2016 Kentucky Provider Directory (Christian, Daviess, Hancock
Transcription
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 www.wellcare.com/Kentucky | 156 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 www.wellcare.com/Kentucky | 168 06/01/2016 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 www.wellcare.com/Kentucky | 169 06/01/2016 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 www.wellcare.com/Kentucky | 170 06/01/2016 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 www.wellcare.com/Kentucky | 171 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 www.wellcare.com/Kentucky | 192 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 www.wellcare.com/Kentucky | 194 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 www.wellcare.com/Kentucky | 196 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 www.wellcare.com/Kentucky | 198 06/01/2016 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 www.wellcare.com/Kentucky | 200 06/01/2016 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 www.wellcare.com/Kentucky | 202 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 www.wellcare.com/Kentucky | 204 06/01/2016 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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