2015 kentucky provider directory
Transcription
2015 kentucky provider directory
2015 KENTUCKY PROVIDER DIRECTORY Bath, Boyd, Bracken, Carter, Elliott, Fleming, Greenup, Lawrence, Lewis, Mason, Menifee, Morgan, Robertson, Rowan KY030524_CAD_PRD_MLT State Approved 12262013 ©WellCare 2015 KY_06_15 KYCAD7PD68074M_0615 Table of Contents Provider Directory Introduction How to Read Our Provider Listings Icon Guide I II II List of Plan Providers Primary Care Physicians Bath Boyd Bracken Carter Elliott Fleming Greenup Lawrence Lewis Mason Menifee Morgan Rowan Specialty Physicians Bath Boyd Bracken Carter Elliott Fleming Greenup Lawrence Lewis Mason Menifee Morgan Rowan Hospitals Boyd 1 2 5 6 7 8 9 11 12 13 15 16 17 19 20 37 38 39 40 42 43 45 46 51 52 53 59 KYCAD7PD68074M_0615 Table of Contents List of Plan Providers Hospitals Fleming Mason Morgan Rowan Behavioral Health Boyd Bracken Carter Elliott Fleming Greenup Lawrence Lewis Mason Menifee Morgan Robertson Rowan Ancillary Providers All Bath Boyd Bracken Carter Elliott Fleming Greenup Lawrence Lewis Mason Menifee Morgan Robertson 60 61 62 63 64 67 68 69 70 71 72 73 74 75 76 77 78 80 81 82 84 85 86 87 88 89 90 91 92 93 94 Table of Contents List of Plan Providers Ancillary Providers Rowan Allied Providers Bath Boyd Bracken Carter Elliott Fleming Greenup Lawrence Lewis Mason Menifee Morgan Rowan Pharmacy Bath Boyd Bracken Carter Elliott Fleming Greenup Lawrence Lewis Mason Menifee Morgan Rowan 95 96 97 105 106 109 110 112 114 115 117 119 120 121 125 126 128 129 130 131 132 133 134 135 136 137 138 Indexes Alternate Languages Index Specialty Provider At-A-Glance Extended Hours Index 139 140 144 Table of Contents Indexes Provider Index 148 Here is your WellCare of Kentucky provider directory. It lists all of the providers in our network. These providers include: • Primary care providers (PCPs) and specialists • Hospitals • Pharmacies Each of these providers will make his or her own decisions about the care you need. WellCare of Kentucky is not responsible for these decisions. Some providers may not perform certain services due to their religious or moral beliefs. We've listed all of the providers by county. Then we've grouped them together by the type of care or services they give. We've also included: • The providers' addresses and phone numbers • Symbols to tell you whether the provider is accepting new patients, board certified or wheelchair accessible We have a provider look-up tool on our website. Go to kentucky.wellcare.com. Then click on the "Find a Provider" icon. You'll be able to search for providers right in your area. This is the best place to get our most current directory information. Call us if you have questions about this directory. We can help you find a provider. We can even help set up an appointment for you. Our toll-free number is 1-877-389-9457. TTY/TDD users can call 1-877-247-6272. You can reach us Monday-Friday, 7 a.m. to 7 p.m. We wish you good health. kentucky.wellcare.com | I How to Read Our Provider Listings Indicates provider is board certified Indicates provider has wheelchair access Provider name Smith, Joe, MD Provider ID: 111111 Practice name Your Family Medical Center Provider gender Male Provider address and phone number { Indicates provider is not accepting new patients 123 Main Street Anytown, FL 12345 (555) 555-5555 00 Yrs/99 Yrs Ages of patients seen by provider Sunshine Hospital Hospital the provider is associated with Language: Spanish Language spoken by provider or staff 9:00 am-5:00 pm Hours of operation PCMH: YES/NO. Level 1, 2, 3 Takes part in the PCMH* Model Icon Guide Indicates provider is board certified Indicates provider has wheelchair access Indicates provider is not accepting new patients *PCMH stands for Patient Centered Medical Home. This is a way of giving care that involves a team of health care professionals. The team works together to meet the needs of each patient. Providers are placed in one of three levels; Level 1 (lowest), Level 2 and Level 3 (highest). kentucky.wellcare.com | II Este es su directorio de proveedores de WellCare of Kentucky. Allí se listan todos los proveedores en nuestra red. Estos proveedores incluyen: • Proveedores de cuidado primario (PCP) y especialistas • Hospitales • Farmacias Cada uno de estos proveedores tomará sus propias decisiones sobre el cuidado que usted necesita. WellCare of Kentucky no es responsable de esas decisiones. Es posible que algunos proveedores no proporcionen ciertos servicios debido a sus creencias religiosas y morales. Hemos listado a todos los proveedores por condado. Luego los hemos agrupado por el tipo de cuidado o servicios que ofrecen. También hemos incluido: • Las direcciones y los números de teléfono de los proveedores • Símbolos para indicarle si el proveedor está aceptando nuevos pacientes, si es certificado por una junta o si cuenta con acceso para silla de ruedas En nuestro sitio web contamos con una herramienta de búsqueda de proveedores. Visite kentucky.wellcare.com. Luego haga clic en el icono “Find a Provider” (Buscar un proveedor). Usted podrá buscar proveedores exactamente en su área. Este es el mejor lugar para obtener nuestra información de directorio más actual. Si tiene alguna pregunta sobre este directorio, llámenos. Podemos ayudarle a encontrar un proveedor. Incluso podemos ayudarle a programar una cita. Nuestro número sin cargo es 1-877-389-9457. Los usuarios de TTY/TDD pueden llamar al 1-877-247-6272. Puede comunicarse con nosotros de lunes a viernes de 7 a.m. a 7 p.m. Le deseamos una buena salud. kentucky.wellcare.com | III Cómo leer nuestros listados de proveedores Indica que el proveedor es certificado por la junta médica Indica que el proveedor tiene acceso para silla de ruedas Nombre del proveedor Smith, Joe, MD Provider ID: 111111 Nombre de la práctica Your Family Medical Center Sexo del proveedor Male Dirección y número de teléfono del proveedor { Indica que el proveedor no está aceptando a nuevos pacientes 123 Main Street Anytown, FL 12345 (555) 555-5555 00 Yrs/99 Yrs Edades de pacientes vistos por el proveedor Sunshine Hospital Hospital con el que está asociado el proveedor Language: Spanish Idioma hablado por el proveedor o personal 9:00 am-5:00 pm Horario de atención PCMH: YES/NO. Level 1, 2, 3 Participa en el modelo PCMH* Guía de íconos Indica que el proveedor es certificado por la junta médica Indica que el proveedor tiene acceso para silla de ruedas Indica que el proveedor no está aceptando a nuevos pacientes *PCMH se refiere a Hogar Médico Enfocado en el Paciente. Es una manera de proporcionar cuidado que involucra a un equipo de profesionales de la salud. El equipo trabaja en conjunto para satisfacer las necesidades de cada paciente. Los proveedores son asignados a uno de tres niveles: Nivel 1 (el más bajo), Nivel 2 y Nivel 3 (el más alto). kentucky.wellcare.com | IV Spanish to English Provider Types*/Tipos de proveedores de español a inglés* Español Inglés Español Inglés Acupuntura Acupuncture Psiquiatría de adicciones Medicina para adolescentes Addiction Psychiatry Electrofisiología cardíaca Cardiac Electrophysiology Monitoreo cardíaco Cardiac Monitoring Cardiología Cardiology Servicios de acompañante para adultos Cuidado diurno para adultos Hogar de cuidado sustituto para adultos Adult Companion Services Cuidado médico diurno para adultos Adult Medical Day Care Cuidado residencial para adultos Administración de casos enfocados en adultos Adult Residential Care Home Adult Targeted Case Management Adolescent Medicine Adult Day Care Adult Foster Care Home Centro para tratar AIDS Center el SIDA Alergias e inmunología Allergy & Immunology Centro de cirugía ambulatoria Servicios de vida asistida Audiología Ambulatory Surgery Center Assisted Living Services Audiology Asesoramiento en salud del comportamiento Centro de salud del comportameinto Behavioral Health Counseling Behavioral Health Facility Centro de maternidad Birthing Center Laboratorio de Cardiac Cath cateterismo cardíaco Laboratory Cirugía cardiovascular Cardiovascular Surgery Cirugía cardiovascular Cardiovascular Surgery Servicios de Case Management administración Services de casos Pediatría de abuso Child Abuse infantil Pediatrics Centro de desarrollo Child Development para niños Center Administración de Children Targeted casos enfocados Case Management en niños Niños con necesidades Children With especiales de cuidado Special Health Care de la salud Needs Quiropráctica Chiropractic Servicios de tareas Chore/Housekeeping domésticas y limpieza Services del hogar Clínica Clinic Neurofisiología clínica Cirugía de colon y recto Centro de salud comunitario Centro de salud mental comunitario Junta de servicios a la comunidad kentucky.wellcare.com | V Clinical Neurophysiology Colon & Rectal Surgery Community Health Center Community Mental Health Center Community Service Board Español Inglés Español Inglés Cirugía cardíaca congénita Congenital Cardiac Surgery Servicios de suministros médicos descartables Clínica de cuidado conveniente Hospital de acceso crítico Odontología Consumable Medical Supply Services Planificación familiar Medicina familiar Servicios de capacitación familiar Family Planning Family Practice Family Training Services Convenient Care Clinic Critical Access Hospital Dentistry Dermatología Dermatology Dermatopatología Dermatopathology Centro designado para el sida Educación sobre la diabetes Centro de diagnóstico y tratamiento Centro de diagnóstico Designated Aids Center Diabetes Education Diagnóstico por imágenes Diálisis Diagnostic Imaging Diagnostic And Treatment Center Diagnostic Center Dialysis Equipo médico Durable Medical duradero Equipment Otorrinolaringología Ear, Nose & Throat Endocrinología, diabetes, metabolismo Endodoncia Servicios de adaptaciones de accesibilidad al entorno Servicios especiales de EPSDT Servicios de acompañante Endocrinology, Diabetes, Metabolism Endodontics Environmental Accessibility Adaptation Services EPSDT Special Services Escort Services Centro de salud con Federally Qualified calificación federal Health Center Servicios de Financial Risk evaluación/reducción Assessment/Risk de riesgos financieros Reduction Services Centro de aptitud física Gastroenterología Fitness Center Gastroenterología y hepatología Gastroenterology & Hepatology Medicina general General Practice Cirugía general General Surgery Asesoramiento genético Genetic Counseling Medicina geriátrica Geriatric Medicine Psiquiatría geriátrica Geriatric Psychiatry Oncología ginecológica Ginecología Cirugía de la mano Gynecological Oncology Gynecology Hand Surgery Oncología de cabeza y cuello Cirugía de cabeza y cuello Control de la seguridad de la salud Head & Neck Oncology Head & Neck Surgery Health Safety Monitoring Proveedor de audífonos Terapia y especialista en audífonos Hematología Hearing Aid Supplier kentucky.wellcare.com | VI Gastroenterology Hearing Aid Therapy & Specialist Hematology Español Inglés Español Inglés Hematología y oncología Hematology & Oncology Mobile Diagnostic VIH/SIDA HIV/AIDS Diagnóstico con equipos portátiles MRI, equipos abiertos Medicina perinatal neonatal Nefrología MRI Open Neonatal Perinatal Medicine Nephrology Neurooncología Neuro Oncology Discapacidades del desarrollo neurológico Neurodiagnóstico Neurodevelopmental Disabilities Neurodiagnostic Neurología Neurology Comidas entregadas Home-Delivered a domicilio Meals Cuidado de la salud Home Health Care en el hogar Hospicio Hospice Cuidado de hospicio Hospice & Palliative y paliativo Care Hospital Hospital Servicios de limpieza Housekeeping/ del hogar y tareas Chore Services domésticas Medicina hiperbárica Hyperbaric Medicine Neurología/otología Neurology/Otology Enfermedades infecciosas Terapia de infusión Infectious Disease Medicina neuromuscular Neurooncología Infusion Therapy Neuropsicología Neuropsychology Medicina interna Internal Medicine Neurorradiología Neuroradiology Neurocirugía Neurosurgery Pruebas de laboratorio Laboratory de patología Pathology Testing Neuromuscular Medicine Neuro-Oncology Agencia licenciada de servicios de cuidado en el hogar Licensed Home Care Service Agency Servicios de transporte Non-Emergency sin carácter de Transportation emergencia Cardiología nuclear Nuclear Cardiology Litotripsia Lithotripsy Medicina nuclear Nuclear Medicine Radiología nuclear Nuclear Radiology Enfermeras parteras Nutrición Obstetricia Obstetricia/ Ginecología Medicina ocupacional Nurse Midwife Nutrition Obstetrics Obstetrics/ Gynecology Occupational Medicine Occupational Therapy Ophthalmology Imágenes por Magnetic Resonance resonancia magnética Imaging Mamografía Mammography Masoterapia Massage Therapy Medicina maternofetal Genética médica Maternal Fetal Medicine Medical Genetics Oncología médica Medical Oncology Administración de medicamentos Medication Administration Terapia ocupacional Oftalmología kentucky.wellcare.com | VII Español Inglés Español Inglés Óptico Optometría Cirugía oral y maxilofacial Ortodoncia Cirugía ortopédica Ortésica Ortopedia y prostética Establecimiento quirúrgico para pacientes ambulatorios Tratamiento del dolor Apoyo para el tratamiento del el dolor Alergias e inmunología pediátricas Medicina pediátrica del comportamiento Monitoreo cardíaco pediátrico Cardiología pediátrica Cirugía cardiovascular pediátrica Dermatología pediátrica Otorrinolaringología pediáatrica Endocrinología pediátrica Gastroenterología pediátrica Optician Optometry Oral & Maxillofacial Surgery Orthodontics Orthopaedic Surgery Orthotics Orthotics & Prosthetics Outpatient Surgical Facility Hematología/ Pediatric Hematology/ oncología pediátricas Oncology Genética pediátrica Pediatric Genetics Enfermedades Pediatric Infectious infecciosas pediátricas Disease Nefrología pediátrica Pediatric Nephrology Neurología pediátrica Pediatric Neurology Neurocirugía pediátrica Pediatric Neurosurgery Oncología pediátrica Pediatric Oncology Oftalmología Pediatric pediátrica Ophthalmology Ortopedia pediátrica Pediatric Orthopaedics Pain Management Cirugía ortopédica pediátrica Pain Management Support Psiquiatría pediátrica Pediatric Psychiatry Pediatric Orthopedic Surgery Neumonología pediátrica Pediatric Pulmonology Medicina de rehabilitación pediátrica Pediatric Rehabilitation Medicine Pediatric Cardiac Monitoring Pediatric Cardiology Pediatric Cardiovascular Surgery Pediatric Dermatology Reumatología pediátrica Pediatric Rheumatology Medicina deportiva pediátrica Pediatric Sports Medicine Cirugía pediátrica Pediatric Surgery Pediatric Ear, Nose & Throat Pediatric Endocrinology Pediatric Gastroenterology Urología pediátrica Pediatric Urology Pediatría Pediatrics Comportamiento y desarollo pediátrico Pediatrics Behavioral & Developmental Pedodoncia Periodoncia Pedodontics Periodontics Pediatric Allergy & Immunology Pediatric Behavioral Medicine Hepatología pediátrica Pediatric Transplant y trasplante Hepatology kentucky.wellcare.com | VIII Español Inglés Servicios de cuidado Personal Care personal Services Servicios personales de respuesta de emergencias Personal Emergency Response System Farmacia Pharmacy Medicina física y rehabilitación Physical Medicine & Rehabilitation Terapia física Physical Therapy Laboratorio de fisiología Physiological Lab Cirugía plástica y reconstructiva Plastic & Reconstructive Surgery Podiatría Podiatry Medicina preventiva Preventive Medicine Centro de cuidado primario Primary Care Center Aparatos protésicos Prosthetics Prostodoncia Prosthodontics Psiquiatría Psychiatry Psicología Psychology Medicina psicosomática Psychosomatic Medicine Enfermedad pulmonar Oncología radioterápica Radioterapia Pulmonary Disease Centro de radioterapia Radiation Therapy Center Radiología intervencional y vascular Radiology Interventional & Vascular Radiation Oncology Radiation Therapy Español Inglés Centro de rehabilitación Medicina de rehabilitación Terapia de rehabilitación Endocrinología reproductiva Terapia respiratoria Rehabilitation Facility Rehabilitation Medicine Rehabilitation Therapy Reproductive Endocrinology Respiratory Therapy Servicios de cuidado Respite Care de relevo Services Reumatología Rheumatology Centro de salud rural Rural Health Center Cuidado autodirigido Self-Directed Care Centro de enfermería especializada Estudios de diagnóstico del sueño Medicina del sueño Skilled Nursing Facility Sleep Diagnostic Studies Sleep Medicine Cuidado diurno social Terapia del habla Social Day Care Medicina para lesiones de médula espinal Medicina deportiva Spinal Cord Injury Medicine Sports Medicine Cuidado subagudo Sub-Acute Care Speech Therapy Abuso de sustancias Substance Abuse Oncología quirúrgica Surgical Oncology Monitoreo telecardíaco Cirugía torácica y cardiovascular Tele-Cardiac Monitoring Thoracic & Cardiovascular Surgery Cirugía torácica Thoracic Surgery kentucky.wellcare.com | IX Español Inglés Español Inglés Tórax/sistema vascular Hepatología de trasplante Thoracic/Vascular Oncología urológica Urology Oncology Centro de cuidado urgente Urgent Care Center Urología Urology Urología/ginecología Urology/Gynecology Transplant Hepatology Laboratorio vascular Vascular Lab Medicina vascular Vascular Medicine Cirugía vascular Vascular Surgery *These are only some of the provider types. You can find a specific kind of provider in the Specialty Index. It can be found in the back of this book. *Estos son solo algunos de los tipos de proveedores. Usted puede encontrar un tipo específico de proveedor en el Índice de especialidades que encontrará en la parte posterior de este libro. kentucky.wellcare.com | X List of Plan Providers 05/28/2015 Primary Care Physicians Bath Family Practice Hatton, Twana DO Richard, John MD Provider ID: 1062113 Provider ID: 624262 Conley, Amy MD Gender: Female Gender: Male Provider ID: 1081168 St Claire Family Care Bath Family Health Gender: Female Clinic Services St Claire Regional Family 632 Slate Ave 44 Water St Medicine Owingsville, KY 40360 Owingsville, KY 40360 632 Slate Ave (606) 674-6386 (606) 674-9776 Owingsville, KY 40360 Fax: (606) 674-3096 Fax: (606) 674-9708 (606) 674-6386 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (606) 674-3096 St Claire Medical Center M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Robinson, Paula MD M-F 8:00 AM - 5:00 PM Matera, Elizabeth MD Provider ID: 624109 Fagbemi, Ruth MD Provider ID: 1031552 Gender: Female Provider ID: 1046059 Gender: Female Pediatric & Adolescent Gender: Female St Claire Medical Center Medic Community Family Clinic Inc 44 Water St PLLC 632 Slate Ave Owingsville, KY 40360 17 Miller Dr Owingsville, KY 40360 (606) 674-9776 Owingsville, KY 40360 (606) 674-6386 Fax: (606) 674-9708 (606) 674-3033 Fax: (606) 674-3096 00 Yrs/99 Yrs Fax: (606) 674-3036 00 Yrs/99 Yrs M-F 8:30 AM - 8:00 PM 00 Yrs/99 Yrs St Claire Medical Center Sat 9:00 AM - 5:00 PM M-W 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Womack, Glenn MD Faughn, Laura MD Melahn, William MD Provider ID: 619952 Provider ID: 754139 Gender: Male Gender: Female Provider ID: 639258 Sharpsburg Medical Bath Family Health Gender: Male Clinic Services Bath County Medical 601 Main St 44 Water St Clinic Sharpsburg, KY 40374 Owingsville, KY 40360 632 Slate Ave (606) 247-5006 (606) 674-9776 Owingsville, KY 40360 Fax: (606) 247-3112 Fax: (606) 674-9708 (606) 674-6386 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (606) 674-3096 Languages: Hindi M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs M-TH 8:30 AM - 5:00 PM St Claire Medical Center F 8:30 AM - 12:00 PM Goldstein, Lisa MD M-F 8:30 AM 5:00 PM Provider ID: 712974 Gender: Female Bath County Medical Clinic 632 Slate Ave Owingsville, KY 40360 (606) 674-6386 Fax: (606) 674-3096 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 1 Yamraj, Bhawan MD Provider ID: 627406 Gender: Male Bath Family Health Services 44 Water St Owingsville, KY 40360 (606) 674-9776 Fax: (606) 674-9708 00 Yrs/99 Yrs Frankfort Regional Medical Center M-F 8:00 AM - 5:00 PM Federally Qualified Health Center Bath County Medical Clinic Provider ID: 642164 632 Slate Ave Owingsville, KY 40360 (606) 783-6963 Fax: (606) 783-6966 M-F 8:00 AM - 5:00 PM Internal Medicine Kassis, Taufik MD Provider ID: 800542 Gender: Male Community Family Clinic PLLC 17 Miller Dr Owingsville, KY 40360 (606) 768-9190 Fax: (606) 768-9180 12 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM 05/28/2015 Primary Care Physicians Boyd Family Practice Cassity, Abbe DO Detherage, James MD Provider ID: 636095 Allen, Laura MD Provider ID: 681746 Gender: Female Provider ID: 632995 Gender: Male Cornerstone Medical Gender: Female Plaza Kings Daughters' Medical Kdmc Cedar Knoll Family 1816 Carter Ave Specialti Care Center 2421 Winchester Ave Ashland, KY 41101 10650 US Rte 60 Ashland, KY 41101 (606) 920-9595 Ashland, KY 41102 (606) 325-8485 Fax: (606) 920-9605 (606) 408-6301 Fax: (606) 324-1351 00 Yrs/99 Yrs Fax: (606) 408-6350 Kings Daughters Medical 00 Yrs/99 Yrs 00 Yrs/99 Yrs Center Kings Daughters Medical M-F 8:00 AM - 8:30 PM Center M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 4:30 PM Barker McCoy, Lisa MD Craig, Ann MD Elkins-Smith, Melinda Provider ID: 647997 Provider ID: 667153 MD Gender: Female Gender: Female Ashland Childrens Clinic Provider ID: 629560 Ashland Family Medicine 700 13th St Gender: Female 2222 Winchester Ave Bellefonte Physician Ashland, KY 41101 Ashland, KY 41101 Services (606) 329-0204 (606) 325-9644 2028 Winchester Ave Fax: (606) 324-7770 Fax: (606) 329-1207 Ashland, KY 41101 00 Yrs/18 Yrs 00 Yrs/99 Yrs (606) 326-9001 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Fax: (606) 324-7349 Sat 9:00 AM - 1:00 PM 00 Yrs/99 Yrs Bond, John MD Davis, Melissa MD M-F 8:00 AM - 5:00 PM Provider ID: 646774 Provider ID: 666996 Gender: Male Fields, Larry MD Gender: Female John A. Bond, MD PSC Ashland Family Medicine Provider ID: 650575 1200 Central Ave Ste 1 Gender: Male 2222 Winchester Ave Ashland, KY 41101 Family Medicine Center Ashland, KY 41101 (606) 329-0977 PLLC (606) 325-9644 Fax: (606) 324-0541 1101 St Christopher Dr Fax: (606) 329-1207 Ste 250 00 Yrs/99 Yrs 00 Yrs/99 Yrs Ashland, KY 41101 Kings Daughters Medical M-F 8:00 AM - 5:00 PM Center (606) 836-3196 M-F 8:00 AM - 5:00 PM Fax: (606) 836-2564 00 Yrs/99 Yrs Kings Daughters Medical Center Our Lady of Bellefonte Hospital M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 2 Fugate, Lisa DO Provider ID: 638058 Gender: Female Family Medicine Center 1101 Saint Christopher Dr Ste 250 Ashland, KY 41101 (606) 836-3196 Fax: (606) 836-2564 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Hannah, Rancie MD Provider ID: 666992 Gender: Male Family Medicine Center 1101 Saint Christopher Dr Ste 250 Ashland, KY 41101 (606) 836-3196 Fax: (606) 836-2564 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Hart, Timothy MD Provider ID: 651547 Gender: Male Timothy S. Hart, MD PSC 933 29th St Ashland, KY 41101 (606) 325-7500 Fax: (606) 326-9136 00 Yrs/99 Yrs Kings Daughters Medical Center M-F 8:00 AM - 5:00 PM Hieneman-Connett, Carrie DO Provider ID: 670913 Gender: Female Family Medicine Center 1101 Saint Christopher Dr Ste 250 Ashland, KY 41101 (606) 836-3196 Fax: (606) 836-2564 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM 05/28/2015 Primary Care Physicians Boyd Family Practice - cont. Miller, Jeremiah DO Provider ID: 636525 Jones, Derek DO Gender: Male Provider ID: 629859 Bellefonte Primary Care Gender: Male 12470 US St Rt 60 Family Medicine Center Ashland, KY 41102 1101 Saint Christopher Dr (606) 928-1881 Ste 250 Fax: (606) 928-1776 Ashland, KY 41101 00 Yrs/99 Yrs (606) 836-3196 M-F 8:00 AM - 5:00 PM Fax: (606) 836-2564 00 Yrs/99 Yrs Miller, Lauren DO M-F 8:00 AM - 5:00 PM Provider ID: 720745 Gender: Female King, Malcolm MD Ashland Family Medicine Provider ID: 644390 2222 Winchester Ave Gender: Male Ashland, KY 41101 Malcolm H King MD (606) 325-9644 2301 Lexington Ave Ste Fax: (606) 329-1207 205 00 Yrs/99 Yrs Ashland, KY 41101 M-F 8:00 AM - 5:00 PM (606) 325-9633 Fax: (606) 325-9634 Patton, Anna MD 00 Yrs/99 Yrs Provider ID: 508573 M-F 9:00 AM - 5:00 PM Gender: Female Kdmc Catlettsburg Lewis, Matthew DO Family Care Center Provider ID: 636286 4004 Louisa Rd Gender: Male Catlettsburg, KY 41129 Bellefonte Primary Care (606) 739-6095 2910 Carter Ave Fax: (606) 739-8252 Ashland, KY 41101 00 Yrs/99 Yrs (606) 833-3333 Kings Daughters Medical 00 Yrs/99 Yrs Center M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 8:30 PM Meadows, Rockford MD Saltz, Bryan MD Provider ID: 667128 Provider ID: 636128 Gender: Male Gender: Male Ashland Family Medicine Bellefonte Primary Care 2222 Winchester Ave 2910 Carter Ave Ashland, KY 41101 Ashland, KY 41101 (606) 325-9644 (606) 833-3333 Fax: (606) 329-1207 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Short, William MD Baldock, Kimberly MD Provider ID: 676094 Provider ID: 636078 Gender: Male Kdms Short Primary Care Gender: Female Cornerstone Medical 2340 Carter Ave Plaza Ashland, KY 41101 1816 Carter Ave (606) 325-9769 Ashland, KY 41101 Fax: (606) 329-9301 (606) 920-9595 00 Yrs/99 Yrs Fax: (606) 920-9605 Our Lady of Bellefonte 12 Yrs/99 Yrs Hospital Kings Daughters Medical M-F 9:00 AM - 4:30 PM Center Underwood, Zachary DO M-F 9:00 AM - 5:00 PM Provider ID: 626116 Blevins, Marshall MD Gender: Male Provider ID: 659160 Bellefonte Primary Care Gender: Male 12470 US St Rt 60 Marshall Blevins MD PSC Ashland, KY 41102 6572 Midland Trl (606) 928-1881 Ashland, KY 41102 Fax: (606) 928-1776 (606) 928-7755 00 Yrs/99 Yrs Fax: (606) 928-0052 M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs Federally Qualified M-F 9:00 AM - 5:00 PM Health Center Domingo, Maria MD Kings Daughters Medical Center Provider ID: 633286 Provider ID: 812299 Gender: Female 10650 US Rt 60 Kdmc Hospitalists Ashland, KY 41102 2201 Lexington Ave (606) 408-7337 Ashland, KY 41101 00 Yrs/99 Yrs (606) 408-2773 M-F 9:00 AM - 5:00 PM Fax: (606) 408-3841 00 Yrs/99 Yrs Internal Medicine Kings Daughters Medical Center Ahmed, Mushtaque MD Provider ID: 955854 Gender: Male Mushtaque Ahmed MD PSC 2201 Lexington Ave Ashland, KY 41101 (606) 329-9414 Fax: (606) 329-9414 12 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 3 05/28/2015 Primary Care Physicians Boyd Internal Medicine - cont. Ford, Jason MD Provider ID: 636519 Gupta, Sanjiv MD Gender: Male Provider ID: 903775 Bellefonte Primary and Gender: Male Pediatric Ca Tri-State Primary Care 2028 Winchester Ave 101 Ashland Dr Ashland, KY 41101 Ashland, KY 41101 (606) 324-7337 (606) 324-1996 Fax: (606) 324-7349 Fax: (606) 833-2430 00 Yrs/21 Yrs 12 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Kings Daughters Medical Hennan-Hain, Pearl DO Center M-F 8:00 AM - 5:00 PM Provider ID: 595619 Pediatrics Gender: Female Tri-State Pediatrics Belcher, Barry DO 1000 Ashland Dr Ste 102 Provider ID: 633035 Ashland, KY 41101 Gender: Male (606) 836-0919 Kdmc Cedar Knoll Peds Fax: (606) 836-2847 10650 US Rte 60 00 Yrs/18 Yrs Ashland, KY 41102 M-F 8:00 AM - 5:00 PM (606) 408-7337 Fax: (606) 408-7798 00 Yrs/19 Yrs M-F 8:00 AM - 8:30 PM Bolden, Donna MD Provider ID: 596604 Gender: Female Bellefonte Physician Services Inc D 1000 Ashland Dr Ste 102 Ashland, KY 41101 (606) 836-0919 Fax: (606) 836-2847 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM Cook, Cheryl MD Provider ID: 596608 Gender: Female Tri-State Pediatrics 1000 Ashland Dr Ste 102 Ashland, KY 41101 (606) 836-0919 Fax: (606) 836-2847 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM Khanna, Ashok MD Provider ID: 628922 Gender: Male Ashland Pediatrics Associates, PSC 332 23rd St Ashland, KY 41101 (606) 327-5437 Fax: (606) 329-1352 00 Yrs/18 Yrs Kings Daughters Rehab Dpu M-F 8:00 AM - 5:00 PM Maynard, Jonathan MD Provider ID: 636304 Gender: Male Kdmc 2201 Lexington Ave Ashland, KY 41101 (606) 408-2773 Fax: (606) 408-3841 00 Yrs/19 Yrs M-F 7:30 AM - 5:30 PM Maynard, Jonathan MD Provider ID: 638460 Gender: Male Kings Daughter Medical Specialties 399 Diederich Blvd Ashland, KY 41101 (606) 326-0470 Fax: (606) 326-0474 00 Yrs/19 Yrs M-F 7:30 AM - 5:30 PM Menezes, Karem MD Provider ID: 703726 Gender: Female Bellefonte Primary & Pediatric Care 2028 Winchester Ave Ashland, KY 41101 (606) 326-9001 Fax: (606) 324-7349 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Potter, John MD Provider ID: 647984 Gender: Male Ashland Childrens Clinic 700 13th St Ashland, KY 41101 (606) 329-0204 Fax: (606) 324-7770 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM Stevens, Ishmael MD Provider ID: 656904 Gender: Male Ashland Children's Clinic 700 13th St Ashland, KY 41101 (606) 329-0204 Fax: (606) 324-7770 00 Yrs/18 Yrs Kings Daughters Medical Center M-F 9:00 AM - 5:00 PM kentucky.wellcare.com | 4 Primary Care Center Kings Daughters Medical Center Provider ID: 812299 10650 US Rt 60 Ashland, KY 41102 (606) 408-7337 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM 05/28/2015 Primary Care Physicians Bracken Family Practice Markesbery, Harold MD Bailey, Betsy MD Provider ID: 619623 Provider ID: 1028502 Gender: Male Gender: Female Lewis County Primary Lewis County Primary Care Center Care Center In 1551 Augusta Chatham 1551 Augusta Chatham Rd Rd Augusta, KY 41002 Augusta, KY 41002 (606) 756-2117 (606) 756-2117 Fax: (606) 756-2135 Fax: (606) 756-2135 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-W 8:00 AM - 5:00 PM Fleming County Hospital M-TH 8:00 AM - 7:00 PM Morris, James MD Provider ID: 652960 F 8:00 AM - 5:00 PM Gender: Male Gray, Nina MD Lewis County Primary Provider ID: 940978 Care Center In Gender: Female 1551 Augusta Chatham Lewis County Primary Rd Care Center In Augusta, KY 41002 1551 Augusta Chatham (606) 756-2117 Rd Fax: (606) 756-2135 Augusta, KY 41002 00 Yrs/99 Yrs (606) 756-2117 M-TH 8:00 AM - 7:00 PM Fax: (606) 756-2135 F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Neus, Steven MD Provider ID: 619624 Guttman, Nancy MD Gender: Male Provider ID: 619992 Lewis County Primary Gender: Female Care Center Lewis County Primary 1551 Augusta Chatham Care Center I Rd 1551 Augusta Chatham Augusta, KY 41002 Rd (606) 756-2117 Augusta, KY 41002 Fax: (606) 756-2135 (606) 756-2117 00 Yrs/99 Yrs Fax: (606) 756-2135 M-W 8:00 AM - 7:00 PM 00 Yrs/99 Yrs TH 8:00 AM - 5:00 PM M-TH 8:00 AM - 7:00 PM F 8:00 AM - 5:00 PM Federally Qualified Health Center Meyers, Thomas MD Provider ID: 619617 Gender: Male Lewis County Primary Care Center-Augus 1551 Augusta-Chatham Rd Augusta, KY 41002 (606) 756-2117 Fax: (606) 756-2135 18 Yrs/99 Yrs M-TH 8:00 AM - 7:00 PM F 8:00 AM - 5:00 PM Guttman, Nancy MD Provider ID: 619992 Gender: Female Lewis County Primary Care Center I 1551 Augusta Chatham Rd Augusta, KY 41002 (606) 756-2117 Fax: (606) 756-2135 00 Yrs/99 Yrs M-TH 8:00 AM - 7:00 PM Neus, Steven MD F 8:00 AM - 5:00 PM Provider ID: 619624 Gender: Male Lewis County Primary Lewis County Primary Care Center Inc Care Center Provider ID: 619622 1551 Augusta Chatham Lewis County Primary Rd Care Center Augusta, KY 41002 1551 Augusta Chatham (606) 756-2117 Rd Fax: (606) 756-2135 Augusta, KY 41002 00 Yrs/99 Yrs (606) 756-2117 M-W 8:00 AM - 7:00 PM Fax: (606) 756-2135 TH 8:00 AM - 5:00 PM 00 Yrs/99 Yrs M-TH 8:00 AM - 7:00 PM Internal Medicine F 8:00 AM - 5:00 PM Meyers, Thomas MD Markesbery, Harold MD Provider ID: 619617 Gender: Male Provider ID: 619623 Lewis County Primary Gender: Male Care Center-Augus Lewis County Primary 1551 Augusta-Chatham Care Center Rd 1551 Augusta Chatham Augusta, KY 41002 Rd (606) 756-2117 Augusta, KY 41002 Fax: (606) 756-2135 (606) 756-2117 18 Yrs/99 Yrs Fax: (606) 756-2135 M-TH 8:00 AM - 7:00 PM 00 Yrs/99 Yrs F 8:00 AM - 5:00 PM M-W 8:00 AM - 5:00 PM kentucky.wellcare.com | 5 05/28/2015 Primary Care Physicians Carter Family Practice Moore, Carolyn MD Provider ID: 631008 Adkins, Henry MD Gender: Female Provider ID: 643210 Carter County Medical Gender: Male Clinic 105 State Hwy 1947 Ste B 155 Bricklayer St Grayson, KY 41143 Olive Hill, KY 41164 (606) 474-7808 (606) 286-4152 Fax: (606) 474-4654 Fax: (606) 286-2385 00 Yrs/99 Yrs 00 Yrs/99 Yrs Kings Daughters Medical M-F 9:00 AM - 5:00 PM Center M-F 9:00 AM - 5:00 PM Shields, Kari MD Provider ID: 636358 Meadows, Rockford MD Gender: Female Bellefonte Primary Care Provider ID: 636266 100 Bellefonte Dr Gender: Male Grayson, KY 41143 Bellefonte Primary Care (606) 474-0669 100 Bellefonte Dr Fax: (606) 474-0376 Grayson, KY 41143 00 Yrs/99 Yrs (606) 474-0669 M-F 8:00 AM - 5:00 PM Fax: (606) 474-0376 00 Yrs/99 Yrs Stepp, Dara DO M-F 8:00 AM - 5:00 PM Provider ID: 647999 Gender: Female Melahn, William MD Kdmc Grayson Family Care Center Provider ID: 639250 609 N Carol Malone Blvd Gender: Male Grayson, KY 41143 Carter County Medical (606) 474-7892 Clinic Fax: (606) 474-0040 155 Bricklayer St 00 Yrs/99 Yrs Olive Hill, KY 41164 Kings Daughters Medical (606) 286-4152 Center Fax: (606) 286-2385 MTWTHFSat 8:00 AM 00 Yrs/99 Yrs 8:30 PM St Claire Medical Center M-F 8:30 AM - 5:00 PM Underwood, Zachary DO Provider ID: 636119 Gender: Male Bellefonte Primary Care 100 Bellefonte Dr Grayson, KY 41143 (606) 474-0669 Fax: (606) 474-0376 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Federally Qualified Health Center Holmes, Gregory MD Provider ID: 987605 Gender: Male St Claire Regional Family Bellefonte Primary Care Provider ID: 639690 100 Bellefonte Dr 155 Bricklayer St Grayson, KY 41143 Olive Hill, KY 41164 (606) 474-0669 (606) 286-4152 Fax: (606) 474-0376 Fax: (606) 286-2385 12 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Pediatrics Internal Medicine Maynard, Jonathan MD Binion, Miranda MD Provider ID: 1011522 Provider ID: 943873 Gender: Female Gender: Male Bellefonte Primary Care Kdmc Grayson Familiy 100 Bellefonte Dr Care Center Grayson, KY 41143 609 N Carole Malone (606) 474-0669 Blvd Fax: (606) 474-0376 Grayson, KY 41143 12 Yrs/99 Yrs (606) 474-7892 M-F 8:00 AM - 5:00 PM Fax: (606) 474-0040 00 Yrs/19 Yrs Gupta, Sanjiv MD M-F 7:30 AM - 5:30 PM Provider ID: 636276 Gender: Male Menezes, Karem MD Sanjiv Gupta, MD PSC Provider ID: 712951 708 N Carol Malone Blvd Gender: Female Grayson, KY 41143 Bellefonte Primary Care (606) 474-2200 100 Bellefonte Dr Fax: (606) 474-2205 Grayson, KY 41143 12 Yrs/99 Yrs (606) 474-0669 Kings Daughters Medical Fax: (606) 474-0376 Center 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Gupta, Sanjiv MD Provider ID: 903769 Gender: Male Grayson Health Park 300 State Hywy 1947 A Grayson, KY 41143 (606) 474-2200 Fax: (606) 474-2205 12 Yrs/99 Yrs Kings Daughters Medical Center M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 6 05/28/2015 Primary Care Physicians Elliott Family Practice Rural Health Center Goldstein, Lisa MD Kings Daughters Medical Center Provider ID: 637027 Provider ID: 644103 Gender: Female 1908 N Ky 7 Elliott County Medical Clinic Sandy Hook, KY 41171 390 Ky Hwy 7 S (606) 739-9339 Sandy Hook, KY 41171 Fax: (606) 739-6992 (606) 738-5155 00 Yrs/99 Yrs Fax: (606) 738-5420 M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs St Claire Medical Center M-F 8:30 AM - 5:00 PM Melahn, William MD Provider ID: 639254 Gender: Male Elliott County Medical Clinic 390 Ky Hwy 7 S Sandy Hook, KY 41171 (606) 738-5155 Fax: (606) 738-5420 00 Yrs/99 Yrs St Claire Medical Center M-F 8:30 AM - 5:00 PM Federally Qualified Health Center St Claire Regional Fam Me Provider ID: 1018368 390 Ky Hwy 7S Sandy Hook, KY 41171 (606) 738-5155 Fax: (606) 738-5420 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM kentucky.wellcare.com | 7 05/28/2015 Primary Care Physicians Fleming Family Practice Bacon, William MD Provider ID: 628835 Gender: Male Family Medicine Associates of Flemi 935 Elizaville Ave Flemingsburg, KY 41041 (606) 849-3374 Fax: (606) 845-0646 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Boyd, Michael MD Provider ID: 628843 Gender: Male Family Medicine Associates of Flemi 935 Elizaville Ave Flemingsburg, KY 41041 (606) 849-3374 Fax: (606) 845-0646 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Dunaway, Michael MD Provider ID: 619722 Gender: Male Lewis County Primary Care Center 520 Elizaville Ave Flemingsburg, KY 41041 (606) 845-0028 Fax: (606) 845-0263 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Womack, Glenn MD Provider ID: 619945 Gender: Male Buffalo Trace Family Health Care 732 Elizaville Ave Flemingsburg, KY 41041 (606) 849-2323 Fax: (606) 849-2025 00 Yrs/99 Yrs Languages: Hindi M-F 8:30 AM - 5:00 PM Sat 5:00 AM - 12:00 PM Federally Qualified Bailey, Betsy MD Health Center Provider ID: 616558 Gender: Female Bailey, Betsy MD Lewis County Primary Provider ID: 619719 Care Center In Gender: Female 520 Elizaville Ave Lewis County Primary Flemingsburg, KY 41041 Care Center (606) 845-0028 520 Elizaville Ave Fax: (606) 845-0263 Flemingsburg, KY 41041 00 Yrs/99 Yrs Gehring, Samuel MD (606) 845-0028 Fleming County Hospital Fax: (606) 845-0263 Provider ID: 596315 MTTH 8:00 AM - 6:00 00 Yrs/99 Yrs PM Gender: Male M-F 8:30 AM - 5:00 PM WF 8:00 AM - 5:00 PM Samuel W Gehring MD Dunaway, Michael MD PSC Bailey, Betsy MD Provider ID: 619722 65 Energy Rd Provider ID: 619719 Gender: Male Flemingsburg, KY 41041 Gender: Female Lewis County Primary (606) 845-2931 Lewis County Primary Care Center Fax: (606) 849-2750 Care Center 520 Elizaville Ave 00 Yrs/99 Yrs 520 Elizaville Ave Fleming County Hospital Flemingsburg, KY 41041 Flemingsburg, KY 41041 (606) 845-0028 M-F 9:00 AM - 5:00 PM (606) 845-0028 Fax: (606) 845-0263 Fax: (606) 845-0263 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM M-F 8:30 AM - 5:00 PM kentucky.wellcare.com | 8 Internal Medicine Applegate, Amanda MD Provider ID: 628847 Gender: Female Family Medicine Associates of Flemi 935 Elizaville Ave Flemingsburg, KY 41041 (606) 849-3374 Fax: (606) 845-0646 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Pediatrics Applegate, Amanda MD Provider ID: 628847 Gender: Female Family Medicine Associates of Flemi 935 Elizaville Ave Flemingsburg, KY 41041 (606) 849-3374 Fax: (606) 845-0646 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM 05/28/2015 Primary Care Physicians Greenup Family Practice Hall, Luther DO Lewis, Angela DO Provider ID: 647995 Provider ID: 612007 Abbott, Lesley DO Gender: Male Gender: Female Provider ID: 667073 Kdmc Flatwoods Medical Angela D Lewis PSC Gender: Female Specialties 1021 Kenwood Dr Lesley Preston Abbott 1109 Bellefonte Rd Russell, KY 41169 DO Flatwoods, KY 41139 (606) 836-1954 903 Bellefonte Rd (606) 836-8086 Fax: (606) 836-3878 Flatwoods, KY 41139 Fax: (606) 836-3743 04 Yrs/99 Yrs (606) 836-0165 00 Yrs/99 Yrs M-F 8:30 AM - 4:30 PM Fax: (606) 836-0278 M-TH 8:00 AM - 6:30 PM 00 Yrs/99 Yrs Lobach, Augustinus MD F 8:00 AM - 4:30 PM M-F 8:00 AM - 5:00 PM Provider ID: 629519 Howard, Kevin DO Gender: Male Bailey, Betsy MD Provider ID: 629585 Bellefonte Primary Care Provider ID: 1028503 Gender: Male 2420 Argillite Rd Gender: Female Bellefonte Primary Care Flatwoods, KY 41139 Lewis County Primary 2420 Argillite Rd (606) 836-3900 Care Center In Flatwoods, KY 41139 Fax: (606) 836-0205 142 Depot Dr (606) 836-3900 21 Yrs/99 Yrs South Shore, KY 41175 Fax: (606) 836-0205 M-F 8:00 AM - 5:00 PM (606) 932-2271 00 Yrs/99 Yrs Fax: (606) 756-2273 M-F 8:00 AM - 5:00 PM Lobach, Augustinus MD 00 Yrs/99 Yrs Provider ID: 636102 Fleming County Hospital Lawentmann, Maggie MD Gender: Male M 8:00 AM - 5:00 PM Bellefonte Primary Care Provider ID: 657080 TWTHF 8:30 AM - 5:00 US 23 Indianola Ave PM Gender: Female South Shore, KY 41175 Bellefonte Primary Care (606) 932-3150 Hall, Luther DO South Shore Fax: (606) 932-6896 Provider ID: 633051 US 23 Inidanola Ave 21 Yrs/99 Yrs Gender: Male South Shore, KY 41175 M-F 8:00 AM - 5:00 PM Kdmc Flatwoods Medical (606) 932-3150 Specialties Strader, Jane MD Fax: (606) 932-6896 1109 Bellefonte Rd Provider ID: 943874 00 Yrs/99 Yrs Flatwoods, KY 41139 Gender: Female M-F 8:00 AM - 5:00 PM (606) 836-8086 Kdmc Flatwoods Medical Fax: (606) 836-3743 Lawentmann, Maggie DO Specialties 00 Yrs/99 Yrs 1109 Bellefonte Rd M-TH 8:00 AM - 6:30 PM Provider ID: 667387 Flatwoods, KY 41139 Gender: Female F 8:00 AM - 4:30 PM (606) 836-8086 Christ Care Pediatrics Fax: (606) 836-3743 and Family M 00 Yrs/99 Yrs 137 State Rte 3117 M-F 7:30 AM - 5:30 PM South Shore, KY 41175 (606) 932-2079 Fax: (606) 932-2313 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 9 Underwood, Zachary DO Provider ID: 636103 Gender: Male Bellefonte Primary Care US 23 Indianola Ave South Shore, KY 41175 (606) 932-3150 Fax: (606) 932-6896 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Underwood, Zachary DO Provider ID: 636105 Gender: Male Bellefonte Primary Care 2420 Argillite Rd Flatwoods, KY 41139 (606) 836-3900 Fax: (606) 836-0205 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Federally Qualified Health Center Stevenson, Grant MD Provider ID: 619649 Gender: Female Lewis County Primary Care 142 Depot Dr South Shore, KY 41175 (606) 932-2271 Fax: (606) 932-2273 00 Yrs/99 Yrs M 1:00 AM - 3:00 PM General Practice Stevenson, Grant MD Provider ID: 619649 Gender: Female Lewis County Primary Care 142 Depot Dr South Shore, KY 41175 (606) 932-2271 Fax: (606) 932-2273 00 Yrs/99 Yrs M 1:00 AM - 3:00 PM 05/28/2015 Primary Care Physicians Greenup Internal Medicine Christian, Kristina MD Provider ID: 900108 Gender: Female Bellefonte Primary Care 1629 Greenup Rd Ste 2 Greenup, KY 41144 (606) 473-0687 Fax: (606) 833-4668 12 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Querubin Jr, Jesus MD Provider ID: 642992 Gender: Male Bellefonte Medical Center 401 US 23 Greenup, KY 41144 (606) 473-1501 Fax: (606) 473-1503 12 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Pediatrics Keys, Steven MD Provider ID: 636502 Gender: Male Christ Care Pedicatrics and Family 137 State Rte 3117 South Shore, KY 41175 (606) 932-2079 Fax: (606) 932-2313 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM Ymalay, Chito MD Provider ID: 628860 Gender: Male Chito T. Ymalay, MD 908 Powell Ln Ste 101 Flatwoods, KY 41139 (606) 836-0263 Fax: (606) 836-0229 00 Yrs/21 Yrs Kings Daughters Rehab Dpu Languages: Tagalog M-F 9:00 AM - 5:00 PM Brown, Kelli MD Provider ID: 907915 Gender: Female Bellefonte Pediatrics Rusell 1061 Kenwood Dr Russell, KY 41169 (606) 833-6750 Fax: (606) 833-6752 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM Hudson, Gregory MD Provider ID: 626628 Gender: Male Christ Care Pedicatrics and Family 137 State Rte 3117 South Shore, KY 41175 (606) 932-2079 Fax: (606) 932-2313 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 10 05/28/2015 Primary Care Physicians Lawrence Family Practice Harris, Spencer MD Provider ID: 642568 Gender: Male Three Rivers Medical Clinic 2673 Hwy 644 Three Rivers Plaza Louisa, KY 41230 (606) 638-3323 Fax: (606) 638-3325 00 Yrs/99 Yrs Three Rivers Medical Center M-F 8:00 AM - 5:00 PM Klein, Jeremy MD Provider ID: 692712 Gender: Male Family Practice of Louisa PLLC 40 Medical Heights Louisa, KY 41230 (606) 638-0033 00 Yrs/99 Yrs Three Rivers Medical Center M-F 8:00 AM - 5:00 PM McCreary, Chad DO Provider ID: 613127 Gender: Male Chad A McCreary DO 412 N Lock Ave Louisa, KY 41230 (606) 638-4595 Fax: (606) 638-0947 00 Yrs/99 Yrs Three Rivers Medical Center M-F 9:00 AM - 5:00 PM Workman, Marc MD Ferrara, Alan MD Provider ID: 670870 Provider ID: 931350 Gender: Male Gender: Male Alan A Ferrara MD Marc Alan Workman MD Hwy 644 203 412 N Lock Ave Louisa, KY 41230 Louisa, KY 41230 (606) 638-4888 (606) 638-4595 Fax: (606) 638-9003 Fax: (606) 638-9471 00 Yrs/99 Yrs 00 Yrs/99 Yrs MTWTHFSat 8:00 AM Three Rivers Medical 5:00 PM Center M-F 8:30 AM - 5:00 PM Internal Medicine Webb, Brandon DO Provider ID: 627073 Gender: Male Three Rivers Medical Clinics Inc 203 S Water St Louisa, KY 41230 (606) 638-4505 Fax: (606) 638-4186 00 Yrs/99 Yrs Three Rivers Medical Center M-F 8:00 AM - 5:00 PM Pediatrics Ferrara, Alan MD Provider ID: 596577 Gender: Male Mountain Pediatrics 2489 Hwy 644 Three Rivers Medical Plaza Ste 203 Louisa, KY 41230 (606) 638-4888 Fax: (606) 638-9003 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 11 05/28/2015 Primary Care Physicians Lewis Family Practice General Practice Porter, Sarah DO Lewis County Primary Care Center Inc Provider ID: 653991 Bailey, Betsy MD McKain, Christine MD Provider ID: 619628 Gender: Female Provider ID: 1028495 Provider ID: 592142 Lewis County Primary 207 Plummers Ln Gender: Female Gender: Female Care Center Vanceburg, KY 41179 Lewis County Primary 211 Ky 59 17521 W Ky 9 (606) 796-0010 Care Center In Vanceburg, KY 41179 Tollesboro, KY 41189 Fax: (606) 796-0011 211 Ky 59 (606) 796-3029 (606) 798-3151 00 Yrs/99 Yrs Vanceburg, KY 41179 Fax: (606) 796-6627 Fleming County Hospital Fax: (606) 798-2222 (606) 796-3029 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Fax: (606) 796-6221 MTH 8:00 AM - 7:00 PM Southern Ohio Medical 00 Yrs/99 Yrs Tingue-Poczatek, Patti Center TWF 8:00 AM - 5:00 PM Fleming County Hospital MD M-F 9:00 AM - 5:00 PM Stevenson, Grant MD Provider ID: 619629 M-TH 8:00 AM - 8:00 PM Stevenson, Grant MD Provider ID: 619651 Gender: Female F 8:00 AM - 5:00 PM Provider ID: 619651 Gender: Male Lewis County Primary Sat 8:30 AM - 12:00 PM Gender: Male Care Center Lewis County Primary Barcelona, Ramon MD Lewis County Primary Care Center 17521 W Ky 9 Care Center Provider ID: 619632 211 Ky 59 Tollesboro, KY 41189 211 Ky 59 Gender: Male Vanceburg, KY 41179 (606) 798-3151 Vanceburg, KY 41179 Lewis County Primary (606) 796-3029 Fax: (606) 798-2222 Care Center (606) 796-3029 Fax: (606) 796-6221 00 Yrs/99 Yrs 211 Ky 59 Fax: (606) 796-6221 12 Yrs/99 Yrs MW 8:00 AM - 7:00 PM Vanceburg, KY 41179 M-TH 8:00 AM - 8:00 PM 12 Yrs/99 Yrs TTH 8:00 AM - 5:00 PM (606) 796-3029 M-TH 8:00 AM - 8:00 PM F 8:00 AM - 5:00 PM Federally Qualified Fax: (606) 796-6221 F 8:00 AM - 5:00 PM Sat 8:30 AM - 12:00 PM Health Center 00 Yrs/99 Yrs Sat 8:30 AM - 12:00 PM Tingue-Poczatek, Patti M-W 8:00 AM - 8:00 PM Barcelona, Ramon MD MD TH 8:00 AM - 12:00 PM Provider ID: 619632 Provider ID: 619629 Gender: Male Moss, Kelly MD Gender: Female Lewis County Primary Provider ID: 724289 Lewis County Primary Care Center Gender: Female Care Center 211 Ky 59 Lewis County Primary 17521 W Ky 9 Vanceburg, KY 41179 Care Center, I Tollesboro, KY 41189 (606) 796-3029 211 Ky 59 (606) 798-3151 Fax: (606) 796-6221 Vanceburg, KY 41179 Fax: (606) 798-2222 00 Yrs/99 Yrs (606) 796-3029 00 Yrs/99 Yrs M-W 8:00 AM - 8:00 PM MW 8:00 AM - 7:00 PM Fax: (606) 796-6627 TH 8:00 AM - 12:00 PM 00 Yrs/99 Yrs TTH 8:00 AM - 5:00 PM M-TH 8:00 AM - 8:00 PM F 8:00 AM - 5:00 PM Sat 8:30 AM - 12:00 PM kentucky.wellcare.com | 12 05/28/2015 Primary Care Physicians Mason Family Practice Federally Qualified Guttman, Nancy MD Ross, Shawn MD Health Center Provider ID: 619987 Provider ID: 625386 Bailey, Betsy MD Gender: Female Gender: Female Provider ID: 1028483 Lewis County Primary Ross Medical Associates Gillis, Anne DO Provider ID: 619778 Gender: Female Care Center I PSC Gender: Male Lewis County Primary 927 Kenton Station Dr Fl 910 Kenton Station Dr Care Center In Lewis County Primary 1 Ste A Care Center 927 Kenton Station Dr Maysville, KY 41056 Maysville, KY 41056 927 Kenton Station Dr Maysville, KY 41056 (606) 759-0433 (606) 759-9424 Maysville, KY 41056 (606) 759-0433 Fax: (606) 759-0058 Fax: (606) 759-9504 (606) 759-0433 Fax: (606) 759-0058 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (606) 759-0058 00 Yrs/99 Yrs MTTH 8:00 AM - 7:00 M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs Fleming County Hospital PM Spencer, Audrey MD M 8:30 AM - 7:00 PM MTTH 8:00 AM - 7:00 W 8:00 AM - 6:00 PM PM TWTH 8:30 AM - 5:00 F 8:00 AM - 5:00 PM Provider ID: 596636 PM W 8:00 AM - 6:00 PM Morris, Joseph MD Gender: Female F 8:00 AM - 5:00 PM Provider ID: 391174 Audrey Spencer MD PSC Grosser, Timothy MD Provider ID: 619839 Bailey, Betsy MD Gender: Male 910 Kenton Station Dr Gender: Male Provider ID: 1028663 Joseph F Morris MD PSC Ste D Lewis County Primary Gender: Female Maysville, KY 41056 910 Kenton Station Dr Care Center Lewis County Primary Ste C (606) 759-0706 927 Kenton Station Dr Care Center In Maysville, KY 41056 Fax: (606) 759-8117 Maysville, KY 41056 1350 Medical Park Dr (606) 759-0017 00 Yrs/99 Yrs (606) 759-0433 Maysville, KY 41056 Fax: (606) 759-0573 Meadowview Reg Med Fax: (606) 759-0058 (606) 759-0499 Center 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (606) 759-0499 M-TH 9:00 AM - 5:00 PM M-F 8:30 AM - 4:30 PM MW 8:30 AM - 5:00 PM 00 Yrs/99 Yrs Womack, Glenn MD Ross, Shawn MD T 8:30 AM - 7:00 PM Fleming County Hospital Provider ID: 619951 Provider ID: 1062855 M-TH 8:00 AM - 6:00 PM Guttman, Nancy MD Gender: Male Gender: Female Grosser, Timothy MD Mays Lick Medical Clinic Provider ID: 619987 Meadowview Physician Gender: Female Provider ID: 619839 Practices LLC 5568 US Hwy 68 Lewis County Primary Gender: Male 991 Medical Park Dr Ste Mayslick, KY 41055 Care Center I Lewis County Primary 201 (606) 763-6363 927 Kenton Station Dr Fl Care Center Maysville, KY 41056 00 Yrs/99 Yrs 1 927 Kenton Station Dr (606) 759-3585 Languages: Hindi Maysville, KY 41056 Maysville, KY 41056 Fax: (606) 759-3514 M-F 8:30 AM - 5:00 PM (606) 759-0433 (606) 759-0433 00 Yrs/99 Yrs Fax: (606) 759-0058 Fax: (606) 759-0058 Languages: Spanish 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM MTTH 8:00 AM - 7:00 MW 8:30 AM - 5:00 PM PM T 8:30 AM - 7:00 PM W 8:00 AM - 6:00 PM F 8:00 AM - 5:00 PM kentucky.wellcare.com | 13 05/28/2015 Primary Care Physicians Mason Federally Qualified Health Center - cont. Lewis County Primary Care Center Inc Provider ID: 620014 Lewis County Primary Care Center In 927 Kenton Station Dr Maysville, KY 41056 (606) 759-0433 Fax: (606) 759-0058 00 Yrs/99 Yrs M-TH 8:30 AM - 7:00 PM F 8:30 AM - 5:00 PM General Practice Gillis, Anne DO Provider ID: 619778 Gender: Male Lewis County Primary Care Center 927 Kenton Station Dr Maysville, KY 41056 (606) 759-0433 Fax: (606) 759-0058 00 Yrs/99 Yrs M 8:30 AM - 7:00 PM TWTH 8:30 AM - 5:00 PM Obstetrics/Gynecology Olzeski, Samantha DO Provider ID: 720601 Gender: Female Lewis County Primary Care Center In 927 Kenton Statioin Dr Maysville, KY 41056 (606) 759-5331 Fax: (606) 759-5363 00 Yrs/99 Yrs Meadowview Reg Med Center M-F 8:30 AM - 5:00 PM Pediatrics Coleman, Gary MD Provider ID: 611900 Gender: Male Kid Care PSC 1350 Medical Park Dr Maysville, KY 41056 (606) 759-5437 Fax: (606) 759-9267 00 Yrs/21 Yrs MW 8:30 AM - 7:30 PM TTH 8:30 AM - 5:30 PM Keeton, Casey MD Provider ID: 611902 Gender: Male Kid Care PSC 1350 Medical Park Dr Maysville, KY 41056 (606) 759-5437 Fax: (606) 759-9267 00 Yrs/18 Yrs M-TH 8:00 AM - 7:30 PM F 8:00 AM - 5:30 PM Zeigler, Adam DO Provider ID: 936547 Gender: Male 1350 Medical Park Dr Ste 3 Maysville, KY 41056 (606) 759-5437 Fax: (606) 759-9267 00 Yrs/21 Yrs Meadowview Reg Med Center M-F 9:00 AM - 5:00 PM kentucky.wellcare.com | 14 05/28/2015 Primary Care Physicians Menifee Family Practice Fagbemi, Ruth MD Provider ID: 1036352 Gender: Female Community Family Clinic PLLC 784 Hwy 36 Frenchburg, KY 40322 (606) 768-9190 Fax: (606) 768-9180 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Rucker, Dreama MD Provider ID: 708821 Gender: Female Menifee County Medical Clinic 732 Hwy 36 Frenchburg, KY 40322 (606) 768-2191 Fax: (606) 768-6130 00 Yrs/99 Yrs St Claire Medical Center M-F 8:00 AM - 5:00 PM Internal Medicine Kassis, Taufik MD Provider ID: 610100 Gender: Male Community Family Clinic 784 Hwy 36 Frenchburg, KY 40322 (606) 768-9190 Fax: (606) 768-9180 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 PM W 8:00 AM - 6:00 PM F 8:00 AM - 4:00 PM kentucky.wellcare.com | 15 05/28/2015 Primary Care Physicians Morgan Family Practice Internal Medicine Wondafrash, Worku MD Conrotto, Steven MD Provider ID: 595512 Gender: Male Steven A Conrotto MD 801 Main St West Liberty, KY 41472 (606) 743-1422 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Cao, Luyen MD Provider ID: 1045884 Gender: Male 476 Liberty Rd West Liberty, KY 41472 (606) 743-3198 Fax: (606) 743-1655 12 Yrs/99 Yrs Morgan Co Arh Hospital M-F 8:00 AM - 4:30 PM Provider ID: 761123 Gender: Male Arh Morgan County Clinic 476 Liberty Rd West Liberty, KY 41472 (606) 743-3198 Fax: (606) 743-1655 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Desai, Jignesh MD Provider ID: 1058842 Gender: Not Available 476 Liberty Rd West Liberty, KY 41472 (606) 743-3198 Fax: (606) 743-1655 12 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Rural Health Center Moore, Bradley DO Provider ID: 755147 Gender: Male Arh Morgan County Clinic 476 Liberty Rd West Liberty, KY 41472 (606) 743-3186 00 Yrs/99 Yrs M 8:00 AM - 8:00 PM Patel, Shilpan MD Provider ID: 983743 Gender: Male 476 Liberty Rd West Liberty, KY 41472 (606) 743-3198 Fax: (606) 743-9604 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Pretorius, Richard MD Provider ID: 445907 Gender: Male 476 Liberty Rd West Liberty, KY 41472 (606) 743-3198 Fax: (606) 743-1655 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Jonkam, Collette MD Provider ID: 755163 Gender: Female Arh Morgan County Clinic 476 Liberty Rd West Liberty, KY 41472 (606) 743-3198 00 Yrs/99 Yrs M 8:30 AM - 8:00 PM Frederick Medical Clinic PSC Provider ID: 612841 430 Liberty Rd West Liberty, KY 41472 (606) 743-3114 Fax: (606) 743-1404 M-F 8:00 AM - 5:00 PM Uy, Edilfavia Mae MD Provider ID: 755144 Gender: Female Arh Morgan County Clinic 476 Liberty Rd West Liberty, KY 41472 (606) 743-3198 00 Yrs/99 Yrs Hazard Arh Regional Medical Center M 8:00 AM - 8:00 PM kentucky.wellcare.com | 16 05/28/2015 Primary Care Physicians Rowan Family Practice Detherage, James MD Provider ID: 671989 Gender: Male Kdms - Primary Care 220 Stone St Morehead, KY 40351 (606) 780-1292 Fax: (606) 780-1435 00 Yrs/99 Yrs M-F 9:00 AM - 4:30 PM Hatton, Twana DO Melahn, William MD Provider ID: 639236 Blair, Donald MD Provider ID: 637434 Gender: Female Provider ID: 626694 Gender: Male St Claire Family Care Gender: Male Clinic St Claire Family Care Donald E Blair MD PSC Clinic 316 W 2nd St 301 E Main St 316 W 2nd St Morehead, KY 40351 Morehead, KY 40351 Morehead, KY 40351 (606) 784-3771 (606) 784-8124 (606) 784-3771 Fax: (606) 783-6847 Fax: (606) 780-4874 Fax: (606) 783-6847 00 Yrs/99 Yrs 00 Yrs/99 Yrs St Claire Medical Center 00 Yrs/99 Yrs M-W 10:00 AM - 3:00 PM Detherage, James MD St Claire Medical Center M-F 8:30 AM - 5:00 PM Provider ID: 672003 M-F 8:30 AM - 5:00 PM Burrows, Craig MD Humkey, Mary Jane MD Gender: Male Provider ID: 630974 Moore, Carolyn MD Kdms - Primary Care Gender: Male Provider ID: 639100 Provider ID: 571050 255 Old Viking Dr St Claire Family Care Gender: Female Gender: Female Morehead, KY 40351 Clinic St Claire Family Care St Claire Family Care (606) 784-2774 316 W. 2nd St Clinic Clinic Fax: (606) 207-1118 Morehead, KY 40351 316 W 2nd St 316 W 2nd St 00 Yrs/99 Yrs (606) 784-3771 Morehead, KY 40351 Morehead, KY 40351 M-F 9:00 AM - 4:30 PM Fax: (606) 783-6847 (606) 784-3771 (606) 784-3771 00 Yrs/99 Yrs Ellis, Laura MD Fax: (606) 783-6847 Fax: (606) 783-6847 M-F 9:00 AM - 5:00 PM Provider ID: 638808 00 Yrs/99 Yrs 00 Yrs/99 Yrs Gender: Female St Claire Medical Center M-F 8:00 AM - 5:00 PM Conley, Amy MD St Claire Family Care M-F 8:30 AM - 5:00 PM Provider ID: 630980 Ramey, Amanda DO Clinic Gender: Female Jones, Derek DO Provider ID: 1022256 316 W 2nd St St Claire Family Care Gender: Female Morehead, KY 40351 Clinic Provider ID: 750927 St Claire Family Care (606) 784-3771 316 W 2nd St Gender: Male Clinic Fax: (606) 783-6847 Morehead, KY 40351 150 Univ Blvd 112 Allie 316 W 2nd St 00 Yrs/99 Yrs (606) 784-3771 Young Hall Morehead, KY 40351 St Claire Medical Center Fax: (606) 783-6847 Morehead, KY 40351 (606) 784-3771 M-F 8:30 AM - 5:00 PM 00 Yrs/99 Yrs (606) 783-2055 Fax: (606) 783-6847 M-F 9:00 AM - 5:00 PM Goldstein, Lisa MD 00 Yrs/99 Yrs 00 Yrs/99 Yrs Provider ID: 638817 M 8:00 AM - 5:00 PM St Claire Medical Center Conley, Amy MD Gender: Female M-F 8:00 AM - 5:00 PM Provider ID: 1081167 Lacock, James MD St Claire Family Care Gender: Female Provider ID: 630966 Rucker, Dreama MD Clinic St Claire Family Care Gender: Male Provider ID: 630978 316 W 2nd St Clinic Morehead Medical Gender: Female Morehead, KY 40351 316 W. 2nd St Specialists Morehead Medical (606) 784-3771 Morehead, KY 40351 234 Medical Cir Specialists Fax: (606) 783-6847 (606) 784-3771 Morehead, KY 40351 234 Medical Cir 00 Yrs/99 Yrs Fax: (606) 783-6847 (606) 784-6641 Morehead, KY 40351 St Claire Medical Center 00 Yrs/99 Yrs Fax: (606) 783-7281 (606) 784-6641 M-F 8:30 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs Fax: (606) 783-7281 M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM kentucky.wellcare.com | 17 05/28/2015 Primary Care Physicians Rowan Family Practice - cont. Birdwhistell, Matthew Weigel, Christian MD Henly, Nancy MD DO Provider ID: 619562 Provider ID: 636931 Rucker, Dreama MD Provider ID: 636935 Gender: Male Gender: Female Provider ID: 722085 Gender: Male Morehead Primary Care Morehead Medical Gender: Female Morehead Medical Specialists 333 Beacon Hill Rd Ste St Claire Family Care Specialists 201 234 Medical Cir Ste 1 Clinic 234 Medical Cir Morehead, KY 40351 Morehead, KY 40351 316 W 2nd St Morehead, KY 40351 (606) 780-0444 (606) 784-6641 Morehead, KY 40351 (606) 784-6641 Fax: (606) 784-2344 Fax: (606) 783-7281 (606) 784-3771 Fax: (606) 783-7281 00 Yrs/99 Yrs 00 Yrs/21 Yrs Fax: (606) 783-6847 12 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM St Claire Medical Center 00 Yrs/99 Yrs St Claire Medical Center M-F 8:30 AM - 5:00 PM Pediatrics St Claire Medical Center M-F 8:30 AM - 5:00 PM Jalalon, Seigfred MD M-F 8:00 AM - 5:00 PM Badger, Brian MD Damron, Stephen MD Provider ID: 794246 Weigel, Nancy MD Provider ID: 594738 Gender: Male Provider ID: 619573 Gender: Male Provider ID: 635264 St Claire Family Care Gender: Female Mt Sterling Pediatrics Gender: Male Clinic Morehead Primary Care 130 New Towne Square Morehead Medical 316 W 2nd St 333 Beacon Hill Rd Ste Morehead, KY 40351 Specialistsq Morehead, KY 40351 201 (606) 740-0986 234 Medical Circle (606) 784-3771 Morehead, KY 40351 Fax: (606) 780-9096 Morehead, KY 40351 Fax: (606) 783-6847 (606) 780-0444 00 Yrs/21 Yrs (606) 784-6641 00 Yrs/21 Yrs Fax: (606) 784-2344 Georgetown Community M-F 8:00 AM - 5:00 PM Fax: (606) 783-7281 00 Yrs/99 Yrs Hospital 18 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM St Claire Medical Center M-F 8:00 AM - 5:00 PM Sikorska, Miroslawa MD M-F 8:30 AM - 5:00 PM Fouch, Brandy MD Internal Medicine Provider ID: 639092 Provider ID: 627558 Scott, Edward MD Gender: Female Arnold, James DO Gender: Female Provider ID: 631046 Morehead Medical Provider ID: 780600 Mt Sterling Pediatrics Gender: Male Specialists Gender: Male 130 New Towne Square Morehead Medical 234 Medical Cir Morehead Medical Morehead, KY 40351 Specialists Morehead, KY 40351 Specialists (606) 740-0986 234 Medical Cir (606) 784-6641 234 Medical Cir Ste 1 Fax: (606) 780-9096 Morehead, KY 40351 Fax: (606) 783-7281 Morehead, KY 40351 00 Yrs/21 Yrs (606) 784-6641 00 Yrs/21 Yrs (606) 784-6641 M-F 8:00 AM - 5:00 PM Fax: (606) 783-7281 St Claire Medical Center Fax: (606) 783-7281 18 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Gill, Shaheen MD M-F 8:00 AM - 5:00 PM Provider ID: 1066057 Gender: Female St Claire Medical Counseling 445 Clinic Dr Morehead, KY 40351 (606) 783-6805 Fax: (606) 783-6869 21 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 18 05/28/2015 Specialty Physicians Bath General Dentistry Hamlin, Larry DMD Provider ID: TPV3321-01 Gender: Male 135 Suddith St Owingsville, KY 40360 (606) 674-6305 Fax: (606) 674-6306 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Orthodontics Huang, John DMD Provider ID: TPV64118DM-04 Gender: Male 137 Old 36 Hwy Owingsville, KY 40360 (859) 223-3939 Fax: (859) 219-0940 00 Yrs/99 Yrs M 8:00 AM - 5:00 PM TWTH 7:00 AM - 6:00 PM F 9:00 AM - 1:00 PM Durbin, Douglas DMD Provider ID: TPV64117DM-04 Gender: Male 137 Old 36 Hwy Owingsville, KY 40360 (859) 223-3939 Fax: (859) 219-0940 00 Yrs/99 Yrs M 8:00 AM - 5:00 PM TWTH 7:00 AM - 6:00 PM F 9:00 AM - 1:00 PM Garner, Thomas DMD Provider ID: TPV47084DM-04 Gender: Male 137 Old 36 Hwy Owingsville, KY 40360 (859) 223-3939 Fax: (859) 219-0940 00 Yrs/99 Yrs M 8:00 AM - 5:00 PM TWTH 7:00 AM - 6:00 PM F 9:00 AM - 1:00 PM kentucky.wellcare.com | 19 05/28/2015 Specialty Physicians Boyd Allergy & Immunology Bush, David MD Provider ID: 630564 Gender: Male Kentucky Heart and Vascular Physici 613 23rd St Ste 230 Ashland, KY 41101 (606) 324-4745 Fax: (606) 326-0165 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Klein, Roger MD Rhodes, Charles MD Provider ID: 671075 Provider ID: 667160 Carias, Katherine MD Gender: Male Gender: Male Comprehensive Heart Ashlandbellefonte Provider ID: 677355 and Vascular Assoc Cardiology Gender: Female 613 23rd St Ste G10 800 St Christopher Dr Katherine D Carias MD Ashland, KY 41101 Ashland, KY 41101 Inc (606) 324-4745 (606) 836-9613 2501 Lexington Ave Fax: (606) 326-0165 Fax: (606) 836-0026 Ashland, KY 41101 00 Yrs/99 Yrs 00 Yrs/99 Yrs (606) 324-7704 Kings Daughters Medical M-F 8:00 AM - 5:00 PM Fax: (606) 324-3985 Center 00 Yrs/99 Yrs Epling, Christopher DO M-F 8:00 AM - 5:00 PM Rhodes, Charles MD Kings Daughters Medical Provider ID: 796711 Center Provider ID: 631063 Listerman, Jennifer MD Gender: Male Southern Ohio Medical Gender: Male Kings Daughters Medical Center Provider ID: 629169 Kentucky Heart and Center Languages: Spanish Vascular Physici Gender: Female 2201 Lexington Ave M-TH 8:00 AM - 4:00 PM 613 23rd St Ste 230 Kentucky Heart Vascular Ashland, KY 41101 F 8:00 AM - 12:00 PM Physicians Ashland, KY 41101 (606) 408-4000 613 23rd St Ste 230 (606) 324-4745 Fax: (606) 327-7425 Lynch, Joan MD Ashland, KY 41101 Fax: (606) 324-4941 00 Yrs/99 Yrs Provider ID: 636595 (606) 324-4745 00 Yrs/99 Yrs Kings Daughters Medical Gender: Male Fax: (606) 326-0165 M-F 8:00 AM - 5:00 PM Center Tri State Allergy 00 Yrs/99 Yrs 2301 Lexington Ave Ste Klein, Roger MD Kings Daughters Medical Ross, Terence MD 105 Provider ID: 671075 Provider ID: 633009 Center Ashland, KY 41101 Gender: Male Gender: Male M-F 8:00 AM - 5:00 PM (606) 329-0464 Comprehensive Heart Kdmc Fax: (606) 329-1877 Prasad, Yogendra MD and Vascular Assoc 613 23rd St Ste 230 00 Yrs/99 Yrs Provider ID: 629604 2201 Lexington Ave Ste Ashland, KY 41101 M-F 9:00 AM - 5:00 PM G10 Gender: Male (606) 324-4745 Ashland, KY 41101 Bellefonte Heart Care Fax: (606) 326-0165 Cardiology (606) 329-1997 1180 Saint Christopher Dr 00 Yrs/99 Yrs Ste 2 Fax: (606) 329-1227 M-F 8:00 AM - 5:00 PM Ansinelli, Richard MD Ashland, KY 41101 00 Yrs/99 Yrs Provider ID: 630535 Ross, Terence MD Kings Daughters Medical (606) 833-0144 Gender: Male Provider ID: 633949 Fax: (606) 833-0113 Kings Daughters Medical Center Gender: Male M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs Specialties Kentucky Heart Vascular Baptist Health Corbin 613 23rd St Bldg B Ste Physicians M-F 8:00 AM - 5:00 PM 230 613 23rd St Ste 230, Ashland, KY 41101 Medical Plaza B (606) 324-4745 Ashland, KY 41101 Fax: (606) 326-0165 (606) 324-4745 00 Yrs/99 Yrs Fax: (606) 326-0165 M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs Kings Daughters Medical Center M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 20 05/28/2015 Specialty Physicians Boyd Cardiology - cont. Chiropractic Velury, Sriharsha MD Scott, Mark DC Provider ID: 648042 Provider ID: 610185 Ross, Terrance MD Dillon, Gary DC Gender: Male Gender: Male Provider ID: 636509 Kentucky Heart Institute Provider ID: 620620 M K Scott DC PSC Gender: Male Gender: Male 613 23rd St Medical Plaza 1317 Montgomery Ave Cumberland Cardiology Dillon Chiropractic B, Ste 230 Ashland, KY 41101 613 23rd St Ste 230 5936 Swanson Dr Ashland, KY 41101 (606) 329-9311 Ashland, KY 41101 Ashland, KY 41102 (606) 329-1997 Fax: (606) 324-9493 (606) 324-4745 (606) 929-9667 Fax: (606) 329-1227 00 Yrs/99 Yrs Fax: (606) 324-4941 Fax: (606) 929-9670 00 Yrs/99 Yrs M 9:00 AM - 7:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM T 8:00 AM - 5:00 PM Kings Daughters Medical M-TH 8:00 AM - 6:00 PM W 8:00 AM - 6:00 PM Velury, Sriharsha MD Center F 8:00 AM - 12:00 PM TH 7:00 AM - 6:00 PM Our Lady of Bellefonte Provider ID: 648042 F 7:00 AM - 5:00 PM Holmes, Jeremiah MD Hospital Gender: Male M-F 8:00 AM - 5:00 PM Kings Daughters Medical Shelton, Charlie DC Provider ID: 613758 Center Provider ID: 610191 Sedghi, Yabiz MD Gender: Male 2201 Lexington Ave Gender: Female Provider ID: 900264 Holmes Chiropractic PSC M K Scott DC PSC Ashland, KY 41101 Gender: Male 155 W Central Ave (606) 408-2773 1317 Montgomery Ave Kentucky Heart Institute Fax: (606) 408-3841 Ashland, KY 41101 Ashland, KY 41101 613 23rd St Ste 230 (606) 326-1132 00 Yrs/99 Yrs (606) 329-9311 Ashland, KY 41101 Fax: (606) 326-0114 M-F 8:00 AM - 5:00 PM Fax: (606) 324-9493 (606) 329-1997 00 Yrs/99 Yrs 00 Yrs/99 Yrs Cardiovascular Surgery Fax: (606) 324-1227 M-TH 7:00 AM - 6:00 PM M 9:00 AM - 6:00 PM 00 Yrs/99 Yrs TW 9:00 AM - 5:00 PM Razak, Muhummad MD M-F 8:00 AM - 5:00 PM Bronstein, Eric MD Provider ID: 629261 Swann, Justin DC Vanderen, John MD Gender: Male Provider ID: 613803 Provider ID: 644011 Provider ID: 632758 Cardiothoracic Surgeons Gender: Male Gender: Male Gender: Male of Kentucky Holmes Chiropractic Ashland Chiropractic Kentucky Heart Vascular 613 23rd St Ste 210 155 W Central Ave Center Physicians Ashland, KY 41101 Ashland, KY 41101 613 13th St 613 23rd St (606) 326-9847 (606) 326-1132 Ashland, KY 41101 Ashland, KY 41101 Fax: (606) 324-3418 Fax: (606) 326-0114 (606) 329-8080 (606) 324-4745 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (606) 325-8550 Fax: (606) 324-4941 M-F 8:00 AM - 5:00 PM M-TH 7:00 AM - 6:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs MWF 9:00 AM - 6:00 PM Kings Daughters Medical TTH 9:00 AM - 5:00 PM Center M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 21 05/28/2015 Specialty Physicians Boyd Dermatology Brinkman, Jon DO Provider ID: 631276 Gender: Male King's Daughters' Medical Specialti 2550 Carter Ave Ashland, KY 41101 (606) 325-8561 Fax: (606) 325-3591 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Borst III, George MD Canty, Michael MD Provider ID: 722640 Provider ID: 633801 Gender: Male Gender: Male Borst Medical Clinic Tri-State Digestive 613 23rd St Ste 340 Disease Assoc Ashland, KY 41101 617 23rd St Ste 11 (606) 326-1101 Ashland, KY 41101 Fax: (606) 326-0404 (606) 324-3188 00 Yrs/99 Yrs Kings Daughters Medical Fax: (606) 329-2237 00 Yrs/99 Yrs Center M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Cooper, Carol MD Provider ID: 676148 Gender: Female Tri-State Dermatology 1200 Central Ave Ste 4 Ashland, KY 41101 (606) 324-1483 Fax: (606) 329-2612 00 Yrs/99 Yrs Kings Daughters Medical Van Beneden, William Center Grandison, Garfield MD Yang, Hazel MD M-F 8:00 AM - 5:00 PM MD Provider ID: 631370 Provider ID: 629811 Ditty, Jack MD Provider ID: 691146 Gender: Male Gender: Female Provider ID: 782189 Gender: Male William J Vanbeneden King's Daughters' Gender: Male DO PLLC Kdms Medical Specialti Jack F Ditty Jr MD 2550 Carter Ave 617 23rd St Ste 425 1200 Central Ave Ste 3 100 St Christopher Dr Ashland, KY 41101 Ashland, KY 41101 Ashland, KY 41101 Ashland, KY 41101 (606) 325-8561 (606) 327-1760 (606) 325-1894 (606) 836-3111 Fax: (606) 325-3591 Fax: (606) 327-1769 Fax: (606) 625-9193 Fax: (606) 833-5660 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Kings Daughters Medical M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 5:00 PM Center Endocrinology, Diabetes, Languages: Burmese Moore, Greg MD Ear, Nose & Throat Metabolism Provider ID: 750064 M-F 8:00 AM - 5:00 PM Gender: Male Baker, Gregory MD Borst III, George MD Gastroenterology Kdms Gastroenterology Provider ID: 633042 Provider ID: 722640 617 23rd St St 425 Gender: Male Gender: Male Bascom, Cheryl MD Ashland, KY 41101 Kings Daughters Medical Borst Medical Clinic (606) 327-1760 Specialties 1201 St Christopher Dr Provider ID: 601567 Fax: (606) 327-1769 613 23rd St Medical Plaza Ashland, KY 41101 Gender: Female 00 Yrs/99 Yrs B, Ste 420 (606) 836-9634 Tri-State Digestive M-F 9:00 AM - 5:00 PM Ashland, KY 41101 Disease Fax: (606) 836-3157 (606) 324-2600 617 23rd St Ste 11 00 Yrs/99 Yrs Settles, Diane MD Fax: (606) 324-2606 Kings Daughters Medical Ashland, KY 41101 Provider ID: 957916 00 Yrs/99 Yrs Center (606) 324-3188 Gender: Female Kings Daughters Medical M-F 9:00 AM - 5:00 PM Fax: (606) 329-2237 Bellefonte Digestive Center 00 Yrs/99 Yrs Disease Center M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 1101 St Christopher Dr Ste 300 Ashland, KY 41101 (606) 833-6350 Fax: (606) 833-6352 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 22 05/28/2015 Specialty Physicians Boyd Gastroenterology - cont. Johnson, Edward DMD Provider ID: TPV6755-01 Warrier, Rajkumar MD Gender: Male 928 State Rte 716 Provider ID: 684578 Ashland, KY 41102 Gender: Male (606) 928-3866 King's Daughters' Fax: (606) 928-3848 Medical Specialti 00 Yrs/99 Yrs 617 23rd St Ste 425 M 11:00 AM - 8:00 PM Ashland, KY 41101 TWTH 8:30 AM - 5:00 (606) 327-1760 PM Fax: (606) 327-1769 00 Yrs/99 Yrs Jordan-Webb, Christina Kings Daughters Medical DMD Center Provider ID: TPV3885-01 Our Lady of Bellefonte Gender: Female Hospital 4330 13th St M-F 8:00 AM - 5:00 PM Ashland, KY 41102 (606) 326-1234 General Dentistry Fax: (606) 326-0124 03 Yrs/10 Yrs Beadle, Ralph DMD M-W 8:00 AM - 4:30 PM Provider ID: TPV3694-01 TH 10:00 AM - 7:00 PM Gender: Male 16005 US 23 South Montague, Charles DMD Catlettsburg, KY 41129 (606) 739-0403 Provider ID: TPV3304-01 Fax: (606) 739-0405 Gender: Male 03 Yrs/21 Yrs 1330 Central Ave beadle23dentistry@yahoo. Ashland, KY 41101 com (606) 329-0919 Languages: Spanish Fax: (606) 325-0655 M-TH 8:30 AM - 5:00 PM 00 Yrs/99 Yrs M-F 10:00 AM - 5:00 PM Frazier, Joseph DMD Provider ID: TPV3215-01 Shelton, Ronnie DMD Gender: Male Provider ID: TPV3173-01 708 13th St Gender: Male Ashland, KY 41101 441 21st St (606) 325-4231 Ashland, KY 41101 Fax: (606) 325-8782 (606) 324-8366 00 Yrs/99 Yrs Fax: (606) 324-9512 M-TH 8:00 AM - 5:00 PM 00 Yrs/99 Yrs F 8:00 AM - 12:00 PM M 8:30 AM - 5:00 PM TWTH 8:30 AM - 4:00 PM Smith, Earl DMD Provider ID: TPV3172-01 Gender: Male 441 21 St Ashland, KY 41101 (606) 324-8366 Fax: (606) 324-9512 00 Yrs/99 Yrs M-TH 8:30 AM - 5:15 PM Stewart, David DMD Provider ID: TPV2894-01 Gender: Male 1616 Central Ave Ashland, KY 41101 (606) 329-9929 Fax: (606) 324-4700 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Thorner, William DMD Chadwick, Deborah MD Provider ID: 636122 Gender: Female Bellefonte Surgical Associates 1150 Saint Christopher Dr Ashland, KY 41101 (606) 833-0311 Fax: (606) 833-0318 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Jones, Timothy MD Provider ID: 667175 Gender: Male Timothy Jones MD 1101 St Christopher Dr Ste 360 Ashland, KY 41101 (606) 833-9492 Fax: (606) 833-9453 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Provider ID: TPV3866-01 Gender: Male Martin Jr, James MD 1800 Carter Ave Provider ID: 654715 Ashland, KY 41101 Gender: Male (606) 324-3552 James H Martin Jr MD PSC Fax: (606) 324-2092 900 Saint Christopher Dr 00 Yrs/99 Yrs M-TH 8:00 AM - 5:00 PM Ste 202 Ashland, KY 41101 General Surgery (606) 836-3770 Fax: (606) 836-3512 Chadwick, Deborah MD 00 Yrs/99 Yrs Provider ID: 636122 M-F 8:30 AM - 4:30 PM Gender: Female Bellefonte Surgical Associates 1101 St Christopher Dr Ste 280 Ashland, KY 41101 (606) 833-0311 Fax: (606) 833-0318 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 23 Miller, John MD Provider ID: 934760 Gender: Male Kings Daughters Medical Specialties 613 23rd St Ste 420 Ashland, KY 41101 (606) 324-7146 Fax: (606) 324-5165 00 Yrs/99 Yrs Kings Daughters Medical Center M-F 8:00 AM - 4:30 PM 05/28/2015 Specialty Physicians Boyd General Surgery - cont. Hematology Infectious Disease Murillo, Anna MD Provider ID: 705104 Tompkins Jr, Roderick Goebel, David MD Villafuerta, Patrick MD Gender: Female MD Provider ID: 415365 Tri-State Cancer Blood Provider ID: 333835 Provider ID: 995814 Gender: Male Specialists Gender: Male Gender: Male Kdms-Tri State 2301 Lexington Ave Ste Roderick J. Tompkins Jr., Hematology/Oncology Kings Daughters Medical 135 MD Center PRIM 617 23rd St Ste 19 Ashland, KY 41101 613 23rd St Ste 440 2201 Lexington Ave Ashland, KY 41101 (606) 324-3333 Ashland, KY 41101 Ashland, KY 41101 (606) 325-2221 Fax: (606) 324-5515 (606) 329-2888 (606) 408-4452 Fax: (606) 324-1326 00 Yrs/99 Yrs Fax: (606) 329-2890 00 Yrs/99 Yrs Kings Daughters Medical Fax: (606) 408-7425 00 Yrs/99 Yrs 00 Yrs/99 Yrs Kings Daughters Medical Center M-F 8:00 AM - 5:00 PM Center Kings Daughters Medical M-F 9:00 AM - 5:00 PM Center M-F 8:00 AM - 5:00 PM Wheeler, Timothy MD Salem, Galena MD Maternal Fetal Medicine Vermani, Vinay MD Provider ID: 901311 Provider ID: 337825 Provider ID: 642994 Gender: Female How, Helen MD Gender: Male Gender: Male Kings Daughters Medical Provider ID: 671690 Timothy M Wheeler MD Tri State Cancer and Specialties Gender: Female PSC Blood Speciali 617 23rd St Ste 19 Norton Maternal Fetal 613 23rd St Ste 440 2301 Lexington Ave Ste Ashland, KY 41101 Medicine Spec Ashland, KY 41101 135 (606) 325-2221 2201 Lexington Ave Ste (606) 329-2888 Ashland, KY 41101 Fax: (606) 324-1326 G10 Fax: (606) 329-2890 (606) 324-3333 00 Yrs/99 Yrs Ashland, KY 41101 00 Yrs/99 Yrs Fax: (606) 324-5515 M-F 9:00 AM - 5:00 PM (866) 574-4111 Kings Daughters Medical 00 Yrs/99 Yrs Fax: (855) 855-4584 Center Kings Daughters Medical Tarabolous, Chad MD 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Center Provider ID: 995806 Languages: Chinese M-F 8:00 AM - 5:00 PM Gender: Male Gynecology Kings Daughters Medical M-F 8:00 AM - 4:30 PM Hematology & Oncology Specialties Laudenbach, Bonnie MD Jamie, Whitney MD 617 23rd St Ste 19 Jain, Kirti MD Provider ID: 671191 Ashland, KY 41101 Provider ID: 644030 Provider ID: 648114 Gender: Female (606) 325-2221 Gender: Female Gender: Male Norton Mfm Specialists Fax: (606) 324-1326 Ashland Women's Health Ashland-Bellefonte 2201 Lexington Ave Ste 00 Yrs/99 Yrs 841 29th St Cancer Center G10 Kings Daughters Medical Ashland, KY 41101 Ashland, KY 41101 122 St Christopher DR Center (606) 324-1170 Ashland, KY 41101 (866) 574-4111 M-F 9:00 AM 5:00 PM Fax: (606) 324-1077 (606) 836-7377 Fax: (855) 855-4585 00 Yrs/99 Yrs Fax: (606) 836-2189 13 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM kentucky.wellcare.com | 24 05/28/2015 Specialty Physicians Boyd Medical Oncology Neonatal Perinatal Medicine Hammonds, Donald DO Lockard, Jerry DO Provider ID: 633237 Gender: Male Kings Daughters Medical Specialties 432 16th St Ste B Ashland, KY 41101 (606) 329-9335 Fax: (606) 324-6383 00 Yrs/99 Yrs M-F 9:30 AM - 5:00 PM Goebel, David MD Provider ID: 638057 Sanders, Lynda MD Provider ID: 415365 Gender: Male Gender: Male Tri State Nephrology Provider ID: 630405 Kdms-Tri State 432 16th St Gender: Female Hematology/Oncology Ashland, KY 41101 Pediatrix Medicalgroup 617 23rd St Ste 19 (606) 329-9335 of Kentucky Ashland, KY 41101 Fax: (606) 324-6383 2201 Lexington Ave (606) 325-2221 00 Yrs/99 Yrs Ashland, KY 41101 Fax: (606) 324-1326 M-F 8:00 AM - 5:00 PM (606) 408-4000 00 Yrs/99 Yrs Neurology Hammonds, Donald DO Kings Daughters Medical 00 Yrs/01 Yrs Cincinnati Childrens Center Bajorek, Joseph MD Hospital Medical Center Provider ID: 633062 M-F 8:00 AM - 5:00 PM Provider ID: 910181 MTWTHFSatSun 8:00 Gender: Male Konala, Venu MD Gender: Male AM - 8:00 PM King's Daughters' Provider ID: 1032348 Tristate Neuro Solutions Medical Specialti Volk, Lauze MD Gender: Male 2222 Winchester Ave Ste 617 23rd St Ste 130 Provider ID: 633040 Ashland Bellefonte C Ashland, KY 41101 Gender: Female Cancer Center Ashland, KY 41101 (606) 329-9335 Kings Daughters Medical Fax: (606) 324-6383 122 St Christopher Dr (606) 325-8364 Specialties Ashland, KY 41101 Fax: (606) 327-8893 00 Yrs/99 Yrs 2201 Lexington Ave (606) 836-7377 00 Yrs/99 Yrs M-F 9:30 AM - 5:00 PM Ashland, KY 41101 Fax: (606) 836-2189 M-F 8:00 AM - 5:00 PM (606) 408-4452 Kasey, John DO 00 Yrs/99 Yrs Bhasin, Pramit MD Provider ID: 633307 Kings Daughters Medical Fax: (606) 408-7425 Provider ID: 633153 00 Yrs/99 Yrs Center Gender: Male Our Lady of Bellefonte Kings Daughters Medical Gender: Male Nephrology Kings Daughters Medical Hospital Specialties Specialties M-F 8:00 AM - 5:00 PM Egel, James MD 432 16th St Ste B 617 23rd St Ste 5 Ashland, KY 41101 Provider ID: 676608 Vermani, Vinay MD Ashland, KY 41101 (606) 329-9335 Gender: Male (606) 326-0300 Kings Daughters Medical Fax: (606) 324-6383 Provider ID: 642994 Fax: (606) 326-0235 00 Yrs/99 Yrs Specialti Gender: Male 00 Yrs/99 Yrs M-F 9:30 AM - 5:00 PM 432 16th St Ste B Tri State Cancer and M-F 8:30 AM - 5:00 PM Ashland, KY 41101 Blood Speciali Kendall, Jonathan MD (606) 329-9335 2301 Lexington Ave Ste Provider ID: 633193 Fax: (606) 324-6383 135 Gender: Male 00 Yrs/99 Yrs Ashland, KY 41101 Kings Daughters Medical Kings Daughters Medical Specialties (606) 324-3333 Center Fax: (606) 324-5515 432 16th St Ste B M-F 9:30 AM - 5:00 PM 00 Yrs/99 Yrs Ashland, KY 41101 Kings Daughters Medical (606) 329-9335 Center Fax: (606) 324-6383 M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs M-F 9:30 AM - 5:00 PM kentucky.wellcare.com | 25 05/28/2015 Specialty Physicians Boyd Neurology - cont. Ophthalmology James, Kelsey MD Provider ID: 1031248 Fakhoury, Toufic MD Cole, Matthew MD Provider ID: 671499 Gender: Male Gender: Male Bellefonte Womens Care Provider ID: Provider ID: 1064167 TPV10808-06 Norton Mfm Specialists 2001 Winchester Ave Gender: Male Gender: Male 2201 Lexington Ave Ste Ashland, KY 41101 Ambulatory 2841 Lexington Ave G10 (606) 324-7351 Neurological Services LL Ashland, KY 41101 Ashland, KY 41101 Fax: (606) 324-7359 1212 Bath Ave Ste 535 (859) 263-3900 (866) 574-4111 00 Yrs/99 Yrs Ashland, KY 41101 Fax: (859) 971-1124 Fax: (855) 855-4584 M-F 8:00 AM - 5:00 PM (888) 447-5904 00 Yrs/99 Yrs 00 Yrs/99 Yrs 02 Yrs/99 Yrs Modi, Navita MD MT 8:30 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Languages: French, Provider ID: 628863 WTHF 8:00 AM - 5:00 Arabic Dotson, Tony DO PM Gender: Female M 10:00 AM - 3:00 PM Provider ID: 614648 Women's Care Group Dykhuizen, Matthew MD Gender: Male 613 23rd St Ste 130 Neurosurgery Tony W Dotson DO Ashland, KY 41101 Provider ID: TPV16889-31 PLLC (606) 324-6634 Powell, James MD Gender: Male 617 23rd St Ste 415 Fax: (606) 326-9843 Provider ID: 644418 2841 Lexington Ave Ashland, KY 41101 00 Yrs/99 Yrs Gender: Male Ashland, KY 41101 (606) 325-6888 Kings Daughters Medical (859) 263-3900 Tri State Christian Fax: (606) 326-9368 Center Neurosurgical A Fax: (859) 263-3757 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 617 23rd St Ste 15 00 Yrs/99 Yrs M-TH 9:00 AM - 5:00 PM Medical Plaza A Tabb, Thomas MD F 9:00 AM - 12:00 PM Ashland, KY 41101 Fraser, Claire MD Provider ID: 671495 (606) 324-7737 Provider ID: TPV9312-06 Ford, Richard MD Gender: Male Fax: (606) 324-7408 Gender: Female Provider ID: 618564 Norton Mfm Specislists 00 Yrs/99 Yrs 2841 Lexington Ave Gender: Male 2201 Lexington Ave Ste M-F 9:00 AM - 5:00 PM Ashland, KY 41101 Richard F Ford MD PSC G10 (859) 263-3900 617 23rd St Ste 415 Ashland, KY 41101 Obstetrics/Gynecology Fax: (859) 977-1124 Ashland, KY 41101 (866) 574-4111 00 Yrs/99 Yrs Clark, Ann MD (606) 325-6888 Fax: (855) 855-4584 M-F 8:30 AM - 5:00 PM Provider ID: 675255 Fax: (606) 326-9368 00 Yrs/99 Yrs Gender: Female 00 Yrs/99 Yrs Norton Hospital Gross, John MD Norton Mfm Specialists M-TH 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Provider ID: TPV5265-01 2201 Lexington Ave Ste F 9:00 AM - 12:00 PM Gender: Male G10 2841 Lexington Ave Jaenicke, Kurt MD Ashland, KY 41101 Ashland, KY 41101 Provider ID: 667202 (866) 574-4111 (606) 324-2451 Gender: Male Fax: (855) 855-4585 Fax: (606) 325-3266 Bellefonte Womens Care 00 Yrs/99 Yrs 00 Yrs/99 Yrs 2001 Winchester Ave M-F 8:00 AM - 5:00 PM M-F 8:30 AM - 5:00 PM Ashland, KY 41101 (606) 324-7351 Fax: (606) 324-7359 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Cuthrell, William MD kentucky.wellcare.com | 26 05/28/2015 Specialty Physicians Boyd Ophthalmology - cont. Oakley, Maurice MD Reams, Mary MD Provider ID: TPV8847-01 Provider ID: TPV2838-01 Gussler, Carter MD Gender: Male Gender: Female Provider ID: TPV5776-01 1901 Winchester Ave Ste 2430 Winchester Ave Ste Gender: Male 102 B 2841 Lexington Ave Ashland, KY 41101 Ashland, KY 41101 Ashland, KY 41101 (606) 329-2211 (606) 329-0799 (606) 324-2451 Fax: (606) 324-9207 Fax: (606) 329-0947 Fax: (606) 324-3266 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-TH 8:30 AM - 5:00 PM M-F 8:00 AM - 4:00 PM M-F 8:30 AM - 5:00 PM F 8:30 AM - 2:30 PM Stone, Thomas MD Isernhagen, Ricky MD Prescott, Daniel MD Provider ID: TPV3445-07 Provider ID: TPV3610-07 Provider ID: TPV3488-05 Gender: Male Gender: Male Gender: Male 613 23rd St Ste 140 613 23rd St Ste 140 613 23rd St Ste 140 Ashland, KY 41101 Ashland, KY 41101 Ashland, KY 41101 (859) 263-3900 (859) 263-3900 (859) 263-3900 Fax: (859) 263-3757 Fax: (859) 263-3757 Fax: (859) 263-3757 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs M 8:30 AM - 4:00 PM M 8:30 AM - 4:00 PM M 8:30 AM - 4:00 PM Woods, William MD Kitchens, John MD Prescott, Daniel MD Provider ID: TPV3540-07 Provider ID: TPV3659-07 Provider ID: TPV3488-08 Gender: Male Gender: Male Gender: Male 613 23rd St Ste 140 613 23rd St Ste 140 2841 Lexington Ave Ashland, KY 41101 Ashland, KY 41101 Ashland, KY 41101 (859) 263-3900 (859) 263-3900 (859) 263-3900 Fax: (859) 263-3757 Fax: (859) 263-3757 Fax: (859) 977-1136 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs M 8:30 AM - 4:00 PM M 8:30 AM - 4:00 PM Optometry Purkiss, Todd MD Kleinman, Mark MD Provider ID: TPV2951-09 Adkins, Tiffany OD Provider ID: TPV3485-07 Gender: Male Provider ID: TPV14993-13 Gender: Male 2841 Lexington Ave Gender: Female 2841 Lexington Ave Ashland, KY 41101 500 Winchester Ave Ste Ashland, KY 41101 (859) 263-3900 810 (859) 236-3900 Fax: (859) 263-3757 Ashland, KY 41101 Fax: (859) 977-1124 00 Yrs/99 Yrs (606) 324-3672 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM MTWTHFSat 10:00 AM 9:00 PM Sun 12:00 AM - 6:00 PM kentucky.wellcare.com | 27 Ahmad, Bilal OD Provider ID: TPV23729-09 Gender: Male 500 Winchester Ave Ste 810 Ashland, KY 41101 (606) 324-3672 00 Yrs/99 Yrs MTWTHFSat 10:00 AM 9:00 PM Sun 12:00 AM - 6:00 PM Beauchamp, Johnathan OD Provider ID: TPV23732-09 Gender: Male 500 Winchester Ave Ste 810 Ashland, KY 41101 (606) 324-3672 00 Yrs/99 Yrs MTWTHFSat 10:00 AM 9:00 PM Sun 12:00 AM - 6:00 PM Bharadia, Mohamed OD Provider ID: TPV103757-12 Gender: Male 500 Winchester Ave Ste 810 Ashland, KY 41101 (606) 324-3672 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Bowling, Aja OD Provider ID: TPV3371-13 Gender: Female 500 Winchester Ave Ste 810 Ashland, KY 41101 (606) 324-3672 00 Yrs/99 Yrs MTWTHFSat 10:00 AM 9:00 PM Sun 12:00 AM - 6:00 PM 05/28/2015 Specialty Physicians Boyd Optometry - cont. Busey, Lannie OD Crockett, Jason OD Provider ID: TPV4869-13 Provider ID: TPV4717-15 Bowling, Joseph OD Gender: Male Gender: Male Provider ID: TPV3527-01 500 Winchester Ave Ste 500 Winchester Ave Ste Gender: Male 810 810 500 Winchester Ave Ste Ashland, KY 41101 Ashland, KY 41101 810 (606) 324-3672 (602) 324-3672 Ashland, KY 41101 00 Yrs/99 Yrs 00 Yrs/99 Yrs (606) 324-3672 MTWTHFSat 10:00 AM - MTWTHFSat 10:00 AM 00 Yrs/99 Yrs 9:00 PM 9:00 PM MTWTHFSat 10:00 AM - Sun 12:00 AM - 6:00 PM Sun 12:00 AM - 6:00 PM 9:00 PM Edling, Marie OD Sun 12:00 AM - 6:00 PM Case, Michael OD Provider ID: Provider ID: TPV3376-13 Brumit, Michael OD TPV23297-08 Gender: Female Provider ID: Gender: Male 500 Winchester Ave Ste TPV950000269-13 500 Winchester Ave Ste 810 Gender: Male 810 Ashland, KY 41101 500 Winchester Ave Ste Ashland, KY 41101 (606) 324-3672 810 (606) 324-3672 00 Yrs/99 Yrs Ashland, KY 41101 00 Yrs/99 Yrs MTWTHFSat 10:00 AM (606) 324-3672 MTWTHFSat 10:00 AM - 9:00 PM 00 Yrs/99 Yrs 9:00 PM Sun 12:00 AM - 6:00 PM MTWTHFSat 10:00 AM - Sun 12:00 AM - 6:00 PM 9:00 PM Eger, Michael OD Sun 12:00 AM - 6:00 PM Coleman, Justin OD Provider ID: TPV4975-13 Provider ID: TPV18437-17 Gender: Male Buckner, James OD Gender: Male 500 Winchester Ave Ste Provider ID: TPV4689-14 500 Winchester Ave Ste 810 Gender: Male 810 Ashland, KY 41101 500 Winchester Ave Ste Ashland, KY 41101 (606) 324-3672 810 (606) 324-3672 00 Yrs/99 Yrs Ashland, KY 41101 00 Yrs/99 Yrs MTWTHFSat 10:00 AM (606) 324-3672 MTWTHFSat 10:00 AM - 9:00 PM 00 Yrs/99 Yrs 9:00 PM Sun 12:00 AM - 6:00 PM MTWTHFSat 10:00 AM - Sun 12:00 AM - 6:00 PM 9:00 PM Elliott, James OD Cora, Eduardo OD Sun 12:00 AM - 6:00 PM Provider ID: Provider ID: TPV4582-14 TPV1174688097WL Burt, Kevin OD Gender: Male Gender: Male Provider ID: TPV4845-13 500 Winchester Ave Ste 12504 US 60 Gender: Male 810 Ashland, KY 41102 500 Winchester Ave Ste Ashland, KY 41101 (606) 929-9510 810 (606) 324-3672 00 Yrs/99 Yrs Ashland, KY 41101 00 Yrs/99 Yrs (606) 324-3672 M-F 9:00 AM - 8:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 5:30 PM MTWTHFSat 10:00 AM - Sun 1:00 AM - 5:00 PM 9:00 PM Sun 12:00 AM - 6:00 PM kentucky.wellcare.com | 28 Epling, Kimberly OD Provider ID: TPV5309-01 Gender: Female 2841 Lexington Ave Ashland, KY 41101 (606) 324-2451 Fax: (606) 325-3266 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Ficarra, Anthony OD Provider ID: TPV13354-13 Gender: Male 500 Winchester Ave Ste 810 Ashland, KY 41101 (606) 324-3672 Fax: (606) 324-4566 00 Yrs/99 Yrs MTWTHFSat 10:00 AM 9:00 PM Sun 12:00 AM - 6:00 PM Fleshman, Todd OD Provider ID: TPV3382-13 Gender: Male 500 Winchester Ave Ste 810 Ashland, KY 41101 (606) 324-3672 00 Yrs/99 Yrs MTWTHFSat 10:00 AM 9:00 PM Sun 12:00 AM - 6:00 PM Gersh, Richard OD Provider ID: TPV3379-13 Gender: Male 500 Winchester Ave Ste 810 Ashland, KY 41101 (606) 324-3672 00 Yrs/99 Yrs MTWTHFSat 10:00 AM 9:00 PM Sun 12:00 AM - 6:00 PM 05/28/2015 Specialty Physicians Boyd Optometry - cont. Jones, John OD Leadingham, William OD Lynn, Mark OD Provider ID: TPV5690-13 Provider ID: TPV3431-13 Glenn, Jason OD Provider ID: TPV2842-01 Gender: Male Gender: Male Provider ID: TPV4719-13 500 Winchester Ave Ste Gender: Male 500 Winchester Ave Ste Gender: Male 810 1330 Carter Ave Ste 3 810 500 Winchester Ave Ste Ashland, KY 41101 Ashland, KY 41101 Ashland, KY 41101 810 (606) 324-3672 (606) 329-8672 (606) 324-3672 Ashland, KY 41101 00 Yrs/99 Yrs Fax: (606) 329-1259 00 Yrs/99 Yrs (606) 324-3672 00 Yrs/99 Yrs MTWTHFSat 10:00 AM Klutts, Fred OD 00 Yrs/99 Yrs M-TH 9:00 AM - 7:30 PM 9:00 PM MTWTHFSat 10:00 AM - Provider ID: TPV3420-13 Sun 12:00 AM - 6:00 PM F 9:00 AM - 5:00 PM 9:00 PM Gender: Male Sun 12:00 AM - 6:00 PM 500 Winchester Ave Ste Leadingham, William OD Lysandrou, Aristotle OD 810 Green, Rebecca OD Ashland, KY 41101 Provider ID: TPV2842-02 Provider ID: Provider ID: TPV18575-13 (606) 324-3672 TPV1750491189WL Gender: Male Gender: Female Gender: Male 00 Yrs/99 Yrs 1330 Carter Ave Ste 1 500 Winchester Ave Ste MTWTHFSat 10:00 AM - Ashland, KY 41101 451 River Hill DR 810 Ashland, KY 41101 9:00 PM (606) 325-9659 Ashland, KY 41101 (606) 329-2020 Sun 12:00 AM - 6:00 PM Fax: (606) 329-1258 (606) 324-3672 Fax: (606) 329-2033 00 Yrs/99 Yrs Lawrence, Stephen OD 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM MTWTHFSat 10:00 AM alysandrou@windstream. Provider ID: TPV5184-14 Love, Marcus OD 9:00 PM net Gender: Male Sun 12:00 AM - 6:00 PM Provider ID: TPV3422-13 MWTH 9:00 AM - 6:00 500 Winchester Ave Ste Gender: Male PM Henderson, Richard OD 810 500 Winchester Ave Ste TF 9:00 AM - 3:00 PM Ashland, KY 41101 810 Provider ID: TPV3387-13 Maroudis, Phillip OD (606) 324-3672 Ashland, KY 41101 Gender: Male Provider ID: TPV3286-01 00 Yrs/99 Yrs (606) 324-3672 500 Winchester Ave Ste MTWTHFSat 10:00 AM - 00 Yrs/99 Yrs Gender: Male 810 9:00 PM MTWTHFSat 10:00 AM - 1201 13th St Ashland, KY 41101 Sun 12:00 AM - 6:00 PM Ashland, KY 41101 9:00 PM (606) 324-3672 (606) 329-1404 Sun 12:00 AM 6:00 PM Leadingham, John OD 00 Yrs/99 Yrs Fax: (606) 325-7446 MTWTHFSat 10:00 AM - Provider ID: TPV2841-01 Luckett, James OD 00 Yrs/99 Yrs 9:00 PM Gender: Male Provider ID: TPV3427-13 M 9:00 AM - 5:00 PM Sun 12:00 AM - 6:00 PM 1330 Carter Ave Ste 1 Gender: Male T 8:30 AM - 6:00 PM Ashland, KY 41101 500 Winchester Ave Ste WTHF 8:30 AM - 5:00 Johnson, Douglas OD (606) 325-9659 810 PM Provider ID: TPV3408-13 Fax: (606) 329-1258 Ashland, KY 41101 Sat 8:00 AM - 12:00 PM Gender: Male 00 Yrs/99 Yrs (606) 324-3672 500 Winchester Ave Ste M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs 810 MTWTHFSat 10:00 AM Ashland, KY 41101 9:00 PM (606) 324-3672 Sun 12:00 AM - 6:00 PM 00 Yrs/99 Yrs MTWTHFSat 10:00 AM 9:00 PM Sun 12:00 AM - 6:00 PM kentucky.wellcare.com | 29 05/28/2015 Specialty Physicians Boyd Optometry - cont. Maroudis, Socrates OD Provider ID: TPV3287-01 Gender: Male 1201 13th St Ashland, KY 41101 (606) 329-1404 Fax: (606) 325-7446 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Meyer, Victor OD Provider ID: TPV3434-13 Gender: Male 500 Winchester Ave Ste 810 Ashland, KY 41101 (606) 324-3672 00 Yrs/99 Yrs MTWTHFSat 10:00 AM 9:00 PM Sun 12:00 AM - 6:00 PM Montalvo, Noemi OD Provider ID: TPV3455-13 Gender: Female 500 Winchester Ave Ste 810 Ashland, KY 41101 (606) 324-3672 00 Yrs/99 Yrs MTWTHFSat 10:00 AM 9:00 PM Sun 12:00 AM - 6:00 PM Morton, John OD Provider ID: TPV3298-01 Gender: Male 1201 13th St Ashland, KY 41101 (606) 329-1404 Fax: (606) 325-7446 00 Yrs/99 Yrs M 9:00 AM - 5:00 PM T 8:30 AM - 6:00 PM WTHF 8:30 AM - 5:00 PM Sat 8:00 AM - 12:00 PM Nagatoshi, Raymond OD Partain, Jeffrey OD Provider ID: TPV4733-13 Provider ID: TPV3456-13 Gender: Male Gender: Male 500 Winchester Ave Ste 500 Winchester Ave Ste 810 810 Ashland, KY 41101 Ashland, KY 41101 (606) 324-3672 (606) 324-3672 00 Yrs/99 Yrs 00 Yrs/99 Yrs MTWTHFSat 10:00 AM MTWTHFSat 10:00 AM - 9:00 PM 9:00 PM Sun 12:00 AM - 6:00 PM Sun 12:00 AM - 6:00 PM Pearce, Ronald OD Nolan-Rose, Laura OD Provider ID: TPV5133-01 Gender: Male Provider ID: TPV13482-13 1517 1/2 Winchester Ave Gender: Female Ashland, KY 41101 500 Winchester Ave Ste (606) 324-1220 810 00 Yrs/99 Yrs Ashland, KY 41101 Price, Martin OD (606) 324-3672 Provider ID: TPV3461-08 Fax: (606) 324-4566 Gender: Male 00 Yrs/99 Yrs MTWTHFSat 10:00 AM - 500 Winchester Ave Ste 810 9:00 PM Ashland, KY 41101 Sun 12:00 AM - 6:00 PM (606) 324-3672 Oliver, Heather OD 00 Yrs/99 Yrs Provider ID: TPV18436-19 MTWTHFSat 10:00 AM Gender: Female 9:00 PM 500 Winchester Ave Ste Sun 12:00 AM - 6:00 PM 810 Pulliam, Mark OD Ashland, KY 41101 Provider ID: TPV3462-17 (606) 324-3672 Gender: Male 00 Yrs/99 Yrs MTWTHFSat 10:00 AM - 500 Winchester Ave Ste 810 9:00 PM Ashland, KY 41101 Sun 12:00 AM - 6:00 PM (606) 324-3672 Omar, Rashid OD 00 Yrs/99 Yrs Provider ID: TPV3459-13 MTWTHFSat 10:00 AM Gender: Male 9:00 PM 500 Winchester Ave Ste Sun 12:00 AM - 6:00 PM 810 Ashland, KY 41101 (606) 324-3672 00 Yrs/99 Yrs MTWTHFSat 10:00 AM 9:00 PM Sun 12:00 AM - 6:00 PM kentucky.wellcare.com | 30 Roberts, Keith OD Provider ID: TPV4829-22 Gender: Male 500 Winchester Ave Ste 810 Ashland, KY 41101 (606) 324-3672 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Robertson, Paul OD Provider ID: TPV5034-19 Gender: Male 500 Winchester Ave Ste 810 Ashland, KY 41101 (859) 625-1004 Fax: (859) 624-0907 00 Yrs/99 Yrs MTWTHFSat 10:00 AM 9:00 PM Sun 12:00 AM - 6:00 PM Rogers, Brian OD Provider ID: TPV24982-09 Gender: Male 500 Winchester Ave Ste 810 Ashland, KY 41101 (606) 324-3672 00 Yrs/99 Yrs MTWTHFSat 10:00 AM 9:00 PM Sun 12:00 AM - 6:00 PM Rubesh, Grant OD Provider ID: TPV3465-11 Gender: Male 500 Winchester Ave Ste 810 Ashland, KY 41101 (606) 324-3672 00 Yrs/99 Yrs MTWTHFSat 10:00 AM 9:00 PM Sun 12:00 AM - 6:00 PM 05/28/2015 Specialty Physicians Boyd Optometry - cont. Orthopaedic Surgery Spear, Steven OD Taylor, Terri OD Provider ID: TPV5206-11 Provider ID: TPV6241-13 Salee, Sarah OD Cheung, Felix MD Gender: Male Gender: Female Provider ID: TPV5151-13 500 Winchester Ave Ste 500 Winchester Ave Ste Provider ID: 649926 Gender: Female Gender: Male 810 810 500 Winchester Ave Ste Ashland, KY 41101 University Orthopaedics Ashland, KY 41101 810 613 23rd St Ste 350 (606) 324-3672 (606) 324-3672 Ashland, KY 41101 Ashland, KY 41101 00 Yrs/99 Yrs 00 Yrs/99 Yrs (606) 324-3672 MTWTHFSat 10:00 AM - MTWTHFSat 10:00 AM - (606) 327-0036 00 Yrs/99 Yrs Fax: (606) 326-1159 9:00 PM 9:00 PM MTWTHFSat 10:00 AM - Sun 12:00 AM - 6:00 PM 00 Yrs/99 Yrs Sun 12:00 AM - 6:00 PM 9:00 PM Cabell Huntington Wolf, Nicholas OD Sun 12:00 AM - 6:00 PM Stanis, Carl OD Hospital Provider ID: TPV3468-12 Provider ID: TPV13175-20 M-F 8:00 AM - 4:30 PM Smith, Stephen OD Gender: Male Gender: Male 500 Winchester Ave Ste 500 Winchester Ave Ste Giangarra, Charles MD Provider ID: TPV5187-09 810 810 Gender: Male Provider ID: 909487 Ashland, KY 41101 Ashland, KY 41101 500 Winchester Ave Ste (606) 324-3672 Gender: Male (606) 324-3672 810 University Orthopaedics 00 Yrs/99 Yrs 00 Yrs/99 Yrs Ashland, KY 41101 613 23rd St Ste 350 MTWTHFSat 10:00 AM - M-F 9:00 AM - 8:00 PM (606) 324-3672 Ashland, KY 41101 9:00 PM Sat 9:00 AM - 5:30 PM 00 Yrs/99 Yrs (606) 327-0036 Sun 12:00 AM - 6:00 PM Sun 1:00 AM - 5:00 PM MTWTHFSat 10:00 AM Fax: (606) 326-1159 9:00 PM Sydnor, Carl OD Oral & Maxillofacial 00 Yrs/99 Yrs Surgery Sun 12:00 AM - 6:00 PM Provider ID: TPV4434-24 Cabell Huntington Gender: Male Hospital Snead, Kevin OD 500 Winchester Ave Ste Mayer, Jerry DMD M-F 8:00 AM - 4:30 PM Provider ID: TPV4850-10 Provider ID: 810 Gender: Male TPV73635DM-01 Goodwin, Michael MD Ashland, KY 41101 500 Winchester Ave Ste (606) 324-3672 Gender: Male 810 400 Saint Christopher Provider ID: 646851 00 Yrs/99 Yrs Ashland, KY 41101 DR Gender: Male M-F 8:00 AM - 5:00 PM (606) 324-3672 Ashland, KY 41101 Michael J Goodwin MD 00 Yrs/99 Yrs Tabassi, Bita OD (606) 833-0303 PSC MTWTHFSat 10:00 AM - Provider ID: TPV4405-15 00 Yrs/99 Yrs 1000 Ashland Dr Ste 103 9:00 PM Gender: Female M-F 8:00 AM - 5:00 PM Ashland, KY 41101 Sun 12:00 AM - 6:00 PM 500 Winchester Ave Ste (606) 325-0227 810 Fax: (606) 324-0126 Souleyrette, Dale OD Ashland, KY 41101 00 Yrs/99 Yrs Provider ID: TPV3467-13 (606) 324-3672 Kings Daughters Rehab Gender: Male 00 Yrs/99 Yrs Dpu 500 Winchester Ave Ste MTWTHFSat 10:00 AM Our Lady of Bellefonte 810 9:00 PM Hospital Ashland, KY 41101 Sun 12:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM (606) 324-3672 00 Yrs/99 Yrs MTWTHFSat 10:00 AM 9:00 PM Sun 12:00 AM - 6:00 PM kentucky.wellcare.com | 31 05/28/2015 Specialty Physicians Boyd Orthopaedic Surgery cont. Novotny, Steven MD Friday, Michele MD Leahy, Ryan MD Provider ID: 633874 Provider ID: 631604 Provider ID: 813057 Gender: Female Gender: Male Jasko, John MD Gender: Male Bellefonte Heart Care Ulrf Pediatric Cardiology Provider ID: 654229 Ashland Ortho Office 1180 Saint Christopher Dr 2201 Lexington Ave Ste Gender: Male 613 23rd St Ste 350 Ste 2 G-10 University Orthopaedics Ashland, KY 41101 Ashland, KY 41101 Ashland, KY 41101 613 23rd St Ste 350 (606) 327-0036 (606) 833-0144 (502) 585-4802 Ashland, KY 41101 Fax: (606) 326-1159 Fax: (606) 833-0113 Fax: (502) 589-1256 (606) 327-0036 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/18 Yrs Fax: (606) 326-1159 Cabell Huntington M-F 8:00 AM - 5:00 PM Kosair Childrens Medical 18 Yrs/99 Yrs Hospital Center Brownsb Cabell Huntington M-F 8:00 AM - 4:30 PM Johnsrude, Christopher M-F 8:00 AM - 5:00 PM MD Hospital Provider ID: 601837 Matta, Jyothi MD M-F 8:00 AM - 4:30 PM Rice, James MD Provider ID: 751158 Gender: Male Provider ID: 602336 Leith, Joseph MD Gender: Male Ulrf Pediatric Cardiology Gender: Female Provider ID: 667414 Kings Daughters Medical 2201 Lexington Ave Ste Ulrf Pediatric Cardiology Gender: Male Specialties G10 2201 Lexington Ave Ste Rivers Cities Bone Joint 613 23rd St Ste 350 Ashland, KY 41101 G-10 Center Ashland, KY 41101 (502) 585-4802 Ashland, KY 41101 1000 Ashland Dr Ste 103 (606) 327-0036 Fax: (502) 589-1256 (502) 585-4802 Ashland, KY 41101 Fax: (606) 326-1159 00 Yrs/18 Yrs Fax: (502) 589-1256 (606) 324-0097 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs Fax: (606) 324-0126 Kings Daughters Medical Kosair Childrens Medical Keller, Bradley MD 00 Yrs/99 Yrs Center Center Brownsb Provider ID: 631924 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 4:00 PM M-F 8:00 AM - 5:00 PM Gender: Male Love, Thomas MD Pediatric Cardiology Ulrf Pediatric Cardiology Neal, Ashley MD Provider ID: 671264 Provider ID: 1027382 2201 Lexington Ave Ste Bullock, Smitha MD Gender: Male G10 Gender: Female Provider ID: 727257 Thomas R Love MD Ashland, KY 41101 Ulrf Pediatric Cardiology Gender: Female 1100 St Christopher Dr (502) 585-4802 2201 Lexington Ave Ste Ulrf Pediatric Cardiology Fax: (502) 589-1256 Ashland, KY 41101 G10 2201 Lexington Ave Ste (606) 836-0921 Ashland, KY 41101 00 Yrs/18 Yrs G-10 Fax: (606) 836-8175 (502) 585-4802 M-F 8:00 AM - 5:00 PM Ashland, KY 41101 00 Yrs/99 Yrs Fax: (502) 589-1256 (502) 585-4802 Kim, Edward MD M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs Fax: (502) 589-1256 Provider ID: 602973 M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs Gender: Male M-F 8:00 AM - 5:00 PM Ulrf Pediatric Cardiology 2201 Lexington Ave Ste G10 Ashland, KY 41101 (502) 585-4802 Fax: (502) 589-1256 00 Yrs/99 Yrs Norton Hospital M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 32 05/28/2015 Specialty Physicians Boyd Pediatric Cardiology cont. Pediatrics Sanders, Lynda MD Mussetter, Nancy DMD Bullock, Smitha MD Provider ID: 630405 Provider ID: TPV3836-02 Sobczyk, Walter MD Provider ID: 727257 Gender: Female Gender: Female Provider ID: 604601 Gender: Female Pediatrix Medicalgroup 1000 Saint Christopher Gender: Male Ulrf Pediatric Cardiology of Kentucky Blvd Ulrf Pediatric Cardiology 2201 Lexington Ave Ste 2201 Lexington Ave Ashland, KY 41101 2201 Lexington Ave Ste G-10 Ashland, KY 41101 (606) 833-4069 G10 Ashland, KY 41101 (606) 408-4000 Fax: (606) 833-4072 Ashland, KY 41101 (502) 585-4802 00 Yrs/01 Yrs 00 Yrs/99 Yrs (502) 585-4802 Fax: (502) 589-1256 Cincinnati Childrens M-F 8:00 AM - 5:00 PM Fax: (502) 589-1256 00 Yrs/99 Yrs Hospital Medical Center Mussetter, Nancy DMD 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM MTWTHFSatSun 8:00 Jennie Stuart Medical AM - 8:00 PM Leahy, Ryan MD Provider ID: TPV3836-03 Center Provider ID: 631604 Sparks, Joshua MD Gender: Female M-F 8:00 AM - 5:00 PM Gender: Male Provider ID: 723048 2201 Lexington Ave Sparks, Joshua MD Ulrf Pediatric Cardiology Gender: Male Ashland, KY 41101 Provider ID: 723048 2201 Lexington Ave Ste Ulrf Pediatric Cardiology (606) 327-4000 Gender: Male G-10 2201 Lexington Ave Ste Fax: (606) 327-5203 Ulrf Pediatric Cardiology Ashland, KY 41101 G10 00 Yrs/99 Yrs 2201 Lexington Ave Ste (502) 585-4802 Ashland, KY 41101 M-F 8:00 AM - 5:00 PM G10 Fax: (502) 589-1256 (502) 585-4802 Ashland, KY 41101 Spradlin, Glenn DMD 00 Yrs/18 Yrs Fax: (502) 589-1256 (502) 585-4802 Provider ID: TPV3837-01 Kosair Childrens Medical 00 Yrs/99 Yrs Fax: (502) 589-1256 Gender: Male Center Brownsb M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs 2000 Carter Ave M-F 8:00 AM - 5:00 PM Pedodontics M-F 8:00 AM - 5:00 PM Ashland, KY 41101 Matta, Jyothi MD (606) 329-1440 Mussetter, Nancy DMD Wright, Lucinda MD Provider ID: 602336 Fax: (606) 329-2441 Provider ID: 601497 Gender: Female 00 Yrs/16 Yrs Gender: Female Ulrf Pediatric Cardiology Provider ID: TPV3836-01 M-F 8:00 AM - 5:00 PM Gender: Female Ulrf Pediatric Cardiology 2201 Lexington Ave Ste 2000 Carter Ave Physical Medicine & 2201 Lexington Ave Ste G-10 Ashland, KY 41101 Rehabilitation G10 Ashland, KY 41101 (606) 329-1440 Ashland, KY 41101 (502) 585-4802 Bell, Harry MD Fax: (606) 329-2441 (502) 585-4802 Fax: (502) 589-1256 Provider ID: 667161 00 Yrs/99 Yrs Fax: (502) 589-1256 00 Yrs/99 Yrs 00 Yrs/18 Yrs Kosair Childrens Medical pediatricteeth@roadrunner. Gender: Male Advanced Pain com Kosair Childrens Medical Center Brownsb Physicians M-TH 8:00 AM 6:00 PM Center Brownsb M-F 8:00 AM - 5:00 PM 1101 Saint Christopher Dr Norton Hospital Ste 200 M-F 8:00 AM - 5:00 PM Ashland, KY 41101 (606) 833-6210 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 33 05/28/2015 Specialty Physicians Boyd Physical Medicine & Rehabilitation - cont. Pandya, Dhruv MD Provider ID: 631302 Gender: Male Ashland Physiatry And Pain Manageme 617 23rd St Ste 8B Plaza A Ashland, KY 41101 (606) 408-7230 Fax: (606) 408-7426 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Patel, Ushma MD Provider ID: 626168 Gender: Female Ashland Physiatry And Pain Manageme 617 23rd St Ste 8B Ashland, KY 41101 (606) 408-7230 Fax: (606) 408-7426 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Walters, Chadwick DO Provider ID: 912220 Gender: Male Chad Walters DO LLC 2150 Carter Ave Ashland, KY 41101 (502) 491-9590 Fax: (502) 491-9590 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM Plastic & Reconstructive Surgery Podiatry Ehrie, Michael MD Provider ID: 671437 Gender: Male Michael G Ehrie Jr MD 1150 Saint Christopher Dr Ashland, KY 41101 (606) 836-9622 Fax: (606) 836-1986 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Bailey, Brian DPM Lackey, Phillip MD Provider ID: 609120 Provider ID: 629590 Gender: Male Gender: Male Body Mind Spirit Bellefonte Cosmetic & Podiatric Center Reconstructiv 500 14th St 2001 Winchester Ave Ste Ashland, KY 41101 2 (606) 324-3668 Ashland, KY 41101 Fax: (606) 324-0668 (606) 325-0753 00 Yrs/99 Yrs Nelson, Scott MD Fax: (606) 325-0757 M-F 9:00 AM - 5:00 PM Provider ID: 633280 00 Yrs/99 Yrs Gender: Male M-F 8:00 AM - 5:00 PM Dowdy, Phillip DPM Kings Daughters Medical Provider ID: 636600 Specialties Rogers, William MD Gender: Male 613 23rd St Ste G30 Provider ID: 633328 Bellefonte Foot Care Ashland, KY 41101 Gender: Male 1000 Ashland Dr Ste 104 (606) 329-1185 Kdmc Wound Care Ashland, KY 41101 Fax: (606) 324-0585 Center (606) 833-6260 00 Yrs/99 Yrs 617 23rd St Ste 215 Fax: (606) 833-6261 M-TH 8:30 AM - 5:00 PM Ashland, KY 41101 00 Yrs/99 Yrs F 8:30 AM - 3:00 PM (606) 408-1260 Lake Cumberland Fax: (606) 408-4063 Regional Hospital Roberts, Sabrina MD 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Provider ID: 999501 M-F 8:00 AM - 4:30 PM Gender: Female Pulmonary Disease Bellefonte Pulmonary Rogers, William MD Associates Abul-Khoudoud, Provider ID: 633328 1150 Saint Christopher Dr Mohamed MD Gender: Male Ashland, KY 41101 Kings Daughters Medical Provider ID: 835271 (606) 833-2177 Gender: Male Specialties Kings Daughters Medical 00 Yrs/99 Yrs 613 23rd St Ste 420 Our Lady of Bellefonte Specialti Ashland, KY 41101 Hospital 613 23rd St Ste G30 (606) 324-7146 M-F 8:00 AM - 5:00 PM Ashland, KY 41101 Fax: (606) 324-5165 (606) 329-1185 00 Yrs/99 Yrs Fax: (606) 324-0585 M-F 8:00 AM - 4:30 PM 00 Yrs/99 Yrs Kings Daughters Medical Center M-TH 8:30 AM - 5:00 PM F 8:30 AM - 3:00 PM kentucky.wellcare.com | 34 05/28/2015 Specialty Physicians Boyd Pulmonary Disease - cont. Justice, Terry MD Provider ID: 632628 Stark, Gregory MD Gender: Male Provider ID: 681760 Ashland Radiation Gender: Male Oncology Ps King's Daughters' 706 23rd St Medical Specialti Ashland, KY 41101 613 23rd St Ste G30 (606) 329-0060 Medcial Plaza B Fax: (606) 325-9366 Ashland, KY 41101 00 Yrs/99 Yrs (606) 329-1185 Kings Daughters Medical Fax: (606) 324-0585 Center 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Kings Daughters Medical Center Lopez, Jeffrey MD M-F 8:30 AM - 5:00 PM Provider ID: 636335 Gender: Male Thorarinsson, Bjorn MD Ashland Radiation Oncology Ps Provider ID: 633351 706 23rd St Gender: Male Ashland, KY 41101 Kings Daughters Medical (606) 329-0060 Specialties Fax: (606) 325-9366 613 23rd St Ste G30 00 Yrs/99 Yrs Ashland, KY 41101 M-F 8:00 AM - 5:00 PM (606) 329-1185 Fax: (606) 324-0585 O'Laughlin, Robert MD 00 Yrs/99 Yrs M-TH 8:30 AM - 5:00 PM Provider ID: 711448 F 8:30 AM - 3:00 PM Gender: Male Ashland-Bellefonte Radiation Oncology Cancer Center 122 St. Christopher Dr Batoo, Sameer MD Ashland, KY 41101 Provider ID: 1044641 (606) 836-7377 Gender: Male Fax: (606) 836-2189 Ashland-Bellefonte 00 Yrs/99 Yrs Cancer Center 122 Saint Christopher DR M-F 9:00 AM - 5:00 PM Ashland, KY 41101 (606) 836-0202 Fax: (606) 836-2189 00 Yrs/99 Yrs Kings Daughters Medical Center M-F 9:00 AM - 5:00 PM Rheumatology Urology Samuel, Mathew MD Chopra, Sonia MD Provider ID: 644556 Provider ID: 707596 Gender: Male Gender: Female Tri State Arthritis Center Sonia Chopra MD PSC 2154 Carter Ave Ste D 336 29th St Ashland, KY 41101 Ashland, KY 41101 (606) 325-9224 (606) 324-4404 Fax: (606) 325-4554 Fax: (606) 325-6822 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Kings Daughters Medical Center Sports Medicine M-F 8:00 AM - 5:00 PM Gilliland, Charles MD Defade, Brian DO Provider ID: 629552 Provider ID: 638445 Gender: Male Gender: Male Bellefonte Urological Kings Daughters Medical Associates Specialti 1101 Saint Christopher Dr 613 23rd St Ste G30 Ste 320 Ashland, KY 41101 Ashland, KY 41101 (606) 327-0036 (606) 833-6235 Fax: (606) 326-1159 Fax: (606) 833-4668 00 Yrs/99 Yrs 00 Yrs/99 Yrs M 9:00 AM - 12:00 PM M-F 8:00 AM - 5:00 PM Thoracic & Cardiovascular Dixon, Justin MD Surgery Provider ID: 899810 Gender: Male Fried, Robert MD Justin K Dixon MD PSC Provider ID: 674713 336 29th St Gender: Male Kentucky Heart Institute Ashland, KY 41101 (606) 324-4404 613 23rd St Ste 230 Fax: (606) 324-5682 Ashland, KY 41101 00 Yrs/99 Yrs (606) 326-9847 Kings Daughters Medical Fax: (606) 326-0165 Center 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Kings Daughters Rehab Dpu Our Lady of Bellefonte Hospital M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 35 05/28/2015 Specialty Physicians Boyd Urology - cont. Dixon, Timothy MD Provider ID: 675056 Gender: Male Tk Dixon MD PSC 336 29th St Ashland, KY 41101 (606) 324-4404 Fax: (606) 325-6822 00 Yrs/99 Yrs Kings Daughters Rehab Dpu Our Lady of Bellefonte Hospital M-F 8:00 AM - 5:00 PM Krick, James DO Provider ID: 632800 Gender: Male Ashland Urology, PSC 336 29th St Ashland, KY 41101 (606) 329-1312 Fax: (606) 324-6736 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Thorndyke, William MD Provider ID: 602057 Gender: Male Wc Thorndyke Urology 336 29th St Ashland, KY 41101 (606) 324-4404 Fax: (606) 325-6822 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Thorndyke, William MD Provider ID: 671306 Gender: Male Wc Thorndyke Urology 336 29th St Ashland, KY 41101 (606) 324-4404 Fax: (606) 325-6822 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Abul Khoudoud, Omran MD Provider ID: 630481 Gender: Male Kentucky Heart Institute 613 23rd St Ste 140 Ashland, KY 41101 (606) 326-1675 Fax: (606) 326-1436 00 Yrs/99 Yrs Kings Daughters Medical Unnikrishnan, Edakkunny Center MD M-F 8:00 AM - 5:00 PM Provider ID: 644407 Alhalbouni, Saadi MD Gender: Male Provider ID: 930934 900 St Christopher Dr Ste 201 Gender: Female Ashland, KY 41101 Ashland Bellefonte Cardiology (606) 836-2311 800 Saint Christopher Dr Fax: (606) 836-3616 Ashland, KY 41101 00 Yrs/99 Yrs (606) 836-9613 M-F 9:00 AM - 5:00 PM Fax: (606) 836-0026 Vascular Surgery 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Abul Khoudoud, Omran MD Hou, Alexander MD Provider ID: 630481 Provider ID: 637278 Gender: Male Gender: Male Kdmc Vascular Institute of 2201 Lexington Ave Kentucky Ashland, KY 41101 617-23rd St Ste 445 (606) 408-4452 Ashland, KY 41101 Fax: (606) 408-7426 (606) 324-1070 00 Yrs/99 Yrs Fax: (606) 324-1071 Kings Daughters Medical 00 Yrs/99 Yrs Center Kings Daughters Medical M-F 8:00 AM - 5:00 PM Center M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 36 05/28/2015 Specialty Physicians Bracken General Dentistry Jefferson, Tara DMD Provider ID: TPV3911-01 Gender: Female 224 Frankfort St Brooksville, KY 41004 (606) 735-3114 00 Yrs/99 Yrs MWTH 9:00 AM - 5:00 PM T 9:00 AM - 6:00 PM McCord, Gary DMD Provider ID: TPV3158-01 Gender: Male 224 Frankfort St Brooksville, KY 41004 (606) 735-3114 00 Yrs/99 Yrs MWTH 9:00 AM - 5:00 PM T 9:00 AM - 6:00 PM kentucky.wellcare.com | 37 05/28/2015 Specialty Physicians Carter Cardiology Gastroenterology Jordan, Kevin DMD Provider ID: TPV3778-01 Bush, David MD Warrier, Rajkumar MD Gender: Male Provider ID: 630564 154 Scott St Provider ID: 684578 Gender: Male Olive Hill, KY 41164 Kings Daughters Medical Gender: Male (606) 286-4121 Specialties Kings Daughters Medical 00 Yrs/99 Yrs 609 N Carol Malone Blvd Specialti M-F 8:00 AM - 4:00 PM Ste 105 609 N Carol Malone Blvd Grayson, KY 41143 Grayson, KY 41143 Optometry (606) 474-2235 (606) 474-7892 Fannin, Roger OD Fax: (606) 326-0165 Fax: (606) 474-0040 Provider ID: TPV3252-01 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Kings Daughters Medical Gender: Male 313 South Carol Malone Center Klein, Roger MD Blvd Our Lady of Bellefonte Provider ID: 671075 Grayson, KY 41143 Hospital Gender: Male (606) 474-7833 M-F 9:00 AM - 5:00 PM King's Daughters' Fax: (606) 474-3563 General Dentistry Medical Specialti 00 Yrs/99 Yrs 609 N. Carol Malone M 8:30 AM - 6:00 PM Baker, Randall DMD Blvd Ste 105 TF 8:30 AM - 5:00 PM Provider ID: TPV3741-01 Grayson, KY 41143 W 8:30 AM - 12:00 PM Gender: Male (606) 474-2235 TH 9:00 AM - 5:00 PM 131 Jessica Lane Ste D Fax: (606) 474-2236 Olive Hill, KY 41164 Kee, Anthony OD 00 Yrs/99 Yrs (606) 286-5980 Provider ID: TPV3238-01 Kings Daughters Medical 00 Yrs/99 Yrs Gender: Male Center M-TH 8:00 AM - 5:00 PM 166 South Carol Malone M-F 8:00 AM - 5:00 PM Blvd Ste A Howard, Charles DMD Chiropractic Grayson, KY 41143 Provider ID: TPV4235-01 (606) 474-2940 Fischer, John DC Gender: Male Provider ID: 613008 500 North Carol Malone Fax: (606) 474-2944 00 Yrs/99 Yrs Blvd Gender: Male MTWTHFSatSun 9:00 Grayson, KY 41143 Grayson Chiropractic AM - 5:00 PM Center (606) 474-6655 308 Horton St Ste 2 Fax: (606) 474-9575 McCloud, Jason OD Grayson, KY 41143 00 Yrs/99 Yrs Provider ID: TPV3290-01 (606) 474-6445 MWTH 10:00 AM - 3:30 Gender: Male PM Fax: (606) 474-6445 107 East Main St T 1:00 AM - 4:00 PM 00 Yrs/99 Yrs Grayson, KY 41143 MWTH 8:30 AM - 6:00 (606) 474-5149 PM Fax: (606) 474-0648 T 2:00 AM - 6:00 PM 00 Yrs/99 Yrs F 8:30 AM - 12:00 PM Languages: Spanish M 9:00 AM - 7:00 PM TWTHF 9:00 AM - 4:30 PM Sat 9:00 AM - 2:00 PM kentucky.wellcare.com | 38 West, Mary OD Provider ID: TPV3303-01 Gender: Female 313 South Carol Malone Blvd Grayson, KY 41143 (606) 474-7833 Fax: (606) 474-3563 00 Yrs/99 Yrs M 8:00 AM - 7:00 PM TTHF 8:00 AM - 5:00 PM W 8:00 AM - 12:00 PM Sports Medicine Gilliland, Charles MD Provider ID: 638445 Gender: Male Kings Daughters Medical Specialties 609 N Carol Malone Blvd Grayson, KY 41143 (606) 474-7892 Fax: (606) 474-0040 00 Yrs/99 Yrs M 9:00 AM - 12:00 PM 05/28/2015 Specialty Physicians Elliott General Dentistry Buckner, Kimberly DMD Provider ID: TPV3634-01 Gender: Female Hwy 7 & 32 Sandy Hook, KY 41171 (606) 738-5545 Fax: (606) 738-5405 00 Yrs/99 Yrs MF 9:00 AM - 1:00 PM TWTH 9:00 AM - 4:30 PM Oliver, Garry DMD Provider ID: TPV83396DM-01 Gender: Male 437 South Kentucky Rte 706 Isonville, KY 41149 (606) 738-6904 Fax: (606) 738-6904 00 Yrs/99 Yrs M-TH 7:00 AM - 4:00 PM kentucky.wellcare.com | 39 05/28/2015 Specialty Physicians Fleming Allergy & Immunology Wise, Marshall MD Provider ID: 693617 Gender: Male Allergy Partners of Greater Cincinn 920 Elizaville Ave Flemingsburg, KY 41041 (859) 746-8737 Fax: (859) 746-0128 00 Yrs/99 Yrs M 8:00 AM - 5:00 PM Spurlock, William DC Provider ID: 641700 Gender: Male Spurlock Chiropractic Centre and Ke 101 Jb Shannon Dr Ste A Flemingsburg, KY 41041 (606) 209-0020 Fax: (606) 209-0022 16 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM General Dentistry Medical Oncology Kalb, Kent DMD Zaydan, Muhammad-Ali MD Provider ID: TPV58484DM-01 Provider ID: 620634 Gender: Male Gender: Male 813 Elizaville Ave Fleming County Clinic Flemingsburg, KY 41041 920 Elizaville Ave (606) 845-3010 Flemingsburg, KY 41041 Fax: (606) 849-4004 (859) 499-1000 00 Yrs/99 Yrs Fax: (859) 499-4181 M-TH 9:00 AM - 5:00 PM 00 Yrs/99 Yrs Ear, Nose & Throat MT 3:00 AM - 5:00 PM Perkins, Thomas DMD Cardiology Obstetrics/Gynecology Conrad, Paul MD Provider ID: TPV57643DM-01 Provider ID: 646272 Srinivasan, Raghuraman Doty, David DO Gender: Male Gender: Male MD Provider ID: 619640 708 Elizaville Ave Entlc PSC Provider ID: 633260 Gender: Male Flemingsburg, KY 41041 932 Elizaville Ave Gender: Male Lewis County Primary (606) 849-2151 Flemingsburg, KY 41041 Heart Smart Plc Care Center Fax: (606) 845-0510 (606) 759-4852 932 Elizaville Ave Fleming Fax: (606) 759-0122 520 Elizabeth Ave 00 Yrs/99 Yrs Co Specialty Clinic M-TH 8:30 AM - 4:00 PM Flemingsburg, KY 41041 00 Yrs/99 Yrs Flemingsburg, KY 41041 (606) 845-0028 Fleming County Hospital General Surgery (606) 845-9507 Fax: (606) 845-0263 M 8:00 AM - 11:30 PM Fax: (606) 849-5046 12 Yrs/99 Yrs Demoya, Jose MD 16 Yrs/99 Yrs Lawson, Victor MD M-F 8:00 AM - 5:00 PM Provider ID: 677341 Fleming County Hospital Gender: Male Shower, Laura MD M 9:00 AM - 12:00 PM Provider ID: 600534 Fleming County Hospital Provider ID: 619650 Gender: Male Chiropractic 55 Foundation Dr Gender: Female Central Kentucky Head Flemingsburg, KY 41041 Lewis County Primary Neck Assoc Spurlock, Tara DC Care Center (606) 849-2675 55 Foundation Dr Provider ID: 995328 520 Elizaville Ave Fax: (606) 849-2743 Flemingsburg, KY 41041 Gender: Female Flemingsburg, KY 41041 00 Yrs/99 Yrs (606) 845-9507 W Michael Spurlock DC (606) 845-0028 Fleming County Hospital Fax: (606) 849-5284 PSC Fax: (606) 845-0263 Languages: Spanish 00 Yrs/99 Yrs 101 Jb Shannon Dr Ste A 12 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Bourbon Community Flemingsburg, KY 41041 M-F 8:00 AM - 5:00 PM Hospital (606) 209-0020 M-F 9:00 AM - 5:00 PM Fax: (606) 209-0022 00 Yrs/99 Yrs M-TH 8:00 AM - 6:00 PM F 8:00 AM - 4:00 PM kentucky.wellcare.com | 40 05/28/2015 Specialty Physicians Fleming Obstetrics/Gynecology cont. Wilson, Donald MD Provider ID: 619653 Gender: Male Lewis County Primary Care Center 520 Elizaville Ave Flemingsburg, KY 41041 (606) 845-0028 Fax: (606) 845-0263 12 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Orthopaedic Surgery Chattha, Anup MD Provider ID: 602050 Gender: Male Integrity Orthopaedics Sports Medi 101 Jb Shannon Dr Ste A and B Flemingsburg, KY 41041 (859) 497-4144 Fax: (859) 498-4137 00 Yrs/99 Yrs MT 8:30 AM - 11:30 PM Optometry Rollins, James MD Provider ID: 602080 Sherman, Keith OD Gender: Male Provider ID: TPV4830-02 Integrity Orthopaedics Gender: Male Sports Medi 104 North Main St 101 Jb Shannon Dr Ste A Flemingsburg, KY 41041 and B (606) 849-2348 Flemingsburg, KY 41041 Fax: (606) 849-2349 (859) 497-4144 00 Yrs/99 Yrs Fax: (859) 498-4137 [email protected] 00 Yrs/99 Yrs M 9:00 AM - 5:00 PM MT 8:30 AM - 11:30 PM Taylor, Gregory OD Podiatry Provider ID: TPV4649-02 Kincaid, Crystal DPM Gender: Male Provider ID: 815285 104 North Main St Gender: Female Flemingsburg, KY 41041 Integrity Orthopaedics (606) 849-2348 Sports Medic Fax: (606) 849-2349 101 Jb Shannon Dr Ste 00 Yrs/99 Yrs flemingsburgeyecare@w- A&B Flemingsburg, KY 41041 indstream.net (859) 497-4144 M 9:30 AM - 5:00 PM Fax: (859) 498-4137 TW 8:30 AM - 5:30 PM 00 Yrs/99 Yrs THF 9:00 AM - 5:30 PM Clark Regional Medical Center M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 41 05/28/2015 Specialty Physicians Greenup Cardiology General Dentistry Hematology & Oncology Morris, Richard OD Provider ID: TPV3297-01 Challappa, Krishnan MD Baker, Robert DMD Konala, Venu MD Gender: Male Provider ID: Provider ID: 995777 1621 Ashland Rd Ste 3 Provider ID: 906587 TPV32680DM-01 Gender: Female Greenup, KY 41144 Gender: Male Gender: Male Ashland Bellefonte (606) 473-5322 Central Cardiology 1121 Seaton Ave Cancer Center Fax: (606) 473-5055 Associates Greenup, KY 41144 122 St Christopher Dr 00 Yrs/99 Yrs 102 Public Square (606) 473-5252 Flatwoods, KY 41139 M 8:30 AM - 7:00 PM Greensburg, KY 42743 Fax: (606) 473-1603 (606) 836-7377 TWTH 8:30 AM - 5:00 (270) 932-2194 00 Yrs/99 Yrs Fax: (606) 836-2189 PM Fax: (270) 789-4294 MWTH 8:30 AM - 5:30 00 Yrs/99 Yrs F 9:00 AM - 12:00 PM 00 Yrs/99 Yrs PM Kings Daughters Medical Pedodontics Jane Todd Crawford T 9:00 AM - 5:30 PM Center Memorial Hospital M-F 9:00 AM - 5:00 PM Hughes, Jennifer DMD Taylor County Hospital Callihan, R Brooks DMD Neurology Provider ID: TPV4308-01 Westlake Regional Provider ID: TPV3742-01 Hospital Gender: Female Deitch, S MD Gender: Male M-F 9:00 AM - 5:00 PM 972 Diederich Blvd Provider ID: 633342 219 Main St Russell, KY 41169 Chiropractic Gender: Male Greenup, KY 41144 (606) 833-5437 Tri-State Neurology (606) 473-6322 Fax: (606) 833-0036 Carey, Daniel DC PLLC Fax: (606) 473-0200 00 Yrs/99 Yrs Provider ID: 620803 1450 Diedrich Blvd 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Gender: Male Russell, KY 41169 M 11:00 AM 7:00 PM Carey Chiropractic and (606) 836-5565 Podiatry T 9:00 AM - 5:00 PM Rehab Fax: (606) 836-5567 WTH 8:00 AM - 5:00 PM 974 Diederich Blvd Murray, Michelle DPM 00 Yrs/99 Yrs Russell, KY 41169 Provider ID: 620224 Dean, Lisa DMD M-F 8:00 AM - 4:30 PM (606) 834-0055 Gender: Female Provider ID: Optometry Fax: (606) 833-0101 Dr Michelle Murray DPM TPV50141DM-01 00 Yrs/99 Yrs 1101 Saint Christopher Dr Gender: Female Brom, James OD M-F 9:00 AM - 5:00 PM Ste 280 1592 Diederich Blvd Provider ID: TPV3230-01 Ashland, KY 41101 Russell, KY 41169 Dermatology Gender: Male (606) 638-7427 (606) 836-9962 2135 Argillite Rd Ste J Fax: (606) 638-7429 Fax: (606) 836-4668 Cooper, Carol MD Flatwoods, KY 41139 00 Yrs/99 Yrs 00 Yrs/99 Yrs Provider ID: 676148 (606) 836-8153 M 7:00 AM - 12:00 PM M-TH 8:00 AM 5:00 PM Gender: Female Fax: (606) 834-9420 Kdmc Flatwoods Medical Wagner, Robert DMD 00 Yrs/99 Yrs Specialities M-F 9:00 AM - 5:00 PM Provider ID: TPV3262-01 1109 Bellefonte Rd Gender: Male Flatwoods, KY 41139 1402 Argillite Rd (606) 836-8086 Flatwoods, KY 41139 00 Yrs/99 Yrs Kings Daughters Medical (606) 836-1646 Fax: (606) 836-0030 Center 00 Yrs/99 Yrs M-F 8:00 AM - 6:30 PM M 1:00 AM - 8:30 PM TTHF 8:30 AM - 5:00 PM W 8:30 AM - 1:00 PM kentucky.wellcare.com | 42 05/28/2015 Specialty Physicians Lawrence Cardiology Veronneau, Mark DO Provider ID: 786497 Ansinelli, Richard MD Gender: Male Provider ID: 630535 Three Rivers Medical Gender: Male Clinics Inc Kings Daughters Medical 2483 Hwy 644 Ste 105 Specialties Louisa, KY 41230 2483 Hwy 644 Ste 103 (606) 638-7488 Louisa, KY 41230 Fax: (606) 638-7345 (606) 638-9954 00 Yrs/99 Yrs Fax: (606) 638-3595 Three Rivers Medical 00 Yrs/99 Yrs Center M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Keihanian, Mana MD Gastroenterology Provider ID: 995763 Frazier, Thomas MD Gender: Female Kings Daughters Medical Provider ID: 647217 Specialties Gender: Male 2483 State Rte 644 Three Rivers Medical Clinics Inc Louisa, KY 41230 40 Professional Park Dr (606) 638-9954 Louisa, KY 41230 Fax: (606) 638-3595 (606) 638-4656 00 Yrs/99 Yrs Kings Daughters Medical Fax: (606) 638-4658 Center 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Ear, Nose & Throat Helton, William MD Provider ID: 786492 Gender: Male Three Rivers Medical Clinics Inc 2483 Hwy 644 Ste 102 Louisa, KY 41230 (606) 638-7488 Fax: (606) 638-7345 00 Yrs/99 Yrs Three Rivers Medical Center M-F 8:00 AM - 5:00 PM Frazier, Thomas MD Provider ID: 647217 Gender: Male Three Rivers Medical Clininc Inc 2483 Hwy 644 Louisa, KY 41230 (606) 638-4656 Fax: (606) 638-4658 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM General Dentistry Obstetrics/Gynecology Sammons, Charles DDS Doshi, Palak DO Provider ID: 908366 Gender: Female Three Rivers Medical Clinics Inc 2673 Hwy 644 Ste 2 Louisa, KY 41230 (606) 638-9572 Fax: (606) 638-9574 00 Yrs/99 Yrs Three Rivers Medical Center M-F 8:00 AM - 5:00 PM Provider ID: TPV3922-01 Gender: Male 202 Water St Louisa, KY 41230 (606) 638-3400 Fax: (606) 638-3410 00 Yrs/99 Yrs MT 9:00 AM - 5:00 PM Woody, Lloyd DMD Provider ID: TPV66130DM-01 Optometry Gender: Male 102 North Lock Ave Bowling, Joseph OD Louisa, KY 41230 Provider ID: TPV3527-03 (606) 638-9094 Gender: Male Fax: (606) 638-1996 112 Vinson Blvd 00 Yrs/99 Yrs M-TH 8:00 AM - 5:00 PM Louisa, KY 41230 (606) 638-4731 Nephrology Fax: (606) 638-3523 00 Yrs/99 Yrs Arora, Robin MD M 7:00 AM - 4:00 PM Provider ID: 801124 TTH 7:30 AM - 5:00 PM Gender: Male W 7:30 AM - 4:00 PM Three Rivers Medical Clinics Inc Desario, Elaine OD 2483 Hwy 644 Ste 204 Provider ID: TPV3241-01 Louisa, KY 41230 Gender: Female (606) 638-7488 112 Vinson Blvd Fax: (606) 638-7345 Louisa, KY 41230 00 Yrs/99 Yrs (606) 638-4731 Three Rivers Medical Fax: (606) 638-3523 Center 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM M-W 7:00 AM - 6:00 PM kentucky.wellcare.com | 43 05/28/2015 Specialty Physicians Lawrence Optometry - cont. Leadingham, James OD Podiatry Murray, Michelle DPM Provider ID: 620224 Gender: Female Dr Michelle Murray DPM 2483 Hwy 644 Trmp Ste 203 Louisa, KY 41230 (606) 638-7427 Fax: (606) 638-7429 00 Yrs/99 Yrs MT 8:00 AM - 5:00 PM Provider ID: TPV3283-01 Gender: Male 112 Vinson Blvd Louisa, KY 41230 (606) 638-4731 Fax: (606) 638-3523 00 Yrs/99 Yrs M 8:00 AM - 5:00 PM T 8:00 AM - 7:00 PM WTH 7:00 AM - 6:00 PM Murray, Michelle DPM F 7:00 AM - 12:00 PM Provider ID: 620224 Orthopaedic Surgery Gender: Female Three Rivers Medical Saleh, Ehab MD Center Wound Provider ID: 627097 92 Tourchlite Rd Gender: Male Louisa, KY 41230 Three Rivers Medical (606) 673-3300 Clinic Fax: (606) 673-3332 2483 Hwy 644 Ste 105 00 Yrs/99 Yrs Louisa, KY 41230 M 1:00 AM - 4:00 PM (606) 638-7488 Urology Fax: (606) 638-7345 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Thorndyke, William MD Pediatrics Styer, Thomas MD Provider ID: 526719 Gender: Male Whitaker National Corporation 2483 Hwy 644 Louisa, KY 41230 (606) 638-9451 00 Yrs/21 Yrs Westlake Regional Hospital Provider ID: 602057 Gender: Male King's Daughters' Medical Specialti 5187 Ky Rt 321 Louisa, KY 41230 (606) 324-4404 Fax: (606) 325-6822 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 44 05/28/2015 Specialty Physicians Lewis General Dentistry Optometry Arnett, Shelia DMD Bertram, Louis OD Provider ID: TPV3755-02 Provider ID: TPV1215044680WL Gender: Female Gender: Male 211 Ky 59 185 Commercial DR Vanceburg, KY 41179 Vanceburg, KY 41179 (606) 796-9511 (606) 796-2632 Fax: (606) 796-6221 Fax: (606) 796-9285 00 Yrs/99 Yrs M-TH 8:30 AM - 5:00 PM 00 Yrs/99 Yrs M-W 9:00 AM - 4:30 PM Mays, Ronald DMD Provider ID: TPV8718-02 Gender: Male 185 Commercial DR Vanceburg, KY 41179 (606) 796-2636 Fax: (606) 796-9285 00 Yrs/82 Yrs M 8:00 AM - 4:30 PM Mays, Ronald DMD Provider ID: TPV8718-03 Gender: Male 211 Ky 59 Vanceburg, KY 41179 (606) 796-9511 Fax: (606) 796-3921 00 Yrs/99 Yrs bentleya@primaryplus. net M-TH 9:00 AM - 5:00 PM O'Cull, John DMD Provider ID: TPV65131DM-01 Gender: Male 570 Clarksburg Rd Vanceburg, KY 41179 (606) 796-3811 Fax: (606) 796-2221 00 Yrs/99 Yrs MTWF 8:00 AM - 5:00 PM TH 8:00 AM - 3:00 PM kentucky.wellcare.com | 45 05/28/2015 Specialty Physicians Mason Allergy & Immunology Ear, Nose & Throat Srinivasan, Raghuraman Horsley, Sarah DC MD Provider ID: 1022698 Wise, Marshall MD Asbury, Leslie MD Provider ID: 633260 Gender: Female Provider ID: 693617 Provider ID: 967407 Gender: Male Maysville Family Gender: Male Gender: Female Heart Smart Plc Chiropractic Allergy Partners of ENT Associates of 450A Tucker Dr 1335 Southgate Plz Boone County An Central Kentucky Maysville, KY 41056 Maysville, KY 41056 1 W. McDonald Pkwy 491 Tucker Dr (606) 759-0339 (606) 564-4213 Maysville, KY 41056 Maysville, KY 41056 Fax: (606) 759-0139 Fax: (606) 564-4406 (859) 746-8737 (859) 340-1377 16 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (859) 746-0128 Fleming County Hospital MWF 9:00 AM - 6:00 PM Fax: (859) 759-0122 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM TTH 2:00 AM - 8:00 PM M 2:00 AM - 6:00 PM M 8:30 AM - 3:00 PM Sat 9:00 AM - 12:00 PM Child Abuse Pediatrics Cardiology Conrad, Paul MD Sargent, Timothy DC Buffalo Trace Childrens Provider ID: 1001163 Provider ID: 711919 Lierl, Jerry MD Advocacy Center Gender: Male Gender: Male Provider ID: 667493 Provider ID: 1075995 Entlc Ts Chiropractic Gender: Male Buffalo Trace Childrens 491 Tucker Dr 399 W Maple Leaf Rd Meadowview Physician Advocacy Center Maysville, KY 41056 Maysville, KY 41056 Practice LLC 224 Limestone St (606) 759-4852 (606) 564-9900 991 Medical Park Dr Ste Maysville, KY 41056 Fax: (606) 759-0122 Fax: (606) 564-9901 107 (606) 563-0572 00 Yrs/99 Yrs 00 Yrs/99 Yrs Maysville, KY 41056 Fax: (606) 563-0574 Fleming County Hospital MTTH 7:30 AM - 6:00 (606) 759-9353 00 Yrs/18 Yrs M-TH 8:00 AM - 6:00 PM PM Fax: (606) 759-9702 M-F 8:00 AM - 5:00 PM F 8:00 AM - 12:00 PM W 12:00 AM - 5:30 PM 00 Yrs/99 Yrs Chiropractic M-F 9:00 AM - 5:00 PM Conrad, Paul MD Taylor, Landon DC Provider ID: 629462 Provider ID: 923858 Lohman, Eric MD Bettinger, Sara DC Gender: Male Gender: Male Provider ID: 628994 Provider ID: 972936 Meadowview Physician Maysville Family Gender: Male Gender: Female Practice LLC Chiropractic Ohio Valley Heart Bettinger Chiropractic 491 Tucker Dr 1335 Southgate Plz Center PLLC 991 Medical Park Dr Ste Maysville, KY 41056 Maysville, KY 41056 107 1907 Old Main St (606) 759-4852 (606) 564-4213 Maysville, KY 41056 Maysville, KY 41056 Fax: (606) 759-0122 Fax: (606) 564-4406 (606) 759-9353 (606) 759-0090 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (606) 759-9702 Fax: (606) 759-0092 MWF 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM 12 Yrs/99 Yrs 00 Yrs/99 Yrs TTH 2:00 AM - 8:00 PM Fleming County Hospital MTH 8:30 AM - 5:30 PM Sat 9:00 AM - 12:00 PM Meadowview Reg Med T 7:30 AM - 11:30 PM Center W 8:30 AM - 6:30 PM M-F 8:00 AM - 5:00 PM F 9:00 AM - 12:00 PM kentucky.wellcare.com | 46 05/28/2015 Specialty Physicians Mason Ear, Nose & Throat - cont. Adkins, Alicia DMD General Surgery Obstetrics/Gynecology Provider ID: TPV17500-01 Conrad, Paul MD Spady, Richard MD Doty, David DO Gender: Female Provider ID: 646272 Provider ID: 778487 Provider ID: 619640 927 Kenton Station DR Gender: Male Gender: Male Gender: Male Maysville, KY 41056 Entlc PSC Meadowview General Lewis County Primary (606) 796-3029 Surgery Care Center In 491 Tucker Dr Fax: (606) 796-6221 991 Medical Park Dr Ste 927 Kenton Station Dr Maysville, KY 41056 00 Yrs/99 Yrs 201 1st Fl (606) 759-4852 mccanem@primaryplus. Maysville, KY 41056 Maysville, KY 41056 Fax: (606) 759-0122 net (606) 759-9011 (606) 759-0433 00 Yrs/99 Yrs MTTHF 8:00 AM - 5:00 Fax: (606) 759-0676 Fax: (606) 759-0058 Fleming County Hospital PM 00 Yrs/99 Yrs 12 Yrs/99 Yrs MW 8:00 AM - 5:00 PM W 8:00 AM - 12:00 PM M-F 9:00 AM 5:00 PM MTTH 8:00 AM - 7:00 TTH 8:00 AM - 7:00 PM Burns, John DMD PM F 8:00 AM - 12:00 PM Nephrology Provider ID: W 8:00 AM - 6:00 PM Gastroenterology TPV47689DM-01 F 8:00 AM - 5:00 PM Barrett, William MD Gender: Male Weller, Donald MD Shower, Laura MD 1907 Old Main St Provider ID: 602626 Provider ID: 628003 Provider ID: 620022 Maysville, KY 41056 Gender: Male Gender: Male Gender: Female (606) 759-5401 Bluegrass Nephrology Buffalo Trace Lewis County Primary Fax: (606) 759-7583 PSC Gastroenterology Care Center In 00 Yrs/99 Yrs 1340 Medical Park Dr Ste 927 Kenton Station Dr 991 Medical Park Dr Ste M-TH 8:00 AM - 4:00 PM 7 203 Maysville, KY 41056 Maysville, KY 41056 Maysville, KY 41056 Pope-Burns, Sally DMD (606) 759-5331 (606) 759-0077 (606) 759-5157 Fax: (606) 759-5363 Fax: (606) 759-0111 Fax: (606) 759-5582 Provider ID: 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs TPV47688DM-01 M-F 8:30 AM - 5:00 PM Meadowview Reg Med Fleming County Hospital Gender: Female Center Wilson, Donald MD Meadowview Reg Med 1907 Old Main St M-F 9:00 AM 5:00 PM Provider ID: 619653 Center Maysville, KY 41056 Gender: Male M-TH 8:00 AM - 5:00 PM (606) 759-5401 Neurology Lewis County Primary F 8:00 AM - 4:00 PM Fax: (606) 759-7583 00 Yrs/99 Yrs Landfield, Alexander MD Care Center In General Dentistry 927 Kenton Station Dr M-F 9:00 AM - 5:00 PM 1st Fl Provider ID: 1053175 Adams, James DMD Maysville, KY 41056 Gender: Male Provider ID: (606) 759-0433 Alexander Landfield TPV75644DM-01 Fax: (606) 759-0058 PLLC Gender: Male 12 Yrs/99 Yrs 1335 Southgate Plaza 19 East 3rd St MTTH 8:00 AM - 7:00 Maysville, KY 41056 Maysville, KY 41056 PM (325) 513-4360 (606) 564-9033 W 8:00 AM - 6:00 PM Fax: (859) 223-3929 Fax: (606) 564-9035 F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs Jewish Hospital M-TH 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM F 8:00 AM - 5:00 PM kentucky.wellcare.com | 47 05/28/2015 Specialty Physicians Mason Ophthalmology Blandford, David MD Provider ID: TPV3187-01 Gender: Male 1937 Old Main St Ste 1 Maysville, KY 41056 (606) 759-7883 Fax: (606) 759-0683 00 Yrs/99 Yrs M-F 8:30 AM - 4:30 PM Higgins, Eric MD Provider ID: TPV3482-12 Gender: Male 1360 Medical Park Dr. Maysville, KY 41056 (606) 759-5341 Fax: (606) 759-7393 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Minix, Jr, Micheal MD Provider ID: TPV4986-01 Gender: Male 1360 Medical Park Dr. Maysville, KY 41056 (606) 759-5341 Fax: (606) 759-7393 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Prater, Bryan MD Provider ID: TPV4430-01 Gender: Male 1360 Medical Park Dr. Maysville, KY 41056 (606) 759-5341 Fax: (606) 759-7393 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Optician Orthodontics Kirk, Alanna OD Provider ID: TPV23757-01 Bradley, Adam Ldo Naylor, Rachel DMD Gender: Female Provider ID: TPV18359-01 1360 Medical Park Dr. Provider ID: TPV71430DM-01 Gender: Male Maysville, KY 41056 Gender: Female 1937 Old Main St Ste 2 (606) 759-5341 399 Maple Leaf Rd Maysville, KY 41056 00 Yrs/99 Yrs (606) 759-7311 [email protected] Maysville, KY 41056 (606) 564-9494 Fax: (606) 759-0610 M-F 8:00 AM - 5:00 PM Fax: (606) 564-9495 00 Yrs/99 Yrs Sherman, Keith OD 00 Yrs/99 Yrs maverick@maysvilleky. net Provider ID: TPV4830-01 M-TH 8:00 AM - 5:00 PM M-F 9:00 AM - 7:00 PM Gender: Male Orthopaedic Surgery Sat 9:00 AM - 1:00 PM 15 East 3rd St Maysville, KY 41056 Kumler III, William MD Peck, Irving Ldo (606) 564-3650 Provider ID: TPV4296-01 Fax: (606) 564-3650 Provider ID: 641328 Gender: Male 00 Yrs/99 Yrs Gender: Male 1937 Old Main St Ste 2 [email protected] Meadowview Ortho Maysville, KY 41056 MTF 9:00 AM - 5:00 PM Care Center (606) 759-7311 WTH 7:30 AM - 6:00 PM 901 Kenton Station Dr Fax: (606) 759-0610 Maysville, KY 41056 00 Yrs/99 Yrs Taylor, Gregory OD (606) 759-5337 M-F 9:00 AM - 7:00 PM Provider ID: TPV4649-01 Fax: (606) 759-5340 Sat 9:00 AM - 1:00 PM Gender: Male 00 Yrs/99 Yrs 15 East 3rd St M-F 8:00 AM - 4:30 PM Peck, Joyce Ldo Maysville, KY 41056 Provider ID: TPV4295-01 (606) 564-3650 Pain Management Gender: Female Fax: (606) 564-3651 1937 Old Main St Ste 2 Chenthilmurugan, 00 Yrs/99 Yrs Maysville, KY 41056 shermanandtaylor@may- Hemadevi MD (606) 759-7311 Provider ID: 1046603 svilleky.net Fax: (606) 759-0610 Gender: Female MTTHF 8:00 AM - 5:00 00 Yrs/99 Yrs Advanced Pain and Spine PM M-F 9:00 AM - 7:00 PM Institute W 7:30 AM - 5:30 PM Sat 9:00 AM - 1:00 PM 906 US Hwy 68 Ste C Sat 9:00 AM - 4:00 PM Maysville, KY 41056 Optometry Oral & Maxillofacial (606) 564-9320 Surgery Fax: (606) 564-9321 Awosika, Idowu OD 00 Yrs/99 Yrs Provider ID: Smith, Ballard DMD TPV1427289248WL Provider ID: TPV3824-02 M-F 8:00 AM - 5:00 PM Gender: Male Gender: Male 240 Wal-Mart Way 399 Mapleleaf Rd Maysville, KY 41056 Maysville, KY 41056 (606) 759-5040 (606) 564-9495 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-TH 8:30 AM - 5:00 PM kentucky.wellcare.com | 48 05/28/2015 Specialty Physicians Mason Pain Management - cont. Wooten, Sally MD Provider ID: 537666 Kerschner, Magdalena Gender: Female MD Meadowview Hospitalist Provider ID: 712908 989 Medical Park Dr Gender: Female Maysville, KY 41056 Advanced Pain and Spine (606) 759-3585 Institute Fax: (606) 759-0676 906 US Hwy 68 Ste C 00 Yrs/99 Yrs Maysville, KY 41056 MTWTHFSatSun 7:00 (606) 564-9320 AM - 7:00 PM Fax: (606) 564-9321 00 Yrs/99 Yrs Wooten, Sally MD Meadowview Reg Med Provider ID: 537666 Center Gender: Female M-F 8:00 AM - 6:00 PM Meadowview Pulmonary and Sleep Center Pulmonary Disease 991 Medical Park Dr Ste 202 Dickerson, Jeffery MD Maysville, KY 41056 Provider ID: 619267 (606) 759-5424 Gender: Male Jeffery W Dickerson MD Fax: (606) 759-7314 00 Yrs/99 Yrs LLC M-F 8:00 AM - 5:00 PM 991 Medical Park Dr Ste 202 Radiation Oncology Maysville, KY 41056 (606) 759-0466 Feddock, Jonathan MD Fax: (606) 759-0461 18 Yrs/99 Yrs Provider ID: 750579 M-F 8:00 AM - 5:00 PM Gender: Male Kentucky Medical Dickerson, Jeffrey MD Services 1115 Progress Way Provider ID: 691975 Maysville, KY 41056 Gender: Male (800) 759-4431 Meadowview Physician Fax: (606) 759-4443 Practice LLC 00 Yrs/99 Yrs 989 Medical Park Dr M-F 8:00 AM - 5:00 PM Maysville, KY 41056 (606) 759-3585 Fax: (606) 759-0676 00 Yrs/99 Yrs Meadowview Reg Med Center M-F 8:00 AM - 5:00 PM Kudrimoti, Mahesh MD Provider ID: 616069 Gender: Male Kentucky Medical Services 1115 Progress Way Maysville, KY 41056 (800) 759-4431 Fax: (606) 759-4443 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM McGarry, Ronald MD Provider ID: 615651 Gender: Male University of Kentucky 1115 Progress Way Maysville, KY 41056 (800) 759-4431 Fax: (606) 759-4443 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Patel, Pushpa MD Provider ID: 618632 Gender: Female Kentucky Medical Services 1115 Progress Way Maysville, KY 41056 (800) 759-4431 Fax: (606) 759-4443 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Prabhu, Pramod MD Provider ID: 601775 Gender: Male Meadowview Oncology Cancer Center 1115 Progress Way Maysville, KY 41056 (606) 759-4442 Fax: (606) 759-4443 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM kentucky.wellcare.com | 49 Prabhu, Pramod MD Provider ID: 615592 Gender: Male Uk Healthcare 1115 Progress Way Maysville, KY 41056 (800) 759-4431 Fax: (606) 759-4443 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Randall, Marcus MD Provider ID: 615862 Gender: Male University of Kentucky 1115 Progress Way Maysville, KY 41056 (800) 759-4431 Fax: (606) 759-4443 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Reams, Robin MD Provider ID: 615768 Gender: Female Kentucky Medical Services Foundatio 1115 Progress Way Maysville, KY 41056 (800) 759-4431 Fax: (606) 759-4443 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Sellitti, Marguerite MD Provider ID: 602247 Gender: Female University of Kentucky 1115 Progress Way Maysville, KY 41056 (800) 759-4431 Fax: (606) 759-4443 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 05/28/2015 Specialty Physicians Mason Sleep Medicine Dickerson, Jeffrey MD Provider ID: 691975 Gender: Male Meadowview Physician Practice LLC 989 Medical Park Dr Maysville, KY 41056 (606) 759-3585 Fax: (606) 759-0676 00 Yrs/99 Yrs Meadowview Reg Med Center M-F 8:00 AM - 5:00 PM Urology Dennison, J MD Provider ID: 602088 Gender: Male Meadowview Physician Practice LLC 991 Medical Park Dr Ste 201 Maysville, KY 41056 (606) 759-9011 Fax: (606) 759-0676 00 Yrs/99 Yrs Meadowview Reg Med Center M-F 7:30 AM - 5:00 PM Thoracic & Cardiovascular Dennison, J Randall MD Surgery Provider ID: 725849 Halpin, Dermot MD Gender: Male Meadowview Urology Provider ID: 680700 Associates Gender: Male 991 Medical Park Dr Ste Sj Cardothoracic Surgical 201 Associate Maysville, KY 41056 991 Medical Park Dr Ste (606) 759-9011 107 Fax: (606) 759-0676 Maysville, KY 41056 00 Yrs/99 Yrs (859) 278-2334 M-F 7:30 AM - 5:00 PM Fax: (859) 278-0159 16 Yrs/99 Yrs Continuing Care Hospital Hazard Arh Regional Medical Center Saint Joseph Hospital M 8:30 AM - 10:00 PM Thoracic Surgery Halpin, Dermot MD Provider ID: 636242 Gender: Male Maysville Clinic 901 Kenton Station Dr Maysville, KY 41056 (859) 278-2334 Fax: (859) 278-0159 16 Yrs/99 Yrs Baptist Health Lexington M 9:00 AM - 12:00 PM kentucky.wellcare.com | 50 05/28/2015 Specialty Physicians Menifee General Dentistry Bausch Blevins, Emily DMD Provider ID: TPV18507-02 Gender: Female 732 Hwy 36 Frenchburg, KY 40322 (606) 768-6345 Fax: (606) 768-6130 00 Yrs/99 Yrs [email protected] M-W 8:00 AM - 5:00 PM TH 8:00 AM - 12:00 PM Graham, David DMD Provider ID: TPV5013-02 Gender: Male 732 Hwy 36 Frenchburg, KY 40322 (606) 783-7689 Fax: (606) 783-6877 06 Yrs/99 Yrs M-TH 8:00 AM - 5:00 PM F 8:00 AM - 12:00 PM kentucky.wellcare.com | 51 05/28/2015 Specialty Physicians Morgan Cardiology Gharad, Salahadin MD General Dentistry Bailey, Jeffrey DMD Provider ID: TPV3627-01 Provider ID: 636929 Gender: Male Gender: Male 629 Main St Morehead Medical West Liberty, KY 41472 Specialists (606) 743-3200 476 Liberty Rd Fax: (606) 743-3201 West Liberty, KY 41472 00 Yrs/99 Yrs (606) 743-3186 MF 9:00 AM - 4:00 PM 00 Yrs/99 Yrs TWTH 8:30 AM - 4:00 St Claire Medical Center PM M-F 8:30 AM - 5:00 PM Gunnell, Leigh DMD Kahloon, Mansha MD Provider ID: TPV3784-01 Provider ID: 636906 Gender: Female Gender: Female 903 Main St Morehead Medical West Liberty, KY 41472 Specialists (606) 743-7480 476 Liberty Rd Fax: (646) 743-7481 West Liberty, KY 41472 00 Yrs/99 Yrs (606) 743-3186 M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs St Claire Medical Center Henderson, Robert DMD M-F 8:30 AM - 5:00 PM Provider ID: TPV3780-01 Marashdeh, Mohammad Gender: Male MD 903 Main St Provider ID: 671429 West Liberty, KY 41472 Gender: Male (606) 743-7480 Morehead Medical Fax: (606) 743-7481 Specialists 00 Yrs/99 Yrs 476 Liberty Rd M-F 8:00 AM - 5:00 PM West Liberty, KY 41472 Hematology & Oncology (606) 743-3186 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Bailey, Samuel MD Provider ID: 999024 Gender: Male Mustafa, Nowwar MD 9879 Rte 122 Provider ID: 638802 McDowell, KY 41472 Gender: Male (606) 377-3427 Morehead Medical Specialists Fax: (606) 377-3461 476 Liberty Rd 00 Yrs/99 Yrs West Liberty, KY 41472 Hazard Arh Regional Medical Center (606) 743-3186 M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs St Claire Medical Center M-F 8:30 AM - 5:00 PM Neurology Mehari, Enawgaw MD Provider ID: 631609 Gender: Male Morehead Medical Specialists 476 Liberty Rd West Liberty, KY 41472 (606) 743-3186 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Optometry Nickell, Joel OD Provider ID: TPV3299-04 Gender: Male 408 Main St West Liberty, KY 41472 (606) 743-4111 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Steele, Harry OD Provider ID: TPV3312-01 Gender: Male 408 Main St West Liberty, KY 41472 (606) 743-4111 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Physical Medicine & Rehabilitation Spence, Philip DO Provider ID: 755116 Gender: Male Arh Morgan County Clinic 476 Liberty Rd West Liberty, KY 41472 (606) 743-3198 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM kentucky.wellcare.com | 52 Spence, Phillip DO Provider ID: 705845 Gender: Male Arh Morgan County Clinic 476 Liberty Rd West Liberty, KY 41472 (606) 743-3198 00 Yrs/99 Yrs Williamson Arh M-F 8:00 AM - 4:30 PM Pulmonary Disease Koenig, Steven MD Provider ID: 639651 Gender: Male Morehead Medical Specialists 476 Liberty Rd West Liberty, KY 41472 (606) 743-3186 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 05/28/2015 Specialty Physicians Rowan Cardiology General Dentistry Mustafa, Nowwar MD Spurlock, Tara DC Provider ID: 638802 Provider ID: 995328 Gharad, Salahadin MD Arnett, Larry DMD Gender: Male Gender: Female Provider ID: Morehead Medical W Michael Spurlock DC Provider ID: 636929 TPV57771DM-02 Specialists PSC Gender: Male Gender: Male 234 Medical Cir 1350 Flemingsburg Rd Morehead Medical 232 Old Viking DR Morehead, KY 40351 Morehead, KY 40351 Specialists Morehead, KY 40351 (606) 784-6641 (606) 784-1115 234 Medical Cir (606) 784-7033 Fax: (606) 783-7281 Fax: (606) 784-2794 Morehead, KY 40351 Fax: (606) 784-1273 00 Yrs/99 Yrs 00 Yrs/99 Yrs (606) 784-6641 St Claire Medical Center M-TH 8:00 AM - 6:00 PM 01 Yrs/10 Yrs Fax: (606) 783-7281 arnettsdental@windstream. M-F 8:30 AM - 5:00 PM F 8:00 AM - 1:00 PM 00 Yrs/99 Yrs net St Claire Medical Center Child Abuse Pediatrics Spurlock, William DC M-F 9:00 AM - 5:00 PM M-F 8:30 AM - 5:00 PM Provider ID: 641700 Arnett, Shelia DMD Gateway Childrens Gender: Male Kahloon, Mansha MD Advocacy Center Provider ID: TPV3755-04 Spurlock Spine Center Provider ID: 636906 Provider ID: 619145 Gender: Female 1350 Flemingsburg Rd Gender: Female Gateway Childrens 232 Old Viking DR Morehead, KY 40351 Advocacy Morehead Medical Morehead, KY 40351 (606) 784-1115 Specialists 310 E Main St (606) 754-7033 Fax: (606) 784-2794 234 Medical Cir Morehead, KY 40351 Fax: (606) 784-1273 16 Yrs/99 Yrs Morehead, KY 40351 (606) 780-7848 01 Yrs/10 Yrs M-F 8:00 AM - 5:00 PM (606) 784-6641 Fax: (606) 780-0648 arnettsdental@windstream. Fax: (606) 783-7281 00 Yrs/99 Yrs com Stampers Kerns, Dana 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM DC M-F 9:00 AM - 5:00 PM St Claire Medical Center Provider ID: 614483 Chiropractic Bausch Blevins, Emily M-F 8:30 AM - 5:00 PM Gender: Female DMD Dana Stamper Kerns O'Brien, Timothy DC Provider ID: TPV18507-01 Marashdeh, Mohammad 1350 Flemingsburg Rd Provider ID: 670512 MD Gender: Female Morehead, KY 40351 Gender: Male Provider ID: 671429 255 Beacon Hill DR (606) 784-1115 547A W Main St Gender: Male Morehead, KY 40351 Fax: (606) 784-2794 Morehead, KY 40351 Morehead Medical (606) 784-4340 00 Yrs/99 Yrs (606) 780-7400 Specialists Fax: (606) 780-7582 M-F 9:00 AM - 5:00 PM Fax: (606) 783-0994 234 Medical Cir 00 Yrs/99 Yrs 00 Yrs/99 Yrs Morehead, KY 40351 Gastroenterology M-TH 8:30 AM - 5:00 PM M-TH 9:00 AM - 7:00 PM (606) 784-6641 F 8:00 AM - 4:00 PM F 9:00 AM - 1:00 PM Cox, Thadis MD Fax: (606) 783-7281 Bausch Blevins, Emily Provider ID: 631801 00 Yrs/99 Yrs Potts, Justin DC DMD Gender: Male M-F 8:30 AM - 5:00 PM Provider ID: 603798 Provider ID: TPV18507-03 Morehead Medical Gender: Male Gender: Female Specialists Justin L Potts DC 222 Medical Circle 234 Medical Cir 336 Pine Crest Rd Morehead, KY 40351 Morehead, KY 40351 Morehead, KY 40351 (606) 783-6500 (606) 784-6641 (606) 784-2520 00 Yrs/99 Yrs Fax: (606) 783-7281 Fax: (866) 571-8313 M 8:00 AM - 12:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM M-F 7:00 AM - 6:00 PM kentucky.wellcare.com | 53 05/28/2015 Specialty Physicians Rowan General Dentistry - cont. Kidd, Brent DMD Provider ID: TPV8699-03 Betzing, Chassity DMD Gender: Male 1275 Hallwood DR Provider ID: TPV23506-01 Morehead, KY 40351 Gender: Female (606) 784-8000 750 W. Main St Fax: (606) 784-8004 Morehead, KY 40351 00 Yrs/99 Yrs (606) 783-0182 moreheadpediatricdentiFax: (606) 783-0272 [email protected] 00 Yrs/99 Yrs M-TH 8:00 AM - 5:00 PM [email protected] M-F 9:00 AM - 5:00 PM Loy, Carroll DMD Provider ID: TPV3022-01 Frederick, Angela DMD Gender: Male 255 Beacon Hill DR Provider ID: Morehead, KY 40351 TPV59665DM-01 (606) 784-6631 Gender: Female Fax: (606) 780-7582 309 East Main St 00 Yrs/99 Yrs Morehead, KY 40351 M-TH 8:30 AM - 5:30 PM (606) 784-6436 Fax: (606) 784-1665 McLoney, Douglas DMD 00 Yrs/99 Yrs M 8:30 AM - 5:00 PM Provider ID: TPV42256DM-01 TWTH 8:00 AM - 5:00 PM Gender: Male 309 East Main St Graham, David DMD Morehead, KY 40351 Provider ID: TPV5013-01 (606) 784-6436 Gender: Male Fax: (606) 784-1665 222 Medical Circle 00 Yrs/99 Yrs Morehead, KY 40351 M 8:30 AM - 5:00 PM (606) 783-6500 TWTH 8:00 AM - 5:00 00 Yrs/99 Yrs PM M 8:00 AM - 12:00 PM Patton, Mitchell DMD Graham, David DMD Provider ID: TPV3095-01 Provider ID: TPV5013-03 Gender: Male Gender: Male 400 Clinic DR 316 W. 2nd St Morehead, KY 40351 Morehead, KY 40351 (606) 784-4363 (606) 783-7700 00 Yrs/99 Yrs Fax: (606) 783-6877 M 9:00 AM - 12:00 PM 06 Yrs/99 Yrs TWTH 9:00 AM - 5:00 [email protected] PM M-TH 8:00 AM - 5:00 PM General Surgery Pratt, Michael DMD Provider ID: TPV4072-06 Burton, Jay MD Gender: Male Provider ID: 623765 1287 Hallwood DR Gender: Male Morehead, KY 40351 Cave Run Clinic (606) 755-0242 425 Clinic Dr 00 Yrs/99 Yrs Morehead, KY 40351 M-F 8:00 AM - 5:00 PM (606) 784-7551 Settle, Emily DMD Fax: (606) 784-2542 Provider ID: TPV3092-01 00 Yrs/99 Yrs Gender: Female M 12:30 AM - 3:45 PM 255 Beacon Hill DR T 9:30 AM - 11:30 PM Morehead, KY 40351 Burton, Jay MD (606) 784-6631 Provider ID: 638799 Fax: (606) 780-7582 Gender: Male 00 Yrs/99 Yrs M-W 8:30 AM - 5:00 PM Cave Run Surgical Specialists TH 8:30 AM - 4:00 PM 425 Clinic Dr Shay, Karen DMD Morehead, KY 40351 Provider ID: TPV5016-01 (606) 783-6866 Gender: Female Fax: (606) 783-6941 165 East Main St 00 Yrs/99 Yrs Morehead, KY 40351 St Claire Medical Center (606) 784-4762 M-F 8:30 AM - 5:00 PM 00 Yrs/99 Yrs M-TH 9:00 AM - 5:00 PM Perry, Jacob MD Provider ID: 631358 F 9:00 AM - 12:00 PM Gender: Male Tingle, Charles DMD Cave Run Surgical Specialists Provider ID: TPV3087-01 425 Clinic Dr Gender: Male Morehead, KY 40351 255 Beacon Hill DR (606) 784-7551 Morehead, KY 40351 Fax: (606) 784-2542 (606) 784-6631 00 Yrs/99 Yrs Fax: (606) 780-7582 M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Yates, Brandi DMD Provider ID: TPV3777-02 Gender: Female 750 W. Main St Morehead, KY 40351 (606) 783-0182 Fax: (606) 783-0182 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 54 05/28/2015 Specialty Physicians Rowan General Surgery - cont. Lim, Allen MD Provider ID: 631740 Gender: Male Morehead Medical Specialists 234 Medical Cir Morehead, KY 40351 (606) 784-6641 Fax: (606) 783-7281 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Nephrology Phillips, Mary MD Kendall, Jonathan MD Provider ID: 639095 Provider ID: 633193 Gender: Female Gender: Male Cave Run Surgical Kings Daughters Medical Specialists Specialti 425 Clinic Dr 255 Old Viking Dr Morehead, KY 40351 Morehead, KY 40351 (606) 784-7551 (606) 329-9335 Fax: (606) 784-2542 Fax: (606) 324-6383 00 Yrs/99 Yrs 00 Yrs/99 Yrs St Claire Medical Center Lye, Adam MD M-F 9:30 AM - 5:00 PM Provider ID: 631798 M-F 8:30 AM - 5:00 PM Smith, Albert MD Gender: Male Proudfoot, Richard MD St Claire Medical Center Provider ID: 671391 Gender: Male Inc Provider ID: 638810 St Claire Medical Center 222 Medical Cir Gender: Male Inc Morehead, KY 40351 Cave Run Surgical 1028 E Main St (606) 783-6500 Specialists Morehead, KY 40351 Fax: (606) 783-6503 425 Clinic Dr (606) 783-6866 00 Yrs/99 Yrs Morehead, KY 40351 Fax: (606) 783-6941 M-F 9:00 AM - 5:00 PM (606) 784-7551 00 Yrs/99 Yrs Hospice and Palliative Fax: (606) 784-2542 Languages: Spanish Care 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM St Claire Medical Center Neurology M-F 8:30 AM - 5:00 PM Colbert, Ann MD Provider ID: 631343 Mehari, Enawgaw MD Hematology & Oncology Gender: Female St Claire Medical Center Provider ID: 631609 Alqaisi, Abeer MD Gender: Male Inc Provider ID: 1018019 Morehead Medical 201 Lyons Ave Gender: Female Specialists Morehead, KY 40351 Morehead Medical 234 Medical Cir (606) 783-6812 Specialists Morehead, KY 40351 Fax: (606) 783-6906 234 Medical Cir Ste 1 (606) 784-6641 00 Yrs/99 Yrs Morehead, KY 40351 Fax: (606) 783-7281 M-F 9:00 AM - 5:00 PM (606) 784-6641 00 Yrs/99 Yrs Fax: (606) 780-2373 M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs St Claire Medical Center M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 55 Obstetrics/Gynecology Baldwin, Lauren MD Provider ID: 615680 Gender: Female Kentucky Medical Services 555 W Sun St Morehead, KY 40351 (606) 207-2931 Fax: (606) 783-0964 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Forester, Corey MD Provider ID: 1039500 Gender: Male Uk Healthcare Morehead Womens Care 555 W Sun St Morehead, KY 40351 (606) 207-2931 Fax: (606) 783-0964 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Fredericks, Tricia MD Provider ID: 986849 Gender: Female Kentucky Medical Services Foundatio 555 W Sun St Morehead, KY 40351 (606) 207-2931 Fax: (606) 783-0964 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Karmy, Robert MD Provider ID: 615582 Gender: Male Uk Healthcare 234 Medical Cir Morehead, KY 40351 (606) 784-6641 Fax: (606) 783-0964 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 05/28/2015 Specialty Physicians Rowan Obstetrics/Gynecology - Todd, Rebecca MD cont. Provider ID: 700567 Gender: Female Labarbera, Frank MD Kentucky Medical Services Provider ID: 899949 555 W Sun St Gender: Male Morehead, KY 40351 Kentucky Medical (606) 207-2931 Services Foundatio Fax: (606) 783-0964 555 W Sun St 00 Yrs/99 Yrs Morehead, KY 40351 M-F 8:00 AM - 5:00 PM (606) 207-2931 Fax: (606) 783-0964 Ophthalmology 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Blackburn, Peter MD Provider ID: TPV5042-25 Rone, Bryan MD Gender: Male Provider ID: 615869 333 Beacon Hill Rd Ste Gender: Male 200 Kentucky Medical Morehead, KY 40351 Services Foundatio (606) 784-3393 555 W Sun St Fax: (606) 784-3763 Morehead, KY 40351 00 Yrs/99 Yrs (606) 207-2931 M-F 8:30 AM - 5:00 PM Fax: (606) 783-0964 Evans, Johannes MD 00 Yrs/99 Yrs Provider ID: TPV3245-04 M-F 8:00 AM - 5:00 PM Gender: Male Tilghman, Craig MD 333 Beacon Hill Rd Ste Provider ID: 628752 200 Gender: Male Morehead, KY 40351 Kentucky Medical (606) 784-3393 Services Fax: (606) 784-3763 555 W Sun St 00 Yrs/99 Yrs Morehead, KY 40351 M-F 8:30 AM - 5:00 PM (606) 207-2931 Fraser, Claire MD Fax: (606) 783-0964 Provider ID: TPV9312-30 00 Yrs/99 Yrs Gender: Female M-F 8:00 AM - 5:00 PM 333 Beacon Hill Rd Ste 200 Morehead, KY 40351 (606) 784-3393 Fax: (606) 784-3763 00 Yrs/99 Yrs Optometry Nickell, Joel OD Provider ID: TPV3299-02 Evans, Bryant OD Gender: Male Provider ID: TPV25413-03 333 Beacon Hill Rd Ste Gender: Male 200 333 Beacon Hill Rd Ste Morehead, KY 40351 200 (606) 784-3393 Morehead, KY 40351 Fax: (606) 784-3288 (606) 784-3393 00 Yrs/99 Yrs Fax: (859) 278-0923 M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs carol.milannich@kyeye. Spruiell, Lawson OD com Provider ID: TPV13592-06 M 9:00 AM - 4:00 PM Gender: Male 200 Walmart Way Mayo, Anthony OD Morehead, KY 40351 Provider ID: TPV3289-01 (606) 784-2090 Gender: Male 00 Yrs/99 Yrs 129 W. Main St M-F 8:00 AM - 5:00 PM Morehead, KY 40351 (606) 784-5355 Steele, Harry OD Fax: (606) 784-4864 Provider ID: TPV3312-02 00 Yrs/99 Yrs Gender: Male M-TH 8:00 AM - 5:00 PM 333 Beacon Hill Rd Ste 200 F 8:00 AM - 2:00 PM Morehead, KY 40351 McHugh, Robert OD (606) 784-3288 Provider ID: TPV3454-01 Fax: (606) 784-3288 Gender: Male 00 Yrs/99 Yrs 137 East First St M-F 9:00 AM - 5:00 PM Morehead, KY 40351 Oral & Maxillofacial (606) 783-1575 Surgery Fax: (606) 783-1576 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Smith, Ballard DMD Provider ID: TPV3824-01 Gender: Male Muha, Kevin OD 709 W. Main St Provider ID: TPV1891817086WL Morehead, KY 40351 Gender: Male (606) 784-8983 200 Walmart Way Fax: (606) 784-4408 Morehead, KY 40351 00 Yrs/99 Yrs (806) 784-2090 M-W 8:00 AM - 4:30 PM 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 56 05/28/2015 Specialty Physicians Rowan Orthopaedic Surgery Pediatrics Radiation Oncology Crouse, Charles MD Provider ID: 631692 Gender: Male Cave Run Surgical Specialists 425 Clinic Dr Morehead, KY 40351 (606) 784-7551 Fax: (606) 784-2542 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Bacon, Matthew MD Feddock, Jonathan MD Provider ID: 631586 Provider ID: 750579 Gender: Male St Claire Medical Center Gender: Male Inc Kentucky Medical Services 222 Medical Cir 228 W 2nd St Morehead, KY 40351 Morehead, KY 40351 (606) 783-6500 (606) 784-3443 Fax: (606) 783-6503 Fax: (606) 783-6757 00 Yrs/21 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Podiatry Fossett, Ralph MD Kudrimoti, Mahesh MD Provider ID: 638807 Clayton, Clarence DPM Gender: Male Provider ID: 616069 Cave Run Surgical Provider ID: 631809 Gender: Male Specialists Gender: Male Kentucky Medical 425 Clinic Dr Cave Run Surgical Services Morehead, KY 40351 Specialists 228 W 2nd St (606) 784-7551 1028 E Main St Morehead, KY 40351 Fax: (606) 784-2542 Morehead, KY 40351 (606) 784-3443 00 Yrs/99 Yrs (606) 783-6866 Fax: (606) 783-6757 St Claire Medical Center Fax: (606) 783-6941 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Pediatric Orthopaedics M-F 9:00 AM - 5:00 PM Patel, Pushpa MD Preventive Medicine Schneider, Cynthia MD Provider ID: 618632 Rowan Co Middle School Gender: Female Provider ID: 631718 Kentucky Medical Gender: Female Services Provider ID: 634287 Cave Run Surgical 228 W 2nd St 555 Viking Dr Specialists Morehead, KY 40351 Morehead, KY 40351 425 Clinic Dr (606) 784-3443 (606) 784-5792 Morehead, KY 40351 Fax: (606) 783-6757 Fax: (606) 783-0557 (606) 784-7551 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (606) 784-2542 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM kentucky.wellcare.com | 57 Randall, Marcus MD Provider ID: 615862 Gender: Male Uk Healthcare 228 W 2nd St Morehead, KY 40351 (606) 784-3443 Fax: (606) 783-6757 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Reams, Robin MD Provider ID: 615768 Gender: Female Kentucky Medical Services Foundatio 228 W 2nd St Morehead, KY 40351 (606) 784-3443 Fax: (606) 783-6757 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Urology Greenberg, Eugene MD Provider ID: 623783 Gender: Male Cave Run Clinic 425 Clinic Dr Morehead, KY 40351 (606) 784-7551 Fax: (606) 784-2542 00 Yrs/99 Yrs MT 8:00 AM - 3:45 PM W 8:00 AM - 11:30 PM 05/28/2015 Specialty Physicians Rowan Urology - cont. Greenberg, Eugene MD Provider ID: 671387 Gender: Male Cave Run Surgical Specialists 425 Clinic Dr Morehead, KY 40351 (606) 784-7551 Fax: (606) 784-2542 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Vascular Surgery Victor, David MD Provider ID: 631614 Gender: Male Cave Run Surgical Specialists 425 Clinic Dr Morehead, KY 40351 (606) 784-7551 Fax: (606) 784-2542 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Newcomb, Oliver MD Provider ID: 618699 Gender: Male Cave Run Clinic 425 Clinic Dr Morehead, KY 40351 (606) 784-7551 Fax: (606) 784-2542 00 Yrs/99 Yrs M 8:00 AM - 11:30 PM TW 8:00 AM - 3:00 PM Newcomb, Oliver MD Provider ID: 671388 Gender: Male Cave Run Surgical Specialists 425 Clinic Dr Morehead, KY 40351 (606) 784-7551 Fax: (606) 784-2542 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM kentucky.wellcare.com | 58 05/28/2015 Hospitals Boyd Hospital Kings Daughters Medical Center Provider ID: 623651 2201 Lexington Ave Ashland, KY 41101 (606) 408-5044 Fax: (606) 408-5476 Our Lady of Bellefonte Hospital Provider ID: 624024 1000 Saint Christopher Dr Ashland, KY 41101 (606) 833-3333 kentucky.wellcare.com | 59 05/28/2015 Hospitals Fleming Hospital Fleming County Hospital Provider ID: 244963 55 Foundation Dr Flemingsburg, KY 41041 (606) 849-5107 Fax: (606) 849-5014 kentucky.wellcare.com | 60 05/28/2015 Hospitals Mason Hospital Meadowview Reg Med Center Provider ID: 203989 989 Medical Park Dr Maysville, KY 41056 (606) 759-3238 Fax: (606) 759-7702 kentucky.wellcare.com | 61 05/28/2015 Hospitals Morgan Critical Access Hospital Morgan Co Arh Hospital Provider ID: 593924 476 Liberty Rd West Liberty, KY 41472 (606) 743-3186 Fax: (606) 743-3229 00 Yrs/99 Yrs kentucky.wellcare.com | 62 05/28/2015 Hospitals Rowan Hospital St Claire Reg Med Center Provider ID: 444270 222 Medical Cir Morehead, KY 40351 (606) 783-6932 kentucky.wellcare.com | 63 05/28/2015 Behavioral Health Boyd Behavioral Health Counseling Clinical Social Work Pathways Inc Provider ID: 606917 Huff, Lisa LCSW 201 22nd St The Rameyestep Homes Provider ID: 924384 Ashland, KY 41101 Gender: Female (606) 324-1411 Provider ID: 1006527 Kings Daughters Medical Fax: (606) 325-8606 2901 Pigeon Roost Rd Center 00 Yrs/99 Yrs Rush, KY 41168 2201 Lexington Ave M-F 8:30 AM - 5:00 PM (606) 928-6648 Ashland, KY 41101 00 Yrs/99 Yrs (606) 327-4452 Pathways Inc M-F 9:00 AM - 5:00 PM Fax: (606) 327-7425 Provider ID: 606917 00 Yrs/99 Yrs 2115 Moore St Unified Psychiatry Ashland, KY 41101 Provider ID: 1032787 Vest, Elisabeth LCSW (606) 325-3631 401 22nd St Provider ID: 907554 Fax: (606) 325-3631 Ashland, KY 41101 Gender: Female 00 Yrs/99 Yrs (606) 329-0408 Kings Daughters Medical Fax: (606) 329-0483 Center Pathways Inc 00 Yrs/99 Yrs 2201 Lexington Ave Provider ID: 606917 M-F 9:00 AM - 5:00 PM Ashland, KY 41101 2165 Winchester Ave (606) 327-4452 Ashland, KY 41101 Behavioral Health Facility Fax: (606) 327-7425 (606) 324-1141 00 Yrs/99 Yrs 00 Yrs/99 Yrs Counselors Clinical M-F 9:00 AM - 5:00 PM M-F 8:30 AM - 5:00 PM Cottage Provider ID: 1031536 Community Mental Pathways Inc 937 29th St Health Center Provider ID: 606917 Ashland, KY 41101 2634 Moore St (606) 329-0727 Pathways Inc Ashland, KY 41101 Fax: (606) 329-0727 Provider ID: 606917 (606) 324-1272 00 Yrs/99 Yrs 1128 2nd Circle Prospect Fax: (606) 324-1272 M-F 9:00 AM - 5:00 PM Ashland, KY 41101 00 Yrs/99 Yrs (606) 324-1173 Hand of Hope Fax: (606) 324-1173 Pathways Inc Provider ID: 1031464 00 Yrs/99 Yrs Provider ID: 606917 1212 Bath Ave Ste 101 308 W Woodmont Dr Ashland, KY 41101 Pathways Inc Ashland, KY 41102 (606) 393-5926 Provider ID: 606917 (606) 324-0412 Fax: (606) 393-5613 1308 Grandview Dr 00 Yrs/99 Yrs 00 Yrs/99 Yrs Ashland, KY 41101 M-F 9:00 AM - 5:00 PM (606) 324-1127 Pathways Inc Fax: (606) 324-1127 Provider ID: 606917 00 Yrs/99 Yrs 3174 St Rd 1458 Ashland, KY 41102 (606) 834-9646 Fax: (606) 834-9646 00 Yrs/99 Yrs kentucky.wellcare.com | 64 Pathways Inc Provider ID: 606917 3701 Landsdowne Dr Ashland, KY 41102 (606) 324-3005 Fax: (606) 329-1530 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Pathways Inc Provider ID: 606917 451 Marcia St Ashland, KY 41101 (606) 324-1272 Fax: (606) 324-1272 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 456 Blackburn Ave Ashland, KY 41101 (606) 324-3863 Fax: (606) 324-3863 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 57 Dora Ln Ashland, KY 41105 (606) 473-7333 Fax: (606) 473-7335 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Pathways Inc Provider ID: 606917 840 Interstate Dr Ashland, KY 41105 (606) 329-8588 Fax: (606) 329-8195 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM 05/28/2015 Behavioral Health Boyd Licensed Clinical Social Worker Kazee, Stephanie LCSW Provider ID: 978081 Gender: Female 2901 Pigeon Roost Rd Rush, KY 41168 (606) 928-6648 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Krivchenia, Paula LCSW Provider ID: 714535 Gender: Female Unified Psychiatry PSC 401 22nd St Ashland, KY 41101 (606) 329-0408 Fax: (606) 329-0483 00 Yrs/99 Yrs M 9:00 AM - 5:30 PM TW 8:00 AM - 6:00 PM TH 9:00 AM - 6:30 PM F 9:00 AM - 1:00 PM Licensed Professional Counselor Anderson, Virginia LPC Provider ID: 978111 Gender: Female 2901 Pigeon Roost Rd Rush, KY 41168 (606) 928-6648 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Caldwellmccomas, Colleen LPC Provider ID: 978020 Gender: Female 2901 Piegon Roost Rd Rush, KY 41168 (606) 928-6648 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Chapman, Jessica CNP Hill, Jenna LPC Smith, Amy LPC Provider ID: 1003563 Provider ID: 1060546 Provider ID: 978046 Gender: Female Gender: Female Gender: Female The Ramey Estep Homes Lighthouse Professional 2901 Pigeon Roost Rd Inc Counseling Rush, KY 41168 2901 Pigeon Roost Rd 700 Wheatley Rd (606) 928-6648 Rush, KY 41168 Ashland, KY 41101 00 Yrs/99 Yrs (606) 928-6648 (606) 369-0139 M-F 9:00 AM - 5:00 PM Fax: (606) 928-8678 00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Hindi Dennis, Lakeisha LPC M-F 8:00 AM - 8:00 PM M-F 9:00 AM - 5:30 PM Provider ID: 1005639 Sat 10:00 AM - 1:00 PM Gender: Female Maddox, Paula LPC The Ramey Estep Homes Provider ID: 1000902 Sperry, Joel LPC Inc Gender: Female Provider ID: 978095 2901 Pigeon Roost Rd Jade A Maddox Gender: Male Rush, KY 41168 937 29th St 2901 Pigeon Roost Rd (606) 928-6648 Ashland, KY 41101 Rush, KY 41168 Fax: (606) 928-8678 (606) 329-0727 (606) 928-6648 00 Yrs/99 Yrs Fax: (606) 329-0727 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM M 9:00 AM - 6:00 PM Griffith, Lauren PA Vance, Terry LPC T 12:00 AM - 8:00 PM Provider ID: 978051 Provider ID: 1020892 W 2:00 AM - 9:00 PM Gender: Female Gender: Male TH 8:00 AM - 8:00 PM 2901 Pigeon Roost Rd Hand of Hope Inc F 5:00 AM - 7:00 PM Rush, KY 41168 1212 Bath Ave Ste 101 (606) 928-6648 McCormick, Kelli LPC Ashland, KY 41101 00 Yrs/99 Yrs Provider ID: 978091 (606) 393-5926 M-F 9:00 AM - 5:00 PM Gender: Female Fax: (606) 393-5613 2901 Pigeon Roost Rd 00 Yrs/99 Yrs Griswold, Misty LPC Rush, KY 41168 M-F 8:30 AM - 6:00 PM Provider ID: 978059 (606) 928-6648 Gender: Female Vance, Terry LPC 00 Yrs/99 Yrs 2901 Pigeon Roost Rd Provider ID: 978099 M-F 9:00 AM - 5:00 PM Rush, KY 41168 Gender: Male (606) 928-6648 Simpson, Cassandra LPC 2901 Pigeon Roost Rd 00 Yrs/99 Yrs Rush, KY 41168 M-F 9:00 AM - 5:00 PM Provider ID: 995993 (606) 928-6648 Gender: Female 00 Yrs/99 Yrs The Ramey Estep Homes M-F 9:00 AM - 5:00 PM Inc Wiley, Christa LPC 2901 Pigeon Roost Rd Provider ID: 978106 Rush, KY 41168 Gender: Female (606) 928-6648 2901 Pigeon Roost Rd Fax: (606) 928-8678 Rush, KY 41168 00 Yrs/99 Yrs (606) 928-6648 M-F 8:00 AM - 8:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM kentucky.wellcare.com | 65 05/28/2015 Behavioral Health Boyd Licensed Professional Counselor - cont. Wilks, Jessica LPC Provider ID: 1046223 Gender: Female 2901 Pigeon Roost Rd Rush, KY 41168 (606) 928-6648 00 Yrs/99 Yrs MTWTHFSatSun 8:00 AM - 8:00 PM Psychiatry Akhtar, Naeem MD Provider ID: 994225 Gender: Male Bellefonte Behavioral Health Associ 1000 St Christopher Dr Ashland, KY 41101 (606) 833-3555 Fax: (606) 833-3595 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Davenport, Lana MD Provider ID: 633154 Gender: Female Kdmc Behavioral Medicine Unit 2201 Lexington Ave Ashland, KY 41101 (606) 408-7331 Fax: (606) 408-4806 00 Yrs/99 Yrs Eze, Emmanuel MD Provider ID: 721531 Gender: Male Ultimate Care Medical Services 3655 Winchester Ave Ashland, KY 41101 (606) 329-4632 Fax: (888) 411-4131 00 Yrs/99 Yrs M-F 5:30 AM - 1:00 PM Sat-Sun 6:00 AM - 9:00 PM Lance, Scott MD Provider ID: 636285 Gender: Male Regional Psychotherapy Services 1000 Ashland Dr Ste 301 Ashland, KY 41101 (606) 326-0322 Fax: (606) 326-9809 00 Yrs/99 Yrs Kings Daughters Medical Center Our Lady of Bellefonte Hospital M-F 8:00 AM - 5:00 PM Parikh, Manish MD Provider ID: 633394 Gender: Male Kings Daughters Medical Center 2201 Lexington Ave Ashland, KY 41101 (606) 408-4331 Fax: (606) 408-6353 00 Yrs/99 Yrs Saroch, Sandeep MD Provider ID: 606988 Gender: Male Unified Psychiatrty PSC 401 22nd St Ashland, KY 41101 (606) 329-0408 Fax: (606) 329-0483 06 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Oloworaran, Ayobola MD Provider ID: 994221 Gender: Male Bellefonte Behavioral Health Associ 1000 St Christopher Dr Ashland, KY 41101 (606) 833-3555 Fax: (606) 833-3595 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 66 05/28/2015 Behavioral Health Bracken Community Mental Health Center Comprehend Inc Provider ID: 606918 134 Grandview Dr Brooksville, KY 41004 (606) 735-3611 00 Yrs/99 Yrs M-F 8:30 AM - 6:00 PM kentucky.wellcare.com | 67 05/28/2015 Behavioral Health Carter Community Mental Health Center Pathways Inc Provider ID: 606917 100 Ruth St Grayson, KY 41143 (606) 474-2596 Fax: (606) 474-2596 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 515 W Main St Grayson, KY 41143 (606) 474-0025 Fax: (606) 474-0025 00 Yrs/99 Yrs kentucky.wellcare.com | 68 05/28/2015 Behavioral Health Elliott Community Mental Health Center Pathways Inc Provider ID: 606917 374 N Ky 7 Sandy Hook, KY 41171 (606) 738-6163 Fax: (606) 738-5030 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM kentucky.wellcare.com | 69 05/28/2015 Behavioral Health Fleming Community Mental Health Center Comprehend Inc Provider ID: 606918 610 Elizabeth Rd Flemingsburg, KY 41041 (606) 849-2212 00 Yrs/99 Yrs M-F 8:30 AM - 6:00 PM Licensed Professional Counselor Toller, Maribeth LPC Provider ID: 1000111 Gender: Female Sunrise Professional Counseling Ser 89 2nd St Flemingsburg, KY 41041 (606) 748-2648 00 Yrs/99 Yrs M-F 5:00 AM - 7:00 PM Sat 10:00 AM - 3:00 PM kentucky.wellcare.com | 70 05/28/2015 Behavioral Health Greenup Community Mental Health Center Pathways Inc Provider ID: 606917 1801 Callihan St Flatwoods, KY 41139 (606) 833-8836 Fax: (606) 833-8836 00 Yrs/99 Yrs Parikh, Manish MD Provider ID: 621418 Gender: Male Manish Parikh MD PSC 1451 Diederich Blvd Russell, KY 41169 (606) 547-4536 Fax: (866) 511-5587 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Pathways Inc Provider ID: 606917 2320 Long St Flatwoods, KY 41139 (606) 833-5611 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 925 Daniels Dr Flatwoods, KY 41139 (606) 836-1886 Fax: (606) 836-1886 00 Yrs/99 Yrs Psychiatry Lance, Scott MD Provider ID: 613671 Gender: Male Regional Psychotherpy Services Inc 1000 Ashland Dr Ste 301 Ashland, KY 41101 (606) 326-0322 Fax: (606) 326-9809 21 Yrs/99 Yrs M-TH 8:30 AM - 4:30 PM F 8:30 AM - 12:00 PM kentucky.wellcare.com | 71 05/28/2015 Behavioral Health Lawrence Community Mental Health Center Pathways Inc Provider ID: 606917 1036 Kennedy St Louisa, KY 41230 (606) 638-0803 Fax: (606) 638-0803 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 428 N Lock Ave Louisa, KY 41230 (606) 638-9332 Fax: (606) 638-9332 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 56 Lara Ln Louisa, KY 41230 (606) 638-0470 Fax: (606) 638-0470 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 60 Professional Park Dr Louisa, KY 41230 (606) 638-4332 Fax: (606) 638-4394 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Licensed Clinical Social Worker Pinson, Abigail LCSW Provider ID: 1076904 Gender: Female Cornerston Christian Counseling 332 River Bend Rd Louisa, KY 41230 (606) 638-0222 Fax: (606) 638-0222 00 Yrs/99 Yrs Whitesburg Arh Hospital M-W 9:00 AM - 5:00 PM Psychiatry Ali, Rizwan MD Provider ID: 935585 Gender: Male Three Rivers Medical Clinics Inc 2485 Hwy 644 Louisa, KY 41230 (606) 638-1154 Fax: (606) 638-4502 00 Yrs/99 Yrs Three Rivers Medical Center Languages: Urdu M-F 8:00 AM - 5:00 PM Light, Michael MD Provider ID: 709877 Gender: Male Three Rivers Medical Clinics Inc 2483 Hwy 644 Ste 106 Louisa, KY 41230 (606) 638-1154 Fax: (606) 638-3325 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Wozniak, Tanya MD Provider ID: 1078881 Gender: Female Three Rivers Medical Clinics Inc 2485 Hwy 644 Louisa, KY 41230 (606) 638-1154 Fax: (606) 638-4502 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 72 05/28/2015 Behavioral Health Lewis Community Mental Health Center Comprehend Inc Provider ID: 606918 83 Second St Vanceburg, KY 41179 (606) 796-0572 00 Yrs/99 Yrs M-F 8:30 AM - 6:00 PM kentucky.wellcare.com | 73 05/28/2015 Behavioral Health Mason Behavioral Health Facility New Hope Provider ID: 1034173 901 US Hwy 68 Ste 900 Maysville, KY 41056 (606) 584-7055 Fax: (866) 533-4929 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Community Mental Health Center Comprehend Inc Provider ID: 606918 611 Forest Ave Maysville, KY 41056 (606) 564-4016 00 Yrs/99 Yrs M-F 8:30 AM - 6:00 PM Licensed Clinical Social Worker Weber, Deborah LCSW Provider ID: 821669 Gender: Female Lewis County Primary Care Center 1350 Medical Park Dr Maysville, KY 41056 (606) 759-0490 Fax: (606) 759-0499 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM kentucky.wellcare.com | 74 05/28/2015 Behavioral Health Menifee Community Mental Health Center Pathways Inc Provider ID: 606917 70 Main St Frenchburg, KY 40322 (606) 768-2131 Fax: (606) 768-2134 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM kentucky.wellcare.com | 75 05/28/2015 Behavioral Health Morgan Community Mental Health Center Pathways Inc Provider ID: 606917 767 Main St West Liberty, KY 41472 (606) 743-3139 Fax: (606) 743-4336 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Psychology Cantrell, Mary CP Provider ID: 1074489 Gender: Female ML Cantrell Psychotherapeutic Servi 1219 W Main St West Liberty, KY 41472 (606) 743-2407 05 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Cantrell, Mary CP Provider ID: 1074489 Gender: Female ML Cantrell Psychotherapeutic Servi 849 Hwy 191 West Liberty, KY 41472 (606) 743-2407 05 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM kentucky.wellcare.com | 76 05/28/2015 Behavioral Health Robertson Community Mental Health Center Comprehend Inc Provider ID: 606918 8150 Blue Licks Pike Mount Olivet, KY 41064 (606) 724-5213 00 Yrs/99 Yrs M-F 8:30 AM - 6:00 PM kentucky.wellcare.com | 77 05/28/2015 Behavioral Health Rowan Community Mental Health Center Pathways Inc Provider ID: 606917 100 Horizon Way Morehead, KY 40351 (606) 783-7293 Fax: (606) 784-3383 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 1111 US Hwy 60 W Morehead, KY 40351 (606) 783-0404 Fax: (606) 783-0422 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 1490 Flemingsburg Rd Morehead, KY 40351 (606) 784-3062 Fax: (606) 784-3072 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 321 E Main St Morehead, KY 40351 (606) 784-4161 Fax: (606) 783-9952 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Pathways Inc Provider ID: 606917 325 E Main St Morehead, KY 40351 (606) 784-4161 Fax: (606) 784-2379 00 Yrs/99 Yrs M-F 8:30 AM - 3:30 PM Pathways Inc Provider ID: 606917 411 Bishop Ct Morehead, KY 40351 (606) 784-2096 Fax: (606) 784-5886 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 607 Dry Creek Rd Clearfield, KY 40313 (606) 780-4257 Fax: (606) 780-4257 00 Yrs/99 Yrs Licensed Clinical Social Worker Barnett, Carol LCSW Provider ID: 750617 Gender: Female 150 University Blvd 112 Allie Young Hall Morehead, KY 40351 (606) 783-2055 Fax: (606) 783-9106 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Barnett, Carol LCSW Provider ID: 935076 Gender: Female St Claire Medical Counseling 445 Clinic Dr Morehead, KY 40351 (606) 783-6805 Fax: (606) 783-6337 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Garcia Labarbera, Anna LCSW Provider ID: 974099 Gender: Female St Claire Medical Counseling 445 Clinic Dr Morehead, KY 40351 (606) 783-6805 Fax: (606) 783-6337 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Pediatric Psychiatry Cruser, Marc MD Provider ID: 651925 Gender: Male St Claire Medical Counseling 445 Clinic Dr Morehead, KY 40351 (606) 783-6505 Fax: (606) 783-6869 00 Yrs/99 Yrs St Claire Medical Center M-F 8:30 AM - 5:00 PM Johnson, Jennifer LCSW Provider ID: 908739 Psychiatry Gender: Female St Claire Medical Fennell, Christopher MD Counseling 445 Clinic Dr Provider ID: 701785 Morehead, KY 40351 Gender: Male (606) 783-6805 St Claire Counseling Fax: (606) 783-6337 445 Clinic Dr 00 Yrs/99 Yrs Morehead, KY 40351 MWF 9:00 AM - 5:00 PM (606) 783-6505 TTH 11:00 AM - 7:00 PM Fax: (606) 783-6869 00 Yrs/99 Yrs Neuropsychology M-F 8:00 AM - 5:00 PM Ashfaq, Muhammad MD Salyers, Laura MD Provider ID: 637377 Provider ID: 1021173 Gender: Female Gender: Male St Claire Medical St Claire Medical Counseling Counseling 445 Clinic Dr 445 Clinic Dr Morehead, KY 40351 Morehead, KY 40351 (606) 783-6505 (606) 783-6805 Fax: (606) 783-6869 Fax: (606) 783-6869 00 Yrs/99 Yrs 00 Yrs/99 Yrs St Claire Medical Center St Claire Medical Center M-F 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM kentucky.wellcare.com | 78 05/28/2015 Behavioral Health Rowan Psychology Young, Rodney PsyD Provider ID: 994243 Gender: Male St Claire Medical Center Inc 222 Medical Cir Morehead, KY 40351 (606) 783-6661 Fax: (606) 783-6337 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 79 05/28/2015 Ancillary Providers All Laboratory Pathology Testing Labcorp For Additional Providers and Locations Please Call: (888) 522-2677 Quest Diagnostics For Additional Providers and Locations Please Call: (866) 697-8378 kentucky.wellcare.com | 80 05/28/2015 Ancillary Providers Bath Community Health Center Bath County Health Center Provider ID: 644889 68 Oberline St Owingsville, KY 40360 (606) 674-2731 Fax: (606) 674-9646 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Durable Medical Equipment Bath Hometown Pharmacy Inc Provider ID: 611374 Bath Hometown Pharmacy 19 Miller Dr Owingsville, KY 40360 (606) 674-2423 Fax: (606) 674-2451 00 Yrs/99 Yrs M-F 8:30 AM - 6:00 PM Sat 8:30 AM - 2:00 PM kentucky.wellcare.com | 81 05/28/2015 Ancillary Providers Boyd Dialysis BMA Ashland Provider ID: 631171 432 16th St Ste A Ashland, KY 41101 (606) 325-5268 Fax: (606) 324-3638 00 Yrs/99 Yrs MTWTHFSat 6:00 AM 3:30 PM FMC Central Ashland Provider ID: 633640 Biomedical Applications of Kentucky 424 River Hill Dr Ashland, KY 41101 (606) 329-0363 Fax: (606) 329-0364 MTWTHFSat 6:00 AM 5:00 PM Durable Medical Equipment Advocate Medical Services, Inc Provider ID: 296247 2508 Center St Catlettsburg, KY 41129 (813) 280-6541 Fax: (606) 433-9022 00 Yrs/99 Yrs Languages: Spanish, German M-F 9:00 AM - 5:00 PM Bailey, Brian DPM Provider ID: 609120 Gender: Male Body Mind Spirit Podiatric Center 500 14th St Ashland, KY 41101 (606) 324-3668 Fax: (606) 324-0668 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Hanger Prosthetics & Orthotics Inc Provider ID: 657473 336 29th St Ste 203 Ashland, KY 41101 (606) 324-5461 Fax: (606) 329-0393 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Infusion Solutions Provider ID: 613848 200 Mall Rd Ste 3 Ashland, KY 41101 (606) 325-1115 Fax: (606) 324-4663 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Our Lady of Bellefonte Hospital Durable Provider ID: 749515 Our Lady of Bellefonte Hospital Dur 118 Saint Christopher Dr Ashland Prosthetics And Ashland, KY 41101 (606) 833-6241 Orthotic Service Fax: (606) 833-3998 Provider ID: 638948 00 Yrs/99 Yrs 2816 Carter Ave M-F 8:00 AM - 5:00 PM Ashland, KY 41101 (606) 324-5786 Fax: (606) 324-5876 M-F 8:30 AM - 4:30 PM S and N Medical Solutions LLC Provider ID: 688900 2116 13th St Ashland, KY 41101 (606) 393-5314 Fax: (606) 393-5318 00 Yrs/99 Yrs M-F 9:00 AM - 4:00 PM Wecare Medical LLC Provider ID: 632059 2826 Holt St Ashland, KY 41101 (606) 325-0692 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Womens Center Boutique Provider ID: 759582 1000 Ashland Dr Ashland, KY 41101 (606) 325-0692 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Epsdt Special Services Pathways Inc Provider ID: 606917 1128 2nd Circle Prospect Ashland, KY 41101 (606) 324-1173 Fax: (606) 324-1173 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 1308 Grandview Dr Ashland, KY 41101 (606) 324-1127 Fax: (606) 324-1127 00 Yrs/99 Yrs kentucky.wellcare.com | 82 Pathways Inc Provider ID: 606917 201 22nd St Ashland, KY 41101 (606) 324-1411 Fax: (606) 325-8606 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Pathways Inc Provider ID: 606917 2115 Moore St Ashland, KY 41101 (606) 325-3631 Fax: (606) 325-3631 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 2165 Winchester Ave Ashland, KY 41101 (606) 324-1141 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Pathways Inc Provider ID: 606917 2634 Moore St Ashland, KY 41101 (606) 324-1272 Fax: (606) 324-1272 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 308 W Woodmont Dr Ashland, KY 41102 (606) 324-0412 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 3174 St Rd 1458 Ashland, KY 41102 (606) 834-9646 Fax: (606) 834-9646 00 Yrs/99 Yrs 05/28/2015 Ancillary Providers Boyd Epsdt Special Services cont. Pathways Inc Provider ID: 606917 3701 Landsdowne Dr Ashland, KY 41102 (606) 324-3005 Fax: (606) 329-1530 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Pathways Inc Provider ID: 606917 451 Marcia St Ashland, KY 41101 (606) 324-1272 Fax: (606) 324-1272 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 456 Blackburn Ave Ashland, KY 41101 (606) 324-3863 Fax: (606) 324-3863 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 57 Dora Ln Ashland, KY 41105 (606) 473-7333 Fax: (606) 473-7335 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Pathways Inc Provider ID: 606917 840 Interstate Dr Ashland, KY 41105 (606) 329-8588 Fax: (606) 329-8195 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Home Health Care Infusion Therapy Amedisys Home Health Care-Ashland Provider ID: 608055 Amedisys Home Health Care Ashland 1200 Bath Ave Ste 301 Ashland, KY 41101 (606) 324-2491 Fax: (606) 324-7676 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Infusion Solutions Provider ID: 613848 200 Mall Rd Ste 3 Ashland, KY 41101 (606) 325-1115 Fax: (606) 324-4663 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Kings Daughters Home Health Provider ID: 698506 Kings Daughters Home Health 10730 Midland Trail Ashland, KY 41105 (606) 408-9700 Fax: (606) 408-9701 M-F 9:00 AM - 5:00 PM Hanger Pros and Orth East Inc Provider ID: 134894 1901 Winchester Ave Ste 103 Ashland, KY 41101 (606) 324-5461 Fax: (606) 329-0393 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Hospice Hanger Pros and Orth East Inc Provider ID: 134894 336 29th St Ste 203 Ashland, KY 41101 (606) 324-5461 Fax: (606) 329-0393 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Walgreens Infusion Services Provider ID: 671912 Bellefonte Home Health Walgreens Infusion Care Agency Services Ashland Provider ID: 678285 4380 13th St 700 Saint Christopher Dr Ashland, KY 41102 Ste 105 Medical Bldg III (866) 324-4427 Ashland, KY 41101 Fax: (866) 221-1916 (606) 833-3545 00 Yrs/99 Yrs Fax: (606) 833-3546 M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs Orthotics & Prosthetics M-F 9:00 AM - 5:00 PM Community Hospice Inc Provider ID: 599008 Ky Hospice Network Group 1538 Central Ave Ashland, KY 41101 (606) 329-1890 Fax: (606) 329-0018 M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 83 Urgent Care Center Kdmc Urgent Care Provider ID: 636939 Ashland Urgent Care Center 2245 Winchester Ave Ashland, KY 41101 (606) 408-2600 Fax: (606) 408-2603 00 Yrs/99 Yrs MTWTHFSatSun 10:00 AM - 10:00 PM 05/28/2015 Ancillary Providers Bracken Dialysis 12th Street Covington Dialysis Provider ID: 666450 1500 James Simpson Jr Way Ste 1100 Germantown, KY 41044 (859) 261-4345 Fax: (859) 261-4378 18 Yrs/99 Yrs M-W 6:00 AM - 4:30 PM Family Planning Bracken Co Health Dept Provider ID: 645522 429 Frankfort St Brooksville, KY 41004 (606) 735-2157 Fax: (606) 735-2159 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM kentucky.wellcare.com | 84 05/28/2015 Ancillary Providers Carter Dialysis FMC Grayson Provider ID: 634009 Biomedical Applications of Kentucky 286 State Hwy 1947 Grayson, KY 41143 (606) 474-0475 Fax: (606) 474-0426 M-W 6:00 AM - 5:00 PM Sanjiv Gupta MD PSC Provider ID: 760067 Grayson Health Park 300 State Hwy 1947A Grayson, KY 41143 (606) 474-2200 Fax: (606) 474-2205 M-F 8:30 AM - 4:30 PM Epsdt Special Services Pathways Inc Provider ID: 606917 100 Ruth St Grayson, KY 41143 Carter Pharmacist Group (606) 474-2596 LLC Fax: (606) 474-2596 Provider ID: 655387 00 Yrs/99 Yrs Carter Pharmcay Group 136 Jessica Ln Ste E Pathways Inc Olive Hill, KY 41164 Provider ID: 606917 (606) 286-2029 515 W Main St Fax: (606) 286-2307 Grayson, KY 41143 00 Yrs/99 Yrs (606) 474-0025 Languages: Spanish Fax: (606) 474-0025 MTWTHFSat 8:00 AM 00 Yrs/99 Yrs 8:00 PM Family Planning Grayson Family Drug Carter County Health Center Provider ID: 712577 Provider ID: 645693 131 Carol Malone Blvd Ste E US 60 East Grayson, KY 41143 Grayson, KY 41143 (606) 475-0232 (606) 282-5588 Fax: (606) 745-0254 Fax: (606) 286-0185 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM M-F 8:00 AM - 4:30 PM Sat 9:00 AM - 2:00 PM Durable Medical Equipment Urgent Care Center Kdmc Urgent Care Provider ID: 636939 Grayson Urgent Care Center 105 State Hwy 1957 Ste B Grayson, KY 41143 (606) 475-0152 Fax: (606) 474-0040 00 Yrs/99 Yrs MTWTHFSatSun 10:00 AM - 10:00 PM Medi Home Care-Boyd Provider ID: 615316 Medi Home Care 118 S Hord St Grayson, KY 41143 (606) 474-6684 Fax: (606) 474-7655 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 85 05/28/2015 Ancillary Providers Elliott Epsdt Special Services Pathways Inc Provider ID: 606917 374 N Ky 7 Sandy Hook, KY 41171 (606) 738-6163 Fax: (606) 738-5030 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Family Planning Elliott County Health Center Provider ID: 645068 109 David Blair Blvd Sandy Hook, KY 41171 (606) 738-5205 Fax: (606) 738-6530 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM kentucky.wellcare.com | 86 05/28/2015 Ancillary Providers Fleming Durable Medical Equipment Fch Home Medical Equipment and Supplies Provider ID: 653938 Fch Home Medical 777 Elizaville Ave Flemingsburg, KY 41041 (606) 849-0000 Fax: (606) 845-9029 00 Yrs/99 Yrs Languages: Spanish M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM Wilson, Donald MD Provider ID: 619653 Gender: Male Lewis County Primary Care Center 520 Elizaville Ave Flemingsburg, KY 41041 (606) 845-0028 Fax: (606) 845-0263 12 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Total Care Pharmacy Provider ID: 618001 118 Clark St Flemingsburg, KY 41041 (606) 845-3421 Fax: (606) 845-0113 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 3:30 PM Federally Qualified Health Center Doty, David DO Provider ID: 619640 Gender: Male Lewis County Primary Care Center 520 Elizabeth Ave Flemingsburg, KY 41041 (606) 845-0028 Fax: (606) 845-0263 12 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 87 05/28/2015 Ancillary Providers Greenup Epsdt Special Services Pathways Inc Provider ID: 606917 1801 Callihan St Flatwoods, KY 41139 (606) 833-8836 Fax: (606) 833-8836 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 2320 Long St Flatwoods, KY 41139 (606) 833-5611 00 Yrs/99 Yrs Home Health Care Kings Daughters Medical Center Home Health Provider ID: 661082 399 Diederich Blvd Russell, KY 41169 (606) 329-2000 Fax: (606) 408-6482 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Pathways Inc Provider ID: 606917 925 Daniels Dr Flatwoods, KY 41139 (606) 836-1886 Fax: (606) 836-1886 00 Yrs/99 Yrs Family Planning Greenup County Health Department Provider ID: 645544 425 James Hannah Dr Ste 2 South Shore, KY 41175 (606) 932-4546 00 Yrs/99 Yrs M-W 8:00 AM - 4:00 PM Greenup County Health Department Provider ID: 645544 Greenup County Health Dept 806 Seaton Ave Greenup, KY 41144 (606) 473-9838 Fax: (606) 473-6405 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM kentucky.wellcare.com | 88 05/28/2015 Ancillary Providers Lawrence Community Health Center Blaine Elementary School Provider ID: 700413 600 Hwy 2562 Blaine, KY 41124 (606) 638-4389 Fax: (606) 638-3008 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Dialysis Louisa Dialysis Provider ID: 751327 2145 Hwy 2565 Louisa, KY 41230 (606) 638-3403 Fax: (606) 638-3404 18 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Durable Medical Equipment James Medical Equipment, LTD Provider ID: 610639 207 E. Madison St Louisa, KY 41230 (606) 638-4040 Fax: (606) 638-4711 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Medi Home Care-Boyd Provider ID: 615316 Medi Home Care 102 E Franklin St Louisa, KY 41230 (606) 638-9482 Fax: (606) 638-9483 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Epsdt Special Services Pathways Inc Provider ID: 606917 1036 Kennedy St Louisa, KY 41230 (606) 638-0803 Fax: (606) 638-0803 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 428 N Lock Ave Louisa, KY 41230 (606) 638-9332 Fax: (606) 638-9332 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 56 Lara Ln Louisa, KY 41230 (606) 638-0470 Fax: (606) 638-0470 00 Yrs/99 Yrs Pathways Inc Provider ID: 606917 60 Professional Park Dr Louisa, KY 41230 (606) 638-4332 Fax: (606) 638-4394 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Family Planning Lawrence Co Health Dept Provider ID: 644968 1080 Meadowbrook Ln Rte Ste 2 Louisa, KY 41230 (606) 638-4389 Fax: (606) 638-3008 00 Yrs/99 Yrs M-W 7:30 AM - 4:30 PM TH 7:30 AM - 6:30 PM F 7:30 AM - 1:30 PM kentucky.wellcare.com | 89 05/28/2015 Ancillary Providers Lewis Durable Medical Equipment Osman Pharmacy Provider ID: 760222 Antis Pharmacy Inc DBA Osman Pharma 89 Second St Vanceburg, KY 41179 (606) 796-2932 Fax: (606) 796-2124 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 3:00 PM Family Planning Lewis Co Health Dept Provider ID: 645043 905 Fairlane DR Vanceburg, KY 41179 (606) 796-2632 Fax: (606) 796-9285 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Physical Therapy The Body Shop Physical Therapy Provider ID: 614214 787 Fairlane Dr Vanceburg, KY 41179 (606) 796-2500 Fax: (606) 796-2501 02 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM kentucky.wellcare.com | 90 05/28/2015 Ancillary Providers Mason Ambulatory Surgery Center Eyecare Network LTD Provider ID: 791029 1360 Medical Park Dr Maysville, KY 41056 (606) 759-5341 Fax: (606) 759-7393 03 Yrs/99 Yrs M 7:00 AM - 2:00 PM Diagnostic Center Maysville Diagnostic Center LLC Provider ID: 622924 910 Kenton Station Dr Ste E Maysville, KY 41056 (606) 759-0073 Fax: (606) 759-0075 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Diagnostic Imaging St Elizabeth Physicians Maysville Diagno Provider ID: 782187 St Elizabeth Physicians Maysville D 910 Kenton Station Dr Ste E Maysville, KY 41056 (606) 759-0073 Fax: (606) 759-0075 M-F 8:00 AM - 5:00 PM Dialysis Dialysis Clinic Inc Provider ID: 729106 1210 Pope Dr Maysville, KY 41056 (615) 342-0416 Fax: (615) 341-8816 18 Yrs/99 Yrs Languages: Spanish, German M-W 5:00 AM - 9:00 PM Federally Qualified Maysville Dialysis Health Center Provider ID: 652174 489 Tucker Dr Doty, David DO Maysville, KY 41056 Provider ID: 619640 (606) 759-0923 Gender: Male Fax: (606) 759-4915 Lewis County Primary 18 Yrs/99 Yrs MWF 6:00 AM - 4:00 PM Care Center In 927 Kenton Station Dr TTHSatSun 6:00 AM 1st Fl 10:00 PM Maysville, KY 41056 Durable Medical (606) 759-0433 Equipment Fax: (606) 759-0058 12 Yrs/99 Yrs Homeside Healthcare Inc MTTH 8:00 AM - 7:00 PM Provider ID: 610175 W 8:00 AM - 6:00 PM 1315 US 68 F 8:00 AM - 5:00 PM Maysville, KY 41056 Shower, Laura MD (606) 563-9400 Provider ID: 620022 Fax: (606) 564-4144 Gender: Female M-F 8:30 AM - 5:00 PM Lewis County Primary National Prosthetics and Care Center In Orthotics Inc 927 Kenton Station Dr Provider ID: 785191 Maysville, KY 41056 National Prosthetics and (606) 759-5331 Orthotics Fax: (606) 759-5363 901 Kenton Station Dr 00 Yrs/99 Yrs Rm 115 and 116 M-F 8:30 AM - 5:00 PM Maysville, KY 41056 (859) 442-0400 Wilson, Donald MD Fax: (859) 442-0158 Provider ID: 619653 00 Yrs/99 Yrs Gender: Male M-F 9:00 AM - 5:00 PM Lewis County Primary Care Center In Family Planning 927 Kenton Station Dr 1st Fl Mason County Health Maysville, KY 41056 Center (606) 759-0433 Provider ID: 644813 Fax: (606) 759-0058 130 East Second St 12 Yrs/99 Yrs Maysville, KY 41056 MTTH 8:00 AM - 7:00 (606) 564-9447 PM Fax: (606) 564-7696 W 8:00 AM - 6:00 PM 00 Yrs/99 Yrs F 8:00 AM - 5:00 PM M-F 8:00 AM - 4:30 PM kentucky.wellcare.com | 91 Home Health Care Hayswood Home Health Provider ID: 611319 1 W McDonald Pkwy Ste 3C Maysville, KY 41056 (606) 564-9481 Fax: (606) 564-9484 M-F 8:00 AM - 4:00 PM Hospice Hospice of Hope Inc Provider ID: 609327 909 Kenton Station Dr Maysville, KY 41056 (606) 759-4050 Fax: (606) 759-1207 M-F 8:00 AM - 4:30 PM Orthotics & Prosthetics National Prosthetics and Orthotics Inc Provider ID: 785191 National Prosthetics and Orthotics 901 Kenton Station Dr Rm 115 and 116 Maysville, KY 41056 (859) 442-0400 Fax: (859) 442-0158 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sleep Diagnostic Studies Dickerson, Jeffery MD Provider ID: 619267 Gender: Male Jeffery W Dickerson MD LLC 991 Medical Park Dr Ste 202 Maysville, KY 41056 (606) 759-0466 Fax: (606) 759-0461 18 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 05/28/2015 Ancillary Providers Menifee Epsdt Special Services Pathways Inc Provider ID: 606917 70 Main St Frenchburg, KY 40322 (606) 768-2131 Fax: (606) 768-2134 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Family Planning Menifee County Health Center Provider ID: 645219 1919 Main St Frenchburg, KY 40322 (606) 768-2151 Fax: (606) 768-2153 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Rural Health Center Community Family Clinic PLLC Provider ID: 633391 Community Family Clinic 784 Hwy 36 Frenchburg, KY 40322 (606) 768-4549 Fax: (606) 768-9180 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Menifee County Medical Clinic Provider ID: 642639 732 Hwy 36 Frenchburg, KY 40322 (606) 783-6961 Fax: (606) 783-6966 M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 92 05/28/2015 Ancillary Providers Morgan Durable Medical Equipment West Liberty Arh Homecare Store Provider ID: 635597 520 Prestonburg St West Liberty, KY 41472 (606) 743-3630 Fax: (606) 743-3393 M-F 8:00 AM - 4:30 PM Epsdt Special Services Home Health Care Morgan Co Arh Home Health Agency Provider ID: 631125 Appalachain Regional Healthcare Inc 493 Main St West Liberty, KY 41472 (606) 743-4371 Fax: (606) 743-4376 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Pathways Inc Provider ID: 606917 767 Main St West Liberty, KY 41472 (606) 743-3139 Fax: (606) 743-4336 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM West Liberty Arh Homecare Store Provider ID: 635597 520 Prestonburg St West Liberty, KY 41472 (606) 743-3630 Fax: (606) 743-3393 M-F 8:00 AM - 4:30 PM Family Planning Morgan County Health Center Provider ID: 645455 493 Riverside DR West Liberty, KY 41472 (606) 743-3744 Fax: (606) 743-3750 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM kentucky.wellcare.com | 93 05/28/2015 Ancillary Providers Robertson Family Planning Robertson County Health Department Provider ID: 645092 120 McDowell St Mt Olive, KY 41056 (606) 724-5222 Fax: (606) 724-5527 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM kentucky.wellcare.com | 94 05/28/2015 Ancillary Providers Rowan Dialysis St Claire Regional Family Pathways Inc Medical Supply Provider ID: 606917 BMA Morehead Provider ID: 624007 325 E Main St Provider ID: 631212 St Claire Medical Morehead, KY 40351 Biomedical Applications Equipment (606) 784-4161 of Kentucky 244 Kroger Center Fax: (606) 784-2379 250 Norman Wells Ln Morehead, KY 40351 00 Yrs/99 Yrs Morehead, KY 40351 (606) 784-2414 M-F 8:30 AM - 3:30 PM (606) 780-9701 Fax: (606) 784-7071 Fax: (606) 780-9311 Pathways Inc 00 Yrs/99 Yrs 00 Yrs/99 Yrs Provider ID: 606917 M-F 8:00 AM - 5:00 PM MTWTHFSat 6:00 AM 411 Bishop Ct Epsdt Special Services 5:00 PM Morehead, KY 40351 (606) 784-2096 Durable Medical Pathways Inc Fax: (606) 784-5886 Equipment Provider ID: 606917 00 Yrs/99 Yrs 100 Horizon Way Family Health Clinic Inc Morehead, KY 40351 Pathways Inc (606) 783-7293 Provider ID: 606917 Provider ID: 694481 Fax: (606) 784-3383 607 Dry Creek Rd Total Care Pharmacy 00 Yrs/99 Yrs Clearfield, KY 40313 234 Medical Cir (606) 780-4257 Morehead, KY 40351 Pathways Inc Fax: (606) 780-4257 (606) 784-6696 Provider ID: 606917 00 Yrs/99 Yrs Fax: (606) 780-4554 1111 US Hwy 60 W 00 Yrs/99 Yrs Morehead, KY 40351 Family Planning M-F 9:00 AM - 5:30 PM (606) 783-0404 Rowan Co Health Dept Sat 9:00 AM - 12:00 PM Fax: (606) 783-0422 Msu Clinic Counshea 00 Yrs/99 Yrs Lincare Inc Provider ID: 645520 Provider ID: 918563 Pathways Inc Rowan Co Health Dept 1019 W Main St Ste 3 Provider ID: 606917 Msu Clinic Cou Morehead, KY 40351 1490 Flemingsburg Rd 112 Allie Young Hall (606) 780-0002 Morehead, KY 40351 Morehead, KY 40351 00 Yrs/99 Yrs (606) 784-3062 (606) 784-5792 M-F 8:00 AM - 5:00 PM Fax: (606) 784-3072 Fax: (606) 783-0557 00 Yrs/99 Yrs 00 Yrs/99 Yrs Rowan Pharmacist Group M-F 8:00 AM - 4:30 PM Inc DBA Total Car Pathways Inc Provider ID: 756189 Provider ID: 606917 Rowan Co Health Dept Total Care Pharmacy #7 Msu Clinic Counshea 321 E Main St 206 W Main St Provider ID: 645520 Morehead, KY 40351 Morehead, KY 40351 Rowan County Health (606) 784-4161 (606) 784-4491 Center Fax: (606) 783-9952 Fax: (606) 780-0872 730 W. Main St 00 Yrs/99 Yrs 00 Yrs/99 Yrs Morehead, KY 40351 M-F 8:30 AM - 5:00 PM M-F 9:00 AM - 8:00 PM (606) 784-5792 Sat 9:00 AM - 1:00 PM Fax: (606) 783-0557 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM kentucky.wellcare.com | 95 Home Health Care St Claire Homecare Provider ID: 655084 135 N Hargis Ave Morehead, KY 40351 (606) 783-6815 Fax: (606) 783-6822 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Orthotics & Prosthetics Kenney Orthopedics of Morehead LLC Provider ID: 982655 220 Morehead Plz Morehead, KY 40351 (606) 784-4255 Fax: (606) 784-6092 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Rural Health Center St Claire Family Care Clinic Provider ID: 666921 316 W 2nd St Morehead, KY 40351 (606) 783-6961 Fax: (606) 783-6966 M-F 8:00 AM - 5:00 PM 05/28/2015 Allied Providers Bath Nurse Practitioner Physician Assistant Duncan, Jessica APRN Mattox, Davika APRN Provider ID: 782820 Provider ID: 1062887 Auxier, Stephanie APRN Bromagen, Kimberly PA Gender: Female Gender: Female Bath County Medical Community Family Clinic Provider ID: 637029 Provider ID: 611791 Gender: Female Clinic 17 Miller Dr Gender: Female Bath Co Medical Clinic 632 Slate Ave Owingsville, KY 40360 Community Family Clinic Owingsville, KY 40360 632 Slate Ave (606) 674-3033 17 Miller Dr Owingsville, KY 40360 (606) 674-6386 Fax: (606) 674-3036 Owingsville, KY 40360 (606) 674-6386 Fax: (606) 674-3096 00 Yrs/99 Yrs (606) 768-9190 Fax: (606) 674-3096 00 Yrs/99 Yrs Languages: Arabic Fax: (606) 768-9180 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM MTWF 8:30 AM - 5:00 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM PM M-F 9:00 AM - 5:00 PM Furman, Torrie APRN TH 8:30 AM - 7:00 PM Provider ID: 917965 Sat 10:00 AM - 2:00 PM Calvert, Paula ARNP Gender: Female Provider ID: 800522 Community Family Clinic Mullins, Lauren APRN Gender: Female PLLC Provider ID: 764257 Community Family Clinic 17 Miller Dr Gender: Female PLLC Owingsville, KY 40360 Community Family Clinic 17 Miller Dr (606) 674-3033 PLLC Owingsville, KY 40360 Fax: (606) 768-9180 17 Miller Dr (606) 768-9190 00 Yrs/99 Yrs Owingsville, KY 40360 Fax: (606) 768-9180 M-W 8:00 AM - 5:00 PM (606) 768-9190 00 Yrs/99 Yrs Fax: (606) 768-9180 M-F 9:00 AM - 5:00 PM Gardner, Jennie APRN 00 Yrs/99 Yrs Provider ID: 629916 M-F 9:00 AM - 5:00 PM Caric, Mary APRN Gender: Female Provider ID: 670882 Bardstown Bariatric and Womack, Julia ARNP Gender: Female General Sur Provider ID: 619959 Bath County Medical 44 Water St Gender: Female Clinic Owingsville, KY 40360 Sharpsburg Medical 632 Slate Ave (606) 674-9776 Clinic Owingsville, KY 40360 Fax: (606) 674-9708 601 Main St (606) 674-6386 00 Yrs/99 Yrs Sharpsburg, KY 40374 Fax: (606) 674-3096 M-F 8:30 AM - 5:00 PM (606) 247-5006 00 Yrs/99 Yrs Fax: (606) 247-3112 M-F 8:00 AM - 5:00 PM Hughes, Patrick ARNP 00 Yrs/99 Yrs Provider ID: 642129 M-F 8:30 AM - 5:00 PM Dunaway, Hannah APRN Gender: Male Bath County Medical Provider ID: 1070628 Clinic Gender: Female 632 Slate Ave Community Family Clinic Owingsville, KY 40360 PLLC (606) 674-6386 17 Miller Dr Fax: (606) 674-3096 Owingsville, KY 40360 00 Yrs/99 Yrs (606) 674-3033 M-F 8:30 AM - 5:00 PM Fax: (606) 674-3036 00 Yrs/99 Yrs M-W 8:00 AM - 5:00 PM kentucky.wellcare.com | 96 05/28/2015 Allied Providers Boyd Cardiology Family Practice Davis, Brian APRN Holbrook, Donna APRN Provider ID: 681802 Ansinelli, Debra APRN Bond, Stacy APRN Provider ID: 681770 Gender: Male Provider ID: 981011 Kentucky Heart Institute Gender: Female Provider ID: 681798 Kings Daughters Medical Gender: Female 613 23rd St Ste 230 Gender: Female Marshall Blevins MD Center Ashland, KY 41101 Kentucky Heart Institute (606) 324-4745 6572 Midland Trl Rd 2201 Lexington Ave 613 23rd St Ste 230 Ashland, KY 41102 Ashland, KY 41101 Fax: (606) 324-4941 Ashland, KY 41101 (606) 928-7755 (606) 408-4000 00 Yrs/99 Yrs (606) 324-4745 Fax: (606) 928-0052 Fax: (606) 408-7425 Kings Daughters Medical Fax: (606) 327-0165 00 Yrs/99 Yrs 00 Yrs/99 Yrs Center 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Languages: Spanish King, Diana APRN M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Dobson, Stacy ARNP Provider ID: 637144 Boyd, Traci APRN Provider ID: 638212 Gender: Female Hall, Terri APRN Provider ID: 755264 Gender: Female Kentucky Heart & Provider ID: 665196 Gender: Female Kdmc Cedar Knoll Peds Vascular Physician Gender: Female Kdmc Ashland Urgent Care Center Kentucky Heart Institute 613 23rd St Ste 230 Care Center 10650 US Rt 60 Ashland, KY 41101 613 23rd St Ste 230 2245 Winchester Ave Ashland, KY 41102 (606) 324-4745 Ashland, KY 41101 Ashland, KY 41101 (606) 327-6301 Fax: (606) 326-0165 (606) 324-4745 (606) 408-2600 Fax: (606) 327-6350 00 Yrs/99 Yrs Fax: (606) 326-0165 Fax: (606) 408-2605 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 8:30 PM Kings Daughters Medical Children With Special Kings Daughters Medical Center Health Care Needs Estepp, Carolyn ARNP Center M-F 8:00 AM - 5:00 PM Provider ID: 646234 MTWTHFSatSun 10:00 Commission For Children Gender: Female AM - 10:00 PM Herndon, Donna APRN With Special Kdmc Cedar Knoll Family Provider ID: 616818 Boyd, Traci APRN Care Center Provider ID: 680988 Ashland Regional Ccshcn Provider ID: 755264 10650 US Rte 60 Gender: Female 5850 US 60 Summit Gender: Female Ashland, KY 41102 Kentucky Heart Institute Plaza King's Daughters' (606) 408-6301 613 23rd St Ste 230 Ashland, KY 41105 Medical Center Fax: (606) 327-6350 Ashland, KY 41101 (606) 929-9155 2201 Lexington Ave 00 Yrs/99 Yrs (606) 324-4745 Fax: (606) 929-9833 Ashland, KY 41101 Kings Daughters Medical Fax: (606) 326-0165 00 Yrs/21 Yrs (606) 408-4000 Center 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Fax: (606) 408-7425 M-F 8:00 AM - 8:30 PM Our Lady of Bellefonte 00 Yrs/99 Yrs Hospital Freeman, Dee APRN Kings Daughters Medical M-F 8:00 AM - 5:00 PM Provider ID: 943037 Center Gender: Female Kdmc Cedar Knoll Family Care Center 10650 US Rte 60 Ashland, KY 41102 (606) 327-6301 Fax: (606) 327-6350 00 Yrs/99 Yrs M-F 8:00 AM - 8:30 PM kentucky.wellcare.com | 97 05/28/2015 Allied Providers Boyd Family Practice - cont. Thomas, Thomas APRN Wells, Laura APRN Bloomer, Joanna APRN Provider ID: 939251 Provider ID: 961529 Hart, Karen APRN Provider ID: 1054824 Gender: Female Gender: Female Provider ID: 681806 Gender: Male Kdmc Catlettsburg Bellefonte Advanced Gender: Female Kdmc Catlettsburg Family Care Center Pain Physicians Timothy S. Hart, MD PSC Family Care Center 4004 Louisa Rd 1101 St Christopher Dr 933 29th St 4004 Louisa Rd Ste 200 Catlettsburg, KY 41129 Ashland, KY 41101 Catlettsburg, KY 41129 Ashland, KY 41101 (606) 739-6095 (606) 325-7500 (606) 739-6095 (606) 833-6210 Fax: (606) 739-8252 Fax: (606) 326-9136 Fax: (606) 739-8252 Fax: (606) 836-6213 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs Kings Daughters Medical 00 Yrs/99 Yrs M-F 9:00 AM - 5:30 PM M-F 8:00 AM - 8:30 PM Center M-F 8:00 AM - 5:00 PM Sat 8:00 AM 4:30 PM M-F 8:00 AM 8:30 PM Nickoson, Ronda APRN Brown, Sabrina ARNP Sat 8:00 AM - 4:30 PM Vass, Brooke APRN Provider ID: 636272 Provider ID: 1001398 Nurse Practitioner Provider ID: 930290 Gender: Female Gender: Female Gender: Female Bellefonte Womens Care Kdmc Urgent Care Kings Daughters Medical Aliff, Susan APRN 2001 Winchester Ave Center Provider ID: 956247 Specialti Ashland, KY 41101 2245 Winchester Ave Gender: Female 2421 Winchester Ave (606) 324-7351 Ashland, KY 41101 Ashland Arthritis Center Fax: (606) 324-7359 Ashland, KY 41101 (606) 408-2600 2930 Carter Ave (606) 325-8485 00 Yrs/99 Yrs Fax: (606) 408-2603 Ashland, KY 41101 Fax: (606) 324-1351 M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs (606) 329-9712 00 Yrs/99 Yrs Brown, Tricia ARNP M-F 7:00 AM - 7:30 PM Fax: (606) 329-0924 M-F 8:00 AM - 5:00 PM Provider ID: 1027655 00 Yrs/99 Yrs Thomas, Thomas APRN Wells, Laura APRN Gender: Female M-F 8:00 AM - 5:00 PM Provider ID: 939194 Ulrf Pediatric Cardiology Provider ID: 1054764 Bayes, Anna APRN Gender: Female 2201 Lexington Ave Ste Gender: Male Kdmc Cedar Knoll Family Provider ID: 657476 G10 Kdmc Cedar Knoll Family Care Center Gender: Female Ashland, KY 41101 Care Center Kings Daughters Medical (502) 585-4802 10650 US RT60 10650 US Rte 60 Center Ashland, KY 41102 Fax: (502) 589-1256 Ashland, KY 41102 2201 Lexington Ave (606) 408-7337 00 Yrs/99 Yrs (606) 327-6301 Ashland, KY 41101 Fax: (606) 408-7798 M-F 8:00 AM - 5:00 PM Fax: (606) 327-6350 (606) 408-4000 00 Yrs/99 Yrs 00 Yrs/99 Yrs Combs, Kyle APRN Kings Daughters Medical Fax: (606) 408-7425 M-F 8:00 AM - 8:30 PM Provider ID: 972256 00 Yrs/99 Yrs Center Gender: Female M-F 8:00 AM - 8:30 PM Ulrf Pediatric Cardiology 2201 Lexington Ave Ste G 10 Ashland, KY 41101 (502) 585-4802 Fax: (502) 589-1256 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 98 05/28/2015 Allied Providers Boyd Nurse Practitioner - cont. Gosnell, Allison APRN Hensley, Matthew APRN Marshall, Patricia APRN Provider ID: 782088 Cordle, Rachel APRN Provider ID: 637164 Provider ID: 637117 Gender: Female Provider ID: 646227 Gender: Female Gender: Male Bellefonte Heart Care Gender: Female Kentucky Heart & Kdmc Ashland Urgent 1180 Saint Christopher Dr Kdmc Ashland Urgent Vascular Physician Care Center Ste 2 Care Center 613 23rd St Ste 230 2245 Winchester Ave Ashland, KY 41101 2245 Winchester Ave Ashland, KY 41101 Ashland, KY 41101 (606) 833-0144 Ashland, KY 41101 (606) 324-4745 (606) 408-2600 Fax: (606) 833-0113 (606) 408-2600 Fax: (606) 326-0165 Fax: (606) 408-2603 00 Yrs/99 Yrs Fax: (606) 408-2603 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM MTWTHFSatSun 10:00 Martin, Debra APRN Kings Daughters Medical AM - 10:00 PM Green, Kimberly APRN Center Provider ID: 935589 Hill, Evie APRN MTWTHFSatSun 10:00 Gender: Female Provider ID: 651477 Provider ID: 637199 AM - 10:00 PM Olbh Heart Failure Clinic Gender: Female Gender: Female 1180 Saint Christopher Dr Davis, Brian APRN Kings Daughters Medical Kings Daughters Medical Ashland, KY 41101 Provider ID: 601537 Center Center (606) 833-3333 Gender: Male 2201 Lexington Ave 2201 Lexington Ave 00 Yrs/99 Yrs Kentucky Heart Vascular Ashland, KY 41101 Ashland, KY 41101 M-F 8:00 AM - 5:00 PM Physicians (606) 408-4000 (606) 408-4000 613 23rd St Ste 230 Mollineaux, John APRN Fax: (606) 408-7425 Fax: (606) 408-7425 Ashland, KY 41101 00 Yrs/99 Yrs 00 Yrs/99 Yrs (606) 324-4745 Provider ID: 637127 Kings Daughters Medical Lucas, Sarah ARNP Fax: (606) 324-0165 Gender: Male Center Provider ID: 636281 00 Yrs/99 Yrs Kdmc Ashland Urgent M-F 9:00 AM - 5:00 PM Gender: Female M-F 9:00 AM - 5:00 PM Care Center Green, Kimberly APRN Bellefonte Womens Care 2245 Winchester Ave Dobson, Stacy APRN 2001 Winchester Ave Ashland, KY 41101 Provider ID: 1036877 Provider ID: 651477 Ashland, KY 41101 (606) 408-2600 Gender: Female Gender: Female (606) 324-7337 Fax: (606) 408-2603 Lewis County Primary The Pain Spine Center Fax: (606) 324-7359 00 Yrs/99 Yrs Care Center In 617 23rd St Medical Plaza 00 Yrs/99 Yrs Kings Daughters Medical 2924 Holt St A Ste A M-F 8:00 AM - 5:00 PM Center Ashland, KY 41101 Ashland, KY 41101 MTWTHFSatSun 10:00 (606) 324-7184 Marshall, Jennifer APRN (606) 408-7246 AM - 10:00 PM Fax: (606) 326-1372 Fax: (606) 408-7230 Provider ID: 700486 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Kings Daughters Medical Gender: Female Norton Mfm Specialists Center 2201 Lexington Ave Ste M-F 8:00 AM - 5:00 PM G10 Ashland, KY 41101 (866) 574-4111 Fax: (855) 855-4585 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 99 05/28/2015 Allied Providers Boyd Nurse Practitioner - cont. Ramey Jr, Donald APRN Mosbey, Mary APRN Provider ID: 656466 Provider ID: 638188 Gender: Male Gender: Female Kdmc Ashland Urgent Kdmc Ashland Urgent Care Center Care Center 2245 Winchester Ave 2245 Winchester Ave Ashland, KY 41101 Ashland, KY 41101 (606) 408-2600 (606) 408-2600 Fax: (606) 408-2603 Fax: (606) 408-2603 00 Yrs/99 Yrs 00 Yrs/99 Yrs MTWTHFSatSun 10:00 Kings Daughters Medical AM - 10:00 PM Center Rhinehart, Ashley APRN MTWTHFSatSun 10:00 Provider ID: 1053148 AM - 10:00 PM Gender: Female Newsome, Kimberly Ulrf Pediatric Cardiology APRN 2201 Lexington Ave Ste Provider ID: 1074463 G-10 Gender: Female Ashland, KY 41101 10650 US Rte 60 (502) 585-4802 Ashland, KY 41101 Fax: (502) 589-1256 (606) 408-7337 00 Yrs/99 Yrs Fax: (606) 408-7798 M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Rowe, Kristina ARNP Provider ID: 636574 Parker, Alissa APRN Gender: Female Provider ID: 758625 Bellefonte Primary and Gender: Female Pediatric Ca Bellefonte Primary and 2028 Winchester Ave Pediatric Ca Ashland, KY 41101 2028 Winchester Ave (606) 324-7337 Ashland, KY 41101 Fax: (606) 324-7349 (606) 326-9001 00 Yrs/99 Yrs Fax: (606) 324-7349 M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Sargent, Emily APRN Provider ID: 646220 Gender: Female Kdmc Cedar Knoll Family Care Center 10650 US Rte 60 Ashland, KY 41101 (606) 327-6301 Fax: (606) 327-6350 00 Yrs/99 Yrs M-F 8:00 AM - 8:30 PM Sargent, Emily APRN Provider ID: 683654 Gender: Female Kdmc Catlettsburg Family Care Center 4004 Louisa Rd Catlettsburg, KY 41129 (606) 739-6095 Fax: (606) 739-8252 00 Yrs/99 Yrs M-F 8:00 AM - 8:30 PM Sat 8:00 AM - 4:30 PM Sheppard, Christina APRN Provider ID: 1056923 Gender: Female Bellefonte Primary and Pediatric Ca 2028 Winchester Ave Ashland, KY 41101 (606) 326-9001 Fax: (606) 324-7349 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Sieweke, Amy APRN Provider ID: 1074465 Gender: Female 2201 Lexington Ave Ashland, KY 41101 (606) 408-4000 Fax: (606) 408-7425 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sieweke, Amy APRN Provider ID: 1074465 Gender: Female 617 23rd St Ste 5 Ashland, KY 41101 (606) 408-2820 Fax: (606) 326-0235 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM kentucky.wellcare.com | 100 Sims, Chelsey APRN Provider ID: 973827 Gender: Female Marshall Blevins, MD 6572 Midland Trail Rd Ashland, KY 41102 (606) 928-7755 Fax: (606) 928-0052 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Stickler, Thomas APRN Provider ID: 1074468 Gender: Male 2245 Winchester Ave Ashland, KY 41101 (606) 408-2600 Fax: (606) 408-2603 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Strait, Marla APRN Provider ID: 690862 Gender: Female Bellefonte Primary Care 2028 Winchester Ave Ashland, KY 41101 (606) 326-9001 Fax: (606) 326-9005 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Virgin, Rae APRN Provider ID: 631091 Gender: Female Tri State Infectious Disease Consul 2301 Lexington Ave Ste 125 Ashland, KY 41101 (606) 325-2721 Fax: (606) 325-2416 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 05/28/2015 Allied Providers Boyd Nurse Practitioner - cont. Obstetrics/Gynecology Weber, Nicole APRN Provider ID: 1074471 Gender: Female 2245 Winchester Ave Ashland, KY 41101 (606) 408-2600 Fax: (606) 408-2603 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Hunter, Tracy APRN Provider ID: 618565 Gender: Female Richard F Ford MD PSC 614 23rd St Ste 415 Ashland, KY 41101 (606) 325-6888 Fax: (606) 326-9368 00 Yrs/99 Yrs M-TH 9:00 AM - 5:00 PM F 9:00 AM - 12:00 PM Wellman, Tamara APRN Provider ID: 1074474 Gender: Female 2201 Lexington Ave Ashland, KY 41101 (606) 327-5165 Fax: (606) 327-5896 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Williams, Sandra APRN Provider ID: 1074475 Gender: Female 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708 Fax: (606) 408-7425 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Wisehart, Maren APRN Provider ID: 1074477 Gender: Female 2201 Lexington Ave Ashland, KY 41101 (606) 408-4452 Fax: (606) 408-7425 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Orthopaedic Surgery Green, Kimberly APRN Provider ID: 943206 Gender: Female Kdms Orthopedics 613 23rd St Ste 350 Ashland, KY 41101 (606) 327-0036 Fax: (606) 326-1159 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Green, Kimberly APRN Provider ID: 943206 Gender: Female Kings Daughters Medical Center 2201 Lexington Ave Ashland, KY 41101 (606) 408-4000 Fax: (606) 408-7425 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Green, Kimberly APRN Green, Kimberly APRN Provider ID: 943206 Gender: Female The Pain & Spine Center Medical Plaza A 617 23rd St Ste 8 A Ashland, KY 41101 (606) 408-7246 Fax: (606) 408-7230 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Provider ID: 943206 Gender: Female The Pain & Spine Center Medical Plaza A 617 23rd St Ste 8 A Ashland, KY 41101 (606) 408-7246 Fax: (606) 408-7230 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Pain Management Pediatrics Green, Kimberly APRN Provider ID: 943206 Gender: Female Kdms Orthopedics 613 23rd St Ste 350 Ashland, KY 41101 (606) 327-0036 Fax: (606) 326-1159 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Green, Kimberly APRN Carter, Lee Ann APRN Provider ID: 841856 Gender: Female Ashland Childrens Clinic 700 13th St Ashland, KY 41101 (606) 329-0204 Fax: (606) 324-7770 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM Physical Therapy Apts, David PT Provider ID: 943206 Provider ID: 1019439 Gender: Female Kings Daughters Medical Gender: Male Premier Therapy and Center Health Centers 2201 Lexington Ave 2312 13th St Ashland, KY 41101 Ashland, KY 41101 (606) 408-4000 (606) 326-0241 Fax: (606) 408-7425 Fax: (606) 326-0249 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 101 05/28/2015 Allied Providers Boyd Physical Therapy - cont. Gunning, Christopher PT Mabry, Callie PT Provider ID: 1050251 Blackston, Jeremy PT Provider ID: 1059507 Gender: Female Provider ID: 1046093 Gender: Male Premier Therapy and Gender: Male Premier Therapy and Health Centers Tri State Rehab Services Health Centers 2400 13th St 2700 Greenup Ave 2400 13th St Ashland, KY 41102 Ashland, KY 41101 Ashland, KY 41102 (606) 329-0910 (606) 326-1844 (606) 329-0910 Fax: (606) 325-8434 Fax: (606) 326-1877 Fax: (606) 325-8434 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM Sat 8:00 AM 12:00 PM Castle, Ashley PT Schwind, Julie PT Provider ID: 927661 Isaac, Joseph PT Provider ID: 1049499 Gender: Female Provider ID: 927188 Gender: Female Ironton Physical Therapy Gender: Male Premier Therapy and 2700 Greenup Ave Tri State Rehab Services Health Centers Ashland, KY 41101 2700 Greenup Ave 2312 13th St (606) 326-1844 Ashland, KY 41101 Ashland, KY 41101 Fax: (606) 326-1877 (606) 326-1844 (606) 326-0241 00 Yrs/99 Yrs Fax: (606) 326-1877 Fax: (606) 326-0249 M-F 8:00 AM - 6:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM Castle, Paul PT Provider ID: 698388 Jones, Lauren PT Schwind, Julie PT Gender: Male Provider ID: 1044094 Provider ID: 1049499 Ironton Physical Therapy Gender: Female Gender: Female Inc Tri State Rehab Services Premier Therapy and 2700 Greenup Ave Health Centers 2700 Greenup Ave Ashland, KY 41101 2400 13th St Ashland, KY 41101 (606) 326-1844 Ashland, KY 41102 (606) 326-1844 Fax: (606) 326-1877 (606) 329-0910 Fax: (606) 326-1877 00 Yrs/99 Yrs Fax: (606) 325-8434 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM 00 Yrs/99 Yrs M-F 7:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM Gunning, Christopher PT Mabry, Callie PT Sat 8:00 AM - 12:00 PM Provider ID: 1050251 Provider ID: 1059507 Gender: Female Gender: Male Premier Therapy and Premier Therapy and Health Centers Health Centers 2312 13th St 2312 13th St Ashland, KY 41101 Ashland, KY 41101 (606) 326-0241 (606) 326-0241 Fax: (606) 326-0249 Fax: (606) 326-0249 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-TH 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM F 8:00 AM - 12:00 PM kentucky.wellcare.com | 102 Physician Assistant Bradley, Laura PA Provider ID: 766079 Gender: Female Kdmc Ashland Urgent Care Center 2245 Winchester Ave Ashland, KY 41101 (606) 408-2600 Fax: (606) 408-2603 00 Yrs/99 Yrs MTWTHFSatSun 10:00 AM - 10:00 PM Conley, Jodi PA Provider ID: 952362 Gender: Female Ashland Emergency Medical Associate 2201 Lexington Ave Ashland, KY 41101 (606) 408-0911 Fax: (606) 408-4993 00 Yrs/99 Yrs Kings Daughters Medical Center MTWTHFSatSun 10:00 AM - 10:00 PM Culbertson, Lisa PA Provider ID: 750198 Gender: Female Kdms 613 23rd St Ashland, KY 41101 (606) 326-1675 Fax: (606) 326-1436 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 05/28/2015 Allied Providers Boyd Physician Assistant - cont. Doty, Casey PA Griffin, Julie PA Maddox, Libbia PA Provider ID: 643862 Provider ID: 952364 Provider ID: 615029 Cunningham, Heather PA Gender: Female Gender: Female Gender: Female Provider ID: 636484 Tri-State Vascular Kings Daughters Medical J. Brian Frederick, MD, Gender: Female Specialists Specialtie PLLC Bellefonte Heart Care 2301 Lexington Ave Ste 613 23rd St Ste 230 617 23rd St Ste 415 1180 St Christopher Dr 230 Ashland, KY 41101 Ashland, KY 41101 Ste 2 Ashland, KY 41101 (606) 324-4745 (606) 325-6888 Ashland, KY 41101 (606) 326-1675 Fax: (606) 327-0165 Fax: (606) 326-9368 (606) 833-0144 Fax: (606) 326-1436 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (606) 833-0113 00 Yrs/99 Yrs Kings Daughters Medical M-TH 9:00 AM - 5:00 PM 00 Yrs/99 Yrs Languages: Arabic Center F 9:00 AM - 12:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Massie, Melba PA Dalton, James PA Ervin, Sarah PA Hurlburt, Susan PA Provider ID: 636295 Provider ID: 646068 Provider ID: 642457 Provider ID: 1043119 Gender: Female Gender: Male Gender: Female Gender: Female Bellefonte Primary Care Kdmc Urgent Care Kdmc Cedar Knoll Bellefonte Urological 12470 US St Rt 60 Center Pediatrics Associates Ashland, KY 41101 2245 Winchester Ave 10650 US Rte 60 1101 Saint Christopher Dr (606) 928-1881 Ashland, KY 41101 Ste 320 Ashland, KY 41102 Fax: (606) 928-1776 (606) 408-2600 Ashland, KY 41101 (606) 327-6301 00 Yrs/99 Yrs Fax: (606) 408-2603 (606) 833-6235 Fax: (606) 327-6350 M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs Fax: (606) 833-4668 00 Yrs/99 Yrs Kings Daughters Medical M-F 8:00 AM - 8:30 PM Presley, Robin PA 00 Yrs/99 Yrs Center Provider ID: 637174 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Flowers, Richard PA Gender: Female Kaltenback, Jeremy PA Provider ID: 814183 Kings Daughters Medical Dalton, James PA Gender: Male Specialties Provider ID: 646068 Kings Daughters Medical Provider ID: 908950 613 23rd St Ste G30 Gender: Male Gender: Male Specialties Ashland, KY 41101 Kings Daughters Medical 2301 Lexington Ave Ste Kings Daughters Medical (606) 329-1185 Center Specialties 140 Fax: (606) 324-0585 2201 Lexington Ave 613 23rd St Ste 350 Ashland, KY 41101 00 Yrs/99 Yrs Ashland, KY 41101 Ashland, KY 41101 (606) 326-1675 Kings Daughters Medical (606) 408-4000 (606) 327-0036 Fax: (606) 326-1436 Center 00 Yrs/99 Yrs Fax: (606) 326-1159 00 Yrs/99 Yrs M-TH 8:30 AM - 5:00 PM Kings Daughters Medical M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs F 8:30 AM - 3:00 PM Center M-F 8:00 AM - 4:00 PM M-F 8:00 AM - 5:00 PM Ravencraft, James PA Provider ID: 748824 Gender: Male Ashland Family Medicine 2222 Winchester Ave Ashland, KY 41101 (606) 325-9644 Fax: (606) 329-1207 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 103 05/28/2015 Allied Providers Boyd Physician Assistant - cont. Vascular Surgery Sergent, Susan PA Maze, Matthew APRN Provider ID: 1024233 Provider ID: 715637 Gender: Female Gender: Male Tristate Neuro Solutions Kings Daughters Medical 2222 Winchester Ave Ste Specialties C 613 23rd St Ste 140 Ashland, KY 41101 Ashland, KY 41101 (606) 325-8364 (606) 326-1675 Fax: (606) 327-8893 Fax: (606) 326-1436 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Kings Daughters Medical Center Vanhoose, Anna PA M-F 9:00 AM - 5:00 PM Provider ID: 1074470 Gender: Female Medical Plaza A, 617 23rd St Ste 445 Ashland, KY 41101 (606) 324-1070 Fax: (606) 324-1071 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Vanhoose, Daniel PA Provider ID: 965595 Gender: Female Kdmc Ashland Urgent Care Center 2245 Winchester Ave Ashland, KY 41101 (606) 408-2600 Fax: (606) 408-2603 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Whitley, Ashley PA Provider ID: 1036974 Gender: Female Bellefonte Primary Care 12470 US St Rt 60 Ashland, KY 41102 (606) 928-1881 Fax: (606) 928-1776 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 104 05/28/2015 Allied Providers Bracken Family Practice Tucker, Dana APRN Provider ID: 595844 Gender: Female Bracken County Family Health 1551 Augusta Chatham Rd Augusta, KY 41002 (606) 756-2117 Fax: (606) 756-2135 00 Yrs/99 Yrs M-TH 8:00 AM - 7:00 PM F 8:00 AM - 5:00 PM Gore, Denise APRN Provider ID: 620008 Gender: Female Lewis County Primary Care Center I 1551 Augusta Chatham Rd Augusta, KY 41002 (606) 756-2117 Fax: (606) 756-2135 00 Yrs/99 Yrs M-TH 8:00 AM - 7:00 PM Vonderheide, Muna F 8:00 AM - 5:00 PM APRN Federally Qualified Provider ID: 1028444 Health Center Gender: Female Lewis County Primary Gore, Denise APRN Care Center In Provider ID: 620008 1551 Augusta Chatham Gender: Female Rd Lewis County Primary Augusta, KY 41002 Care Center I (606) 756-2117 1551 Augusta Chatham Fax: (606) 756-2135 Rd 00 Yrs/99 Yrs Augusta, KY 41002 M-TH 8:00 AM - 7:00 PM (606) 756-2117 F 8:00 AM - 5:00 PM Fax: (606) 756-2135 00 Yrs/99 Yrs Vonderheide, Muna M-TH 8:00 AM - 7:00 PM APRN F 8:00 AM - 5:00 PM Provider ID: 1038289 Gender: Female Nurse Practitioner Lewis County Primary Care Center In Jones, Tonia APRN 1551 Augusta Chatham Provider ID: 795211 Rd Gender: Female Augusta, KY 41002 Bracken County Family (606) 756-2117 Health Fax: (606) 756-2135 1551 Augusta Chatham 00 Yrs/99 Yrs Rd M-TH 8:00 AM - 7:00 PM Augusta, KY 41002 F 8:00 AM - 5:00 PM (606) 756-2117 Fax: (606) 756-2135 00 Yrs/99 Yrs M-TH 8:00 AM - 7:00 PM F 8:00 AM - 5:00 PM kentucky.wellcare.com | 105 05/28/2015 Allied Providers Carter Cardiology Freeman, Dee APRN Wells, Laura APRN Caric, Mary APRN Provider ID: 939162 Provider ID: 670877 Boyd, Traci APRN Provider ID: 943155 Gender: Female Gender: Female Provider ID: 755264 Gender: Female Kdmc Olive Hill Family Carter County Medical Gender: Female Kdmc Olive Hill Family Care Clinic Kdmc Grayson Urgent Care Center 391 W Tom T Hall Blvd 155 Bricklayer St Care Center 391 W Tom T Hall Blvd Olive Hill, KY 41164 Olive Hill, KY 41164 105 State Hwy 1947 A Olive Hill, KY 41164 (606) 286-8039 (606) 286-4152 Grayson, KY 41143 (606) 286-8039 Fax: (606) 286-6108 Fax: (606) 286-2385 (606) 474-0152 Fax: (606) 286-6108 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (606) 474-0040 00 Yrs/99 Yrs Kings Daughters Medical M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs MTWTHFSat 8:00 AM Center Kings Daughters Medical 8:30 PM M-F 9:00 AM - 5:00 PM Cordle, Rachel APRN Center Provider ID: 676709 Thomas, Thomas APRN Nurse Practitioner MTWTHFSatSun 10:00 Gender: Female AM - 10:00 PM Kdmc Grayson Urgent Back, Natalie ARNP Provider ID: 1054820 Care Center Herndon, Donna APRN Provider ID: 641880 Gender: Male 105 State Hwy 1947 Gender: Female Kdmc Grayson Family Grayson, KY 41143 Provider ID: 680988 Carter County Medical Care Center (606) 475-0152 Gender: Female 609 N Carol Malone Blvd Clinic Fax: (606) 474-4240 Kings Daughter Medical 155 Bricklayer St Grayson, KY 41143 00 Yrs/99 Yrs Center Olive Hill, KY 41164 (606) 474-7892 Kings Daughters Medical 609 N Carol Malone Blvd 00 Yrs/99 Yrs (606) 286-4152 Center Grayson, KY 41143 Fax: (606) 286-2385 M-F 7:00 AM - 7:30 PM MTWTHFSatSun 10:00 (606) 474-7892 00 Yrs/99 Yrs AM - 10:00 PM Thomas, Thomas APRN Fax: (606) 474-0040 M-F 8:30 AM - 5:00 PM 00 Yrs/99 Yrs Duncan, Jessica APRN Barker, Katrina APRN Provider ID: 677039 Our Lady of Bellefonte Provider ID: 751739 Provider ID: 637651 Gender: Male Hospital Gender: Female Gender: Female Kdmc Olive Hill Family M-F 8:00 AM - 5:00 PM Carter County Medical Care Center 308 Horton St Ste 2 Clinic Family Practice 391 W Tom T Hall Blvd Grayson, KY 41143 155 Bricklayer St Olive Hill, KY 41164 (606) 316-0270 Olive Hill, KY 41164 Freeman, Dee APRN (606) 286-8039 Fax: (606) 432-1078 (606) 286-4152 Provider ID: 942948 Fax: (606) 286-6108 00 Yrs/99 Yrs Fax: (606) 286-2385 Gender: Female 00 Yrs/99 Yrs Kings Daughters Medical 00 Yrs/99 Yrs Kdmc Grayson Family Center Kings Daughters Medical M-F 8:00 AM - 5:00 PM Care Center Center M-F 9:00 AM 5:00 PM 609 N Carol Malone Blvd MTWTHFSat 8:00 AM Grayson, KY 41143 8:30 PM (606) 474-7892 Fax: (606) 474-0040 00 Yrs/99 Yrs M-F 7:00 AM - 7:30 PM kentucky.wellcare.com | 106 05/28/2015 Allied Providers Carter Nurse Practitioner - cont. Marshall, Patrica APRN Provider ID: 751190 Freeman, Dee APRN Gender: Female Provider ID: 680384 Bellefonte Primary Care Gender: Female 100 Bellefonte Dr Kdmc Grayson Family Grayson, KY 41143 Care Center (606) 474-0669 609 N Carol Malone Blvd Fax: (606) 474-0376 Grayson, KY 41143 00 Yrs/99 Yrs (606) 474-7892 M-F 8:00 AM - 5:00 PM Fax: (606) 474-0040 00 Yrs/99 Yrs Mollineaux, John APRN Kings Daughters Medical Center Provider ID: 637127 M-F 7:00 AM - 7:30 PM Gender: Male Kdmc Grayson Urgent Greene, Cindra APRN Care Center Provider ID: 1007458 105 State Hwy 1947 Gender: Female Grayson, KY 41143 Carter County Medical (606) 475-0152 Clinic Fax: (606) 474-4240 155 Bricklayer St 00 Yrs/99 Yrs Olive Hill, KY 41164 Kings Daughters Medical (606) 286-4152 Center Fax: (606) 286-2385 MTWTHFSatSun 10:00 00 Yrs/99 Yrs AM - 10:00 PM M-F 8:00 AM - 5:00 PM Mosbey, Mary APRN Hensley, Matthew APRN Provider ID: 638188 Gender: Female Provider ID: 637117 Kdmc Grayson Urgent Gender: Male Care Center Kdmc Grayson Urgent 105 State Hwy 1947 Care Center Grayson, KY 41143 105 State Hwy 1947 (606) 475-0152 Grayson, KY 41143 Fax: (606) 474-4240 (606) 475-0152 00 Yrs/99 Yrs Fax: (606) 474-4240 Kings Daughters Medical 00 Yrs/99 Yrs Center MTWTHFSatSun 10:00 MTWTHFSatSun 10:00 AM - 10:00 PM AM - 10:00 PM Ramey Jr, Donald APRN Provider ID: 656466 Gender: Male Kdmc Grayson Urgent Care Center 105 State Hwy 1947 Grayson, KY 41143 (606) 475-0152 Fax: (606) 474-4240 00 Yrs/99 Yrs MTWTHFSatSun 10:00 AM - 10:00 PM Sargent, Emily APRN Provider ID: 683657 Gender: Female Kdmc Olive Hill Family Care Center 391 W Tom T Hall Blvd Olive Hill, KY 41164 (606) 286-8039 Fax: (606) 286-6108 00 Yrs/99 Yrs MTWTHFSat 8:00 AM 8:30 PM Sieweke, Amy APRN Provider ID: 1074465 Gender: Female 391 W. Tom T. Hall Blvd. Olive Hill, KY 41164 (606) 286-8039 Fax: (606) 286-6108 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Slone, Leslie ARNP Provider ID: 675813 Gender: Female Kdmc Olive Hill Family Care Center 391 W Tom T Hall Blvd Olive Hill, KY 41164 (606) 286-8039 Fax: (606) 286-6108 00 Yrs/99 Yrs Kings Daughters Medical Center MTWTHFSat 8:00 AM 8:30 PM Stickler, Thomas APRN Sargent, Emily APRN Provider ID: 1074468 Provider ID: 710534 Gender: Male Gender: Female 105 State Hwy 1947 Kdmc Grayson Family Grayson, KY 41143 Care Center (606) 475-0152 609 N Carol Malone Blvd Fax: (606) 474-4240 Grayson, KY 41143 00 Yrs/99 Yrs (606) 474-7892 M-F 9:00 AM - 5:00 PM Fax: (606) 474-0040 Watts, Leslie ARNP 00 Yrs/99 Yrs Provider ID: 642104 M-F 7:00 AM - 7:30 PM Gender: Female Sargent, Maria ARNP Carter County Medical Provider ID: 629515 Clinic Gender: Female 155 Bricklayer St Bellefonte Physician Olive Hill, KY 41164 Services (606) 286-4152 100 Bellefonte Dr Fax: (606) 286-2385 Grayson, KY 41143 00 Yrs/99 Yrs (606) 474-0669 M-F 8:30 AM - 5:00 PM Fax: (606) 474-0376 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 107 05/28/2015 Allied Providers Carter Nurse Practitioner - cont. Mabry, Callie PT Elliott, Leslie PA Provider ID: 1050251 Provider ID: 938999 Weber, Nicole APRN Gender: Female Gender: Female Provider ID: 1074471 Premier Therapy and Kdmc Olive Hill Family Gender: Female Health Centers Care Center 105 State Hwy 1947 512 N Carol Malone Blvd 391 W Tom T Hall Blvd Grayson, KY 41143 Grayson, KY 41143 Olive Hill, KY 41164 (606) 475-0152 (606) 474-0157 (606) 286-8039 Fax: (606) 474-4240 Fax: (606) 474-0890 Fax: (877) 955-3336 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM MTWTHFSat 8:00 AM 8:30 PM Sat 8:00 AM 12:00 PM Physical Therapy Massie, Melba PA Schwind, Julie PT Apts, David PT Provider ID: 636290 Provider ID: 1049499 Provider ID: 1019439 Gender: Female Gender: Female Gender: Male Bellefonte Primary Care Premier Therapy and Premier Therapy and Health Centers 100 Bellefonte Dr Health Centers 512 N Carol Malone Blvd Grayson, KY 41143 512 N Carol Malone Blvd Grayson, KY 41143 (606) 474-0669 Grayson, KY 41143 (606) 474-0157 Fax: (606) 474-0376 (606) 474-0157 Fax: (606) 474-0890 00 Yrs/99 Yrs Fax: (606) 474-0890 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM Ravencraft, James PA Provider ID: 782104 Gunning, Christopher PT Physician Assistant Gender: Male Bellefonte Primary Care Provider ID: 1059507 Dalton, James PA 100 Bellefonte Dr Gender: Male Provider ID: 646068 Grayson, KY 41143 Premier Therapy and Gender: Male (606) 474-0669 Health Centers Kdmc Grayson Urgent Fax: (606) 474-0376 512 N Carol Malone Blvd Care Center 00 Yrs/99 Yrs Grayson, KY 41143 105 State Hwy 1947A M-F 8:00 AM - 5:00 PM (606) 474-0157 Grayson, KY 41143 Fax: (606) 474-0890 (606) 474-7892 00 Yrs/99 Yrs Fax: (606) 474-7537 M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs Sat 8:00 AM - 12:00 PM Kings Daughters Medical Center M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 108 05/28/2015 Allied Providers Elliott Family Practice Wells, Laura APRN Duncan, Jessica APRN Provider ID: 939163 Provider ID: 782810 Crawford, Rhonda ARNP Gender: Female Gender: Female Kdmc Sandy Hook Elliott County Medical Provider ID: 646195 Family Care Center Clinic Gender: Female RR 5 Box 922 390 Ky Hwy 7 S Kdmc Sandy Hook Sandy Hook, KY 41171 Sandy Hook, KY 41171 Family Care Center (606) 738-9339 (606) 738-5155 1908 N Ky 7 Fax: (606) 738-6992 Fax: (606) 738-5420 Sandy Hook, KY 41179 00 Yrs/99 Yrs 00 Yrs/99 Yrs (606) 739-9339 Kings Daughters Medical M-F 8:00 AM - 5:00 PM Fax: (606) 739-6992 Center 00 Yrs/99 Yrs MTWTHFSat 8:00 AM - Slone, Leslie ARNP Kings Daughters Medical 8:30 PM Provider ID: 675829 Center Gender: Female Nurse Practitioner M-F 8:00 AM - 4:30 PM Kdmc Sandy Hook Family Care Center Elliott, Leslie PA Carew, Molly ARNP Rural Rte 5 Box 922 Provider ID: 646233 Provider ID: 637660 Sandy Hook, KY 41171 Gender: Female Gender: Female (606) 738-9339 Kdmc Sandy Hook Elliott Co Medical Clinic Fax: (606) 738-6992 Family Care Center 390 Ky Hwy 7 S 00 Yrs/99 Yrs RR 5 Box 922 Sandy Hook, KY 41171 M-F 8:00 AM - 4:30 PM Sandy Hook, KY 41171 (606) 738-5155 (606) 738-9339 Physician Assistant Fax: (606) 738-5420 Fax: (606) 738-6992 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Elliott, Leslie PA Provider ID: 646233 Kings Daughters Medical Caric, Mary APRN Gender: Female Center Provider ID: 670880 Kdmc Sandy Hook M-F 8:00 AM - 4:30 PM Gender: Female Family Care Center Freeman, Dee APRN Elliott County Medical RR 5 Box 922 Provider ID: 943102 Clinic Sandy Hook, KY 41171 Gender: Female 390 Ky Hwy 7 S (606) 738-9339 Kdmc Sandy Hook Sandy Hook, KY 41171 Fax: (606) 738-6992 Family Care Center (606) 738-5155 00 Yrs/99 Yrs Rural Rte 5 Box 922 Fax: (606) 738-5420 Kings Daughters Medical Sandy Hook, KY 41171 00 Yrs/99 Yrs Center (606) 738-9339 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 4:30 PM Fax: (606) 738-6992 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM kentucky.wellcare.com | 109 05/28/2015 Allied Providers Fleming Family Practice Gore, Denise APRN Provider ID: 620004 Gender: Female Lewis County Primary Care Center I 520 Elizaville Ave Flemingsburg, KY 41041 (606) 845-0028 Fax: (606) 845-0263 00 Yrs/99 Yrs MTTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM Poczatek, William APRN Provider ID: 620000 Gender: Male Lewis County Primary Care Center In 520 Elizaville Ave Flemingsburg, KY 41041 (606) 845-0028 Fax: (606) 845-0263 00 Yrs/99 Yrs MTTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM Federally Qualified Health Center Gore, Denise APRN Provider ID: 620004 Gender: Female Lewis County Primary Care Center I 520 Elizaville Ave Flemingsburg, KY 41041 (606) 845-0028 Fax: (606) 845-0263 00 Yrs/99 Yrs MTTH 8:00 AM - 6:00 PM WF 8:00 AM - 5:00 PM Nurse Practitioner Vonderheide, Muna APRN Campbell, Sarah APRN Provider ID: 1028428 Gender: Female Provider ID: 778780 Lewis County Primary Gender: Female Care Center In Fleming County Hospital 520 Elizaville Ave OP Flemingsburg, KY 41041 935 Elizaville Ave (606) 845-0028 Flemingsburg, KY 41041 Fax: (606) 845-0263 (606) 849-3374 00 Yrs/99 Yrs Fax: (606) 845-0646 MTTH 8:00 AM - 6:00 12 Yrs/99 Yrs PM M-F 9:00 AM - 5:00 PM WF 8:00 AM - 5:00 PM Crytzer, Jessica APRN Vonderheide, Muna Provider ID: 600393 APRN Gender: Female Provider ID: 1038273 Kentucky Cardiology Gender: Female PLLC Lewis County Primary 920 Elizaville Ave Care Center In Flemingsburg, KY 41041 520 Elizaville Ave (859) 514-0239 Flemingsburg, KY 41041 00 Yrs/99 Yrs (606) 845-0028 Saint Joseph East Fax: (606) 845-0263 M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs MTTH 8:00 AM - 6:00 Meyers, Shanna APRN PM Provider ID: 603695 WF 8:00 AM - 5:00 PM Gender: Female Kentucky Cardiology Womack, Julia ARNP PLLC Provider ID: 619959 920 Elizaville Ave Gender: Female Flemingsburg, KY 41041 Buffalo Trace Family (859) 514-0239 Health Care 00 Yrs/99 Yrs 732 Elizaville Ave M-F 9:00 AM - 5:00 PM Flemingsburg, KY 41041 (606) 849-2323 Fax: (606) 849-2025 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM kentucky.wellcare.com | 110 Physical Therapy Caudill Jr, Michael PT Provider ID: 1026400 Gender: Male Integrity Orthopaedics Sports Medic 101 Jb Shannon Dr Ste A and B Flemingsburg, KY 41041 (606) 209-0016 Fax: (606) 209-0022 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Handshoe, Ron PT Provider ID: 901872 Gender: Male Integrity Orthopaedics Sports Medic 101 Jb Shannon Dr Ste A &B Flemingsburg, KY 41041 (606) 209-0016 Fax: (606) 209-0022 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Lewis, Steven PT Provider ID: 784154 Gender: Male Integrity Orthopaedics Sports Medic 101 Jb Shannon Dr Ste A &B Flemingsburg, KY 41041 (606) 209-0016 Fax: (606) 209-0022 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 05/28/2015 Allied Providers Fleming Physical Therapy - cont. Overbee, Casey PT Provider ID: 784310 Gender: Female Integrity Orthopaedics Sports Medic 101 Jb Shannon Dr Ste A &B Flemingsburg, KY 41041 (606) 209-0016 Fax: (606) 209-0022 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM High, Jenna PA Provider ID: 1056980 Gender: Female Integrity Orthopaedics Sports Medic 101 Jb Shannon Dr Flemingsburg, KY 41041 (606) 209-0010 Fax: (606) 209-0022 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Pate, Christen PT Provider ID: 806081 Gender: Female Integrity Orthopaedics Sports Medic 101 Jb Shannon Dr Ste A &B Flemingsburg, KY 41041 (606) 209-0016 Fax: (606) 209-0022 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Physician Assistant Carter, Carrie PA Provider ID: 603257 Gender: Female Integrity Orthopaedics Sports Medic 101 Jb Shannon Dr Ste A&B Flemingsburg, KY 41041 (859) 497-4144 Fax: (859) 498-4137 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 111 05/28/2015 Allied Providers Greenup Family Practice Canary, Amy PA Provider ID: 619635 Gender: Female Lewis County Primary Care Center 142 Depot Dr South Shore, KY 41175 (606) 932-2271 Fax: (606) 932-2273 00 Yrs/99 Yrs M 8:00 AM - 7:00 PM Freeman, Dee APRN Provider ID: 943111 Gender: Female Kdmc Flatwoods Family Care Center 1107 Bellefonte Rd Flatwoods, KY 41139 (606) 834-0125 Fax: (606) 834-0128 00 Yrs/99 Yrs MTWTHFSat 8:00 AM 8:30 PM Freeman, Dee APRN Provider ID: 943141 Gender: Female Kdmc Flatwoods Medical Specialties 1109 Bellefonte Rd Flatwoods, KY 41139 (606) 836-8086 Fax: (606) 836-3743 00 Yrs/99 Yrs M-TH 8:00 AM - 6:30 PM F 8:00 AM - 4:30 PM Nickoson, Ronda APRN Provider ID: 1001410 Gender: Female Kdmc Flatwoods Family Care Center 1107 Bellefonte Rd Flatwoods, KY 41139 (606) 834-0125 Fax: (606) 834-0128 00 Yrs/99 Yrs M-F 7:00 AM - 7:30 PM Ryan, James APRN Provider ID: 620007 Gender: Male Lewis County Primary Care Center In 142 Depot Dr South Shore, KY 41175 (606) 932-2271 Fax: (606) 932-2273 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Thomas, Thomas APRN Provider ID: 1054803 Gender: Male Kdmc Flatwoods Family Care Center 1107 Bellefonte Rd Flatwoods, KY 41139 (606) 834-0125 Fax: (606) 834-0128 00 Yrs/99 Yrs MTWTHFSat 8:00 AM 8:30 PM Thomas, Thomas APRN Nurse Practitioner Parker, Alissa APRN Provider ID: 1054805 Provider ID: 758625 Gender: Male Gender: Female Kdmc - Flatwoods Professional Pediatrics Medical Specialtie 1061 Kenwood Dr 1109 Bellefonte Rd Russell, KY 41169 Flatwoods, KY 41139 (606) 833-8480 (606) 836-8086 00 Yrs/99 Yrs Fax: (606) 836-3743 M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs M-TH 8:00 AM - 6:30 PM Ruggles, William ARNP F 8:00 AM - 4:30 PM Provider ID: 636516 Gender: Male Wells, Laura APRN Christ Care Pedicatrics Provider ID: 939195 and Family Gender: Female Kdmc Flatwoods Medical 137 State Rte 3117 South Shore, KY 41175 Specialities (606) 932-2079 1109 Bellafonte Rd Fax: (606) 932-2313 Flatwoods, KY 41139 00 Yrs/99 Yrs (606) 836-8086 M-F 8:00 AM - 5:00 PM Fax: (606) 836-3743 00 Yrs/99 Yrs Sargent, Emily APRN Kings Daughters Medical Provider ID: 683655 Center Gender: Female M-F 8:00 AM - 6:30 PM Kdmc Flatwoods Family Care Center Federally Qualified Health Center 1107 Bellefonte Rd Flatwoods, KY 41139 Canary, Amy PA (606) 834-0125 Provider ID: 619635 Fax: (606) 834-0128 Gender: Female 00 Yrs/99 Yrs Lewis County Primary MTWTHFSat 8:00 AM Care Center 8:30 PM 142 Depot Dr Vonderheide, Muna South Shore, KY 41175 APRN (606) 932-2271 Provider ID: 1028455 Fax: (606) 932-2273 Gender: Female 00 Yrs/99 Yrs Lewis County Primary M 8:00 AM - 7:00 PM Care Center In 142 Depot Dr South Shore, KY 41175 (606) 932-2271 Fax: (606) 756-2273 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM kentucky.wellcare.com | 112 05/28/2015 Allied Providers Greenup Nurse Practitioner - cont. Apts, David PT Schwind, Julie PT Provider ID: 1019439 Provider ID: 1049499 Vonderheide, Muna Gender: Male Gender: Female APRN Premier Therapy and Premier Therapy and Provider ID: 1038313 Health Centers Health Centers Gender: Female 1490 Diedrich Blvd 1490 Diederich Blvd Lewis County Primary Russell, KY 41169 Russell, KY 41169 Care Center In (606) 833-9444 (606) 833-9444 142 Depot Dr Fax: (606) 833-9442 Fax: (606) 833-9442 South Shore, KY 41175 00 Yrs/99 Yrs 00 Yrs/99 Yrs (606) 932-2271 M-F 8:00 AM - 7:00 PM M-F 8:00 AM - 5:00 PM Fax: (606) 756-2273 Sat 8:00 AM - 12:00 PM Sat 8:00 AM - 12:00 PM 00 Yrs/99 Yrs Physician Assistant M-F 8:30 AM - 5:00 PM Gunning, Christopher PT Yount, James PA Provider ID: 728435 Gender: Male Lewis County Primary Care Center Db 142 Depot Dr South Shore, KY 41175 (606) 932-2271 Fax: (606) 932-2273 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Physical Therapy Apts, David PT Provider ID: 1019439 Gender: Male Premier Therapy and Health Centers 1490 Diederich Blvd Russell, KY 41169 (606) 833-9444 Fax: (606) 833-9442 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM Provider ID: 1059507 Gender: Male Premier Therapy and Health Centers 1490 Diederich Blvd Russell, KY 41169 (606) 833-9444 Fax: (606) 833-9442 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM Mabry, Callie PT Provider ID: 1050251 Gender: Female Premier Therapy and Health Centers 1490 Diederich Blvd Russell, KY 41169 (606) 833-9444 Fax: (606) 833-9442 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM Atkins, Jennifer PA Provider ID: 636541 Gender: Female Bellefonte Primary Care US 23 Indianola Ave South Shore, KY 41175 (606) 932-3150 Fax: (606) 932-6896 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Caldwell, Sonya PA Provider ID: 637137 Gender: Female Kdmc Flatwoods Family Care Center 1107 Bellefonte Rd Flatwoods, KY 41139 (606) 834-0125 Fax: (606) 834-0128 00 Yrs/99 Yrs MTWTHFSat 8:00 AM 8:30 PM kentucky.wellcare.com | 113 Caldwell, Sonya PA Provider ID: 680984 Gender: Female Kdmc Flatwoods Family Care Center 1107 Bellefonte Rd Flatwoods, KY 41139 (606) 834-0125 Fax: (606) 834-0128 00 Yrs/99 Yrs MTWTHFSat 8:00 AM 8:30 PM Iery, Jerry PA Provider ID: 636554 Gender: Male Christ Care Pedicatrics and Family 137 State Rte 3117 South Shore, KY 41175 (606) 932-2079 Fax: (606) 932-2313 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Pennington, Lisa PA Provider ID: 636591 Gender: Female Bellefonte Primary Care 2420 Argillite Rd Flatwoods, KY 41139 (606) 836-3900 Fax: (606) 836-0205 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 05/28/2015 Allied Providers Lawrence Cardiology See, Ashley APRN Provider ID: 800259 Ansinelli, Debra APRN Gender: Female Three Rivers Medical Provider ID: 681798 Clinics Inc Gender: Female 203 S Water St Kings Daughters Medical Louisa, KY 41230 Specialti (606) 638-4505 1483 State Rte 644 Fax: (606) 638-4186 Louisa, KY 41230 00 Yrs/99 Yrs (606) 638-9954 M-F 8:00 AM - 5:00 PM Fax: (606) 638-3585 00 Yrs/99 Yrs Short, Karen APRN M-F 8:00 AM - 5:00 PM Provider ID: 888155 Gender: Female Nurse Practitioner Three Rivers Medical Clinics Inc Eastridge, Crystal APRN 203 S Water St Provider ID: 712838 Louisa, KY 41230 Gender: Female (606) 638-4505 Three Rivers Medical Fax: (606) 638-4187 Clinics Inc 00 Yrs/99 Yrs 32 Professional Park Dr M-F 8:00 AM - 5:00 PM Louisa, KY 41230 (606) 638-4656 Short, Karen APRN Fax: (606) 638-4658 Provider ID: 958987 00 Yrs/99 Yrs Gender: Female M-F 8:00 AM - 5:00 PM Three Rivers Medical Clinics Inc Hill, Bonnie APRN 306 Commerce Dr Ste Provider ID: 974525 700 Gender: Female Louisa, KY 41230 Three Rivers Medical (606) 638-7400 Clinics Inc Fax: (606) 638-0468 40 Professional Park Dr 00 Yrs/99 Yrs Louisa, KY 41230 M-F 8:00 AM - 5:00 PM (606) 638-4656 Fax: (606) 638-4658 Smith, Dana APRN 00 Yrs/99 Yrs Provider ID: 758582 M-F 9:00 AM - 5:00 PM Gender: Female Three Rivers Medical Clinics Inc 2483 Hwy 644 Ste 107 Louisa, KY 41230 (606) 298-2660 Fax: (606) 298-2662 00 Yrs/99 Yrs M-TH 8:00 AM - 6:30 PM F 8:00 AM - 4:30 PM Stewart, Debra ARNP Provider ID: 634064 Gender: Female Whitaker National Corporation 2483 Hwy 644 Louisa, KY 41230 (606) 638-9451 00 Yrs/99 Yrs Castle, Paul PT Provider ID: 698388 Gender: Male Ironton Physical Therapy Inc 172 Town Hill Rd Ste 5 Louisa, KY 41230 (606) 638-7848 Fax: (606) 638-7849 00 Yrs/99 Yrs Workman, Connie APRN M-F 8:00 AM - 6:00 PM Provider ID: 667385 Gender: Female Isaac, Joseph PT Three Rivers Medical Provider ID: 927188 Clinics Inc Gender: Male 2483 Hwy 644 Ste 3 Tri State Rehab Services Louisa, KY 41230 115 Louisa Plaza Ste 5 (606) 638-1154 Louisa, KY 41230 Fax: (606) 638-4502 (606) 638-7848 00 Yrs/99 Yrs Fax: (606) 638-7849 M-F 8:00 AM - 4:30 PM 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Physical Therapy Blackston, Jeremy PT Provider ID: 1046093 Gender: Male Tri State Rehab Services 172 Town Hill Rd Ste 5 Louisa, KY 41230 (606) 638-7848 Fax: (606) 638-7849 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Jones, Lauren PT Provider ID: 1044094 Gender: Female Tri State Rehab Services 172 Town Hill Rd 5 Louisa Plaza Louisa, KY 41230 (606) 638-7848 Fax: (606) 638-7849 00 Yrs/99 Yrs M-F 7:00 AM - 6:00 PM Castle, Ashley PT Physician Assistant Provider ID: 927661 Gender: Female Williams, Pete PA Ironton Physical Therapy Provider ID: 634083 172 Town Hill Rd Ste 5 Gender: Male Louisa, KY 41230 Whitaker National Corporation (606) 638-7848 2483 Hwy 644 Fax: (606) 638-7849 Louisa, KY 41230 00 Yrs/99 Yrs (606) 638-9451 M-F 8:00 AM - 6:00 PM 00 Yrs/99 Yrs kentucky.wellcare.com | 114 05/28/2015 Allied Providers Lewis Family Practice Federally Qualified Health Center Nurse Practitioner Vonderheide, Muna APRN Canary, Amy PA Hainline, Terrilee APRN Provider ID: 1006687 Canary, Amy PA Provider ID: 619633 Gender: Female Provider ID: 619633 Provider ID: 728433 Gender: Female Lewis County Primary Gender: Female Gender: Female Lewis County Primary Care Center In Care Center Lewis County Primary Lewis County Primary 17521 W Ky 9 Care Center Care Center I 211 Ky 59 Tollesboro, KY 41189 211 Ky 59 211 Ky 59 Vanceburg, KY 41179 (606) 798-3151 Vanceburg, KY 41179 Vanceburg, KY 41179 (606) 796-3029 Fax: (606) 798-2222 (606) 796-3029 (606) 796-3029 Fax: (606) 796-6221 00 Yrs/99 Yrs Fax: (606) 796-6221 Fax: (606) 796-6221 00 Yrs/99 Yrs MTH 8:00 AM - 7:00 PM 00 Yrs/99 Yrs M-W 8:00 AM - 4:30 PM 00 Yrs/99 Yrs TWF 8:00 AM - 5:00 PM M-W 8:00 AM - 4:30 PM M-TH 8:00 AM - 8:00 PM Sat 9:00 AM - 1:00 PM Fairchild, Mark PA F 8:00 AM - 5:00 PM Fairchild, Mark PA Provider ID: 619646 Vonderheide, Muna Sat 8:30 AM - 12:00 PM Provider ID: 619646 Gender: Male APRN Gender: Male Reynolds, Taneesha Lewis County Primary Provider ID: 1028437 APRN Care Center Lewis County Primary Gender: Female Care Center Provider ID: 596854 211 Ky 59 Lewis County Primary 211 Ky 59 Gender: Female Vanceburg, KY 41179 Care Center In Vanceburg, KY 41179 Lewis County Primary (606) 796-3029 211 Ky 59 Care Center In (606) 796-3029 Fax: (606) 796-6221 Vanceburg, KY 41179 211 Ky 59 Fax: (606) 796-6221 00 Yrs/99 Yrs (606) 796-3029 Vanceburg, KY 41179 00 Yrs/99 Yrs M 8:30 AM - 7:00 PM Fax: (606) 796-6221 (606) 796-3029 M 8:30 AM - 7:00 PM TW 8:30 AM - 6:00 PM 00 Yrs/99 Yrs Fax: (606) 796-6221 TW 8:30 AM - 6:00 PM TH 8:30 AM - 5:00 PM M-TH 8:00 AM - 8:00 PM 00 Yrs/99 Yrs TH 8:30 AM - 5:00 PM F 8:00 AM - 5:00 PM Himes, Erin PA M-F 9:00 AM - 5:00 PM Sat 8:30 AM - 12:00 PM Himes, Erin PA Provider ID: 619627 Stickler, Thomas APRN Provider ID: 619627 Gender: Female Vonderheide, Muna Gender: Female Lewis County Primary APRN Provider ID: 1074468 Care Center Lewis County Primary Provider ID: 1032871 Gender: Male Care Center 17521 W Ky 9 Gender: Female 1908 N. Ky 7 17521 W Ky 9 Tollesboro, KY 41189 Lewis County Primary Vanceburg, KY 41179 Tollesboro, KY 41189 (606) 798-3151 Care Center In (606) 739-9939 (606) 798-3151 Fax: (606) 798-2222 17521 W Ky 9 Fax: (606) 739-8999 Fax: (606) 798-2222 00 Yrs/99 Yrs Tollesboro, KY 41189 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM (606) 798-3151 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Fax: (606) 798-2222 00 Yrs/99 Yrs MTH 8:00 AM - 7:00 PM TW 8:00 AM - 5:00 PM F 8:00 AM - 50:00 PM Sat 9:00 AM - 1:00 PM kentucky.wellcare.com | 115 05/28/2015 Allied Providers Lewis Nurse Practitioner - cont. Vonderheide, Muna APRN Provider ID: 1038287 Gender: Female Lewis County Primary Care Center In 211 Ky 59 Vanceburg, KY 41179 (606) 796-3029 Fax: (606) 796-6221 00 Yrs/99 Yrs M-TH 8:00 AM - 8:00 PM F 8:00 AM - 5:00 PM Sat 8:30 AM - 5:00 PM Obstetrics/Gynecology Webb, Gwen APRN Provider ID: 620010 Gender: Female Lewis County Primary Care Center In 211 Ky 59 Vanceburg, KY 41179 (606) 796-3660 Fax: (606) 796-3921 12 Yrs/99 Yrs MTTHF 8:30 AM - 5:00 PM W 8:30 AM - 7:00 PM kentucky.wellcare.com | 116 05/28/2015 Allied Providers Mason Family Practice Keef, Kimberly PA Provider ID: 619993 Gender: Female Lewis County Primary Care Center In 927 Kenton Station Dr Maysville, KY 41056 (606) 759-0433 Fax: (606) 759-0058 00 Yrs/99 Yrs MTTH 8:00 AM - 7:00 PM W 8:00 AM - 6:00 PM F 8:00 AM - 5:00 PM Mental Health Weber, Deborah LCSW Kerr, Sylvia APRN Provider ID: 617007 Gender: Female Lewis County Primary Care Center In 927 Kenton Station Dr Maysville, KY 41056 (606) 759-5331 Fax: (606) 759-5363 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Nurse Practitioner Black, Ashley APRN Provider ID: 755837 Gender: Female Meadowview Regional Med 989 Medical Park Dr Maysville, KY 41056 (606) 759-9353 Fax: (606) 759-9702 12 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Provider ID: 1061427 Gender: Female Lewis County Primary Care Centerinc 1350 Medical Park Dr Maysville, KY 41056 (606) 759-0499 Black, Ashley APRN Fax: (606) 759-0499 Provider ID: 983188 00 Yrs/99 Yrs Gender: Female M-TH 8:00 AM - 6:00 PM Cardiovascular Consultants of Kentu Nurse Midwife 191 Wal Mart Way Maysville, KY 41056 Cox, Elizabeth APRN (606) 759-0021 Provider ID: 750624 Fax: (606) 759-0086 Gender: Female 00 Yrs/99 Yrs Lewis County Primary M-F 8:30 AM - 5:00 PM Care Center In 927 Kenton Station Dr Brown, David APRN 2nd Fl Provider ID: 713522 Maysville, KY 41056 Gender: Male (606) 759-5331 Meadowview Physician Fax: (606) 759-5363 Practice LLC 00 Yrs/99 Yrs 989 Medical Park Dr Meadowview Reg Med Maysville, KY 41056 Center (606) 759-3585 M-F 8:30 AM - 5:00 PM Fax: (606) 759-0676 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Campbell, Leigh APRN Provider ID: 611905 Gender: Female Meadowview Physician Practice LLC 491 Tucker Dr Maysville, KY 41056 (606) 759-4852 Fax: (606) 759-0122 00 Yrs/99 Yrs Languages: Spanish MW 8:00 AM - 6:00 PM TTH 8:00 AM - 4:30 PM F 8:00 AM - 12:00 PM Jessee, Rae APRN Provider ID: 793625 Gender: Female Lewis County Primary Care Center In 927 Kenton Station Dr 1st Fl Maysville, KY 41056 (606) 759-0433 Fax: (606) 759-0058 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Keating, Abram APRN Provider ID: 672727 Gender: Male Ohio Valley Heart DBA Meadowview Ph 991 Medical Park Dr Ste 107 Maysville, KY 41056 (606) 759-9353 Fax: (606) 759-9702 12 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 117 Schaefer, Cynthia APRN Provider ID: 626355 Gender: Female Lewis County Primary Care Center In 927 Kenton Station Dr Maysville, KY 41056 (606) 759-0433 Fax: (606) 759-0058 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Tucker, Dana APRN Provider ID: 595855 Gender: Female Lewis County Primary Care Center I 927 Kenton Station Dr Maysville, KY 41056 (606) 759-0433 Fax: (606) 759-0058 12 Yrs/99 Yrs MTTH 8:00 AM - 7:00 PM W 8:00 AM - 6:00 PM F 9:00 AM - 5:00 PM Vonderheide, Muna APRN Provider ID: 1028137 Gender: Female Lewis County Primary Care Center In 1350 Medical Park Dr Maysville, KY 41056 (606) 759-0499 Fax: (606) 759-0499 00 Yrs/99 Yrs Languages: Spanish M-TH 8:00 AM - 6:00 PM 05/28/2015 Allied Providers Mason Nurse Practitioner - cont. Vonderheide, Muna Physician Assistant APRN Vonderheide, Muna Woolums, Carmen PA Provider ID: 1038317 APRN Provider ID: 755161 Gender: Female Provider ID: 1028433 Gender: Female Lewis County Primary Gender: Female Family Practice Care Center In Lewis County Primary Associates of Maysv 1350 Medical Park Dr Care Center In 2003 Old Main St Maysville, KY 41056 927 Kenton Station Dr Maysville, KY 41056 (606) 759-0499 Maysville, KY 41056 (606) 759-7878 Fax: (606) 759-0499 (606) 759-0433 Fax: (606) 759-1808 00 Yrs/99 Yrs Fax: (606) 759-0058 M-TH 8:00 AM - 6:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Obstetrics/Gynecology MTTH 8:00 AM - 7:00 Thoracic & Cardiovascular PM Surgery Hogge, Rebecca CNM W 8:00 AM - 6:00 PM Provider ID: 619988 F 8:00 AM - 5:00 PM Meece, Paul PA Gender: Female Provider ID: 919602 Vonderheide, Muna Lewis County Primary Gender: Male APRN Care Center In Sj Cardothoracic Surgical Provider ID: 1038280 927 Kenton Station Dr Associate Gender: Female Maysville, KY 41056 991 Medical Park Dr Ste Lewis County Primary (606) 759-5331 107 Care Center In Fax: (606) 759-5363 Maysville, KY 41056 927 Kenton Station Dr 12 Yrs/99 Yrs (859) 278-2334 Maysville, KY 41056 M-F 8:30 AM - 5:00 PM Fax: (859) 278-0159 (606) 759-0433 Tucker, Dana APRN 00 Yrs/99 Yrs Fax: (606) 759-0058 Provider ID: 595855 M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs Gender: Female MTTH 8:00 AM - 7:00 Lewis County Primary PM Care Center I W 8:00 AM - 6:00 PM 927 Kenton Station Dr F 8:00 AM - 5:00 PM Maysville, KY 41056 Vonderheide, Muna (606) 759-0433 APRN Fax: (606) 759-0058 Provider ID: 1038285 12 Yrs/99 Yrs Gender: Female MTTH 8:00 AM - 7:00 Lewis County Primary PM Care Center In W 8:00 AM - 6:00 PM 927 Kenton Station Dr F 9:00 AM - 5:00 PM Maysville, KY 41056 (606) 759-5331 Fax: (606) 759-5363 00 Yrs/99 Yrs M 8:00 AM - 8:00 PM TWTHF 8:30 AM - 5:00 PM kentucky.wellcare.com | 118 05/28/2015 Allied Providers Menifee Nurse Midwife Caric, Mary APRN Mattox, Davika APRN Tabor, Jennifer APRN Provider ID: 670883 Provider ID: 1062887 Provider ID: 720490 Meritt, Frances CNM Gender: Female Gender: Female Gender: Female Provider ID: 766088 Menifee County Medical Community Family Clinic Menifee County Medical Gender: Female Clinic PLLC Clinic Menifee County Medical 732 Hwy 36 784 Hwy 36 732 Hwy 36 Clinic Frenchburg, KY 40322 Frenchburg, KY 40322 Frenchburg, KY 40322 732 Hwy 36 (606) 768-2191 (606) 768-9190 (606) 768-2191 Frenchburg, KY 40322 Fax: (606) 768-6130 Fax: (606) 768-9180 Fax: (606) 768-6130 (606) 768-2191 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (606) 768-6130 M-F 8:00 AM - 5:00 PM Languages: Arabic M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 Nutrition M-F 8:00 AM - 5:00 PM Dunaway, Hannah APRN PM W 8:00 AM - 6:00 PM Nurse Practitioner Tabor, Jennifer APRN Provider ID: 1070624 F 8:00 AM - 4:00 PM Provider ID: 698802 Gender: Female Auxier, Stephanie APRN Gender: Female Community Family Clinic Mullins, Lauren APRN Provider ID: 611791 Menifee County Medical PLLC Provider ID: 764257 Gender: Female Clinic 784 Hwy 36 Gender: Female Community Family Clinic Frenchburg, KY 40322 Community Family Clinic 732 Hwy 36 PLLC Frenchburg, KY 40322 (606) 768-9190 PLLC 784 Hwy 36 (606) 768-2191 Fax: (606) 768-9180 784 Hwy 36 Frenchburg, KY 40322 Fax: (606) 768-6130 00 Yrs/99 Yrs Frenchburg, KY 40322 (606) 768-9190 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM (606) 768-9190 Fax: (606) 768-9180 M-F 8:00 AM - 5:00 PM Fax: (606) 768-9180 00 Yrs/99 Yrs Duncan, Jessica APRN 00 Yrs/99 Yrs MTTH 8:00 AM - 5:00 Provider ID: 782794 M-F 8:00 AM - 5:00 PM PM Gender: Female W 8:00 AM - 6:00 PM Menifee County Medical Standafer, Glen APRN F 8:00 AM - 4:00 PM Clinic Provider ID: 722089 732 Hwy 36 Gender: Male Calvert, Paula ARNP Frenchburg, KY 40322 Menifee County Medical Provider ID: 610084 (606) 768-2191 Clinic Gender: Female Fax: (606) 768-6130 732 Hwy 36 Community Family Clinic 00 Yrs/99 Yrs Frenchburg, KY 40322 PLLC M-F 8:00 AM 5:00 PM (606) 768-2191 784 Hwy 36 Fax: (606) 768-6130 Frenchburg, KY 40322 Furman, Torrie APRN 00 Yrs/99 Yrs (606) 768-9190 Provider ID: 913670 M-F 8:00 AM - 5:00 PM Fax: (606) 768-9180 Gender: Female 00 Yrs/99 Yrs Community Family Clinic Languages: Arabic PLLC MTTH 8:00 AM - 5:00 784 Hwy 36 PM Frenchburg, KY 40322 W 8:00 AM - 6:00 PM (606) 768-9190 F 8:00 AM - 4:00 PM Fax: (606) 768-9180 00 Yrs/99 Yrs Languages: Arabic M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 119 05/28/2015 Allied Providers Morgan Family Practice Nurse Practitioner Crager, Lucinda APRN Provider ID: 596371 Gender: Female Arh Morgan County Clinic 476 Liberty Rd West Liberty, KY 41472 (606) 743-3198 Fax: (606) 743-1655 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Frederick, Melissa APRN Provider ID: 609788 Gender: Female Frerick Medical Clinic PSC 430 Liberty Rd West Liberty, KY 41472 (606) 743-3114 Fax: (606) 743-1404 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Lykins, Wendy APRN Provider ID: 629775 Gender: Female Appalachian Regional Healthcare Inc 476 Liberty Rd West Liberty, KY 41472 (606) 743-3198 Fax: (606) 743-1655 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Physician Assistant Potter, Elizabeth APRN Davis, L PA Provider ID: 671407 Gender: Male Faith Family Practice 801 N Main St West Liberty, KY 41472 (606) 743-1422 Fax: (606) 743-1455 00 Yrs/99 Yrs M-TH 9:00 AM - 6:00 PM Provider ID: 626273 Gender: Female Youthful Essence Medical Center 1219 W Main St West Liberty, KY 41472 (606) 743-1600 Fax: (606) 743-1924 00 Yrs/99 Yrs MTWF 8:00 AM - 5:00 PM TH 8:00 AM - 2:00 PM kentucky.wellcare.com | 120 05/28/2015 Allied Providers Rowan Children With Special Health Care Needs Commission For Children With Special Provider ID: 616818 Morehead Regional Ccshcn 214 W. First St Morehead, KY 40351 (606) 783-8610 00 Yrs/21 Yrs M-F 8:00 AM - 4:30 PM Family Practice Rudd, Amber APRN Provider ID: 619565 Gender: Female Morehead Primary Care 333 Beacon Hill Rd Ste 201 Morehead, KY 40351 (606) 780-0444 Fax: (606) 784-2344 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Nurse Midwife Meritt, Frances CNM Provider ID: 691971 Gender: Female St Claire Family Care Clinic 316 W. 2nd St Morehead, KY 40351 (606) 784-3771 Fax: (606) 783-6847 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Nurse Practitioner Adams, Melissa APRN Provider ID: 1033368 Gender: Female Morehead Medical Specialists 234 Medical Cir Ste 1 Morehead, KY 40351 (606) 784-6641 Fax: (606) 780-2373 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Back, Natalie ARNP Provider ID: 641889 Gender: Female St Claire Family Care Clinic 316 W 2nd St Morehead, KY 40351 (606) 784-3771 Fax: (606) 783-6847 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Back, Natalie APRN Provider ID: 978340 Gender: Female St Claire Family Medicine Express 1028 E Main St Morehead, KY 40351 (606) 783-7689 Fax: (606) 783-6877 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 12:30 PM Campbell, Leigh APRN Provider ID: 1075985 Gender: Female Morehead State University Counselin 112 Allie Young Hall Morehead, KY 40351 (606) 783-2055 Fax: (606) 783-9106 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Carew, Molly ARNP Provider ID: 1022473 Gender: Female St Claire Family Medicine Express 1028 E Main St Morehead, KY 40351 (606) 783-7689 Fax: (606) 783-6877 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Duncan, Jessica APRN Provider ID: 782784 Gender: Female St Claire Family Care Clinic 316 W 2nd St Morehead, KY 40351 (606) 784-3771 Fax: (606) 783-6847 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Duncan, Jessica APRN Provider ID: 784145 Gender: Female St Claire Family Medicine Express 1028 E Main St Morehead, KY 40351 (606) 783-7689 Fax: (606) 783-6877 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 12:30 PM Caric, Mary APRN Farkas, Erin APRN Provider ID: 643970 Provider ID: 1062267 Gender: Female Gender: Female St Claire Family Medicine Mt Sterling Pediatrics Express 130 New Towne Square 1028 E Main St Morehead, KY 40351 Morehead, KY 40351 (606) 740-0986 (606) 783-7689 Fax: (606) 780-9096 Fax: (606) 783-6877 00 Yrs/18 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 8:00 PM Fletcher, Wtynetta APRN Sat 9:00 AM - 12:30 PM Caric, Mary APRN Provider ID: 670878 Gender: Female St Claire Family Care Clinic 316 W 2nd St Morehead, KY 40351 (606) 784-3771 Fax: (606) 783-6847 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 121 Provider ID: 920528 Gender: Female Sunrise Children's Services 3495 Cranston Rd Morehead, KY 40351 (606) 784-5882 Fax: (606) 207-1118 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 05/28/2015 Allied Providers Rowan Nurse Practitioner - cont. Hughes, Patrick ARNP Provider ID: 642033 Fletcher, Wynetta APRN Gender: Male St Claire Family Care Provider ID: 920434 Clinic Gender: Female 316 W 2nd St King's Daughters' Morehead, KY 40351 Medical Specialti (606) 784-3771 255 Old Viking Dr Fax: (606) 783-6847 Morehead, KY 40351 00 Yrs/99 Yrs (606) 784-2774 M-F 8:30 AM - 5:00 PM Fax: (606) 207-1118 00 Yrs/99 Yrs Kessler, Shasta APRN M-F 8:00 AM - 5:00 PM Provider ID: 1062591 Gender: Female Greene, Cindra APRN Mt Sterling Pediatrics Provider ID: 1020131 130 New Towne Square Gender: Female Morehead, KY 40351 St Claire Family Medicine (606) 740-0986 Express Fax: (606) 780-9096 1028 E Main St 00 Yrs/18 Yrs Morehead, KY 40351 M-F 8:00 AM - 5:00 PM (606) 783-7689 Fax: (606) 783-6877 Leuenberger, Timothy 00 Yrs/99 Yrs APRN M-F 8:00 AM - 5:00 PM Provider ID: 614487 Gender: Male Gulley, Anita APRN W Michael Spurlock DC Provider ID: 631005 PSC Gender: Female 1350 Flemingsburg Rd Morehead Medical Morehead, KY 40351 Specialists (606) 784-1115 234 Medical Cir Fax: (606) 784-2794 Morehead, KY 40351 18 Yrs/99 Yrs (606) 784-6641 MTTH 8:00 AM - 6:00 Fax: (606) 783-7281 PM 00 Yrs/99 Yrs W 8:00 AM - 1:00 PM M-F 8:00 AM - 5:00 PM F 8:00 AM - 5:00 PM Hughes, Patrick APRN Mays, Lucille ARNP Provider ID: 1078839 Provider ID: 1022476 Gender: Male Gender: Female St Claire Family Medicine St Claire Family Medicine Express Express 1028 E Main St 1028 E Main St Morehead, KY 40351 Morehead, KY 40351 (606) 783-6400 (606) 783-7689 Fax: (606) 783-6415 Fax: (606) 783-6877 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM O'Kelly, Christine APRN Provider ID: 787354 Gender: Female Morehead Medical Specialists 234 Medical Cir Ste 1 Morehead, KY 40351 (606) 784-6641 Fax: (606) 783-7281 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Stanley, Cassie APRN Provider ID: 700543 Gender: Female Morehead Medical Specialists 234 Medical Cir Morehead, KY 40351 (606) 784-6641 Fax: (606) 783-7281 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Perry, James APRN Provider ID: 641793 Gender: Male St Claire Medical Counseling 445 Clinic Dr Morehead, KY 40351 (606) 783-6505 Fax: (606) 783-6869 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Tabor, Jennifer APRN Provider ID: 720486 Gender: Female Morehead Medical Specialists 234 Medical Cir Morehead, KY 40351 (606) 784-6641 Fax: (606) 783-7281 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Solter, Kathleen APRN Walters, Michele APRN Provider ID: 713985 Gender: Female St Claire Family Care Clinic 316 W 2nd St Morehead, KY 40351 (606) 784-3771 Fax: (606) 783-6847 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 12:30 PM Provider ID: 695335 Gender: Female 112 Allie Young Morehead, KY 40351 (606) 783-2055 Fax: (606) 783-9106 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Standafer, Glen APRN Provider ID: 978287 Gender: Male Walters, Michele APRN St Claire Family Medicine Express Provider ID: 978338 1028 E Main St Gender: Female Morehead, KY 40351 St Claire Family Medicine Express (606) 783-7689 1028 E Main St Fax: (606) 783-6877 Morehead, KY 40351 00 Yrs/99 Yrs (606) 783-7689 M-F 8:00 AM - 8:00 PM Fax: (606) 783-6877 Sat 9:00 AM - 12:30 PM 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 12:30 PM kentucky.wellcare.com | 122 05/28/2015 Allied Providers Rowan Nurse Practitioner - cont. Watts, Leslie ARNP Provider ID: 642022 Gender: Female St Claire Family Care Clinic 316 W 2nd St Morehead, KY 40351 (606) 784-3771 Fax: (606) 783-6847 00 Yrs/99 Yrs M-F 8:30 AM - 5:00 PM Physician Assistant Abney, Kristeena PA Provider ID: 666506 Gender: Female St Claire Regional Emergency Phys 222 Medical Cir Morehead, KY 40351 (606) 783-6500 Fax: (606) 783-6503 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Watts, Leslie ARNP Ballard, Peggy PA Provider ID: 642022 Provider ID: 641796 Gender: Female Gender: Female St Claire Family Medicine Morehead Medical Express Specialists 1028 E Main St 234 Medical Cir Morehead, KY 40351 Morehead, KY 40351 (606) 783-7689 (606) 784-6641 Fax: (606) 783-6877 Fax: (606) 783-7281 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM M-F 8:30 AM - 5:00 PM Wilburn, Brenda APRN Provider ID: 750923 Gender: Female Morehead State University 150 University Blvd 112 Allie Young Morehead, KY 40351 (606) 783-2055 Fax: (606) 783-9106 00 Yrs/99 Yrs M-F 8:00 AM - 4:30 PM Bromagen, Kimberly PA Provider ID: 641954 Gender: Female St Claire Family Care Clinic 316 W 2nd St Morehead, KY 40351 (606) 784-3771 Fax: (606) 783-6847 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 12:30 PM Bromagen, Kimberly PA Irving, Shelley PA Provider ID: 641803 Provider ID: 978294 Gender: Female Gender: Female St Claire Family Care St Claire Family Medicine Clinic Express 316 W. 2nd St 1028 E Main St Morehead, KY 40351 Morehead, KY 40351 (606) 784-3771 (606) 783-7689 Fax: (606) 783-6847 Fax: (606) 783-6877 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 8:00 PM Irving, Shelley PA Sat 9:00 AM - 12:30 PM Provider ID: 641803 Day, Courtney PA Gender: Female Provider ID: 1036441 St Claire Medical Gender: Female Centers Inc St Claire Family Medicine 1028 E Main St Express Morehead, KY 40351 1028 E Main St (606) 783-6866 Morehead, KY 40351 Fax: (606) 783-6941 (606) 783-6400 00 Yrs/99 Yrs Fax: (606) 783-6415 M-F 8:30 AM - 5:00 PM 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Perry, Alisha PA Provider ID: 791952 Day, Courtney PA Gender: Female Provider ID: 1036448 Morehead Medical Gender: Female Specialists St Claire Family Care 234 Medical Cir Clinic Morehead, KY 40351 316 W 2nd St (606) 784-6641 Morehead, KY 40351 Fax: (606) 783-7281 (606) 784-3771 00 Yrs/99 Yrs Fax: (606) 784-6847 M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Rishel, Lacinda PA Provider ID: 1062096 Himes, Erin PA Gender: Female Provider ID: 666433 Cave Run Surgical Gender: Female Specialists St Claire Regional 425 Clinic Dr Emergency Phys Morehead, KY 40351 222 Medical Cir (606) 784-7751 Morehead, KY 40351 Fax: (606) 784-1184 (606) 783-6500 00 Yrs/99 Yrs Fax: (606) 783-6503 M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM kentucky.wellcare.com | 123 05/28/2015 Allied Providers Rowan Physician Assistant - cont. Steagall, Kelly PA Provider ID: 666503 Gender: Female St Claire Regional Emergency Phys 222 Medical Cir Morehead, KY 40351 (606) 783-6500 Fax: (606) 783-6503 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sy, Gregory PA Provider ID: 666464 Gender: Male St Claire Regional Emergency Phys 222 Medical Cir Morehead, KY 40351 (606) 783-6500 Fax: (606) 783-6503 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Ward, Ashley PA Provider ID: 666314 Gender: Female Morehead Medical Specialists 234 Medical Cir Morehead, KY 40351 (606) 784-6641 Fax: (606) 783-7281 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM kentucky.wellcare.com | 124 05/28/2015 Pharmacy Bath Retail Bath Hometown Pharmacy Provider ID: TPV1830303-00 19 Miller Dr Owingsville, KY 40360 (606) 674-2423 Fax: (606) 674-2451 00 Yrs/99 Yrs www.walmart.com Family Discount Drugs Provider ID: TPV1817204-00 60 Slate Ave. Owingsville, KY 40360 (606) 674-6979 Fax: (606) 674-6979 00 Yrs/99 Yrs Owingsville Drug Store Provider ID: TPV1807784-00 53 Miller DR Owingsville, KY 40360 (606) 674-6334 Fax: (859) 498-9037 00 Yrs/99 Yrs www.epicrx.com kentucky.wellcare.com | 125 05/28/2015 Pharmacy Boyd Infusion Infusion Solutions Provider ID: TPV1828396-00 200 Mall Rd Asland, KY 41101 (606) 325-1115 Fax: (606) 324-4663 00 Yrs/99 Yrs www.walgreens.com Walgreens Provider ID: TPV1833018-00 Walgreens Infusion Services 12987 4380 13th St Ashland, KY 41102 (606) 324-4427 Fax: (866) 221-1916 00 Yrs/99 Yrs www.optioncare.com Retail Ashland Bellefonte Cancer Center Provider ID: TPV1832458-00 122 Saint Christopher Dr Ashland, KY 41101 (606) 836-0202 Fax: (606) 836-2189 00 Yrs/99 Yrs www.epicrx.com Ashland Childrens Clinic PSC Provider ID: TPV1832030-00 700 13th St Ashland, KY 41101 (606) 329-0204 Fax: (888) 318-5567 00 Yrs/99 Yrs www.walmart.com Boyd County Pharmacy Provider ID: TPV1829677-00 12544 US Rt 60 Ashland, KY 41102 (606) 929-5301 Fax: (606) 929-5298 00 Yrs/99 Yrs www.walgreens.com Community Hospice Pharmacy Provider ID: TPV1824045-00 2330 Pollard Rd Ashland, KY 41101 (606) 329-0767 Fax: (606) 329-0791 00 Yrs/99 Yrs www.uniteddrugs.com CVS Provider ID: TPV1800805-00 CVS Pharmacy 06347 1221 Lexington Ave Ashland, KY 41101 (606) 324-2128 00 Yrs/99 Yrs www.cvs.com Gallahers Pharmacy Provider ID: TPV1821520-00 2914 Blackburn Ave Ashland, KY 41101 (606) 329-2122 Fax: (606) 329-8192 00 Yrs/99 Yrs www.riteaid.com Healthy Way Pharmacy Cedarknoll Provider ID: TPV1829792-00 1410 Eagle Dr Ashland, KY 41102 (606) 928-1001 Fax: (606) 928-1008 00 Yrs/99 Yrs www.mhainc.com Kings Daughters Family Pharmacy Provider ID: TPV1824627-00 613 23rd St Ashland, KY 41101 (606) 324-0092 Fax: (606) 324-9091 00 Yrs/99 Yrs Kroger Provider ID: TPV1822279-00 Kroger Pharmacy 29783 711 Martin Luther King Jr Blvd Ashland, KY 41101 (606) 324-7119 Fax: (606) 326-0764 00 Yrs/99 Yrs www.walmart.com Kroger Provider ID: TPV1826330-00 Kroger Pharmacy 29796 370 Diedrich Blvd Ashland, KY 41101 (606) 325-0611 Fax: (606) 326-1021 00 Yrs/99 Yrs www.foodcity.com kentucky.wellcare.com | 126 McMeans Pharmacy Provider ID: TPV1818167-00 2920 Carter Ave Ashland, KY 41101 (606) 325-8400 Fax: (606) 324-3112 00 Yrs/99 Yrs Med Care Pharmacy LLC 4 Provider ID: TPV1828411-00 12270 Kevin Dr Ashland, KY 41102 (606) 929-9633 Fax: (606) 929-9579 00 Yrs/99 Yrs www.walgreens.com Medical Plaza Pharmacy Provider ID: TPV1816341-00 700 St Christopher Dr Ashland, KY 41101 (606) 833-3510 Fax: (606) 833-3624 00 Yrs/99 Yrs Omnicare of Ashland Provider ID: TPV1817949-00 720 Greenup Ave Ashland, KY 41101 (606) 325-1483 Fax: (606) 325-1483 00 Yrs/99 Yrs www.walmart.com 05/28/2015 Pharmacy Boyd Retail - cont. RITE AID Provider ID: TPV1817519-00 Rite Aid Pharmacy 01737 01737 3501 Court St Catlettsburg, KY 41129 (606) 739-4432 Fax: (606) 739-0517 00 Yrs/99 Yrs www.kroger.com Walmart Provider ID: TPV1825299-00 Wal-Mart Pharmacy 10-2638 102638 12504 US Rte 60 Ashland, KY 41102 (606) 929-9360 00 Yrs/99 Yrs www.cvs.com RITE AID Provider ID: TPV1818117-00 Rite Aid Pharmacy 01755 01755 933 Blackburn Ave Ashland, KY 41101 (606) 324-0372 Fax: (606) 326-0513 00 Yrs/99 Yrs www.kroger.com Ultimate Treatment Center Provider ID: TPV1832977-00 3655 Winchester Ave Ashland, KY 41101 (606) 393-4632 Fax: (888) 411-4131 00 Yrs/99 Yrs Walmart Provider ID: TPV1823029-00 Wal-Mart Pharmacy 10-1426 101426 351 River Hill Rd Ashland, KY 41101 (606) 329-0477 00 Yrs/99 Yrs kentucky.wellcare.com | 127 05/28/2015 Pharmacy Bracken Retail Deans Pharmacy Inc Provider ID: TPV1809714-00 109 Locust St Brooksville, KY 41004 (606) 735-2322 Fax: (606) 735-2754 00 Yrs/99 Yrs www.myleader.com Reynolds Pharmacy Provider ID: TPV1814296-00 216 Main St Augusta, KY 41002 (606) 756-2204 Fax: (606) 756-2702 00 Yrs/99 Yrs kentucky.wellcare.com | 128 05/28/2015 Pharmacy Carter Retail Grayson Family Drug Provider ID: TPV1829451-00 131 S Carol Malone Blvd Grayson, KY 41143 (606) 475-0232 Fax: (606) 475-0245 00 Yrs/99 Yrs www.walgreens.com Horton Brothers and Brown Pharmacy Provider ID: TPV1804930-00 128 East Main St Grayson, KY 41143 (606) 474-5655 Fax: (606) 474-8866 00 Yrs/99 Yrs www.myleader.com KMART Provider ID: TPV1821859-00 Kmart Pharmacy7229 7229 600 Cw Stevens Blvd Grayson, KY 41143 (606) 474-8859 Fax: (606) 474-8861 00 Yrs/99 Yrs www.kmart.com RITE AID Provider ID: TPV1817088-00 Rite Aid Pharmacy 01743 01743 100 South Carol Malone Blvd Grayson, KY 41143 (606) 474-4470 Fax: (606) 475-0633 00 Yrs/99 Yrs www.cvs.com RITE AID Provider ID: TPV1817773-00 Rite Aid Pharmacy 01812 01812 410 W. Tom T Hall Blvd Olive Hill, KY 41164 (606) 286-2322 Fax: (606) 286-1603 00 Yrs/99 Yrs Medicine Cabinet Pharmacy Provider ID: TPV1831381-00 230 State Hwy 2 Olive Hill, KY 41164 (606) 286-2035 Fax: (606) 286-2035 00 Yrs/99 Yrs www.walgreens.com kentucky.wellcare.com | 129 05/28/2015 Pharmacy Elliott Retail Discount Drug Mart Inc Provider ID: TPV1808332-00 121 S Ky 7 Sandy Hook, KY 41171 (606) 738-5111 Fax: (606) 738-4018 00 Yrs/99 Yrs Healthy Way Pharmacy Provider ID: TPV1825302-00 432 S Ky 7 Sandy Hook, KY 41171 (606) 738-4041 Fax: (606) 738-4030 00 Yrs/99 Yrs www.walmart.com kentucky.wellcare.com | 130 05/28/2015 Pharmacy Fleming Retail Flemingsburg Family Health Center Pharma Provider ID: TPV1832890-00 520 Elizaville Rd Flemingsburg, KY 41041 (606) 845-0402 Fax: (606) 845-0422 00 Yrs/99 Yrs Total Care Pharmacy 1 Provider ID: TPV1820554-00 209 S Main Cross St Flemingsburg, KY 41041 (606) 845-2101 Fax: (606) 849-2633 00 Yrs/99 Yrs www.walgreens.com Total Care Pharmacy 2 2 Provider ID: TPV1820566-00 118 Clark St Flemingsburg, KY 41041 (606) 845-3421 Fax: (606) 845-0113 00 Yrs/99 Yrs kentucky.wellcare.com | 131 05/28/2015 Pharmacy Greenup Retail CVS Provider ID: TPV1825263-00 CVS Pharmacy 02380 2409 Argillite Rd Flatwoods, KY 41139 (606) 833-8027 00 Yrs/99 Yrs www.myleader.com McDonald Pharmacy Provider ID: TPV1808510-00 437 James Hannah Dr South Shore, KY 41175 (606) 932-3614 Fax: (606) 932-3614 00 Yrs/99 Yrs Stultz Pharmacy Provider ID: TPV1827647-00 2420 Argillite Rd Flatwoods, KY 41139 (606) 834-1052 Fax: (606) 834-1039 00 Yrs/99 Yrs www.kroger.com The Wright Pharmacy Inc Provider ID: TPV1824716-00 82 Biggs Lane South Shore, KY 41175 (606) 932-2202 Fax: (606) 932-2080 00 Yrs/99 Yrs www.walgreens.com RITE AID Provider ID: TPV1822433-00 Rite Aid Pharmacy 03567 03567 1900 Argillite Rd Flatwoods, KY 41139 (606) 836-2498 Fax: (606) 833-9409 00 Yrs/99 Yrs www.riteaid.com Stultz Pharmacy Provider ID: TPV1812470-00 1615 Ashland Rd Greenup, KY 41144 (606) 473-7346 Fax: (606) 473-5667 00 Yrs/99 Yrs www.riteaid.com kentucky.wellcare.com | 132 05/28/2015 Pharmacy Lawrence Retail Louisa Drug Store Provider ID: TPV1806201-00 408 N Lock Ave Louisa, KY 41230 (606) 638-4155 Fax: (606) 638-1109 00 Yrs/99 Yrs RITE AID Provider ID: TPV1812177-00 Rite Aid Pharmacy 00295 00295 4311 Hwy 2565 Louisa, KY 41230 (606) 638-3110 Fax: (606) 638-4933 00 Yrs/99 Yrs Rite Value Pharmacy Provider ID: TPV1829083-00 2673 Hwy 644 Ste 1 Louisa, KY 41230 (606) 638-9627 Fax: (606) 638-4169 00 Yrs/99 Yrs www.foodcity.com Riverview Pharmacy Provider ID: TPV1809891-00 201 S Water St Louisa, KY 41230 (606) 638-9218 Fax: (606) 638-0074 00 Yrs/99 Yrs Walmart Provider ID: TPV1830290-00 Wal-Mart Pharmacy 10-4461 104461 275 Walton DR Louisa, KY 41230 (606) 673-4912 00 Yrs/99 Yrs www.walgreens.com kentucky.wellcare.com | 133 05/28/2015 Pharmacy Lewis Retail Lewis County Primary Care Cntr Pharmacy Provider ID: TPV1829019-00 211 Ky 59 Vanceburg, KY 41179 (606) 796-2686 Fax: (606) 796-6010 00 Yrs/99 Yrs www.target.com Tollesboro Clinic Pharmacy Provider ID: TPV1827534-00 17521 W Ky 9 Tollesboro, KY 41189 (606) 798-2072 Fax: (606) 798-2222 00 Yrs/99 Yrs www.myleader.com Nobles Pharmacy 1 Provider ID: TPV1825530-00 162 Garrison Ln Garrison, KY 41141 (606) 757-3535 Fax: (606) 757-9244 00 Yrs/99 Yrs www.walgreens.com Osman Pharmacy Provider ID: TPV1808635-00 89 2nd St Vanceburg, KY 41179 (606) 796-2932 Fax: (606) 796-2124 00 Yrs/99 Yrs Professional Care Pharmacy Provider ID: TPV1817735-00 207 Plummers Lane Vanceburg, KY 41179 (606) 796-6100 Fax: (606) 796-2407 00 Yrs/99 Yrs www.riteaid.com kentucky.wellcare.com | 134 05/28/2015 Pharmacy Mason Retail KMART Provider ID: TPV1821671-00 Kmart Pharmacy9684 9684 1581 US 68 South Maysville, KY 41056 (606) 759-5012 Fax: (606) 759-5738 00 Yrs/99 Yrs www.kmart.com Kroger Provider ID: TPV1822736-00 Kroger Pharmacy 14420 381 Market Square DR Maysville, KY 41056 (859) 759-7973 Fax: (859) 759-8710 00 Yrs/99 Yrs www.kmart.com Mason Family Drug Provider ID: TPV1832244-00 912 Kenton Station DR Maysville, KY 41056 (606) 759-0700 Fax: (606) 759-0708 00 Yrs/99 Yrs www.epicrx.com Medical Arts Pharmacy of Maysville Ky In Provider ID: TPV1809093-00 1 W McDonald Pkwy Maysville, KY 41056 (606) 564-5485 Fax: (606) 564-5403 00 Yrs/99 Yrs RITE AID Provider ID: TPV1818674-00 Rite Aid Pharmacy 03920 03920 1160 US Hwy 68 Maysville, KY 41056 (606) 564-4044 Fax: (606) 564-7488 00 Yrs/99 Yrs www.riteaid.com Walmart Provider ID: TPV1820819-00 Wal-Mart Pharmacy 10-1569 101569 240 Wal-Mart Way Maysville, KY 41056 (606) 759-5050 00 Yrs/99 Yrs www.riteaid.com Maysville OB GYN Family Health Center Ph Provider ID: TPV1830505-00 927 Kenton Station DR Maysville, KY 41056 (606) 759-1189 Fax: (606) 759-0586 00 Yrs/99 Yrs www.riteaid.com kentucky.wellcare.com | 135 05/28/2015 Pharmacy Menifee Retail Frenchburg Pharmacy Inc Provider ID: TPV1823322-00 732 Hwy 36 Frenchburg, KY 40322 (606) 768-6610 Fax: (606) 768-6617 00 Yrs/99 Yrs Menifee County Pharmacy Provider ID: TPV1804740-00 70 Main St Frenchburg, KY 40322 (606) 768-2161 Fax: (606) 768-2877 00 Yrs/99 Yrs www.myleader.com kentucky.wellcare.com | 136 05/28/2015 Pharmacy Morgan Retail Clinic Pharmacy Provider ID: TPV1817002-00 412 Liberty Rd West Liberty, KY 41472 (606) 743-4957 Fax: (606) 743-2187 00 Yrs/99 Yrs www.cvs.com Morgan County Arh Pharmacy 4010 Provider ID: TPV1809978-00 476 Liberty Rd West Liberty, KY 41472 (606) 743-7730 Fax: (606) 743-1662 00 Yrs/99 Yrs Peytons Pharmacy Inc Provider ID: TPV1808736-00 414 Main St West Liberty, KY 41472 (606) 743-3163 Fax: (606) 743-3335 00 Yrs/99 Yrs RITE AID Provider ID: TPV1817723-00 Rite Aid Pharmacy 01770 01770 275 Prestonsburg St West Liberty, KY 41472 (606) 743-3425 Fax: (606) 743-1936 00 Yrs/99 Yrs www.riteaid.com kentucky.wellcare.com | 137 05/28/2015 Pharmacy Rowan Retail Cave Run Pharmacy Provider ID: TPV1812583-00 425 Clinic Dr Morehead, KY 40351 (606) 783-1511 Fax: (606) 783-1847 00 Yrs/99 Yrs Holbrook Drug Provider ID: TPV1833664-00 208 E Main St Morehead, KY 40351 (606) 784-4784 Fax: (606) 784-5858 00 Yrs/99 Yrs www.myleader.com Kroger Provider ID: TPV1826366-00 Kroger Pharmacy 24734 300 Kroger Center Morehead, KY 40351 (606) 783-1476 Fax: (606) 780-9484 00 Yrs/99 Yrs www.kroger.com Total Care Pharmacy 6 Provider ID: TPV1808887-00 234 Medical Circle Morehead, KY 40351 (606) 784-6696 Fax: (606) 780-4554 00 Yrs/99 Yrs www.epicrx.com Total Care Pharmacy 7 Provider ID: TPV1832737-00 206 W Main St Morehead, KY 40351 (606) 784-4491 Fax: (606) 780-0872 00 Yrs/99 Yrs www.myleader.com Walmart Provider ID: TPV1822940-00 Wal-Mart Pharmacy 10-1139 101139 200 Wal-Mart Way Morehead, KY 40351 (606) 784-3266 00 Yrs/99 Yrs www.walmart.com RITE AID Provider ID: TPV1822318-00 Rite Aid Pharmacy 03555 03555 380 W. Main St Morehead, KY 40351 (606) 783-1581 Fax: (606) 780-1331 00 Yrs/99 Yrs www.walmart.com kentucky.wellcare.com | 138 Alternate Languages Index You can find a provider who speaks a different language in this index. First look for the language you need. Then check the specialty and provider name. Arabic Neurology Fakhoury, Toufic MD Nurse Practitioner Calvert, Paula ARNP Furman, Torrie APRN Mattox, Davika APRN Physician Assistant Doty, Casey PA Burmese Endocrinology, Diabetes, Metabolism Yang, Hazel MD Chinese Maternal Fetal Medicine How, Helen MD French Neurology Fakhoury, Toufic MD German Dialysis Dialysis Clinic Inc Durable Medical Equipment Advocate Medical Services, Inc Hindi Family Practice Womack, Glenn MD Licensed Professional Counselor Smith, Amy LPC Cardiology Davis, Brian APRN Dialysis Dialysis Clinic Inc Durable Medical Equipment Advocate Medical Services, Inc Carter Pharmacist Group LLC Fch Home Medical Equipment and Supplies Family Practice Ross, Shawn MD General Dentistry Beadle, Ralph DMD General Surgery Demoya, Jose MD Nephrology Smith, Albert MD Nurse Practitioner Campbell, Leigh APRN Vonderheide, Muna APRN Optometry McCloud, Jason OD Physical Medicine & Rehabilitation Walters, Chadwick DO Tagalog Pediatrics Ymalay, Chito MD Urdu Psychiatry Ali, Rizwan MD Spanish Allergy & Immunology Carias, Katherine MD kentucky.wellcare.com | 139 Specialty Provider At-A-Glance You can find a specific kind of provider in this index. First look for the type of care you need. Then check the county and page number. You can go to that page to get the provider's information. A Allergy & Immunology Boyd Fleming Mason Ambulatory Surgery Center Mason B Fleming Greenup 20 Mason 40 Rowan 46 Clinical Social Work Boyd 91 Community Health Center Bath Lawrence Behavioral Health Counseling Boyd 40 42 46 53 64 81 89 64 Community Mental Health Center Boyd 64 Behavioral Health Facility Bracken 67 Boyd 64 Carter 68 Mason 74 Elliott 69 Fleming 70 C Greenup 71 Cardiology Lawrence 72 Boyd 20, 21, 97 Lewis 73 Carter 38, 106 Mason 74 Fleming 40 Menifee 75 Greenup 42 Morgan 76 Lawrence 43, 114 Robertson 77 Mason 46 Rowan 78 Morgan 52 Rowan 53 Critical Access Hospital Morgan 62 Cardiovascular Surgery Boyd 21 D Dermatology Child Abuse Pediatrics 22 Mason 46 Boyd 42 Rowan 53 Greenup Children With Special Health Care Needs Boyd 97 Rowan 121 Chiropractic Boyd Carter Diagnostic Center Mason Diagnostic Imaging Mason Dialysis 21 Boyd 38 Bracken kentucky.wellcare.com | 140 Carter Lawrence Mason Rowan 85 89 91 95 Durable Medical Equipment Bath Boyd Carter Fleming Lawrence Lewis Mason Morgan Rowan 81 82 85 87 89 90 91 93 95 E Ear, Nose & Throat Boyd Fleming Lawrence Mason Endocrinology, Diabetes, Metabolism Boyd Epsdt Special Services Boyd Carter Elliott Greenup Lawrence Menifee Morgan 91 Rowan 22 40 43 46, 47 22 82, 83 85 86 88 89 92 93 95 F 91 Family Planning Bracken 82 Carter 84 Elliott 84 85 86 Specialty Provider At-A-Glance F - cont. Family Planning - cont. Greenup Lawrence Lewis Mason Menifee Morgan Robertson Rowan Family Practice Bath Boyd Bracken Carter Elliott Fleming Greenup Lawrence Lewis Mason Menifee Morgan Rowan 88 89 90 91 92 93 94 95 1 2, 3, 97, 98 5, 105 6, 106 7, 109 8, 110 9, 112 11 12, 115 13, 117 15 16, 120 17, 18, 121 Federally Qualified Health Center Bath 1 Boyd 3 Bracken 5, 105 Carter 6 Elliott 7 Fleming 8, 87, 110 Greenup 9, 112 Lewis 12, 115 Mason 13, 14, 91 G Gastroenterology Boyd Carter Lawrence Mason Rowan General Dentistry Bath Boyd Bracken Carter Elliott Fleming Greenup Lawrence Lewis Mason Menifee Morgan Rowan General Practice Greenup Lewis Mason General Surgery Boyd Fleming Mason Rowan Gynecology Boyd H Hematology Boyd 37 38 39 40 42 43 45 47 51 52 53, 54 Hospital Boyd Fleming Mason Rowan I Infectious Disease Boyd 24 Infusion Boyd 126 9 Infusion Therapy 12 Boyd 14 Internal Medicine Bath 23, 24 Boyd 40 Bracken 47 Carter 54, 55 Fleming Greenup Lawrence 24 Menifee Morgan Rowan Hematology & Oncology Boyd Greenup Morgan Rowan Home Health Care Boyd Greenup Mason Morgan 22, 23 Rowan 38 43 Hospice 47 Boyd 53 Mason Hospice and Palliative Care 19 Rowan 23 kentucky.wellcare.com | 141 59 60 61 63 83 1 3, 4 5 6 8 10 11 15 16 18 24 L Laboratory Pathology Testing 24 All 80 42 Licensed Clinical Social Worker 52 Boyd 65 55 Lawrence 72 Mason 74 83 Rowan 78 88 Licensed Professional Counselor 91 Boyd 65, 66 93 Fleming 70 95 M 83 Maternal Fetal Medicine 91 Boyd 24 Medical Oncology 55 Boyd Fleming 25 40 Specialty Provider At-A-Glance M - cont. O Mental Health Mason N Neonatal Perinatal Medicine Boyd Nephrology Boyd Lawrence Mason Rowan Neurology Boyd Greenup Mason Morgan Rowan Obstetrics/Gynecology 117 Boyd Fleming Lawrence Lewis 25 Mason Rowan 25 43 47 55 25, 26 42 47 52 55 Neuropsychology Rowan 78 Neurosurgery Boyd 26 Nurse Midwife Mason Menifee Rowan 117 119 121 Nurse Practitioner Bath Boyd Bracken Carter Elliott Fleming Greenup Lawrence Lewis Mason Menifee Morgan Rowan Nutrition Menifee P 96 98, 99, 100, 101 105 106, 107, 108 109 110 112, 113 114 115, 116 117, 118 119 120 121, 122, 123 119 26, 101 40, 41 43 116 14, 47, 118 55, 56 Ophthalmology Boyd Mason Rowan Pain Management Boyd Mason 101 48, 49 Pediatric Cardiology Boyd 32, 33 Pediatric Orthopaedics Rowan 57 26, 27 Pediatric Psychiatry 48 Rowan 78 56 Pediatrics Optician Boyd 4, 33, 101 Mason 48 Carter 6 Fleming 8 Optometry Greenup 10 Boyd 27, 28, 29, 30, 31 Lawrence 11, 44 Carter 38 Mason 14 Fleming 41 Rowan 18, 57 Greenup 42 Lawrence 43, 44 Pedodontics Lewis 45 Boyd 33 Mason 48 Greenup 42 Morgan 52 Physical Medicine & Rehabilitation Rowan 56 Boyd 33, 34 Oral & Maxillofacial Surgery Morgan 52 Boyd 31 Physical Therapy Mason 48 Boyd 101, 102 Rowan 56 Carter 108 Orthodontics Fleming 110, 111 Bath 19 Greenup 113 Mason 48 Lawrence 114 Lewis 90 Orthopaedic Surgery Boyd 31, 32, 101 Physician Assistant Fleming 41 Bath 96 Lawrence 44 Boyd 102, 103, 104 Mason 48 Carter 108 Rowan 57 Elliott 109 Fleming 111 Orthotics & Prosthetics Greenup 113 Boyd 83 Lawrence 114 Mason 91 Mason 118 Rowan 95 Morgan 120 Rowan 123, 124 kentucky.wellcare.com | 142 Specialty Provider At-A-Glance P - cont. Morgan Rowan 137 138 Plastic & Reconstructive Surgery Boyd 34 Rheumatology Boyd Podiatry Boyd Fleming Greenup Lawrence Rowan 34 41 42 44 57 Preventive Medicine Rowan 57 Primary Care Center Boyd 4 Psychiatry Boyd Greenup Lawrence Rowan Psychology Morgan Rowan Pulmonary Disease Boyd Mason Morgan R Radiation Oncology Boyd Mason Rowan Retail Bath Boyd Bracken Carter Elliott Fleming Greenup Lawrence Lewis Mason Menifee 35 Rural Health Center Elliott Menifee Morgan Rowan 7 92 16 95 S Sleep Diagnostic Studies Mason 91 Sleep Medicine Mason 50 66 71 Sports Medicine 72 Boyd 78 Carter T 35 38 76 Thoracic & Cardiovascular Surgery 79 Boyd 35 Mason 50, 118 34, 35 Thoracic Surgery 49 Mason 52 U Urgent Care Center Boyd 35 Carter 49 57 Urology Boyd Lawrence 125 Mason 126, 127 Rowan 128 129 V 130 Vascular Surgery 131 Boyd 132 Rowan 133 134 135 136 50 83 85 35, 36 44 50 57, 58 36, 104 58 kentucky.wellcare.com | 143 Extended Hours Index You can find a provider who has longer office hours in this index. First look for the provider’s name. Then check the county and page number. You can go to that page to get the provider’s office hours. Bath Durable Medical Equipment Bath Hometown Pharmacy Inc Family Practice Robinson, Paula MD Epsdt Special Services Pathways Inc 81 1 Nurse Practitioner Mattox, Davika APRN 96 Orthodontics Durbin, Douglas DMD Garner, Thomas DMD Huang, John DMD 19 19 19 Boyd Cardiology Boyd, Traci APRN Holbrook, Donna APRN Rhodes, Charles MD Chiropractic Dillon, Gary DC Holmes, Jeremiah MD Razak, Muhummad MD Scott, Mark DC Shelton, Charlie DC Swann, Justin DC Family Practice Allen, Laura MD Craig, Ann MD Dobson, Stacy ARNP Estepp, Carolyn ARNP Freeman, Dee APRN Lewis, Matthew DO Nickoson, Ronda APRN Patton, Anna MD Thomas, Thomas APRN Wells, Laura APRN Neonatal Perinatal Medicine 82, 83 Sanders, Lynda MD Volk, Lauze MD General Dentistry 97 Johnson, Edward DMD 97 Jordan-Webb, Christina DMD 20 Hospital Kings Daughters Medical Center 21 Our Lady of Bellefonte Hospital 21 21 21 21 21 2 2 97 97 97 3 98 3 98 98 23 23 59 59 Infectious Disease Villafuerta, Patrick MD 24 Infusion Therapy Infusion Solutions 83 Internal Medicine 3 64 Domingo, Maria MD Community Mental Health Center Licensed Clinical Social Worker 65 Pathways Inc 64 Krivchenia, Paula LCSW Clinical Social Work Huff, Lisa LCSW Dialysis BMA Ashland FMC Central Ashland Durable Medical Equipment Infusion Solutions Licensed Professional Counselor 65 82 Dennis, Lakeisha LPC Hill, Jenna LPC 65 82 Maddox, Paula LPC 65 Simpson, Cassandra LPC 65 82 Smith, Amy LPC 65 Vance, Terry LPC 65 Wilks, Jessica LPC 66 kentucky.wellcare.com | 144 Nurse Practitioner Bayes, Anna APRN Cordle, Rachel APRN Hensley, Matthew APRN Hill, Evie APRN Mollineaux, John APRN Mosbey, Mary APRN Ramey Jr, Donald APRN Sargent, Emily APRN Optometry Adkins, Tiffany OD Ahmad, Bilal OD Beauchamp, Johnathan OD Bowling, Aja OD Bowling, Joseph OD Brumit, Michael OD Buckner, James OD Burt, Kevin OD Busey, Lannie OD Case, Michael OD Coleman, Justin OD Cora, Eduardo OD Crockett, Jason OD Edling, Marie OD Eger, Michael OD Ficarra, Anthony OD Fleshman, Todd OD Gersh, Richard OD Glenn, Jason OD Green, Rebecca OD Henderson, Richard OD Johnson, Douglas OD Klutts, Fred OD Lawrence, Stephen OD Leadingham, William OD 25 25 98 99 99 99 99 100 100 100 27 27 27 27 28 28 28 28 28 28 28 28 28 28 28 28 28 28 29 29 29 29 29 29 29 Extended Hours Index Boyd - cont. Optometry - cont. Love, Marcus OD Luckett, James OD Lynn, Mark OD Lysandrou, Aristotle OD Maroudis, Phillip OD Meyer, Victor OD Montalvo, Noemi OD Morton, John OD Nagatoshi, Raymond OD Nolan-Rose, Laura OD Oliver, Heather OD Omar, Rashid OD Partain, Jeffrey OD Price, Martin OD Pulliam, Mark OD Robertson, Paul OD Rogers, Brian OD Rubesh, Grant OD Salee, Sarah OD Smith, Stephen OD Snead, Kevin OD Souleyrette, Dale OD Spear, Steven OD Stanis, Carl OD Tabassi, Bita OD Taylor, Terri OD Wolf, Nicholas OD Conley, Jodi PA Ervin, Sarah PA 29 29 29 29 29 30 30 30 30 30 30 30 30 30 30 30 30 30 31 31 31 31 31 31 31 31 31 Pediatrics Belcher, Barry DO Sanders, Lynda MD 4 33 Pedodontics Mussetter, Nancy DMD 33 Physical Therapy Blackston, Jeremy PT Castle, Ashley PT Castle, Paul PT Gunning, Christopher PT Isaac, Joseph PT Jones, Lauren PT Mabry, Callie PT Schwind, Julie PT 102 102 102 102 102 102 102 102 Physician Assistant Bradley, Laura PA 102 102 Dialysis 103 FMC Grayson Psychiatry Davenport, Lana MD Eze, Emmanuel MD Parikh, Manish MD Durable Medical Equipment 66 Carter Pharmacist Group LLC 66 Grayson Family Drug 66 Epsdt Special Services Urgent Care Center Pathways Inc Kdmc Urgent Care 83 Family Practice Bracken Freeman, Dee APRN Community Mental Health Center Stepp, Dara DO Comprehend Inc 67 Thomas, Thomas APRN Family Practice Bailey, Betsy MD Gore, Denise APRN Guttman, Nancy MD Morris, James MD Neus, Steven MD Nurse Practitioner Cordle, Rachel APRN Freeman, Dee APRN Hensley, Matthew APRN Mollineaux, John APRN Mosbey, Mary APRN Ramey Jr, Donald APRN Federally Qualified Health Center Sargent, Emily APRN Gore, Denise APRN 105 Slone, Leslie ARNP Guttman, Nancy MD 5 Lewis County Primary Care Center Optometry Inc 5 Fannin, Roger OD Meyers, Thomas MD 5 Kee, Anthony OD Neus, Steven MD 5 McCloud, Jason OD West, Mary OD General Dentistry Jefferson, Tara DMD 37 Physical Therapy McCord, Gary DMD 37 Gunning, Christopher PT Mabry, Callie PT Internal Medicine Schwind, Julie PT Meyers, Thomas MD 5 Physician Assistant Nurse Practitioner Elliott, Leslie PA Jones, Tonia APRN 105 Tucker, Dana APRN 105 Urgent Care Center Vonderheide, Muna APRN 105 Kdmc Urgent Care 5 105 5 5 5 Carter 85 85 85 106 6 106 106 107 107 107 107 107 107 107 38 38 38 38 108 108 108 108 85 Elliott Cardiology Boyd, Traci APRN Family Practice 106 Wells, Laura APRN Chiropractic Fischer, John DC 38 109 Fleming Chiropractic Community Mental Health Center Spurlock, Tara DC Pathways Inc 68 kentucky.wellcare.com | 145 85 40 Extended Hours Index Fleming - cont. Nurse Practitioner Community Mental Health Center Sargent, Emily APRN 112 Comprehend Inc 70 Optometry Durable Medical Equipment Brom, James OD 42 Fch Home Medical Equipment and Morris, Richard OD 42 Supplies 87 Total Care Pharmacy 87 Physical Therapy Apts, David PT 113 Family Practice Gunning, Christopher PT 113 Bailey, Betsy MD 8 Mabry, Callie PT 113 Gore, Denise APRN 110 Schwind, Julie PT 113 Poczatek, William APRN 110 Womack, Glenn MD 8 Physician Assistant Caldwell, Sonya PA 113 Federally Qualified Health Center Gore, Denise APRN 110 Lawrence Community Mental Health Center Hospital 72 Fleming County Hospital 60 Pathways Inc Epsdt Special Services Licensed Professional Counselor Toller, Maribeth LPC 70 Pathways Inc Family Planning Nurse Practitioner Vonderheide, Muna APRN 110 Lawrence Co Health Dept Nurse Practitioner Smith, Dana APRN Community Mental Health Center Stewart, Debra ARNP Pathways Inc 71 Optometry Dermatology Desario, Elaine OD Cooper, Carol MD 42 Leadingham, James OD Greenup Epsdt Special Services Pathways Inc Family Practice Canary, Amy PA Freeman, Dee APRN Hall, Luther DO Nickoson, Ronda APRN Thomas, Thomas APRN Wells, Laura APRN Pediatrics 88 Ferrara, Alan MD Styer, Thomas MD 112 112 9 112 112 112 Physical Therapy Blackston, Jeremy PT Castle, Ashley PT Castle, Paul PT Isaac, Joseph PT Jones, Lauren PT Federally Qualified Health Center Physician Assistant Canary, Amy PA 112 Williams, Pete PA General Dentistry Callihan, R Brooks DMD Wagner, Robert DMD Durable Medical Equipment Osman Pharmacy 90 Family Practice Bailey, Betsy MD Barcelona, Ramon MD Fairchild, Mark PA Moss, Kelly MD Tingue-Poczatek, Patti MD 12 12 115 12 12 Federally Qualified Health Center Barcelona, Ramon MD 12 Fairchild, Mark PA 115 Lewis County Primary Care Center Inc 12 Stevenson, Grant MD 12 Tingue-Poczatek, Patti MD 12 General Practice Stevenson, Grant MD 89 Nurse Practitioner Hainline, Terrilee APRN Vonderheide, Muna APRN 89 Obstetrics/Gynecology Webb, Gwen APRN 114 114 Mason Allergy & Immunology 43 Wise, Marshall MD 44 Chiropractic Bettinger, Sara DC 11 Horsley, Sarah DC 44 Sargent, Timothy DC Taylor, Landon DC 114 114 114 114 114 114 12 115 115, 116 116 46 46 46 46 46 Community Mental Health Center Comprehend Inc 74 Dialysis Dialysis Clinic Inc Maysville Dialysis Ear, Nose & Throat Conrad, Paul MD 91 91 46, 47 Lewis Family Practice 42 Community Mental Health Center Bailey, Betsy MD 42 Comprehend Inc 73 Grosser, Timothy MD Guttman, Nancy MD kentucky.wellcare.com | 146 13 13 13 Extended Hours Index Mason - cont. Family Practice - cont. Keef, Kimberly PA Menifee Internal Medicine 117 Kassis, Taufik MD Federally Qualified Health Center Doty, David DO 91 Gillis, Anne DO 13 Grosser, Timothy MD 13 Guttman, Nancy MD 13 Lewis County Primary Care Center Inc 14 Wilson, Donald MD 91 Nurse Practitioner Auxier, Stephanie APRN Calvert, Paula ARNP Mattox, Davika APRN Critical Access Hospital Morgan Co Arh Hospital Physician Assistant 47 Davis, L PA General Practice Gillis, Anne DO 14 Mental Health Weber, Deborah LCSW 117 Obstetrics/Gynecology Doty, David DO Tucker, Dana APRN Wilson, Donald MD Optician Bradley, Adam Ldo Peck, Irving Ldo Peck, Joyce Ldo Optometry Sherman, Keith OD Taylor, Gregory OD 122 122 15 Physician Assistant Bromagen, Kimberly PA 123 119 119 119 Morgan General Dentistry Adams, James DMD Nurse Practitioner Campbell, Leigh APRN Tucker, Dana APRN Vonderheide, Muna APRN Standafer, Glen APRN Walters, Michele APRN 62 120 Robertson Community Mental Health Center Comprehend Inc 77 Rowan Chiropractic 117 O'Brien, Timothy DC 117 Potts, Justin DC 117, 118 Spurlock, Tara DC 53 53 53 Community Mental Health Center 47 Pathways Inc 78 118 47 Dialysis BMA Morehead 95 48 Durable Medical Equipment 48 Family Health Clinic Inc 95 48 Rowan Pharmacist Group Inc DBA Total Car 95 48 Epsdt Special Services 48 Pathways Inc 95 Pain Management Kerschner, Magdalena MD Hospital 49 St Claire Reg Med Center 63 Pediatrics Coleman, Gary MD Keeton, Casey MD Licensed Clinical Social Worker 14 Johnson, Jennifer LCSW 78 14 Nurse Practitioner Back, Natalie APRN 121 49 Caric, Mary APRN 121 Duncan, Jessica APRN 121 Leuenberger, Timothy APRN 122 Pulmonary Disease Wooten, Sally MD kentucky.wellcare.com | 147 Provider Index Numerics 12th Street Covington Dialysis Bacon, William MD 8 84 Badger, Brian MD 18 Bailey, Betsy MD 5, 8, 9, 12, 13 A Bailey, Brian DPM 34, 82 Abbott, Lesley DO 9 52 Abney, Kristeena PA 123 Bailey, Jeffrey DMD Bailey, Samuel MD 52 Abul Khoudoud, Omran MD 36 25 Abul-Khoudoud, Mohamed MD 34 Bajorek, Joseph MD Baker, Gregory MD 22 Adams, James DMD 47 38 Adams, Melissa APRN 121 Baker, Randall DMD Baker, Robert DMD 42 Adkins, Alicia DMD 47 3 Adkins, Henry MD 6 Baldock, Kimberly MD Baldwin, Lauren MD 55 Adkins, Tiffany OD 27 123 Advocate Medical Services, Inc 82 Ballard, Peggy PA Barcelona, Ramon MD 12 Ahmad, Bilal OD 27 2 Ahmed, Mushtaque MD 3 Barker McCoy, Lisa MD Barker, Katrina APRN 106 Akhtar, Naeem MD 66 78 Alhalbouni, Saadi MD 36 Barnett, Carol LCSW Barrett, William MD 47 Ali, Rizwan MD 72 22 Aliff, Susan APRN 98 Bascom, Cheryl MD Bath County Health Center 81 Allen, Laura MD 2 1 Alqaisi, Abeer MD 55 Bath County Medical Clinic Bath Hometown Pharmacy 125 Amedisys Home Health Care -Ashland 83 Bath Hometown Pharmacy Inc 81 35 Anderson, Virginia LPC 65 Batoo, Sameer MD Ansinelli, Debra APRN 97, 114 Bausch Blevins, Emily DMD 51, 53 98 Ansinelli, Richard MD 20, 43 Bayes, Anna APRN 23 Applegate, Amanda MD 8 Beadle, Ralph DMD Beauchamp, Johnathan OD 27 Apts, David PT 101, 108, 113 4 Arnett, Larry DMD 53 Belcher, Barry DO Bell, Harry MD 33 Arnett, Shelia DMD 45, 53 Arnold, James DO 18 Bellefonte Home Health Care 83 Arora, Robin MD 43 Agency 45 Asbury, Leslie MD 46 Bertram, Louis OD Bettinger, Sara DC 46 Ashfaq, Muhammad MD 78 54 Ashland Bellefonte Cancer Center Betzing, Chassity DMD Bharadia, Mohamed OD 27 126 25 Ashland Childrens Clinic PSC 126 Bhasin, Pramit MD Binion, Miranda MD 6 Ashland Prosthetics And Orthotic 18 Service 82 Birdwhistell, Matthew DO Black, Ashley APRN 117 Atkins, Jennifer PA 113 56 Auxier, Stephanie APRN 96, 119 Blackburn, Peter MD Blackston, Jeremy PT 102, 114 Awosika, Idowu OD 48 Blaine Elementary School 89 B Blair, Donald MD 17 Back, Natalie APRN 121 Blandford, David MD 48 Back, Natalie ARNP 106, 121 Blevins, Marshall MD 3 Bacon, Matthew MD 57 Bloomer, Joanna APRN 98 kentucky.wellcare.com | 148 BMA Ashland 82 BMA Morehead 95 Bolden, Donna MD 4 Bond, John MD 2 Bond, Stacy APRN 97 Borst III, George MD 22 Bowling, Aja OD 27 Bowling, Joseph OD 28, 43 Boyd County Pharmacy 126 Boyd, Michael MD 8 Boyd, Traci APRN 97, 106 Bracken Co Health Dept 84 Bradley, Adam Ldo 48 Bradley, Laura PA 102 Brinkman, Jon DO 22 Brom, James OD 42 Bromagen, Kimberly PA 96, 123 Bronstein, Eric MD 21 Brown, David APRN 117 Brown, Kelli MD 10 Brown, Sabrina ARNP 98 Brown, Tricia ARNP 98 Brumit, Michael OD 28 Buckner, James OD 28 Buckner, Kimberly DMD 39 Buffalo Trace Childrens Advocacy Center 46 Bullock, Smitha MD 32, 33 Burns, John DMD 47 Burrows, Craig MD 17 Burt, Kevin OD 28 Burton, Jay MD 54 Busey, Lannie OD 28 Bush, David MD 20, 38 C Caldwell, Sonya PA 113 Caldwellmccomas, Colleen LPC 65 Callihan, R Brooks DMD 42 Calvert, Paula ARNP 96, 119 Campbell, Leigh APRN 117, 121 Campbell, Sarah APRN 110 Canary, Amy PA 112, 115 Cantrell, Mary CP 76 Canty, Michael MD 22 Cao, Luyen MD 16 Carew, Molly ARNP 109, 121 Carey, Daniel DC 42 Provider Index C - cont. Carias, Katherine MD 20 Caric, Mary APRN 96, 106, 109, 119, 121 Carter County Health Center 85 Carter Pharmacist Group LLC 85 Carter, Carrie PA 111 Carter, Lee Ann APRN 101 Case, Michael OD 28 Cassity, Abbe DO 2 Castle, Ashley PT 102, 114 Castle, Paul PT 102, 114 Caudill Jr, Michael PT 110 Cave Run Pharmacy 138 Chadwick, Deborah MD 23 Challappa, Krishnan MD 42 Chapman, Jessica CNP 65 Chattha, Anup MD 41 Chenthilmurugan, Hemadevi MD 48 Cheung, Felix MD 31 Chopra, Sonia MD 35 Christian, Kristina MD 10 Clark, Ann MD 26 Clayton, Clarence DPM 57 Clinic Pharmacy 137 Colbert, Ann MD 55 Cole, Matthew MD 26 Coleman, Gary MD 14 Coleman, Justin OD 28 Combs, Kyle APRN 98 Commission For Children With Special 97, 121 Community Family Clinic PLLC 92 Community Hospice Inc 83 Community Hospice Pharmacy 126 Comprehend Inc 67, 70, 73, 74, 77 Conley, Amy MD 1, 17 Conley, Jodi PA 102 Conrad, Paul MD 40, 46, 47 Conrotto, Steven MD 16 Cook, Cheryl MD 4 Cooper, Carol MD 22, 42 Cora, Eduardo OD 28 Cordle, Rachel APRN 99, 106 Counselors Clinical Cottage 64 Cox, Elizabeth APRN 117 Cox, Thadis MD Crager, Lucinda APRN Craig, Ann MD Crawford, Rhonda ARNP Crockett, Jason OD Crouse, Charles MD Cruser, Marc MD Crytzer, Jessica APRN Culbertson, Lisa PA Cunningham, Heather PA Cuthrell, William MD CVS 53 120 2 109 28 57 78 110 102 103 26 126, 132 D Dalton, James PA 103, 108 Damron, Stephen MD 18 Davenport, Lana MD 66 Davis, Brian APRN 97, 99 Davis, L PA 120 Davis, Melissa MD 2 Day, Courtney PA 123 Dean, Lisa DMD 42 Deans Pharmacy Inc 128 Defade, Brian DO 35 Deitch, S MD 42 Demoya, Jose MD 40 Dennis, Lakeisha LPC 65 Dennison, J MD 50 Dennison, J Randall MD 50 Desai, Jignesh MD 16 Desario, Elaine OD 43 Detherage, James MD 2, 17 Dialysis Clinic Inc 91 Dickerson, Jeffery MD 49, 91 Dickerson, Jeffrey MD 49, 50 Dillon, Gary DC 21 Discount Drug Mart Inc 130 Ditty, Jack MD 22 Dixon, Justin MD 35 Dixon, Timothy MD 36 Dobson, Stacy APRN 99 Dobson, Stacy ARNP 97 Domingo, Maria MD 3 Doshi, Palak DO 43 Dotson, Tony DO 26 Doty, Casey PA 103 Doty, David DO 40, 47, 87, 91 Dowdy, Phillip DPM 34 kentucky.wellcare.com | 149 Dunaway, Hannah APRN 96, 119 Dunaway, Michael MD 8 Duncan, Jessica APRN 96, 106, 109, 119, 121 Durbin, Douglas DMD 19 Dykhuizen, Matthew MD 26 E Eastridge, Crystal APRN 114 Edling, Marie OD 28 Egel, James MD 25 Eger, Michael OD 28 Ehrie, Michael MD 34 Elkins-Smith, Melinda MD 2 Elliott County Health Center 86 Elliott, James OD 28 Elliott, Leslie PA 108, 109 Ellis, Laura MD 17 Epling, Christopher DO 20 Epling, Kimberly OD 28 Ervin, Sarah PA 103 Estepp, Carolyn ARNP 97 Evans, Bryant OD 56 Evans, Johannes MD 56 Eyecare Network LTD 91 Eze, Emmanuel MD 66 F Fagbemi, Ruth MD 1, 15 Fairchild, Mark PA 115 Fakhoury, Toufic MD 26 Family Discount Drugs 125 Family Health Clinic Inc 95 Fannin, Roger OD 38 Farkas, Erin APRN 121 Faughn, Laura MD 1 Fch Home Medical Equipment and Supplies 87 Feddock, Jonathan MD 49, 57 Fennell, Christopher MD 78 Ferrara, Alan MD 11 Ficarra, Anthony OD 28 Fields, Larry MD 2 Fischer, John DC 38 Fleming County Hospital 60 Flemingsburg Family Health Center Pharma 131 Fleshman, Todd OD 28 Provider Index F - cont. Fletcher, Wtynetta APRN 121 Fletcher, Wynetta APRN 122 Flowers, Richard PA 103 FMC Central Ashland 82 FMC Grayson 85 Ford, Jason MD 4 Ford, Richard MD 26 Forester, Corey MD 55 Fossett, Ralph MD 57 Fouch, Brandy MD 18 Fraser, Claire MD 26, 56 Frazier, Joseph DMD 23 Frazier, Thomas MD 43 Frederick Medical Clinic PSC 16 Frederick, Angela DMD 54 Frederick, Melissa APRN 120 Fredericks, Tricia MD 55 Freeman, Dee APRN 97, 106, 107, 109, 112 Frenchburg Pharmacy Inc 136 Friday, Michele MD 32 Fried, Robert MD 35 Fugate, Lisa DO 2 Furman, Torrie APRN 96, 119 G Gallahers Pharmacy 126 Garcia Labarbera, Anna LCSW 78 Gardner, Jennie APRN 96 Garner, Thomas DMD 19 Gateway Childrens Advocacy Center 53 Gehring, Samuel MD 8 Gersh, Richard OD 28 Gharad, Salahadin MD 52, 53 Giangarra, Charles MD 31 Gill, Shaheen MD 18 Gilliland, Charles MD 35, 38 Gillis, Anne DO 13, 14 Glenn, Jason OD 29 Goebel, David MD 24, 25 Goldstein, Lisa MD 1, 7, 17 Goodwin, Michael MD 31 Gore, Denise APRN 105, 110 Gosnell, Allison APRN 99 Graham, David DMD 51, 54 Grandison, Garfield MD 22 Gray, Nina MD Grayson Family Drug Green, Kimberly APRN Green, Rebecca OD Greenberg, Eugene MD Greene, Cindra APRN Greenup County Health Department Griffin, Julie PA Griffith, Lauren PA Griswold, Misty LPC Gross, John MD Grosser, Timothy MD Gulley, Anita APRN Gunnell, Leigh DMD Gunning, Christopher PT Gupta, Sanjiv MD Gussler, Carter MD Guttman, Nancy MD 5 85, 129 99, 101 29 57, 58 107, 122 88 103 65 65 26 13 122 52 102, 108, 113 4, 6 27 5, 13 H Hainline, Terrilee APRN 115 Hall, Luther DO 9 Hall, Terri APRN 97 Halpin, Dermot MD 50 Hamlin, Larry DMD 19 Hammonds, Donald DO 25 Hand of Hope 64 Handshoe, Ron PT 110 Hanger Pros and Orth East Inc 83 Hanger Prosthetics & Orthotics Inc 82 Hannah, Rancie MD 2 Harris, Spencer MD 11 Hart, Karen APRN 98 Hart, Timothy MD 2 Hatton, Twana DO 1, 17 Hayswood Home Health 91 Healthy Way Pharmacy 130 Healthy Way Pharmacy Cedarknoll 126 Helton, William MD 43 Henderson, Richard OD 29 Henderson, Robert DMD 52 Henly, Nancy MD 18 Hennan-Hain, Pearl DO 4 Hensley, Matthew APRN 99, 107 kentucky.wellcare.com | 150 Herndon, Donna APRN 97, 106 Hieneman-Connett, Carrie DO 2 Higgins, Eric MD 48 High, Jenna PA 111 Hill, Bonnie APRN 114 Hill, Evie APRN 99 Hill, Jenna LPC 65 Himes, Erin PA 115, 123 Hogge, Rebecca CNM 118 Holbrook Drug 138 Holbrook, Donna APRN 97 Holmes, Gregory MD 6 Holmes, Jeremiah MD 21 Homeside Healthcare Inc 91 Horsley, Sarah DC 46 Horton Brothers and Brown Pharmacy 129 Hospice of Hope Inc 91 Hou, Alexander MD 36 How, Helen MD 24 Howard, Charles DMD 38 Howard, Kevin DO 9 Huang, John DMD 19 Hudson, Gregory MD 10 Huff, Lisa LCSW 64 Hughes, Jennifer DMD 42 Hughes, Patrick APRN 122 Hughes, Patrick ARNP 96, 122 Humkey, Mary Jane MD 17 Hunter, Tracy APRN 101 Hurlburt, Susan PA 103 I Iery, Jerry PA Infusion Solutions Irving, Shelley PA Isaac, Joseph PT Isernhagen, Ricky MD 113 82, 83, 126 123 102, 114 27 J Jaenicke, Kurt MD Jain, Kirti MD Jalalon, Seigfred MD James Medical Equipment, LTD James, Kelsey MD Jamie, Whitney MD Jasko, John MD Jefferson, Tara DMD 26 24 18 89 26 24 32 37 Provider Index J - cont. Jessee, Rae APRN 117 Johnson, Douglas OD 29 Johnson, Edward DMD 23 Johnson, Jennifer LCSW 78 Johnsrude, Christopher MD 32 Jones, Derek DO 3, 17 Jones, John OD 29 Jones, Lauren PT 102, 114 Jones, Timothy MD 23 Jones, Tonia APRN 105 Jonkam, Collette MD 16 Jordan, Kevin DMD 38 Jordan-Webb, Christina DMD 23 Justice, Terry MD 35 Kings Daughters Medical Center 3, 4, 7, 59 Kings Daughters Medical Center Home Health 88 Kirk, Alanna OD 48 Kitchens, John MD 27 Klein, Jeremy MD 11 Klein, Roger MD 20, 38 Kleinman, Mark MD 27 Klutts, Fred OD 29 KMART 129, 135 Koenig, Steven MD 52 Konala, Venu MD 25, 42 Krick, James DO 36 Krivchenia, Paula LCSW 65 Kroger 126, 135, 138 K 49, 57 Kahloon, Mansha MD 52, 53 Kudrimoti, Mahesh MD Kumler III, William MD 48 Kalb, Kent DMD 40 Kaltenback, Jeremy PA 103 L Karmy, Robert MD 55 Labarbera, Frank MD 56 Kasey, John DO 25 Labcorp 80 Kassis, Taufik MD 1, 15 Lackey, Phillip MD 34 Kazee, Stephanie LCSW 65 Lacock, James MD 17 Kdmc Urgent Care 83, 85 Lance, Scott MD 66, 71 Keating, Abram APRN 117 Landfield, Alexander MD 47 Kee, Anthony OD 38 Laudenbach, Bonnie MD 24 Keef, Kimberly PA 117 Lawentmann, Maggie DO 9 Keeton, Casey MD 14 Lawentmann, Maggie MD 9 Keihanian, Mana MD 43 Lawrence Co Health Dept 89 Keller, Bradley MD 32 Lawrence, Stephen OD 29 Kendall, Jonathan MD 25, 55 Lawson, Victor MD 40 Kenney Orthopedics of Morehead Leadingham, James OD 44 LLC 95 Leadingham, John OD 29 Kerr, Sylvia APRN 117 Leadingham, William OD 29 Kerschner, Magdalena MD 49 Leahy, Ryan MD 32, 33 Kessler, Shasta APRN 122 Leith, Joseph MD 32 Keys, Steven MD 10 Leuenberger, Timothy APRN 122 Khanna, Ashok MD 4 Lewis Co Health Dept 90 Kidd, Brent DMD 54 Lewis County Primary Care Center Kim, Edward MD 32 Inc 5, 12, 14 Kincaid, Crystal DPM 41 Lewis County Primary Care Cntr King, Diana APRN 97 Pharmacy 134 King, Malcolm MD 3 Lewis, Angela DO 9 Kings Daughters Family Pharmacy Lewis, Matthew DO 3 126 Lewis, Steven PT 110 Kings Daughters Home Health 83 Lierl, Jerry MD 46 Light, Michael MD 72 kentucky.wellcare.com | 151 Lim, Allen MD Lincare Inc Listerman, Jennifer MD Lobach, Augustinus MD Lockard, Jerry DO Lohman, Eric MD Lopez, Jeffrey MD Louisa Dialysis Louisa Drug Store Love, Marcus OD Love, Thomas MD Loy, Carroll DMD Lucas, Sarah ARNP Luckett, James OD Lye, Adam MD Lykins, Wendy APRN Lynch, Joan MD Lynn, Mark OD Lysandrou, Aristotle OD 55 95 20 9 25 46 35 89 133 29 32 54 99 29 55 120 20 29 29 M Mabry, Callie PT 102, 108, 113 Maddox, Libbia PA 103 Maddox, Paula LPC 65 Marashdeh, Mohammad MD 52, 53 Markesbery, Harold MD 5 Maroudis, Phillip OD 29 Maroudis, Socrates OD 30 Marshall, Jennifer APRN 99 Marshall, Patrica APRN 107 Marshall, Patricia APRN 99 Martin Jr, James MD 23 Martin, Debra APRN 99 Mason County Health Center 91 Mason Family Drug 135 Massie, Melba PA 103, 108 Matera, Elizabeth MD 1 Matta, Jyothi MD 32, 33 Mattox, Davika APRN 96, 119 Mayer, Jerry DMD 31 Maynard, Jonathan MD 4, 6 Mayo, Anthony OD 56 Mays, Lucille ARNP 122 Mays, Ronald DMD 45 Maysville Diagnostic Center LLC 91 Maysville Dialysis 91 Maysville OB GYN Family Health Center Ph 135 Provider Index M - cont. Maze, Matthew APRN 104 McCloud, Jason OD 38 McCord, Gary DMD 37 McCormick, Kelli LPC 65 McCreary, Chad DO 11 McDonald Pharmacy 132 McGarry, Ronald MD 49 McHugh, Robert OD 56 McKain, Christine MD 12 McLoney, Douglas DMD 54 McMeans Pharmacy 126 Meadows, Rockford MD 3, 6 Meadowview Reg Med Center 61 Med Care Pharmacy LLC 4 126 Medi Home Care-Boyd 85, 89 Medical Arts Pharmacy of Maysville Ky In 135 Medical Plaza Pharmacy 126 Medicine Cabinet Pharmacy 129 Meece, Paul PA 118 Mehari, Enawgaw MD 52, 55 Melahn, William MD 1, 6, 7, 17 Menezes, Karem MD 4, 6 Menifee County Health Center 92 Menifee County Medical Clinic 92 Menifee County Pharmacy 136 Meritt, Frances CNM 119, 121 Meyer, Victor OD 30 Meyers, Shanna APRN 110 Meyers, Thomas MD 5 Miller, Jeremiah DO 3 Miller, John MD 23 Miller, Lauren DO 3 Minix, Jr, Micheal MD 48 Modi, Navita MD 26 Mollineaux, John APRN 99, 107 Montague, Charles DMD 23 Montalvo, Noemi OD 30 Moore, Bradley DO 16 Moore, Carolyn MD 6, 17 Moore, Greg MD 22 Morgan Co Arh Home Health Agency 93 Morgan Co Arh Hospital 62 Morgan County Arh Pharmacy 4010 137 Morgan County Health Center 93 Morris, James MD 5 Morris, Joseph MD 13 Morris, Richard OD 42 Morton, John OD 30 Mosbey, Mary APRN 100, 107 Moss, Kelly MD 12 Muha, Kevin OD 56 Mullins, Lauren APRN 96, 119 Murillo, Anna MD 24 Murray, Michelle DPM 42, 44 Mussetter, Nancy DMD 33 Mustafa, Nowwar MD 52, 53 N Nagatoshi, Raymond OD 30 National Prosthetics and Orthotics Inc 91 Naylor, Rachel DMD 48 Neal, Ashley MD 32 Nelson, Scott MD 34 Neus, Steven MD 5 New Hope 74 Newcomb, Oliver MD 58 Newsome, Kimberly APRN 100 Nickell, Joel OD 52, 56 Nickoson, Ronda APRN 98, 112 Nobles Pharmacy 1 134 Nolan-Rose, Laura OD 30 Novotny, Steven MD 32 O Oakley, Maurice MD 27 O'Brien, Timothy DC 53 O'Cull, John DMD 45 O'Kelly, Christine APRN 122 O'Laughlin, Robert MD 35 Oliver, Garry DMD 39 Oliver, Heather OD 30 Oloworaran, Ayobola MD 66 Olzeski, Samantha DO 14 Omar, Rashid OD 30 Omnicare of Ashland 126 Osman Pharmacy 90, 134 Our Lady of Bellefonte Hospital 59 Our Lady of Bellefonte Hospital Durable 82 Overbee, Casey PT 111 kentucky.wellcare.com | 152 Owingsville Drug Store 125 P Pandya, Dhruv MD 34 Parikh, Manish MD 66, 71 Parker, Alissa APRN 100, 112 Partain, Jeffrey OD 30 Pate, Christen PT 111 Patel, Pushpa MD 49, 57 Patel, Shilpan MD 16 Patel, Ushma MD 34 Pathways Inc 64, 68, 69, 71, 72, 75, 76, 78, 82, 83, 85, 86, 88, 89, 92, 93, 95 Patton, Anna MD 3 Patton, Mitchell DMD 54 Pearce, Ronald OD 30 Peck, Irving Ldo 48 Peck, Joyce Ldo 48 Pennington, Lisa PA 113 Perkins, Thomas DMD 40 Perry, Alisha PA 123 Perry, Jacob MD 54 Perry, James APRN 122 Peytons Pharmacy Inc 137 Phillips, Mary MD 55 Pinson, Abigail LCSW 72 Poczatek, William APRN 110 Pope-Burns, Sally DMD 47 Porter, Sarah DO 12 Potter, Elizabeth APRN 120 Potter, John MD 4 Potts, Justin DC 53 Powell, James MD 26 Prabhu, Pramod MD 49 Prasad, Yogendra MD 20 Prater, Bryan MD 48 Pratt, Michael DMD 54 Prescott, Daniel MD 27 Presley, Robin PA 103 Pretorius, Richard MD 16 Price, Martin OD 30 Professional Care Pharmacy 134 Proudfoot, Richard MD 55 Pulliam, Mark OD 30 Purkiss, Todd MD 27 Provider Index Q Querubin Jr, Jesus MD Quest Diagnostics 10 80 R Ramey Jr, Donald APRN 100, 107 Ramey, Amanda DO 17 Randall, Marcus MD 49, 57 Ravencraft, James PA 103, 108 Razak, Muhummad MD 21 Reams, Mary MD 27 Reams, Robin MD 49, 57 Reynolds Pharmacy 128 Reynolds, Taneesha APRN 115 Rhinehart, Ashley APRN 100 Rhodes, Charles MD 20 Rice, James MD 32 Richard, John MD 1 Rishel, Lacinda PA 123 RITE AID 127, 129, 132, 133, 135, 137, 138 Rite Value Pharmacy 133 Riverview Pharmacy 133 Roberts, Keith OD 30 Roberts, Sabrina MD 34 Robertson County Health Department 94 Robertson, Paul OD 30 Robinson, Paula MD 1 Rogers, Brian OD 30 Rogers, William MD 34 Rollins, James MD 41 Rone, Bryan MD 56 Ross, Shawn MD 13 Ross, Terence MD 20 Ross, Terrance MD 21 Rowan Co Health Dept Msu Clinic Counshea 95 Rowan Co Middle School 57 Rowan Pharmacist Group Inc DBA Total Car 95 Rowe, Kristina ARNP 100 Rubesh, Grant OD 30 Rucker, Dreama MD 15, 17, 18 Rudd, Amber APRN 121 Ruggles, William ARNP 112 Ryan, James APRN 112 S S and N Medical Solutions LLC 82 Salee, Sarah OD 31 Saleh, Ehab MD 44 Salem, Galena MD 24 Saltz, Bryan MD 3 Salyers, Laura MD 78 Sammons, Charles DDS 43 Samuel, Mathew MD 35 Sanders, Lynda MD 25, 33 Sanjiv Gupta MD PSC 85 Sargent, Emily APRN 100, 107, 112 Sargent, Maria ARNP 107 Sargent, Timothy DC 46 Saroch, Sandeep MD 66 Schaefer, Cynthia APRN 117 Schneider, Cynthia MD 57 Schwind, Julie PT 102, 108, 113 Scott, Edward MD 18 Scott, Mark DC 21 Sedghi, Yabiz MD 21 See, Ashley APRN 114 Sellitti, Marguerite MD 49 Sergent, Susan PA 104 Settle, Emily DMD 54 Settles, Diane MD 22 Shay, Karen DMD 54 Shelton, Charlie DC 21 Shelton, Ronnie DMD 23 Sheppard, Christina APRN 100 Sherman, Keith OD 41, 48 Shields, Kari MD 6 Short, Karen APRN 114 Short, William MD 3 Shower, Laura MD 40, 47, 91 Sieweke, Amy APRN 100, 107 Sikorska, Miroslawa MD 18 Simpson, Cassandra LPC 65 Sims, Chelsey APRN 100 Slone, Leslie ARNP 107, 109 Smith, Albert MD 55 Smith, Amy LPC 65 Smith, Ballard DMD 48, 56 Smith, Dana APRN 114 Smith, Earl DMD 23 Smith, Stephen OD 31 Snead, Kevin OD 31 kentucky.wellcare.com | 153 Sobczyk, Walter MD 33 Solter, Kathleen APRN 122 Souleyrette, Dale OD 31 Spady, Richard MD 47 Sparks, Joshua MD 33 Spear, Steven OD 31 Spence, Philip DO 52 Spence, Phillip DO 52 Spencer, Audrey MD 13 Sperry, Joel LPC 65 Spradlin, Glenn DMD 33 Spruiell, Lawson OD 56 Spurlock, Tara DC 40, 53 Spurlock, William DC 40, 53 Srinivasan, Raghuraman MD 40, 46 St Claire Family Care Clinic 95 St Claire Homecare 95 St Claire Reg Med Center 63 St Claire Regional Fam Me 7 St Claire Regional Family 6 St Claire Regional Family Medical Supply 95 St Elizabeth Physicians Maysville Diagno 91 Stampers Kerns, Dana DC 53 Standafer, Glen APRN 119, 122 Stanis, Carl OD 31 Stanley, Cassie APRN 122 Stark, Gregory MD 35 Steagall, Kelly PA 124 Steele, Harry OD 52, 56 Stepp, Dara DO 6 Stevens, Ishmael MD 4 Stevenson, Grant MD 9, 12 Stewart, David DMD 23 Stewart, Debra ARNP 114 Stickler, Thomas APRN 100, 107, 115 Stone, Thomas MD 27 Strader, Jane MD 9 Strait, Marla APRN 100 Stultz Pharmacy 132 Styer, Thomas MD 44 Swann, Justin DC 21 Sy, Gregory PA 124 Sydnor, Carl OD 31 T Tabassi, Bita OD 31 Provider Index T - cont. Tabb, Thomas MD 26 Tabor, Jennifer APRN 119, 122 Tarabolous, Chad MD 24 Taylor, Gregory OD 41, 48 Taylor, Landon DC 46 Taylor, Terri OD 31 The Body Shop Physical Therapy 90 The Rameyestep Homes 64 The Wright Pharmacy Inc 132 Thomas, Thomas APRN 98, 106, 112 Thorarinsson, Bjorn MD 35 Thorndyke, William MD 36, 44 Thorner, William DMD 23 Tilghman, Craig MD 56 Tingle, Charles DMD 54 Tingue-Poczatek, Patti MD 12 Todd, Rebecca MD 56 Toller, Maribeth LPC 70 Tollesboro Clinic Pharmacy 134 Tompkins Jr, Roderick MD 24 Total Care Pharmacy 87 Total Care Pharmacy 1 131 Total Care Pharmacy 2 2 131 Total Care Pharmacy 6 138 Total Care Pharmacy 7 138 Tucker, Dana APRN 105, 117, 118 U Ultimate Treatment Center 127 Underwood, Zachary DO 3, 6, 9 Unified Psychiatry 64 Unnikrishnan, Edakkunny MD 36 Uy, Edilfavia Mae MD 16 V Van Beneden, William MD Vance, Terry LPC Vanderen, John MD Vanhoose, Anna PA Vanhoose, Daniel PA Vass, Brooke APRN Velury, Sriharsha MD Vermani, Vinay MD Veronneau, Mark DO Vest, Elisabeth LCSW Victor, David MD 22 65 21 104 104 98 21 24, 25 43 64 58 Villafuerta, Patrick MD 24 Virgin, Rae APRN 100 Volk, Lauze MD 25 Vonderheide, Muna APRN 105, 110, 112, 113, 115, 116, 117, 118 Workman, Connie APRN Workman, Marc MD Wozniak, Tanya MD Wright, Lucinda MD 114 11 72 33 Y Yamraj, Bhawan MD Yang, Hazel MD Yates, Brandi DMD Ymalay, Chito MD Young, Rodney PsyD Yount, James PA 1 22 54 10 79 113 W Wagner, Robert DMD 42 Walgreens 126 Walgreens Infusion Services 83 Walmart 127, 133, 135, 138 Walters, Chadwick DO 34 Walters, Michele APRN 122 Z Ward, Ashley PA 124 Zaydan, Muhammad-Ali MD Warrier, Rajkumar MD 23, 38 Zeigler, Adam DO Watts, Leslie ARNP 107, 123 Webb, Brandon DO 11 Webb, Gwen APRN 116 Weber, Deborah LCSW 74, 117 Weber, Nicole APRN 101, 108 Wecare Medical LLC 82 Weigel, Christian MD 18 Weigel, Nancy MD 18 Weller, Donald MD 47 Wellman, Tamara APRN 101 Wells, Laura APRN 98, 106, 109, 112 West Liberty Arh Homecare Store 93 West, Mary OD 38 Wheeler, Timothy MD 24 Whitley, Ashley PA 104 Wilburn, Brenda APRN 123 Wiley, Christa LPC 65 Wilks, Jessica LPC 66 Williams, Pete PA 114 Williams, Sandra APRN 101 Wilson, Donald MD 41, 47, 87, 91 Wise, Marshall MD 40, 46 Wisehart, Maren APRN 101 Wolf, Nicholas OD 31 Womack, Glenn MD 1, 8, 13 Womack, Julia ARNP 96, 110 Womens Center Boutique 82 Wondafrash, Worku MD 16 Woods, William MD 27 Woody, Lloyd DMD 43 Woolums, Carmen PA 118 Wooten, Sally MD 49 kentucky.wellcare.com | 154 40 14 68074 1-877-389-9457 (TTY/TDD 1-877-247-6272) kentucky.wellcare.com
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