provider ID:
TPV1912947664-0
444 S Main St
Madisonville, KY 42431
(270) 821-4999
Fax: (270) 821-0070
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 5:00 PM
Kroger
Provider ID:
TPV1700810520-0
540 Island Ford Rd
Madisonville, KY 42431
(270) 821-0692
Fax: (270) 825-5042
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 6:00 PM
Sun 12:00 AM - 6:00 PM
Mikes Pharmacy
Provider ID:
TPV1780015461-0
126 S Lt Todd Jr Hwy
Earlington, KY 42410
(270) 905-4046
Fax: (270) 905-4047
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
Nortonville Pharmacy
Provider ID:
TPV1336497031-0
102 Greenville Rd
Nortonville, KY 42442
(270) 676-8268
Fax: (270) 676-8205
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
RITE AID
Provider ID:
TPV1780793265-0
86 Madison Square Dr
Madisonville, KY 42431
(270) 821-5811
Fax: (270) 825-4908
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 9:00 PM
Walgreens
Provider ID:
TPV1366625782-0
Walgreens
1801 N Main St
Madisonville, KY 42431
(270) 821-0377
00 Yrs/99 Yrs
M-F 8:00 AM - 10:00 PM
Sat 9:00 AM - 6:00 PM
Sun 10:00 AM - 6:00 PM
www.wellcare.com/Kentucky | 210
Walgreens
Provider ID:
TPV1194966721-0
Walgreens
679 S Main St
Madisonville, KY 42431
(270) 825-1541
00 Yrs/99 Yrs
M-F 8:00 AM - 10:00 PM
Sat 9:00 AM - 6:00 PM
Sun 10:00 AM - 6:00 PM
Walmart Pharmacy
Provider ID:
TPV1457378879-0
1756 E Center St
Madisonville, KY 42431
(270) 821-4031
Fax: (270) 825-3104
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 7:00 PM
Sun 10:00 AM - 6:00 PM
Woodburn Pharmacy
LLC
Provider ID:
TPV1063507648-0
400 E Arcadia Ave
Dawson Springs, KY
42408
(270) 797-2761
Fax: (270) 797-3473
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 1:00 PM
06/01/2016
Pharmacy
McLean
Retail
Pooles Pharmacy Care
Provider ID:
TPV1972695427-0
311 Henton St
Livermore, KY 42352
(270) 278-5537
Fax: (270) 278-5539
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
Pooles Pharmacy Care
Health Solution
Provider ID:
TPV1760883862-0
104 E 4th St
Livermore, KY 42352
(270) 278-5252
Fax: (270) 278-2110
00 Yrs/99 Yrs
MT 10:00 AM - 3:00 PM
RITE AID
Provider ID:
TPV1144339623-0
115 State Rte 81 N
Calhoun, KY 42327
(270) 273-5202
Fax: (270) 273-5241
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 9:00 PM
Sacramento Pharmacy
Provider ID:
TPV1306198601-0
750 Main St State Hwy
81
Sacramento, KY 42372
(270) 736-2999
Fax: (270) 736-2299
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 1:00 PM
www.wellcare.com/Kentucky | 211
06/01/2016
Pharmacy
Muhlenberg
Retail
Central City Clinic
Pharmacy
Provider ID:
TPV1679660823-0
203 N 2nd St
Central City, KY 42330
(270) 754-4300
Fax: (270) 754-9881
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 1:00 PM
Clinic Pharmacy South
Provider ID:
TPV1063553345-0
3959 US Hwy 431 S
Beechmont, KY 42323
(270) 476-3600
Fax: (270) 476-3100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Greenville Pharmacy
Provider ID:
TPV1386731537-0
117 N Main St
Greenville, KY 42345
(270) 338-7300
Fax: (270) 338-3807
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 1:00 PM
Medical Center
Pharmacy, Inc
Provider ID:
TPV1912065087-0
1010 Medical Center Dr
Powderly, KY 42367
(270) 338-9993
Fax: (270) 338-9903
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Muhlenberg Community Walmart Pharmacy
Hospital
Provider ID:
Provider ID:
TPV1720005143-0
TPV1629097779-0
1725 W Everly Brothers
440 Hopkinsville St
Blvd
Greenville, KY 42345
Central City, KY 42330
(270) 338-8406
(270) 754-3924
Fax: (270) 338-8407
Fax: (270) 754-1889
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 7:00 AM - 5:00 PM
M-F 9:00 AM - 9:00 PM
Sat-Sun 8:00 AM - 4:00
Sat 9:00 AM - 7:00 PM
PM
Sun 10:00 AM - 6:00 PM
Pooles Pharmacy Care
Provider ID:
TPV1639190093-0
102 W Broad St
Central City, KY 42330
(270) 754-1545
Fax: (270) 754-9069
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
Pooles Pharmacy Care
Provider ID:
TPV1912305764-0
159 S Main St
Greenville, KY 42345
(270) 338-6060
Fax: (270) 338-5060
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 9:00 AM - 2:00 PM
RITE AID
Provider ID:
TPV1336258805-0
201 S Main St
Greenville, KY 42345
(270) 338-4241
Fax: (270) 338-5558
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 9:00 PM
www.wellcare.com/Kentucky | 212
06/01/2016
Pharmacy
Ohio
Retail
Freds Pharmacy
Provider ID:
TPV1528367182-0
1102 S Main St
Hartford, KY 42347
(270) 298-7688
Fax: (270) 298-9338
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 3:00 PM
King Drug and Home
Care
Provider ID:
TPV1366484826-0
312 S Main St
Hartford, KY 42347
(270) 298-3278
Fax: (270) 298-3290
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 1:00 PM
Midtown Pharmacy
Express LLC
Provider ID:
TPV1932442266-0
500 N Main St
Beaver Dam, KY 42320
(270) 274-9224
Fax: (270) 274-9226
00 Yrs/99 Yrs
M-F 9:00 AM - 7:00 PM
Sat 10:00 AM - 6:00 PM
Rices Pharmacy
Provider ID:
TPV1598039687-0
44 W Main St
Fordsville, KY 42343
(270) 276-3150
Fax: (270) 274-3340
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Walmart Pharmacy
Provider ID:
TPV1891712113-0
1701 N Main St
Beaver Dam, KY 42320
(270) 274-4464
Fax: (270) 274-4564
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 7:00 PM
Sun 10:00 AM - 6:00 PM
Whitesville Drug Store
Provider ID:
TPV1134270119-0
10053 Main St
Whitesville, KY 42378
(270) 233-4166
Fax: (270) 233-0143
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 1:00 PM
Rice Drugs Inc
Provider ID:
TPV1962406421-0
1209 N Main St
Beaver Dam, KY 42320
(270) 274-3318
Fax: (270) 274-3340
00 Yrs/99 Yrs
Languages: Spanish
www.wellcare.com/Kentucky | 213
06/01/2016
Pharmacy
Todd
Retail
Weathers Drugs
Provider ID:
TPV1669519112-0
44 Public Sq
Elkton, KY 42220
(270) 265-2155
Fax: (270) 265-2460
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 3:00 PM
www.wellcare.com/Kentucky | 214
06/01/2016
Pharmacy
Trigg
Retail
Freds Pharmacy
Provider ID:
TPV1083088512-0
1938 Main St
Cadiz, KY 42211
(270) 522-3211
Fax: (270) 522-5479
00 Yrs/99 Yrs
MTWTHFSat 9:00 AM 6:00 PM
Hospital Street
Pharmacy Inc
Provider ID:
TPV1194719096-0
11 Hospital St
Cadiz, KY 42211
(270) 522-3441
Fax: (270) 522-1616
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 1:00 PM
Save-On Drugs Inc
Provider ID:
TPV1194830125-0
266 Main St
Cadiz, KY 42211
(270) 522-3211
Fax: (270) 522-5479
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
www.wellcare.com/Kentucky | 215
06/01/2016
Pharmacy
Union
Retail
Clements Pharmacy
Provider ID:
TPV1992885842-0
225 N Morgan St
Morganfield, KY 42437
(270) 389-2440
Fax: (270) 389-2494
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 4:00 PM
Walmart Pharmacy
Provider ID:
TPV1710904032-0
901 US Hwy 60 E
Morganfield, KY 42437
(270) 389-2423
Fax: (270) 389-2460
00 Yrs/99 Yrs
M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 7:00 PM
Sun 10:00 AM - 6:00 PM
Corner Drug Store of
Sturgis LLC
Provider ID:
TPV1710929054-0
424 N Adams St
Sturgis, KY 42459
(270) 333-5341
Fax: (270) 333-4513
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 2:00 PM
RITE AID
Provider ID:
TPV1598874075-0
408 N Morgan St
Morganfield, KY 42437
(270) 389-4556
Fax: (270) 389-9496
00 Yrs/99 Yrs
MTWTHFSatSun 9:00
AM - 9:00 PM
Sturgis Pharmacy
Provider ID:
TPV1649355934-0
523 N Adams St
Sturgis, KY 42459
(270) 333-4672
Fax: (270) 333-4478
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
www.wellcare.com/Kentucky | 216
06/01/2016
Pharmacy
Webster
Retail
Bells Drugs Store
Provider ID:
TPV1336239383-0
7107 State Rte 56 E
Sebree, KY 42455
(270) 835-7544
Fax: (270) 835-2226
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 12:00 PM
Clay Drug Store Inc
Provider ID:
TPV1740397876-0
9055 State Rte 132 W
Clay, KY 42404
(270) 664-2270
Fax: (270) 664-6633
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
CVS
Provider ID:
TPV1013010768-0
Hwy 41-A Rte 1 Box 488
Providence, KY 42450
(270) 667-7031
Fax: (270) 667-9254
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Thrifty Pharmacy
Provider ID:
TPV1255478434-0
127 E Main St
Providence, KY 42450
(270) 667-2049
Fax: (270) 667-7230
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 2:00 PM
www.wellcare.com/Kentucky | 217
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.
Afrikaans
Family Practice
Spilkin, Simon MD
Arabic
Internal Medicine
Salamah, Ramez MD
Yousef, Bassam MD
Nurse Practitioner
Pierce, Beth APRN
Pierce, Beth ARNP
Punjabi
Nephrology
Ali, Shaukat MD
Psychiatry
Patel, Deepak MD
Pediatrics
Singh, Poonam MD
Hindi
Pulmonary Disease
Gondal, Muhammad MD
Chinese
Cardiology
Kapadia, Deepak MD
Maternal Fetal Medicine
How, Helen MD
Clinical Neurophysiology
Sheth, Paresh MD
Family Practice
Henson, Tara MD
Czech
Family Practice
Lineberry, Tristan MD
Nephrology
Roginek, Ivan MD
Medical Oncology
Husain, Arshad MD
Sindhi
Cardiology
Kapadia, Deepak MD
Nurse Practitioner
Pierce, Beth ARNP
French
Neurology
Shah, Satish MD
Sheth, Paresh MD
Nurse Practitioner
James, Mary APRN
Pierce, Beth APRN
Pierce, Beth ARNP
Pediatrics
Singh, Poonam MD
Obstetrics/Gynecology
Deeter, Dawn MD
German
Cardiology
Kapadia, Deepak MD
Nurse Practitioner
Keith, Rebecca APRN
Pierce, Beth ARNP
Physical Therapy
Shah, Ketki PT
Urology
Desai, Mukesh MD
Marathi
Medical Oncology
Husain, Arshad MD
Polish
Gujarati
Family Practice
Lineberry, Tristan MD
Clinical Neurophysiology
Sheth, Paresh MD
Federally Qualified Health Center
Lineberry, Tristan MD
Neurology
Sheth, Paresh MD
www.wellcare.com/Kentucky | 218
Serbo-Croation
Family Practice
Henson, Tara MD
Spanish
Behavioral Health Counseling
Starling, Cynthia LCSW
Cardiology
Kapadia, Deepak MD
Mathew, Roshan MD
Muldowney, James MD
Chiropractic
Nunez, Baldomero DC
Family Practice
Cole, Kelly DO
Henson, Tara MD
Lineberry, Tristan MD
Rey, Jonathan MD
Federally Qualified Health Center
Lineberry, Tristan MD
General Dentistry
Stemm, Wilson DMD
Alternate Languages Index
Spanish - cont.
General Practice
Thore, Steven MD
Licensed Clinical Social Worker
Carter, James LCSW
Robison, Marshele LCSW
Sherrill, Kimberly LCSW
Licensed Marriage and Family
Therapist
Lake, Richard LMFT
Neonatal Perinatal Medicine
Jadhav, Pushkaraj MD
Nephrology
Ali, Shaukat MD
Neuropsychology
Thore, Steven MD
Nurse Practitioner
Ball, Linda APRN
Beall, Vicky ARNP
Curry, Donna APRN
Freeman, Sherry APRN
Rose-Welborn, Donna APRN
Obstetrics/Gynecology
Deeter, Dawn MD
Good, Richard MD
Green, Thomas MD
Henderson, Myra DO
Nations Medicines
Pooles Pharmacy Care
Rice Drugs Inc
Sattellite Pharmacy
Skilled Nursing Facility
Riverside Care and Rehabilitation
Center
Signature Healthcare At Hillcrest
Tagalog
Cardiology
Kapadia, Deepak MD
Family Practice
Lineberry, Tristan MD
Federally Qualified Health Center
Lineberry, Tristan MD
Internal Medicine
Maddela, Zenaida MD
Tamil
Internal Medicine
Nadar, Vani MD
Pain Management
Nadar, Krishna MD
Urdu
Cardiac Electrophysiology
Akram, Muhammad MD
Optometry
Murray, Brian OD
Cardiology
Kapadia, Deepak MD
Psychiatry
Silva, Rogelio MD
Waggoner, David MD
Cardiovascular Surgery
Akram, Muhammad MD
Psychology
Jungblom, Rita PsyD
Retail
Bells Drugs Store
Clay Drug Store Inc
Dunaways Imperial Pharmacy
Greenville Pharmacy
King Drug and Home Care
Medical Center Pharmacy, Inc
Family Practice
Lineberry, Tristan MD
Medical Oncology
Husain, Arshad MD
Nephrology
Ali, Shaukat MD
Pulmonary Disease
Gondal, Muhammad MD
www.wellcare.com/Kentucky | 219
Vietnamese
Cardiology
Kapadia, Deepak MD
Family Practice
Lineberry, Tristan MD
Pediatrics
Tran, Maggie MD
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
Christian
Daviess
Hopkins
Muhlenberg
Ambulatory Surgery Center
Christian
Daviess
Muhlenberg
Daviess
Henderson
30 Hopkins
37 Muhlenberg
73 Trigg
84 Cardiovascular Surgery
Hopkins
37, 38, 39
66
73, 74
84
94
D
Dermatology
Christian
Daviess
Dialysis
Christian
74 Daviess
Hopkins
74 Trigg
30
40
139
141
145
151
139 Child Neurology
141 Hopkins
148
Children With Special Health Care Distinct Part Unit Rehab
Needs
Audiology
Daviess
115
161
Hopkins
185 Daviess
Durable Medical Equipment
Chiropractic
B
Christian
139
Christian
30 Daviess
141, 142
Behavioral Health Counseling
Daviess
39 Henderson
144
Christian
106 Henderson
66 Hopkins
145
Daviess
115 Hopkins
74 McLean
147
Henderson
123 Muhlenberg
84 Muhlenberg
148
Hopkins
126 Union
96 Ohio
149
McLean
130
Trigg
151
Muhlenberg
131 Clinic
Union
152
139
Union
135 Christian
153
141 Webster
Webster
137 Daviess
Henderson
144 E
Behavioral Health Facility
Todd
150
Christian
106
Ear, Nose & Throat
Clinical
Neurophysiology
Henderson
123
Christian
31
Christian
106 Daviess
40
C
Henderson
66, 67
Community Health Center
Cardiac Electrophysiology
Hopkins
74
Hopkins
145
Christian
30
Muhlenberg
84
Henderson
66 Critical Access Hospital
Ohio
90
Daviess
161
Hopkins
73
Diabetes,
179 Endocrinology,
Trigg
94 Henderson
Metabolism
Hopkins
185 Daviess
40
Cardiac Monitoring
Ohio
103 Henderson
67
Henderson
144 Trigg
104 Hopkins
75
Union
105, 202 Muhlenberg
Cardiology
85
Christian
30
www.wellcare.com/Kentucky | 220
Specialty Provider At-A-Glance
E - cont.
Epsdt Special Services
Christian
Daviess
Hopkins
Trigg
Muhlenberg
Ohio
139
142
145
151
F
Family Planning
Christian
Daviess
Henderson
McLean
Muhlenberg
Ohio
Todd
Trigg
Union
Webster
139
142
144
147
148
149
150
151
152
153
Family Practice
Christian
Daviess
Hancock
Henderson
Hopkins
McLean
Muhlenberg
Ohio
Todd
Trigg
Union
Webster
1
4, 5
9
10, 11
14, 15, 16
19
20, 21, 192
23, 24
25
26, 201
27
28
Federally Qualified Health Center
Christian
2
Daviess
5
Henderson
11
Muhlenberg
21
Trigg
26
Webster
28
G
Gastroenterology
Christian
Daviess
Henderson
Hopkins
General Dentistry
Christian
Daviess
Hancock
Henderson
Hopkins
McLean
Muhlenberg
Ohio
Trigg
Union
Webster
General Practice
Christian
Henderson
Hopkins
Trigg
General Surgery
Christian
Daviess
Henderson
Hopkins
Muhlenberg
Ohio
Union
Geriatric Medicine
Henderson
McLean
Webster
H
Hand Surgery
Daviess
Hematology & Oncology
Christian
Daviess
Hopkins
Muhlenberg
Ohio
31
40 HIV/AIDS
67 Daviess
75
85
Home Health Care
90
Christian
Daviess
31 Henderson
40, 41 Hopkins
65 Muhlenberg
67 Ohio
75, 76 Trigg
83 Union
85
Hospice
90
Daviess
94
Henderson
96
Hopkins
97
Ohio
Hospital
2
Christian
12
Daviess
16
Henderson
26
Hopkins
Muhlenberg
31, 32
I
41, 42, 43
67, 68 Infectious Disease
76 Daviess
85, 86 Henderson
90
Infusion Therapy
96
Ohio
139
142
144
145
148
149
151
152
142
144
145
149
98
99
100
101
102
44, 161
179
149
Internal Medicine
68
Christian
2
83
Daviess
5, 6
97
Hancock
9
Henderson
12
Hopkins
16, 17
McLean
19
43
Muhlenberg
21
Todd
25
32 Trigg
26
43, 44
L
76
86 Laboratory Pathology Testing
90 All
138
Daviess
142
Hopkins
145
44
www.wellcare.com/Kentucky | 221
Specialty Provider At-A-Glance
L - cont.
Henderson
69
Hopkins
77
Licensed Clinical Social Worker
86
Christian
106, 107, 108, 109, 110, 111 Muhlenberg
Trigg
94
Daviess
115, 116, 117
Hancock
122 Neurology
Henderson
123 Christian
33
Hopkins
126, 127 Daviess
45, 46
McLean
130 Henderson
69
Muhlenberg
131, 132 Hopkins
77
Ohio
133
Todd
134 Neuropsychology
113
Union
135 Christian
Neurosurgery
Licensed Marriage and Family
Christian
33
Therapist
Daviess
46
Christian
111
78
Daviess
117 Hopkins
Hopkins
127, 128 Nuclear Radiology
Muhlenberg
132 Muhlenberg
87
Licensed Professional Counselor
Nurse Midwife
Christian
111, 112, 113 Daviess
161
Daviess
117, 118, 119 Hopkins
185
Henderson
124
Hopkins
128, 129 Nurse Practitioner
154, 155, 156, 157, 158
McLean
130 Christian
Daviess
Muhlenberg
132
Union
135, 136 161, 162, 163, 164, 165, 166, 167, 168,
Webster
137 169, 170, 171
Hancock
177
M
Henderson
179, 180, 181, 182, 183
Hopkins
185,
186, 187, 188, 189
Maternal Fetal Medicine
191
Christian
32 McLean
Muhlenberg
192,
193
Daviess
44
Ohio
195, 196, 197, 198
Medical Oncology
Todd
199
Daviess
44 Trigg
201
Henderson
68 Union
202
Hopkins
76, 77 Webster
203, 204
Ohio
90
O
N
Obstetrics/Gynecology
Neonatal Perinatal Medicine
Christian
2, 33
Daviess
44, 45 Daviess
6, 7, 46, 47
Henderson
68 Henderson
12, 69, 183
Hopkins
17, 78
Nephrology
87
Christian
32 Muhlenberg
Ohio
90
Daviess
45
www.wellcare.com/Kentucky | 222
Trigg
Union
Webster
94
27
29
Occupational Medicine
Christian
33
Occupational Therapy
Daviess
Hopkins
171
189
Ophthalmology
Christian
Daviess
Henderson
Hopkins
33
47, 48
69
79
Optician
Christian
Optometry
Christian
Daviess
Hancock
Henderson
Hopkins
McLean
Muhlenberg
Ohio
Todd
Trigg
Union
33
33, 34
48, 49, 50, 51, 52, 53
65
70
79
83
87
90
93
94, 95
96
Oral & Maxillofacial Surgery
Daviess
Henderson
Hopkins
53
70
79
Orthodontics
Christian
Daviess
Hancock
34
53
65
Orthopaedic Surgery
Christian
Daviess
Henderson
Hopkins
Muhlenberg
Orthotics & Prosthetics
Christian
34, 35
53, 54, 55
70
79, 80
87, 88
139
Specialty Provider At-A-Glance
O - cont.
Hopkins
81
Physical Medicine & Rehabilitation
Muhlenberg
88
Orthotics & Prosthetics - cont.
Daviess
59
Todd
93
Daviess
142 Henderson
71
R
P
Physical Therapy
Christian
158, 159 Radiation Oncology
Pain Management
171, 172, 173 Daviess
61
Christian
158 Daviess
Hopkins
190
Henderson
71
Daviess
55
194 Hopkins
81, 82
Henderson
70 Muhlenberg
Ohio
198
Muhlenberg
88
Hopkins
80
199, 200
Muhlenberg
88 Todd
Radiology - Interventional &
Vascular
Physician Assistant
Pediatric Cardiology
88
159, 160 Muhlenberg
Daviess
55, 56 Christian
173, 174, 175, 176 Rehabilitation Facility
Henderson
71 Daviess
Hancock
178 Daviess
143
Hopkins
80
Henderson
183, 184
Pediatric Dentistry
Hopkins
190 Retail
205
Christian
140 Muhlenberg
194 Christian
206, 207
Daviess
142, 143 Ohio
198 Daviess
Hancock
208
Henderson
144 Trigg
201
Henderson
209
Hopkins
145, 146
Plastic & Reconstructive Surgery
Hopkins
210
Pediatric Endocrinology
Christian
35 McLean
211
Daviess
56 Daviess
59 Muhlenberg
212
Ohio
213
Pediatric Gastroenterology
Podiatry
Todd
214
Daviess
57 Christian
35
215
Henderson
71 Daviess
59, 60 Trigg
Union
216
Henderson
71
Pediatric Hematology/Oncology
Webster
217
Hopkins
81
Daviess
57
Rheumatology
Hopkins
80 Primary Care Center
61
Muhlenberg
22, 148, 194 Daviess
Pediatric Psychiatry
Rural Health Center
Hopkins
129 Psychiatry
148
Christian
113, 114 Muhlenberg
Pediatrics
25, 150
120 Todd
Christian
3, 158 Daviess
Trigg
26
124
Daviess
7, 8, 58, 59 Henderson
Union
152
Henderson
12, 13, 71 Psychology
Hopkins
17, 18, 81 Christian
114 S
McLean
19 Daviess
120, 121 Skilled Nursing Facility
Muhlenberg
21, 22, 194 Henderson
124, 125 Daviess
143
Todd
25 Hopkins
129 McLean
147
Webster
29 Muhlenberg
132
Sleep Medicine
Pediatrics Behavioral and
Pulmonary Disease
Christian
35, 160
Developmental
Christian
35 Daviess
61
Daviess
120 Daviess
60, 61 Hopkins
82
Henderson
71
www.wellcare.com/Kentucky | 223
Specialty Provider At-A-Glance
S - cont.
Sleep Medicine - cont.
Muhlenberg
Ohio
Todd
88
91
93
Speech Therapy
Christian
Daviess
Henderson
160
176
184
Sports Medicine
Christian
Daviess
35, 36
61
T
Thoracic & Cardiovascular Surgery
Christian
36
Daviess
62
Henderson
71
Hopkins
82
Thoracic Surgery
Daviess
62
U
Urgent Care Center
Henderson
Hopkins
Urology
Christian
Daviess
Henderson
Hopkins
Muhlenberg
Ohio
144
146
36
62, 63, 64
72
82
88
91, 92
V
Vascular Surgery
Daviess
Henderson
Muhlenberg
Ohio
64
72
89
92
www.wellcare.com/Kentucky | 224
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.
Christian
McCarty, Sylvia LCSW
109
Retail
Schmitt, Stefanie LCSW
109
Behavioral Health Counseling
Cayces Eagle Way Pharmacy
205
Tomlinson,
Tina
LCSW
110
McCarty, Sylvia LCSW
106
Cayces Pharmacy
205
Williams, Courtney LCSW
111
Crofton
Pharmacy
205
Behavioral Health Facility
Marriage and Family
Kroger
205
Cumberland Hall
106 Licensed
Therapist
RITE
AID
205
Western State Hospital
106 McMican, William LMFT
111 Sattellite Pharmacy
205
Chiropractic
Save
More
Drugs
205
Licensed Professional Counselor
Grant, Billy DC
30 Boyd, Zane LPC
205
112 Toms Family Pharmacy
Pound, Robert DC
30 Morse, Rebecca LPC
Towne
Country
Discount
Drugs
112
205
Radford, Anthony LPC
113
Clinic
Walgreens
205
Walker, Haley LPC
113
Jennie Stuart Medical Center
Walmart Pharmacy
205
Convenient
139 Nurse Practitioner
Western State Hospital Pharmacy
Brown, Sandra APRN
154
Dialysis
205
154
Christian County Dialysis
139 Childers, Mandy APRN
154 Speech Therapy
Hopkinsville Dialysis
139 Cook, Leslie APRN
160
Dillard, Mary APRN
155 McGinnis, Sarah SLP
Durable Medical Equipment
Herman, Vicki APRN
155 Daviess
Pennyrile Home Medical
139 Kaylor, Jewell APRN
156
Moody,
Chelcia
APRN
156 Behavioral Health Counseling
Family Practice
115
156 Barker, Gary LPC
Bansal, Purnima MD
1 Naghtin, Ellry APRN
Garrard,
Brent
LPC
115
156
Blewett, Patricia MD
1 Nelson, Jennifer CNP
Stevens, Margaret ARNP
158 Cardiology
Gastroenterology
Gregor, Peter MD
37
Riggs, Jeffrey DO
31 Ophthalmology
General Practice
Davis, Hunter MD
Hospital
Jennie Stuart Medical Center
Internal Medicine
Budhan, Jerome MD
Herrell, Paul MD
2 Optometry
Bastin, Robert OD
Brewer, Landon OD
98 Heltsley, John OD
Pediatrics
2 Campbell, Duncan MD
Licensed Clinical Social Worker
Brook, James LCSW
106
Davis, Mary LCSW
107
Felts, Pamela LCSW
108
Lloyd, Courtney LCSW
109
Physical Therapy
Perry, Carrie PT
Psychology
Taylor, Alicia PsyD
33 Chiropractic
Miller, Clyde DC
33 Tinius, Larry DC
33 Wittwer, Lance DC
39
39
39
34 Dialysis
Owensboro Dialysis Center
141
3 Distinct Part Unit Rehab
Owensboro Health Regional
159 Hospital Rehab
115
Durable Medical Equipment
114 Ck Lewis Enterprises Inc
Danhauer Drug Co Inc
141
141
www.wellcare.com/Kentucky | 225
Extended Hours Index
Daviess - cont.
Occupational Therapy
Durable Medical Equipment - cont. Lynn, Dale OT
Lincare Respiratory and DME
Venditti, Tricia OT
-Owensboro
141
Medi Home Care
141 Ophthalmology
Pooles Pharmacy Care Inc
141 Jones, David MD
Shoe Stop Inc
142 McCormack, Daniel DO
Optometry
Endocrinology, Diabetes,
Adams, John OD
Metabolism
Bibi, Zouhair MD
40 Ahmad, Bilal OD
Beauchamp, Johnathan OD
General Dentistry
Burt, Kevin OD
Pendley, Jason DMD
41 Busey, Lannie OD
Case, Michael OD
Hospital
Chatham, Kaley OD
Owensboro Health Regional
Hospital
99 Coleman, Justin OD
Crockett, Jason OD
Licensed Clinical Social Worker
Eger, Michael OD
Greenwell, Karon LCSW
116 Green, Rebecca OD
Lyles, Lonnie LCSW
116 Hamilton, Robert OD
Matthews, Barbie LCSW
116 Heck, Charles OD
Meacham, Victoria LCSW
117 Horton, Davea OD
Ratliff, Staci LCSW
117 Jones, John OD
Kailey, Manavjeet OD
Licensed Professional Counselor
Barker, Gary LPC
117 Krahwinkel, Jodi OD
Birch, Corey LPC
117 Lawrence, Stephen OD
Conley, Kelly LPC
118 Martin, Elizabeth OD
Crisp, Hollie LPC
118 Meyer, Christopher OD
Evans, Kerry LPC
118 Montalvo, Noemi OD
Fraust, Kelly LPC
118 Nagatoshi, Raymond OD
Harris, Arvel LPC
119 Nolan-Rose, Laura OD
Kelley, Jarred LPC
119 Novotny, Patrick OD
Miller-Simone, Bree LPC
119 Oliver, Crystal OD
Moons, Christopher LPC
119 Oliver, Heather OD
Rasnake, Robert LPC
119 Omar, Rashid OD
Richardson, Whitney LPC
119 Pardon, Henry OD
Wilson Casteel, Gara LPC
119 Robertson, Paul OD
Rogers, Brian OD
Nurse Practitioner
Sanders, Vaughn OD
Braun, Jacqueline APRN
161 Seavers, Amy OD
Holbrook, Tina APRN
165 Shake, Steven OD
Johnson, Lacey APRN
166 Shields, Michael OD
Kimberlin, Melissa APRN
166 Sisley, Joseph OD
Mefford, Harriet APRN
167 Skillman, Jon OD
Pendleton Sr, Michael APRN
167 Smith, Stephen OD
Salkic, Suvada APRN
169 Spear, Steven OD
Wolfe, Malea APRN
170 Taylor, Terri OD
Traylor, Marty OD
Ward, Homer OD
171
Ward-Adams, Patricia OD
171
Wolf, Nicholas OD
53
53
53
53
Pain Management
47
Lee, Jason MD
55
48
Pediatric Cardiology
Alexander, Craig MD
55
48
48 Physician Assistant
48 Rhodes, Ada PA
175
48
Psychiatry
48
Jackson, Willie MD
120
48
48 Psychology
49 Lear, Susan PsyD
120
49
Retail
49
Danhauer Drugs
206
49
Emory Centre Pharmacy
206
49
King Drug Home Care
206
49
Kroger
206
49
Lincoln Pharmacy Inc
206
49
Nations Medicines
206
50
Owensboro Family Pharmacy and
50
Wellness
206
50
Owensboro Health Outpatient
50
Pharmacy
206
50
Pooles Pharmacy Care
206
50
RITE AID
206, 207
50
Target
207
50
Walgreens
207
50
Walmart Pharmacy
207
51
51 Skilled Nursing Facility
51 Signature Healthcare At Hillcrest
51
143
51
Hancock
51
51 General Dentistry
51, 52 Allen, Walton DMD
65
52
Licensed Clinical Social Worker
52
McFarling, Jessica LCSW
122
52
52 Nurse Practitioner
52 Estes, Jessica ARNP
177
52
52
www.wellcare.com/Kentucky | 226
Extended Hours Index
Hancock - cont.
Retail
Freds Pharmacy
Henderson
Chiropractic
Nunez, Baldomero DC
Hopkins
Chiropractic
208 Cranor, Robert DC
Dialysis
Madisonville Dialysis Center
66 Durable Medical Equipment
Bluegrass Home Medical
Durable Medical Equipment
Hometown RX
Dunaways Imperial Pharmacy 144
Thrifty Home Medical
T and T Drug Stores Inc
144
Epsdt Special Services
Family Practice
Baptist Health Home Care
Chappell, Brandon DO
10
Lee, Carlton DO
11 Family Practice
Alexis, Brian DO
Home Health Care
Johnson, Beverly MD
Methodist Hospital Homecare 144
Uddin, Faiz MD
Hospice
Vincent, Thomas DO
Lucy Smith King Care Center
144
General Dentistry
Hospital
Littlepage, Randall DMD
Methodist Hospital
100 Roy, John DMD
74
145
145
145
145
145
14
15
16
16
Pediatric Psychiatry
Suess, Lawrence DO
129
Psychology
Jungblom, Rita PsyD
129
Retail
Bluegrass LTC Pharmacy
Bluegrass Pharmacy
Don Peeler Pharmacy
Hanson Pharmacy and Wellness
Cntr LLC
Hometown RX
King Drug and Home Care
Kroger
Mikes Pharmacy
RITE AID
Walgreens
Walmart Pharmacy
Woodburn Pharmacy LLC
210
210
210
210
210
210
210
210
210
210
210
210
75 McLean
75
Durable Medical Equipment
Licensed Clinical Social Worker
Home Health Care
Pooles Pharmacy Care Inc
147
Fox, Kelli LCSW
123 Baptist Health Home Care
145
Retail
Matthews, Barbie LCSW
123
Hospital
Pooles Pharmacy Care
211
Wham, Steven LCSW
123
Baptist Health Madisonville
101 RITE AID
211
Licensed Professional Counselor
Sacramento
Pharmacy
211
Licensed Professional Counselor
Jankura, Lauren LPC
124
Boyken, Deidra LPC
128 Skilled Nursing Facility
Miller-Simone, Bree LPC
124
Gary Cheirs, Shellie LPC
128 Riverside Care and Rehabilitation
Nurse Practitioner
Center
147
Nurse Practitioner
Fulcher, Brittney APRN
180
Carpenter, Dawn APRN
185 Muhlenberg
Wolfe, Malea APRN
183
Harris, Peggy APRN
186
Optometry
Hendrickson, Cassaidy APRN
187 Durable Medical Equipment
148
Cottingham, Robert OD
70 Hensley, Carmel APRN
187 Pooles Pharmacy Care
Hagedorn, Gregory OD
Stoltz, Eric OD
Retail
Dunaways Imperial Pharmacy
KMART
RITE AID
T T Drug Store
Walmart Pharmacy
70 Holt, Faith APRN
70 Jaynes, Leslie APRN
Mosley, Janet APRN
Pennington, Rebecca ARNP
209
Robison, Regina APRN
209
Swanner, Kevin APRN
209
West, Lorrie APRN
209
Young, Teresa APRN
209
Optometry
Schertzinger, John OD
Stoltz, Eric OD
187
187
187
188
188
189
189
189
General Dentistry
Eades, William DMD
Fritsch, Timothy DMD
Hospital
Owensboro Health Muhlenberg
Community Ho
102
Nuclear Radiology
Davis, Mark MD
79 Nurse Practitioner
79 Newman, Lisa APRN
www.wellcare.com/Kentucky | 227
85
85
87
193
Extended Hours Index
Muhlenberg - cont.
Rice Drugs Inc
213
Walmart
Pharmacy
213
Optometry
213
Coats, Adam OD
87 Whitesville Drug Store
Soderling, John OD
87 Todd
Tarter, Larry OD
87
Family Practice
Radiation Oncology
Campbell, Mark MD
25
Cobb, Mariel MD
88
Internal Medicine
Retail
Chavda, Geeta MD
25
Central City Clinic Pharmacy
212
Greenville Pharmacy
212 Nurse Practitioner
Dossett, Ashley APRN
199
Muhlenberg Community Hospital
199
212 Foster, Stephanie APRN
McClain,
David
APRN
199
Pooles Pharmacy Care
212
RITE AID
212 Pediatrics
Walmart Pharmacy
212 Kumaravelu, Kumarisooriyar MD 25
Urology
Dougherty, Hugh MD
Ohio
Critical Access Hospital
Ohio County Hospital
Ear, Nose & Throat
Knox, Robert MD
Pulmonary Disease
88 Chavda, Sanjay MD
Retail
Weathers Drugs
103 Sleep Medicine
Chavda, Sanjay MD
90 Trigg
Critical Access Hospital
Methodist Hospital Union
105
Durable Medical Equipment
Clements Drug
152
Retail
Clements Pharmacy
216
Corner Drug Store of Sturgis LLC
216
RITE AID
216
Sturgis Pharmacy
216
Walmart Pharmacy
216
Webster
Durable Medical Equipment
Thrifty Home Medical
Family Practice
93 Crump, William MD
153
28
Federally Qualified Health Center
214 Crump, William MD
28
Retail
93 Bells Drugs Store
Clay Drug Store Inc
Thrifty Pharmacy
Family Practice
Luceno, Gilbert MD
Critical Access Hospital
23 Trigg County Hospital
104
General Dentistry
Stemm, Wilson DMD
Dialysis
90 FMC Trigg County
151
Hospice
Hospice of Ohio County
Durable Medical Equipment
149 Pennyrile Home Medical
151
Nurse Practitioner
Bratcher, Tommy APRN
Sanders, Jason APRN
Taylor, Tabitha APRN
Thiesse, Kathy APRN
Federally Qualified Health Center
195 Trigg County Hospital
26
197
197 Nurse Practitioner
201
197 Toliver, Laura APRN
Weatherspoon, Christopher APRN
Physical Therapy
201
Davis, Roger PT
198
Fuller, David PT
198 Retail
Freds Pharmacy
215
Retail
Hospital Street Pharmacy Inc 215
Freds Pharmacy
213
King Drug and Home Care
213 Union
Midtown Pharmacy Express LLC
Chiropractic
213 Baker, Jeremy DC
96
www.wellcare.com/Kentucky | 228
217
217
217
Provider Index
A
Abel, Ryan MD
61
Abney, Jerry OT
171
Acord, Timothy DDS
79
Acumen Counseling Services
115
Adams, John OD
48
Adams, Robert MD
62
Adkins, James PT
171
Adkisson, Amy PA
159
Adler, Lorraine APRN
192
Advanced Home Medical
139
Ahmad, Bilal OD
48
Ahnell, Kirsten PA
173, 183
Akram, Muhammad MD
73, 74
Alexander, Craig MD
55
Alexis, Brian DO
4, 14
Alford, Kenneth DMD
90
Ali, Shaukat MD
94
Aljabi, Maria MD
71
Aljajeh, Mouhab MD
69
All Care Home Health
141
Allen, Nicole APRN
161
Allen, Richard DMD
34
Allen, Walton DMD
65
Alley-Newton, Teri DMD
40
Amedisys Home Health Care
Owensboro
142
Amundson, Craig MD
16
Andersen, Robert MD
62
Anderson, Edward DPM
71
Aoun, Gaby MD
37
Arias, Jose MD
46
Armstrong, Aubrey MD
31, 85
Armstrong, James MD
31, 76
Arora, Anil MD
84
Assefa, Getu MD
73, 84
B
Badgett, Choctaw DMD
Baker, Jeremy DC
Ball, Linda APRN
Bandy, Eric MD
Bansal, Purnima MD
Banuru, Sridhar MD
Baptist Health Home Care
Baptist Health Hospice
Baptist Health Madisonville
Bardini, John MD
65
96
185
21
1
66
145
145
101
88
Barker, Gary LPC
115, 117
Barker, Tracey APRN
192
Barrineau, Rhonda APRN
192
Barringer, Tonya PT
171
Bashian, Gregory MD
30
Bastin, Robert OD
33
Beach, Melissa OT
171
Beall, Vicky ARNP
154, 192
Bealle, David DO
34, 35
Bealle, David MD
34, 35
Beam, Sarah APRN
199
Beard, Jay DMD
67
Beauchamp, Johnathan OD
48
Beickman, Kristopher MD
69
Bell Clinic PLLC
150
Bell, Bradley MD
62, 91
Bell, Summer LCSW
115
Bells Drugs Store
217
Bharadia, Mohamed OD
48
Bhasin, Vijay MD
69, 77
Bibb, Karen MD
44, 58
Bibi, Zouhair MD
40, 67
Birch, Corey LPC
117
Black, Carrie APRN
185
Blewett, Patricia MD
1
Block, Stephanie MD
45
Block, Steven DPM
59
Bluegrass Home Medical
145
Bluegrass LTC Pharmacy
210
Bluegrass Pharmacy
145, 210
Boarman, Linda APRN
161, 191
Boehman, Marla LCSW
115
Boles, Shafe MD
43, 53
Booker, Kerri APRN
161
Booth, Robin PA
174
Boothe, Kristin APRN
161, 179
Bossuah, Kwaghdoo APRN
154, 185, 192
Bostick, David OD
94
Bowles, James MD
14
Bowling, Aja OD
48
Bowling, Joseph OD
48
Boyd, Zane LPC
111, 112, 128, 132
Boyken, Deidra LPC 117, 124, 128, 135
Bradley, Jeremy MD
4
Branson, Joanne LPC
118, 124, 128, 137, 161, 179, 185, 202
www.wellcare.com/Kentucky | 229
Bratcher, Tommy APRN
195
Braun, Carol DDS
142
Braun, Jacqueline APRN
161, 179
Brazil, James MD
26
Bressler, Robert MD
30
Brewer, Landon OD
33
Brey, David MD
61
Brey, Nicole MD
40
Brey-Sanford, Misty DMD
40
Briones II, Tristan MD
59
Brook, James LCSW 106, 107, 126, 131
Brooks, Karen PT
198
Brossman, Karen APRN 161, 162, 179
Brown, James OD
79
Brown, Justin PT
194
Brown, Kevin PT
172
Brown, Sandra APRN
154
Brown, Terry DMD
75
Brown, Tricia ARNP
162
Browning, William MD
85
Brumfield, Randa APRN
192, 194
Brumit, Michael OD
48
Brummer, Vaughn DDS
145
Bryant, Katherine MD
12, 27
Bryant, Suzanne MD
17
Buchanan Galyen, Billie MD 21, 22
Buchanan, Sheena MD
17
Buckby-Reddish, Lori LCSW
116
Buckley, Christina APRN
154
Buckner, James OD
48
Budhan, Jerome MD
2
Bullock, Smitha MD 55, 58, 80, 81
Bunner, Angela APRN
195
Burch, Megan APRN
162
Burgan, Richard PA
174
Burgess, Farrah LPC
135
Burket, Christopher MD
53
Burkett, Benjamin MD
87
Burnett, Diane APRN
162
Burt, Kevin OD
48
Buschemeyer, W Cooper MD
62, 91
Busey, Lannie OD
48
C
Cain, Stacie APRN
Calhoun, Travis MD
Calvert, Harold MD
162, 179
2
33, 79
Provider Index
C - cont.
Calvert, Jennifer LCSW
116, 123, 126, 135
Camp, Dawn APRN
154
Campbell, Duncan MD
3
Campbell, Mark MD
25
Canlas, Judith MD
71
Canlas, Karen MD
67
Canlas, Noel MD
67
Cannon, Harold MD
46
Caretenders
142, 144, 149
Caron, Philip DO
69
Carpenter, Dawn APRN
185
Carrico, Judy APRN
162
Carrico, Matheis MD
5
Carter, Cori LCSW
116
Carter, James LCSW
107, 126, 131
Carter, Jenelle PA
174, 183
Carter, Stacy APRN
162
Case, Michael OD
48
Caselden, Kenneth LPC
118, 124, 128, 135
Castlen, Theresa SLP
176
Cayces Eagle Way Pharmacy
205
Cayces Pharmacy
205
Cefali, Dominic MD
71
Central City Clinic Family Care 148
Central City Clinic Pharmacy
212
Chambers, Ja-Mae APRN
162
Chan, Andrew OD
48
Chandler, Shelly APRN
185, 192
Chaney, Brian MD
20
Chang, Timothy MD
34, 35
Chapman, Darren MD
31, 76
Chapman, Deanna PA
174, 183
Chapman, Melanie APRN
162, 163, 179, 185, 203
Chapman, William MD
120
Chappell, Brandon DO
10
Chappell, Kristy MD
20
Chatham, Kaley OD
48
Chavda, Geeta MD
2, 25
Chavda, Sanjay MD
35, 88, 93
Cheerva, Alexandra MD
57
Cherri Care
141, 142
Childers, Mandy APRN
154
Christian Care At Home
142, 145
Christian Co Health Dept
139
Christian County Dialysis
139
Christopher, Julie MD
26
Chumley, Christina APRN
203
Ck Lewis Enterprises Inc
141
Clapp, William MD
27
Clark, Deborah APRN
163, 195
Clark, Hope APRN
154
Clay Drug Store Inc
217
Clayton, Tammy PA
190, 194, 198
Clements Drug
152
Clements Pharmacy
216
Cline, Jayme APRN
163
Clinic Pharmacy South
212
Clore, Lee MD
37, 73, 84
Coats, Adam OD
87
Cobb, Mariel MD
88
Cohen, Terry MD
68
Cohron, Wallace OD
90
Colby, John MD
33
Cole, Darby MD
4, 23
Cole, Kelly DO
28
Cole, Shannon APRN
199
Coleman, Christy APRN
163, 191
Coleman, Justin OD
49
Combs, Alicia APRN
185
Combs, Kyle APRN
163
Commission For Children With
Special
161
Community Health Centers of
Western Ky
21
Community Health Services Inc 142
Community Oxygen & Medical Eq.
Inc
148
Conatser, David MD
87, 148
Congleton, Terri APRN
163
Conley, Kelly LPC
118
Cook, Leslie APRN
154, 185
Cook, Misty APRN
155, 185
Cooks Orthopedics Inc
139
Cool, Haley PT
158, 199
Cora, Eduardo OD
49
Cornell, Roy MD
41, 86
Corner Drug Store of Sturgis LLC
216
Corner Homecare
141, 142
Cottingham, Robert OD
70
www.wellcare.com/Kentucky | 230
Cox, Randy MD
45
Cox, Sandra APRN
163
Cox, Wendy APRN
163
Coyne, Vincent PA 174, 184, 190, 194
Cranor, Robert DC
74
Crews, James DMD
143
Crick, Larry MD
12
Crider, Ian PT
190
Crisp, Hollie LPC
118
Crist, Richard DMD
75
Crist, Troy OD
79
Crockett, Jason OD
49
Croft, Christie ARNP
202
Crofton Pharmacy
205
Crump Jr, William MD
19, 83
Crump, Chester MD
1
Crump, William MD 10, 28, 68, 97
Cruz, Cristina MD
3
Cumberland Hall
106
Cummings, Tammy PT
172
Cunningham, Glenda APRN
155
Curry, Dirck DO
4
Curry, Donna APRN
155, 185
Curry, Donna CNP
177, 191
Cuthrell, William MD
46
CVS
206, 210, 217
D
Dacosta, John MD
75, 85
Danetz, Jeffrey MD
64, 92
Danhauer Drug Co Inc
141
Danhauer Drugs
206
Danhauer, Mary APRN
163, 177, 179, 191, 195, 202
Daniel, Susan APRN
163
Danko, Michael MD
88
Daugherty, Alissa MD
1
Davenport, Cory PA
174
Daviess Co Health Center
142
Davis, Heather APRN
203
Davis, Hunter MD
1, 2
Davis, Jacqueline APRN
155, 185
Davis, Mark MD
87
Davis, Mary LCSW
107, 134
Davis, Nicole DO
7
Davis, Roger PT
198
Davis, Shelly APRN
163
Davis, Yvonne APRN
179
Provider Index
D - cont.
Dawson, Angela MD
6
Dean, Tanea PT
172
Decker, Philip MD
42, 90
Decker, Phillip MD
42
Dedaj, Rejmon MD
60
Deeter, Dawn MD
94
Dempewolf, Martha APRN
179
Desai, Mukesh MD
62, 91
Devine, Beth APRN
163, 180, 186
Dexter-Eaves, Tracey OD
34
Dilday, Susan APRN
163
Dillard, Mary APRN
155
Dixon, Kara PA
159
Dodds, Carey MD
17
Dodds, James MD
79, 88
Doll, Peter DPM
59, 71
Don Peeler Pharmacy
210
Donley, James MD
79
Donnelly, Rebekah AUD
185
Dorroh, Audra DMD
41
Dosani, Imran MD
32, 45, 77, 86
Dossett, Ashley APRN
199
Dossett, Kristien APRN
155
Dougherty, Hugh MD
36, 88
Dougherty, John PA
159, 190
Doughman, Matthew PA
174
Dukes, Lisa APRN
164
Dulabh, Amit MD
7
Dulabh, Candace PA
174
Dunaways Imperial Pharmacy
144, 209
Dunn, Brittney APRN
164, 180, 186, 203
Durham, Bruce MD
23
Durrani, Jameel MD
60
E
Eades, William DMD
85
Eaton, Jennifer APRN
164, 180, 186, 191, 203
Eaves, Elizabeth LCSW
116
Ebelhar, Leslie APRN
164
Edelen, Amy DC
39
Edelen, Cheryl APRN
186
Edling, Marie OD
49
Edmunds, Mark DPM
35
Eger, Michael OD
49
Eggers, David MD
46
Elder, Regina APRN
203
Elkton Clinic PSC
150
Elliott, Allen MD
79
Ellis, James DMD
144
Ellis, Leslie
68
Elster, Jennifer MD
57, 58
Emmick, Mary OD
65
Emmick, Rosemary OD
65
Emory Centre Pharmacy
206
English, Rita ARNP
196
English, Steven APRN
196
Ervin, Eric MD
12
Estes, Jessica APRN
164, 177, 180
Estes, Jessica ARNP
177
Evans, Kerry LPC
118
F
Falcone, John MD
42, 67, 86
Fallin, Allison PT
172
Fares, Maghan APRN
164
Farmer, John MD
14
Farmer, Rachel MD
12
Faught, Samuel MD
61
Fazenbaker, Stacey MD
14
Fc of Kentucky Inc Morganfield
144, 152
Fellows, James MD
72, 82
Felts, Pamela LCSW 107, 108, 126, 131
Fife, Joshua DO
12
Fife, Kelly MD
12, 13
Fife, Sally OD
70
Figueroa, Sergio MD
75, 85
Filardo, Steven MD
37
Finkelmeier, Nicole PA
174
Fischer, Hannah MD
44
Fitzmaurice, Mark MD
79
Fleming, Kristy APRN
192
Flener, Angela APRN
164
Floyd IV, Richard MD
62
Floyd, Jan MD
3
Floyd, Kimberly ARNP
180, 186
Floyd, Nancy LCSW
135
FMC Trigg County
151
Fogle, Cheri APRN
193
Foot and Ankle Specialist
141
Foster, Michael MD
56
Foster, Stephanie APRN
155, 199
www.wellcare.com/Kentucky | 231
Fox, Kelli LCSW
123
Fralish, Billy MD
1
Franke, Jenny MD
36
Fraust, Kelly LPC
118
Frazier, Jon MD
71
Freds Pharmacy
208, 213, 215
Freeman, Sherry APRN
201
French, Charles OD
79
Friedrich, Kristie APRN
155, 186
Fritsch, Timothy DMD
85
Fritz, Laura LCSW
115, 126
Fu, Roxana MD
47
Fulcher, Brittney APRN
180
Fulkerson, Brad DMD
144
Fuller, David PT
198
Furgason, Thomas MD
47
Futrell Lake, Leigh APRN
164
Futrell, Charles DO
10
G
Gajera, Ratilal MD
32, 86
Gallegos, Robert MD
62
Gallo, Thomas MD
81
Galloway, Abraham MD
14
Galyen, Billie MD
22
Gamble, Marty DDS
31
Gapp, Gregory MD
2
Garber, Monique PA
174
Gardner, Mitzi APRN
193
Garimella, Satya MD
37, 73
Garrard, Brent LPC
115, 118, 124, 128, 135
Garrett, Heather MD
23
Gary Cheirs, Shellie LPC
128
Genovese, Vincent MD
88
Gentiva Health Services
139
Gersh, Richard OD
49
Gest, Christine MD
66
Giannini, Jack MD
31
Gibbs, Kenneth MD
37
Gierhart, Lillian APRN
201
Gilkey, Anne APRN
180
Gilkey, Sandra MD
14
Gillim, Rex PT
172
Gipe, Patrick MD
5
Glaser, Christopher MD
42, 86
Glenn-Birkhead, Cynthia APRN
164, 191
Provider Index
G - cont.
Glover, Michael MD
46
Godwin, Shea MD
26
Goebel, Eric MD
46
Goedde, Ashley ARNP
164, 180
Golden, Matthew MD
42, 67
Gollar, Kelly APRN
164, 196
Gondal, Muhammad MD
81
Good, Richard MD
46
Goodale, Dianne MD
16
Goodall, Heather APRN
165, 177, 186, 191
Goodwin, Charles MD
62, 91
Goova, Mouza MD
67
Gore, Cheryl APRN
165
Gott, Melissa APRN
155
Goulooze, Nicholas PT
190
Grabenstein, Thomas MD
25
Grady, Susan OD
49
Grant, Billy DC
30
Gray Dalton, Annie LCSW
130
Gray, Kendra PsyD
124
Gray, Natalie PT
172
Green River District Home Health
142
Green, Doris LPC
118
Green, Rebecca OD
49
Green, Thomas MD
94
Greenville Pharmacy
212
Greenwell Perkins, Kathryn APRN
180
Greenwell, Karon LCSW
116
Gregor, Peter MD
37
Grewe, Lauren PT
172
Griffin, Eric MD
46, 47
Gross, Michael DMD
94
Groves, Barry APRN
193
Growing Minds Learning Center
144
Guess, Dietta APRN
199
Gupta, Mukesh MD
37
Gupta, Nityanand MD
5
H
Hack, Michael MD
Hagan, Tracy ARNP
Hagedorn, Gregory OD
Hagerman, James PA
Hale, Christy APRN
201
Haleman, Troy MD
47
Hamed, Hassan MD
66
Hamilton, Robert OD
49
Hamman, Jack MD
36, 82
Hamon, Andrew MD
47
Hancock, Elizabeth PT 158, 159, 199
Hancock-Jones, Laura DMD
75
Hanke, Forrest MD
14
Hanson Pharmacy and Wellness
Cntr LLC
210
Hare, Carolyn APRN
155, 186
Hargiss, Jamie
115, 123, 126, 135
Hargrove, Kenneth MD
14
Haria, Dhiren MD
32, 45, 77, 86
Harmon, Terry DC
96
Haroun, Ramzi MD
3
Harris, Arvel LPC
119
Harris, Peggy APRN
186
Harris, Warren DMD
79
Harrison, Joseph MD
120
Hart, Jerry MD
1
Hartman, Chelsea PT
172
Hartmire, Misty APRN
180, 181
Harty, James MD
63
Havelda, Christopher MD 37, 38, 73
Havens, Dennis MD 42, 62, 76, 82
Hawk, Amy APRN
155, 186
Hawkins, Robyn APRN
165, 181, 186, 203
Hawkins, Susan MD
22
Hayes, Pamela LCSW
133
Haynie, Amy APRN
186, 187
Head, Stacy APRN
165, 177, 191
Heady, Crystal APRN
165
Heath, Dana LMHC
106, 126, 131
Heatherly, Steven MD
30, 73, 84
Heck, Charles OD
49, 70, 96
Hehemann, Dave DPM
35, 81
Heine, Kember DMD
96
Helping Hands Health Clinic
150
Helping Hands Health Clinic Inc 25
Helton, Amanda LPC
112
Heltsley,
John
OD
34
14, 20
186 Henderson County Health Center
144
70
174, 175
www.wellcare.com/Kentucky | 232
Henderson Minor Outpatient
Medicine
144
Henderson, Myra DO
78
Henderson, Richard OD
49
Hendrickson, Cassaidy APRN
187
Henning, Glenn DPM
60
Henning, Glenn MD
59
Hensley, Carmel APRN
187
Henson, Tara MD 4, 10, 14, 15, 19, 28
Herman, Vicki APRN
155
Herrell, Paul MD
33
Higdon, Katherine DMD
41
Higgins, David LPC
119, 124, 129, 130, 137
Higginson, Joseph DMD
53, 65
Higgs, Tisha APRN
165
Hill, Elizabeth LCSW
116, 123, 135
Hill, Kimberly DMD
75
Hill, Norris MD
68
Hls Health and Wellne
144
Hofer, Jeffrey MD
6
Hohman, James MD
67
Holbrook, Tina APRN
165, 181
Holland, Brian MD
55, 58, 80, 81
Holmes, Anita OD
33
Holt, Faith APRN
187
Holt, Terry MD
20
Holzknecht, Robert MD
15, 20
Hometown RX
145, 210
Hook, Jason PA
175
Hopkins Co Health Dept
145
Hopkinsville Dialysis
139
Hopper, Sarah APRN
181
Hopwood, Christy LCSW
108, 127, 131
Horton, Davea OD
49
Hospice & Palliative Care of Ohio
Valley
142
Hospice of Ohio County
149
Hospital Street Pharmacy Inc 215
Houser, Molly MD
78
Houston, John MD
7
Houston, Lola APRN
165
How, Helen MD
44
Howard, John MD
6
Howard, William PA
159
Huang, Michael MD
57, 58
Provider Index
H - cont.
Huang, Qiyu APRN
Hulse, Geoffrey MD
Humes, Pamela APRN
Humphrey, Roger MD
Humphries, Vinna MD
Hunt, Tammy PT
Hurley, Phillip MD
Husain, Arshad MD
Hutchason, Janice LPC
I
Ibrahim, Malik MD
Ikram, Sohail MD
156
53, 54
156, 187, 193
42
1
190
54
68
119
45
73
J
Jackson, Kevin OD
49
Jackson, Kimberly APRN
165, 181, 187, 203
Jackson, M Brooks MD
63, 91
Jackson, Robert DMD
41
Jackson, Willie MD
120
Jadhav, Pushkaraj MD
68
James, Mary APRN
201
Jamie, Whitney MD
44
Jamora, David MD
15
Jankowski, Sarah OT
172
Jankura, Lauren LPC 119, 124, 129, 136
Jarvis, Angela MD
6
Jaynes, Leslie APRN
187
Jazarevic, Slobodan MD
76
Jeffries, Angela MD
57
Jenkins, John MD
13
Jennie Stuart Home Health
139
Jennie Stuart Medical Center
98
Jennie Stuart Medical Center
Ambulatory
139
Jennie Stuart Medical Center
Convenient
139
Jennings, John LCSW
116
Johnson, Ashley PT
199
Johnson, Beverly MD
15, 26
Johnson, Bridget APRN
166
Johnson, David MD
6
Johnson, David PA
190, 194
Johnson, Douglas OD
49
Johnson, James DMD
41
Johnson, James MD
74
Johnson, Lacey APRN
166, 193
Johnson, Lauren OD
34, 49
Johnson, Matthew DMD
41
Johnson, Monica APRN
177, 181
Johnson, Stan MD
58
Johnsrude, Christopher MD
55
Johnston, Andrea MD
7
Johnston, Matthew APRN 181, 187
Jones, David MD
47
Jones, Jayna MD
4, 9, 15, 19
Jones, John OD
49
Jones, Kent MD
15
Jones, Michael MD
4, 9, 17, 19
Jones, Mollie APRN
156
Jones, Roger OD
49
Julian, Chelsea PT
172
Jungblom, Rita PsyD
129
Jurige, John MD
63, 91
Jusufbegovic, Denis MD
47
King, Bradley MD
4
King, Randall MD
47
Kingery, Suzanne MD
56, 58
Kirby, Jacquelyn ARNP
192
Kirkendoll, Dodie APRN
166
Kitchens, Joshua MD
10
Kloecker, Goetz MD
76
Klutts, Fred OD
50
KMART
209
Knapp, Emily APRN
181
Knox, Robert MD
90
Koller, Patricia APRN
166
Kovtun, Natalia MD
17
Krahwinkel, Jodi OD
50
Kroeger, Josie APRN
166
Kroger
205, 206, 210
Kubach, Mary LCSW
127
Kumaravelu, Kumarasooriyar MD
7, 13, 17, 19, 29
Kumaravelu, Kumarisooriyar MD 25
K
Kumbar, Chandrashekar MD
66
Kabithe, David MD
31
Kumbar, Deepa MD
71
Kailey, Manavjeet OD
50
Kalik, Aseedu MD
6 L
Kanbar, Ali MD
76 Labcorp
138
Kapadia, Deepak MD
73 Laird, Roger PsyD
129
Karn, Allyson LCSW
116 Lake, Richard LMFT
127, 128
Katner, Theodore MD
45 Lam, Allan DO
67
Kaye, Mitchell MD
31 Lam, Michael MD
73, 84
Kaylor, Jewell APRN
156, 199 Lamar, Blakeley DC
39
Keeley, Benjamin MD
4 Lane, Amber OD
34
Keith, Linda ARNP
177, 181 Langford, Marlena ARNP
187
Keith, Rebecca APRN
193 Larkins, Erin APRN
187
Keller, Bradley MD
55, 80 Larsen, Ferris MD
4, 10, 15, 28
Kelley, Jarred LPC
119 Lau, Kelvin MD
55, 58
Kendall, Denise APRN
156, 199 Lauzon, John MD
7
Kenner, Morgan PT
173 Lawrence, Stephen OD
50
Kerr, Donica CNM
185 Leahy, Ryan MD
56, 58, 80, 81
Khan, Rizwan MD
3 Leanhart, Jennifer APRN
166, 196
Khan, Zaka MD
60 Lear, Susan PsyD
120
Khera, Amneet DO
10 Lee, Carlton DO
11
Kilgore, April MD
17 Lee, Jason MD
55
Kim, Edward MD
55, 80 Leigh, Lynn MD
15
Kimberlin, Melissa APRN
Lewe, Robert MD
63, 91
166, 177, 181 Lewis, Bracken MD
21
King Drug and Home Care 210, 213 Lewis, Kathryn PA
175, 178
King Drug and Homecare
149 Lifeline Health Care of Lincare 139
King Drug Home Care
206 Light, Michael MD
113
www.wellcare.com/Kentucky | 233
Provider Index
L - cont.
Lighthouse Counseling
123
Liles, Jennifer MD
13
Lincare Inc
141
Lincare Respiratory and DME
-Owensboro
141
Lincoln Pharmacy Inc
206
Lindner, Robert MD
63, 91
Lineberry, Tristan MD 4, 11, 15, 19, 28
Littlehale, Mark MD
78
Littlepage, Randall DMD
75
Lloyd, Courtney LCSW
108, 109, 127, 131
Locken, Peter MD
81
Logan, Mark MD
66
Logan, Thomas MD
40, 66
Logan, William MD
31, 74, 84
Loucks, John MD
40
Love, Marcus OD
50
Lucas, Kenneth MD
57
Luceno, Gilbert MD
23
Luckett, James OD
50
Lucy Smith King Care Center
144
Lyles, Lonnie LCSW
116
Lynn, Dale OT
171
Lynn, Jessica OT
171
Lynn, Mark OD
50
M
MacDonald, James MD
78
Mack, Shauna APRN
181
Maddela III, Ricardo DO
68
Maddela, Zenaida MD
12
Madisonville Dialysis Center
145
Maher, Janae MD
59
Maheshwari, Jewraj MD
44, 90
Majmudar, Aalap MD
2
Majmudar, Manoj MD
25, 93
Makhoul, Johnny MD
38
Malitz, David MD
69
Mann, Robert DMD
75
Marshall, Kimberly APRN
166
Martin, Elizabeth OD
50
Martin, Eric DC
39
Martin, Jennifer MD
42
Martin, Lynette MD
7
Martin, Sarabeth MD
36
Martin, William MD
54
Maru, Mahendra MD 32, 45, 77, 86
Mason, Jeremiah DO
7
Matcheswala, Katherine APRN 182
Mathew, Roshan MD
38, 74
Mathis, Kathy SLP
184
Matta, Jyothi MD
56, 58, 80, 81
Matthew 25 Aids Services Inc
44, 141
Matthews, Barbie LCSW
116, 123
Mayes, Freddie OD
87
Mayes, Tyler OD
87
Mayfield, Gary PA
175
Mayor-Lynn, Kathleen MD
32
Mayron, Michael MD
69
Mazhawidza, Williard PA
175
McAlister, John PT
159, 199
McBride, Anthony MD
54, 80
McBride, Gail APRN
166
McCarty, Joseph DMD
90
McCarty, Sylvia LCSW
106, 109
McCauley, Stacy APRN
166
McClain, David APRN
199
McClure, William MD
15
McCormack, Daniel DO
48
McCormack, Jeanie DO
45
McCoy, Tamberly MD
4
McCubbin, John MD
33
McDaniel, Jennifer LMHC
115, 123, 126, 135
McDonald, Carolyn APRN
182
McDonald, Lori LPC
124
McDowell, Amy APRN
187
McFarling, Jessica LCSW
122
McGhee, Timothy MD
15
McGhee, William MD
21
McGinnis, Mark MD
54
McGinnis, Sarah SLP
160
McGinnis, Shanna MD
7
McGowan, Kerry MD
57
McGrath, Ellen DMD
146
McLean County Health Center 147
McLimore, Ellen APRN
166
McMican, William LMFT 111, 128, 132
McMurray, Laura APRN
166, 167
McPherson, Terry PA
159
McWhorter, Annette APRN
196
Meacham, Victoria LCSW
117
www.wellcare.com/Kentucky | 234
Meade, Janelle ARNP
167
Medi Home Care
141
Medi Home Care-Boyd
141
Medical Center Pharmacy, Inc 212
Medley, Krystal APRN
167, 196
Medley, Richard MD
63, 91
Mefford, Harriet APRN
167
Mehta, Ketan MD
68
Meiers, H Nicholas MD
63, 91
Mendel, Jessica MD
11
Mendoza, Maria MD
120
Menser, Jill SLP
176
Mercer, Albert MD
38, 74
Mesa, Joseph MD
80
Meschko, Kara APRN
167
Messer, Janet LPC 119, 124, 129, 136
Methodist Family Practice of
Morganfield
152
Methodist Hospital
100
Methodist Hospital Homecare 144
Methodist Hospital Union
105
Meyer, Christopher OD
50
Meyer, Victor OD
50
Midtown Pharmacy Express LLC
213
Mikes Pharmacy
210
Milem, Charles MD
54
Miller, Clyde DC
39
Miller, Jamie APRN
187, 193
Miller-Simone, Bree LPC
119, 124
Milligan, Dana APRN
167, 191
Mills, Shara APRN
182, 202
Mills, Steven DO
23
Millsap, Charles MD
48
Miranda, Christel MD
23, 24
Mitchell, Derek MD
40
Montalvo, Noemi OD
50
Montecalvo, Raymond MD
88
Mood, Girish MD
38
Moody, Chelcia APRN
156
Moolani, Mahesh MD
6, 9, 19
Moons, Christopher LPC
119
Moore, Andrea MD
6
Moore, Edward MD
66
Moore, Gerri APRN
187, 193
Moore, Jonathan MD
2, 16
Moore, Lisa LCSW
117
Provider Index
M - cont.
Moore, Marina PT
159, 199
Moore, Paul MD
11
Moore, Robert MD
54
Morehead, David DMD
85
Mori, John MD
82
Morse, Rebecca LPC 112, 113, 129, 132
Mosley, Janet APRN
187
Mosley, Jonathan DO
27
Mote, Wendy APRN
156, 188
Motycka, Jenna APRN
167, 182
Mourad, Mohammad MD
32, 45, 77, 86
Mufti, Naghma MD
77
Muhlenberg Cohealth Depart 148
Muhlenberg Community Hospital
212
Muhlenberg Medical Center
148
Muhlenberg Surgery Center LLC
148
Muhlethaler, Maresa APRN 156, 199
Muldowney, James MD
84
Mullins, Alan MD
42, 43
Multicare Laboratory Multicare
Specialis
145
Mundy, Stephanie APRN
188
Murphy, Amanda PA
175
Murphy, Melissa PA
201
Murphy, Sandra MD
33
Murray, Brian OD
93
Murray, Paula OD
93
Murrell, Richard MD
71
Muzoora, Michael MD
60, 81
Mycle, Noble MD
1, 15
Myers, Scott MD
57
N
Nadar, Krishna MD
55
Nadar, Vani MD
6
Nagatoshi, Raymond OD
50
Naghtin, Ellry APRN
156
Napier, Shane DO
20
Nations Medicines
206
Neal, Ashley MD
56
Nebel, Thomas DO
43
Neel, Donald MD
7, 8, 13, 17, 29
Neely, Jennifer ARNP
167
Neely, Thomas MD
69, 78
Neidlinger, Velda APRN
196
Nelson, Jennifer CNP
156, 157, 188, 193
Nesketa, Berhanemeskel MD
60
Newman, Lisa APRN
193
Newman, Tabitha LPC
161, 179
Nguyen, Khanh DO
5
Nims, Diana MD
16
Noisworthy, Abby APRN
157
Nolan-Rose, Laura OD
50
Nortonville Pharmacy
210
Novotny, Patrick OD
50
Nunez, Baldomero DC
66
Nunn, William DDS
140
O
Obideen, Mahmoud MD
45
Obryan, Hallie APRN
157
Obryan, William MD
61
Ogaz, Veletta APRN
167, 177, 188, 191
Ohio Co Health Center
149
Ohio County Hospital
103
Ohr, Andrea APRN
167, 196
Oliver, Crystal OD
51
Oliver, Heather OD
51
Omar, Rashid OD
51
Omhs Home Care Services
142
Omoruyi, Adetokunbo MD
56
Onan, William MD
69
Orthopaedics and Sports Medicine
Owensbo
141
Osborne, Sarah APRN
167
Ottman, Elizabeth MD
47, 90
Overby, Hillary APRN
182, 202
Owen, Paul PsyD
121, 125
Owens, Carol APRN
182, 188
Owens, Melissa APRN
182, 183
Owensboro Dialysis Center
141
Owensboro Family Pharmacy and
Wellness
206
Owensboro Health Muhlenberg
Community Ho
102, 148
Owensboro Health Outpatient
Pharmacy
206
Owensboro Health Regional
Hospital
99
www.wellcare.com/Kentucky | 235
Owensboro Health Regional
Hospital Rehab
Owensboro Home Dialysis
Owensboro Surgery Center
115
141
141
P
Packer, Robyn APRN
157
Paik, Young MD
67
Palmer, Ryan DO
67
Panigrahi, Arun MD
57
Pardon, Henry OD
51
Parekh, Vipul MD
46
Parker, Kenneth PA
159, 160
Parker, Sarah OD
94
Parrent, Tanner MD
30
Partain, Jeffrey OD
51
Patel, Deepak MD
114
Patel, Harshul MD
26
Patel, Ramesh MD
32, 86
Patel, Shirishkumar MD
6, 19, 21
Patel, Vaishali MD
26
Pecha, Barry MD
63, 91
Peek, Theresa APRN
202
Peek, Theresa ARNP
202
Peers, Christopher MD
31, 74, 84
Pendleton Sr, Michael APRN
167
Pendleton, Michael APRN
188
Pendley, Jason DMD
41
Pendley, Kimberly APRN
193, 194
Pennington, Rebecca ARNP
188
Pennyrile Home Medical
139, 151
Pennyrile Home Medical
Hopkinsville
139
Pennyrile Home Medical Paducah
139, 151
Pennyroyal Healthcare Services Inc
2, 139
Periyanayagam, Srinivasan MD
33, 78
Perry, Carrie PT
159, 200
Peter James Doll DPM DME
144
Peterson, Matthew MD
63, 91
Peyton, Russell APRN
188
Pfanenstiel, Yvonne APRN
168
Phelps, Leslie APRN
168, 182
Phifer, Craig PT
173
Phillips, John MD
8
Pickrell, Holly DMD
41
Provider Index
P - cont.
Pierce, Beth APRN
168, 203
Pierce, Beth ARNP
191, 203
Pinerola, Jase PT
159, 200
Pisarewicz, Katarzyna MD
20
Polete, Christina APRN
157
Polio, Joseph MD
54, 61
Pooles Pharmacy Care
148, 206, 211, 212
Pooles Pharmacy Care Health
Solution
211
Pooles Pharmacy Care Inc 141, 147
Pope, Robert MD
61, 88
Pound, Robert DC
30
Pound, Sheila DC
30
Powers, Misty APRN
168
Prajapati, Dattatraya MD
43, 90
Prendergast, Neal MD
63, 91
Price, Martin OD
34, 51
Price, Micah APRN
168
Price, Sondra APRN
157, 158
Prunty, Marshall MD
5, 20
Puckett, Angela APRN
168
Pulliam, Mark OD
51
Puri, Vinay MD
74
Q
Quality Supply LLC
142
Quatro, Raymond MD
69, 78
Quest Diagnostics
138
Quijano, Rennan MD
17
Quisenberry, Adair PA
175
Quisenberry, Michelle APRN
188
R
Radford, Anthony LPC
Rager, Michael APRN
Raj, Ashok MD
Rao, Ganesh MD
Rao, Mohan MD
Rashidian, Suzanne DO
Rasnake, Robert LPC
Ratliff, Staci LCSW
Ray, Amy MD
Reader, Gayl MD
Rednour, Kelly APRN
Reed, Jane APRN
Reed, Tiffany OD
113
188
57
63, 92
76
47, 69, 78
119
117
8
38, 74, 84
168
193
34
Reeves, Cathy PT
173
Regional Health Care Affiliates Inc
5, 11, 28
Rehman, Asim MD
66, 144
Rey, Jonathan MD
1, 20
Reynolds, Daniel DMD
41
Rhinehart, Ashley APRN
168
Rhodes, Ada PA
175, 184, 190
Rhodes, Audry MD
171, 189
Rhodes, Benjamin PA
175
Riccio, Charles MD
40, 90
Rice Drugs Inc
213
Rice, Susan APRN
197
Rices Pharmacy
213
Richardson, Daniel PT
159, 200
Richardson, Whitney LPC
119
Richert, Judith OD
34, 51
Ricketts, Heather MD
87
Ridenhour, Kevin MD
43, 44, 76
Rigdon, Nancy DMD
96
Riggs, Jeffrey DO
31
Rightmyer, Gerald MD
11
Rinaldo, Jacquelyn PT
173
Rinell, Katelyn PA
176, 184, 190, 194, 198
RITE AID
205, 206, 207, 209, 210, 211, 212, 216
Riverside Care and Rehabilitation
Center
147
Robbe, Frederick MD
34, 36
Roberts, Keith OD
51
Roberts, Lacey APRN
182
Roberts, Mallory OD
83, 90
Roberts, Terra APRN
197
Robertson, Paul OD
34, 51
Robinson, Matthew MD
32
Robison, Marshele LCSW
109, 127, 131
Robison, Regina APRN
168, 188, 202, 203
Roby, Shauna APRN
168, 177
Roehm, Stephen LCSW 117, 123, 135
Rogers, Brian OD
51
Roginek, Ivan MD
32
Rose, Scarlett-Dawn DMD
94
Rosenbaum, David MD
63, 92
Rose-Welborn, Donna APRN
193
www.wellcare.com/Kentucky | 236
Ross, Jamie APRN
Rothwell, Nikki PA
Roy, John DMD
Rubesh, Grant OD
Runion, Ashley APRN
Rush, Heather APRN
Russell, J Colleen APRN
Russell, Lezlie APRN
Rutherford, Andrew PA
157
190, 194
75
51
197
168
199
157
201
S
Sacramento Pharmacy
211
Sagez-Barnett, Sara OD
70
Salamah, Ramez MD
6
Salee, Sarah OD
51
Salisbury, Julie PA
176
Salkic, Suvada APRN
168, 169, 182
Sanapati, Mahendra MD
70, 80
Sanders, Jason APRN 169, 188, 197
Sanders, Tammy DMD
75, 76
Sanders, Vaughn OD
51
Sandhu, Manmeet MD
78
Sandoval, Armando MD
12
Sattellite Pharmacy
205
Save More Drugs
205
Save-On Drugs Inc
215
Schertzinger, John OD
79
Schmitt, Stefanie LCSW
109
Schreiner, Virgina MD
88
Schrepferman, Christopher MD
64, 92
Schulten, Thad DMD
79
Schumacher, Elizabeth PHD
121
Schuschke, Leslie MD
58, 59
Schwender, Frank MD
30, 94
Scott, Amy LCSW
117
Seavers, Amy OD
51, 52
Segler, Leesa CRNA
158
Seidehamel, Randall PA
176
Selby, Jeffrey MD
71
Settles, Nicholas PA
176, 190
Sewell, Frank MD
68
Shafer, Patrick OD
34
Shah, Ketki PT
159
Shah, Mukul MD
68, 71
Shah, Satish MD
46, 69, 81, 82
Shake, Steven OD
52
Sharma, Vivek MD
76
Provider Index
S - cont.
Shaw, Kin DMD
41
Shaws Prosthetics Plus
142
Shelton, Sheryl APRN
182
Sherrill, Kimberly LCSW
109, 110, 127, 131
Sheth, Mohit MD
66
Sheth, Paresh MD
33, 106
Shields, Michael OD
52
Shields, Sharon APRN
182
Shoe Stop Inc
142
Shrewsbury, Jonathan OD
90
Shuttleworth, W MD
89
Signature Healthcare At Hillcrest
143
Silva, Rogelio MD
120, 124
Simon, Sheldon DPM
60
Simone, Robert DC
39
Simone, Sean DC
39
Simpson, James MD
1
Simpson, Kathi APRN
169
Sims, Gerald MD
61
Singh, Poonam MD 8, 13, 17, 19, 29
Singh, Tamina MD
45, 59
Sisley, Joseph OD
52
Skillman, Jon OD
52
Skinner, Connie APRN
204
Skipworth, Cagney APRN
157
Slaton, James LCSW
117, 123, 127, 131, 132, 135
Smith, Abbie APRN
157
Smith, Andrea OD
52
Smith, Dennis MD
64, 92
Smith, Ginger LMFT
117
Smith, Kevin DO
16
Smith, Stephen OD
52
Snead, Kevin OD
52
Sobczyk, Walter MD
56, 80
Sobel, Barry MD
77
Soderling, John OD
87
Soergel, Trevor MD
64, 92
Solomon, Derek PT
173
Soni, Vinod MD
96
Souleyrette, Dale OD
52
Sovar, Scott DC
39
Sparks, Joshua MD
56, 59, 80, 81
Sparks, Lee MD
21
Spear, Steven OD
52
Spikes, Melanie LCSW 110, 127, 132
Spilkin, Simon MD
1
Sreekumar, Bhaskaran MD
74
Stanfield, T MD
82
Stanis, Carl OD
52
Staples, James APRN
157
Staples, Stacia APRN
157
Starling, Cynthia LCSW
106
Starrett, Robert MD
66
Statton, William MD
43
Steinbock, Gregory MD
64, 92
Steinfeld, Carroll MD
75, 85
Stemm, Wilson DMD
90
Stephen, Thomas MD
57
Stephens, Brenda APRN
188
Stettenbenz, Michelle APRN
169
Stevens, Judy APRN
193
Stevens, Margaret APRN
157, 158
Stevens, Margaret ARNP
158
Stevenson, Nicole APRN
169, 182
Stewart, Ronnika APRN
158
Stitt, John MD
2
Stoltz, Eric OD
70, 79
Stowe-Byrd, Carol APRN
158
Strader, Elizabeth APRN
169, 182, 191, 204
Stroud, Michele APRN
169, 183
Stroud, Tamara APRN 189, 193, 197
Sturgis Pharmacy
216
Stutts, John MD
57
Suarez, Angeli MD
17, 76, 80
Suess, Lawrence DO
129
Sullivan, Allison APRN
199
Sutherland, Scott OD
95
Sutton, Erin PT
159, 200
Sutton, Jennifer ARNP
189
Swanner, Kevin APRN
189
Swartzentruber, Rebecca OD
52
Sweatt, Sylvia APRN
169
Sweitzer, Stephan MD
64, 92
Sydnor, Carl OD
52
T
T and T Drug Stores Inc
T T Drug Store
Tabassi, Bita OD
Tackett, Mark MD
Tapp, Kellye APRN
189
Target
207
Tarter, Larry OD
87
Tawwab, Anam MD
16
Taylor, Alicia PsyD
114
Taylor, Brandon DMD
41
Taylor, Emily OD
79
Taylor, Frank MD
73
Taylor, Matthew MD
40
Taylor, Noah MD
71
Taylor, Ronald MD
5
Taylor, Tabitha APRN
197
Taylor, Terri OD
52
Terry, Alicia PA
190
Terry, Joseph OD
53
Thacker, Ralph DMD
83
The Childrens Advocacy Cntr of
Green Riv
144
The Clinic At Walmart
146
The Springs Medical Laboratory
LLC
142
Thiesse, Kathy APRN
169, 197
Thomas, Gwendolynn APRN
189
Thomas, James MD
16, 44, 77
Thomas, Mary APRN
169
Thore, Steven MD
2, 113
Thrifty Home Medical
145, 153
Thrifty Pharmacy
217
Tidwell, James MD
59
Tinius, Brian DC
39
Tinius, Larry DC
39
Todd County Health Dept
150
Tolar, Stewart MD
78
Toliver, Laura APRN
201
Tom Watson Prosthetic Orthotic
Lab
142
Tomlinson, Tina LCSW
110
Toms Family Pharmacy
205
Towne Country Discount Drugs
205
Townsend, Jeana APRN
189, 204
Tran, Hoang MD
72
Tran, Maggie MD
3
Travis, Randolph DMD
146
144
Traylor, Marty OD
53
209
Trigg Co Health Center
151
52
Trigg County Home Health Inc 151
16
www.wellcare.com/Kentucky | 237
Provider Index
T - cont.
Trigg County Hospital
Trigg County Primary Care
Tristate Medical Lab
Troffkin, Neil MD
Truett III, Artis MD
Turner, Steven MD
Turner, Vicki CRNA
Tyler, Shelly PT
U
Uddin, Faiz MD
Union County Health Center
Unsel, Lindie APRN
26, 104
26
142
43, 46
40
66
158
173
16
152
169
V
Valentini, George MD
35
Van Orsdoll, Christopher DO
6, 7, 12, 17, 29
Vance, Joseph MD
33, 35
Vanorsdoll, Christopher DO 69, 78
Veeravalli, Snehamala MD
120
Velaga, Rao MD
30, 94
Venditti, Tricia OT
171
Vespie, Patricia APRN
158, 189
Vettiankal, George MD
74
Vincent, Larry DC
84
Vincent, Thomas DO
5, 16
Vincent, William MD
21
Vora, Kishor MD
38, 39
W
Waggoner, David MD
120
Wagmeister, Lee MD
71
Wagoner, Robert DMD
53, 70
Walgreens
205, 207, 209, 210
Walker II, John MD
5
Walker, Amy APRN
161, 179
Walker, Haley LPC
113, 129, 132
Walker, Sandi PT
194
Wallace, Debra MD
27
Wallace, Thomas MD
61
Walmart Pharmacy
205, 207, 209, 210, 212, 213, 216
Walpert, Marcy PsyD
121
Ward, Albert APRN
170, 177, 183
Ward, Homer OD
53
Ward, William OD
53
Ward-Adams, Patricia OD
53
Waring, Thomas MD
61
Warren, Paige DMD
97
Wassef, Maha MD
39
Watkins, Samuel MD
64, 92
Watson, Kwane DMD
76
Watson, Sara MD
59
Weathers Drugs
214
Weatherspoon, Christopher APRN
201
Weaver, David MD
46
Webb-Brown, Mary DMD
85
Webster County Health Center 153
Webster, Krista PT
159, 200
Weinzapfel, Brett MD
54, 70
Wellington, Brian DO
11
Wellman, Sarah PsyD
114, 132
Wells, Amy APRN
158
Wells, Gerame MD
32
Wells, Jama PA
184
Wells, Kimberly APRN
183
Wendell Foster's Campus For
Developmenta
143
West, Lorrie APRN
189
West, Michael MD
86
West, Sabrina LCSW
133
Westbrook, Heloise MD
88
Western Kentucky Pulmonary
Clinic
139
Western State Hospital
106
Western State Hospital Pharmacy
205
Wham, Steven LCSW
123, 135
Wheelchair Resources Inc
144
White, Donna APRN
170, 183
White, Tresa DMD
31
Whited, Leta APRN
170, 183, 189, 204
Whitehair, Robyn APRN
189
Whitesville Drug Store
213
Whitmer, Stephanie MD
16
Whitney, David MD
70
Wigginton, Carrie LCSW
117
Wight, Karen SLP
176
Wildeman, Jacki APRN
183
Wilder, Thearon MD
11
Wilkerson, Christina APRN
170, 177, 183
www.wellcare.com/Kentucky | 238
Willcox, Amy DO
47, 78
Willette, Caroline MD
68
Williams Budhan, Kymlyn MD
2
Williams, Courtney LCSW
110, 111, 127, 132
Willis, Jennifer APRN
170
Wilson Casteel, Gara LPC
119
Wilson, Annie APRN
170, 189, 193
Wilson, Cynthia ARNP
197, 198
Wilson, Gary MD
44
Wilson, Reid MD
54, 55, 70
Wilson, Wendy 115, 123, 126, 130, 137
Wimsatt, Lisa CNM
161
Wintergerst, Kupper MD
56
Witten, Frederick MD
64, 92
Wittwer, Lance DC
39
Wolf, Nicholas OD
53
Wolfe, Malea APRN
170, 183
Wood, George OD
87
Wood, Robert MD
16
Wood, Ryan PT
173
Woodburn Pharmacy LLC
210
Woodrow, Rebecca LCSW
106
Woodruff, Kellie APRN
170
Woods, Aubaine MD
18
Woods, Tracy OT
171
Woosley, Teresa APRN
198
Wright, Krystal APRN
170
Wright, Lucinda MD
56, 80
Wyatt, Sheryl APRN
158, 189
Y
Yalamanchili, Venkata MD
Yeiser, Michael MD
Yelamanchili, Prasanna MD
Yelton, James MD
Young, Jason PT
Young, Teresa APRN
Yousef, Bassam MD
66
8
66
70
173
189
12
Z
Zachek, Michael MD
91
Zeller, Steven MD
21
Zimmerman, Kimberly APRN
171, 183, 191, 204
76160
1-877-389-9457 (TTY/TDD 1-877-247-6272)
www.wellcare.com/Kentucky

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