2015 kentucky provider directory

Transcription

2015 kentucky provider directory
2015
KENTUCKY
PROVIDER DIRECTORY
Adair, Allen, Barren, Butler, Casey, Clinton, Cumberland, Edmonson,
Green, Hart, Logan, McCreary, Metcalfe, Monroe, Pulaski, Russell,
Simpson, Taylor, Warren, Wayne
KY030521_CAD_PRD_MLT State Approved 12262013
©WellCare 2015 KY_06_15
KYCAD4PD68079M_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
Adair
Allen
Barren
Butler
Casey
Clinton
Cumberland
Edmonson
Green
Hart
Logan
McCreary
Metcalfe
Monroe
Pulaski
Russell
Simpson
Taylor
Warren
Wayne
Specialty Physicians
Adair
Allen
Barren
Butler
Casey
Clinton
Cumberland
Edmonson
1
2
3
7
8
10
11
12
13
14
15
16
17
18
19
22
23
24
26
31
33
36
39
50
52
53
55
56
KYCAD4PD68079M_0615
Table of Contents
List of Plan Providers
Specialty Physicians
Green
Hart
Logan
McCreary
Metcalfe
Monroe
Pulaski
Russell
Simpson
Taylor
Warren
Wayne
Hospitals
Adair
Allen
Barren
Casey
Clinton
Green
Hart
Pulaski
Russell
Simpson
Taylor
Warren
Wayne
Behavioral Health
Adair
Allen
Barren
Butler
Casey
Cumberland
57
58
60
64
66
67
70
82
85
88
96
125
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
Table of Contents
List of Plan Providers
Behavioral Health
Edmonson
Hart
Logan
Metcalfe
Monroe
Pulaski
Russell
Simpson
Taylor
Warren
Wayne
Ancillary Providers
Adair
All
Allen
Barren
Butler
Casey
Clinton
Cumberland
Edmonson
Green
Hart
Logan
McCreary
Metcalfe
Monroe
Pulaski
Russell
Simpson
Taylor
Warren
Wayne
147
148
149
150
151
152
155
156
157
158
165
166
167
168
169
171
172
173
174
175
176
177
178
179
180
181
182
184
185
186
187
189
Table of Contents
List of Plan Providers
Allied Providers
Adair
Allen
Barren
Butler
Casey
Clinton
Cumberland
Edmonson
Green
Hart
Logan
McCreary
Metcalfe
Monroe
Pulaski
Russell
Simpson
Taylor
Warren
Wayne
Pharmacy
Adair
Allen
Barren
Butler
Casey
Clinton
Cumberland
Edmonson
Green
Hart
Logan
McCreary
Metcalfe
190
192
194
199
201
202
203
204
205
206
208
210
212
213
214
222
224
225
228
241
243
244
245
246
247
248
249
250
251
252
253
254
255
Table of Contents
List of Plan Providers
Pharmacy
Monroe
Pulaski
Russell
Simpson
Taylor
Warren
Wayne
256
257
259
260
261
262
264
Indexes
Alternate Languages Index
Specialty Provider At-A-Glance
Extended Hours Index
Provider Index
265
267
273
279
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
Adair
Family Practice
Aaron, Phillip MD
Provider ID: 627671
Gender: Male
Taylor Rural Health LLC
805 Burkesville St
Columbia, KY 42728
(270) 384-1110
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Partin, Gary MD
Provider ID: 712941
Gender: Male
Family First Health Care
363 Office Park Dr
Columbia, KY 42728
(270) 384-3939
Fax: (270) 384-3940
00 Yrs/99 Yrs
Casey County Hospital
M-F 8:00 AM - 5:00 PM
Aaron, Phillip MD
Shipp, Robert MD
Provider ID: 684129
Provider ID: 627670
Gender: Male
Gender: Male
Westlake Family Practice Genesis Enterprises Inc
902 Westlake Dr Ste 101
DBA Family
Columbia, KY 42728
1463 Campbellsville Rd
(270) 384-0451
Columbia, KY 42728
Fax: (270) 384-0454
(270) 384-9934
00 Yrs/99 Yrs
Fax: (270) 384-2823
Taylor County Hospital
00 Yrs/99 Yrs
Westlake Regional
M-F 9:00 AM - 5:00 PM
Hospital
M-F 8:00 AM - 5:00 PM Wilson, Jared MD
Provider ID: 618455
Jones, Sherry MD
Gender: Male
Provider ID: 616316
Westlake Primary Care
Gender: Female
810 Jamestown St
Adair Family Medical
Columbia, KY 42728
Center
(270) 384-4764
937 Campbellville Rd
Fax: (270) 384-5826
Columbia, KY 42728
00 Yrs/99 Yrs
(270) 384-2777
M-F 9:00 AM - 5:00 PM
Fax: (270) 384-2770
00 Yrs/99 Yrs
Federally Qualified
Health Center
M-F 7:30 AM - 6:00 PM
Kiteck, Clinton DO
Provider ID: 595674
Gender: Male
Westlake Primary Care
810 Jamestown St
Columbia, KY 42728
(270) 384-4764
Fax: (270) 384-5826
00 Yrs/99 Yrs
Westlake Regional
Hospital
M-F 9:00 AM - 5:00 PM
Jones, Sherry MD
Provider ID: 616316
Gender: Female
Adair Family Medical
Center
937 Campbellville Rd
Columbia, KY 42728
(270) 384-2777
Fax: (270) 384-2770
00 Yrs/99 Yrs
M-F 7:30 AM - 6:00 PM
General Practice
Seeley, Martha MD
Provider ID: 700441
Gender: Female
Taylor Rural Health
805 Burkesville St
Columbia, KY 42728
(270) 384-1110
00 Yrs/99 Yrs
Taylor County Hospital
M-F 8:00 AM - 6:00 PM
Internal Medicine
Dene, Mary MD
Provider ID: 596087
Gender: Female
Family Medical Center
1463 Campbellsville Rd
Columbia, KY 42728
(270) 384-9934
Fax: (270) 384-2823
12 Yrs/99 Yrs
Taylor County Hospital
M-F 9:00 AM - 5:00 PM
Giles, Charles MD
Provider ID: 615148
Gender: Male
Westlake Regional
Hospital
901 Westlake Dr
Columbia, KY 42728
(270) 384-4753
Fax: (270) 384-5826
00 Yrs/99 Yrs
Casey County Hospital
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 1
Siady, Jesus MD
Provider ID: 595956
Gender: Male
Westlake Primary Care
810 Jamestown St
Columbia, KY 42728
(270) 384-4764
Fax: (270) 384-2828
00 Yrs/99 Yrs
Westlake Regional
Hospital
M-F 8:00 AM - 6:00 PM
Siady, Jesus MD
Provider ID: 670528
Gender: Male
Westlake Primary Care
902 Westlake Dr Ste 101
Columbia, KY 42728
(270) 384-0451
Fax: (270) 384-0454
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Weidler, Donald MD
Provider ID: 712945
Gender: Male
Genesis Enterprises Inc
DBA Family
1463 Campbellsville Rd
Columbia, KY 42728
(270) 384-9934
Fax: (270) 384-2823
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
05/28/2015
Primary Care Physicians
Allen
Family Practice
Lang, Michael DO
Provider ID: 595147
Gender: Male
The Medical Center At
Scottsville
466 Burnley Rd
Scottsville, KY 42164
(270) 618-3700
Fax: (270) 618-3772
00 Yrs/99 Yrs
The Medical Center
M-W 8:30 AM - 5:00 PM
THF 8:30 AM - 12:00 PM
Dils, Grover MD
Provider ID: 627664
Gender: Male
Commonwealth Health
Corporation
217 W Main St
Scottsville, KY 42164
(270) 239-9355
Fax: (270) 239-9356
00 Yrs/99 Yrs
Tristar Greenview
Regional Hospital
M-F 9:00 AM - 5:00 PM
Rubeen, Shafia MD
Provider ID: 964619
Gender: Female
The Medical Center At
Scottsville R
466 Burnley Rd
Scottsville, KY 42164
(270) 618-3700
Fax: (270) 618-3772
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Internal Medicine
Dils, Grover MD
Provider ID: 595927
Gender: Male
The Medical Center At
Scottsville R
466 Burnley Rd
Scottsville, KY 42164
(270) 618-3700
Fax: (270) 618-3772
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 2
05/28/2015
Primary Care Physicians
Barren
Family Practice
Clouse, Richard MD
Combs Royse, Elizabeth Flannery, Anthony MD
DO
Provider ID: 1000018
Bale, Phillip MD
Provider ID: 796010
Provider ID: 595991
Gender: Male
Provider ID: 595984
Gender: Male
T J Samson Primary Care Gender: Female
Gender: Male
Tj
Health
Partners
Tj Health Partners
310 N L Rogers Wells
Graves Gilbert Clinic
Blvd
312 N L Rogers Wells
1008 Glenview Dr
1330 N Race St
Blvd
Glasgow, KY 42141
Glasgow, KY 42141
Glasgow, KY 42141
Glasgow, KY 42141
(270) 659-5865
(270) 651-8185
(270) 629-5111
(270) 651-1111
Fax: (270) 659-5854
Fax: (270) 629-6236
Fax: (270) 629-5115
Fax:
(270)
659-5609
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Tj Samson Community
Tj Samson Community
Tj Samson Community
Hospital
M-F 8:00 AM - 4:30 PM
Hospital
Hospital
M-F 8:00 AM - 4:30 PM
Languages: Spanish
Crews, James MD
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Clouse, Richard MD
Provider ID: 606294
Campbell, Jason MD
Gender: Male
Flannery, Anthony MD
Provider ID: 793478
Provider ID: 594753
James P Crews MD Faafp
Gender: Male
Gender: Male
Provider ID: 639571
207 N Dixie Hwy
Tj Health Partners
Tj Health Partners
Gender: Male
Cave City, KY 42127
312 N L Rogers Wells
312 N L Rogers Wells
T J Samson Primary Care
(270) 773-3736
Blvd
Blvd
310 N L Rogers Wells
Fax: (270) 773-2363
Glasgow, KY 42141
Glasgow, KY 42141
Blvd
01 Yrs/99 Yrs
(270) 651-1111
(270) 651-1111
Glasgow, KY 42141
Caverna Memorial
Fax: (270) 659-5609
Fax: (270) 629-3317
(270) 659-5865
Hospital
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 659-5854
MTTHF 9:00 AM - 4:00
The Medical Center At
Tj Samson Community
PM
00 Yrs/99 Yrs
Scottsville
Hospital
W 9:00 AM - 5:00 PM
Tj Samson Community
Tj Samson Community
M-F 8:00 AM - 5:00 PM
Hospital
Sat 9:00 AM - 12:00 PM
Hospital
Languages: Spanish
M-F 8:00 AM - 5:00 PM Clouse, Richard MD
Fisher, Eric MD
M-F 8:00 AM - 4:30 PM
Provider ID: 1010904
Campbell, Jason MD
Provider ID: 632330
Gilson, Ian MD
Gender: Male
Provider ID: 999991
Gender: Male
Provider ID: 596000
T J Samson Family
Gender: Male
T J Samson Family
Medicine Center
Gender: Male
T J Samson Primary Care Medicine Center
1325 N Race St
Tj Health Partners
310 N L Rogers Wells
1325 N Race St
Glasgow, KY 42141
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
Blvd
(270) 651-4797
Glasgow, KY 42141
(270) 651-4797
Glasgow, KY 42141
Fax: (270) 651-4892
(270) 659-5865
Fax: (270) 651-4818
(270) 651-1111
00 Yrs/99 Yrs
Fax: (270) 659-5854
00 Yrs/99 Yrs
Fax: (270) 659-5851
Tj Samson Community
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hospital
00 Yrs/99 Yrs
The Medical Center At
M-F 8:00 AM - 5:00 PM
Tj Samson Community
Scottsville
Hospital
Tj Samson Community
M-F 8:00 AM - 5:00 PM
Hospital
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 3
05/28/2015
Primary Care Physicians
Barren
Family Practice - cont.
Gilson, Ian MD
Provider ID: 628038
Gender: Male
T J Samson Family
Medicine Center
1325 N Race St
Glasgow, KY 42141
(270) 651-4797
Fax: (270) 651-4818
00 Yrs/99 Yrs
Tj Samson Community
Hospital
M-F 8:00 AM - 5:00 PM
Kiser, Amelia MD
Provider ID: 627678
Gender: Female
T J Samson Family
Medicine Center
1325 N Race St
Glasgow, KY 42141
(270) 651-4797
Fax: (270) 651-4818
00 Yrs/99 Yrs
Tj Samson Community
Hospital
Languages: Spanish
M-F 8:30 AM - 4:30 PM
Manion, Kenny MD
Neuhaus, Linsey MD
Provider ID: 595981
Provider ID: 999999
Gender: Male
Gender: Female
Glasgow Urgent Clinic
T J Samson Primary Care
411 S L Rogers Wells Blvd 310 N L Rogers Wells
Blvd
Glasgow, KY 42141
Glasgow, KY 42141
(270) 651-7796
(270) 659-5865
Fax: (270) 651-7074
Fax: (270) 659-5854
00 Yrs/99 Yrs
00 Yrs/99 Yrs
The Medical Center
Tj Samson Community
Tj Samson Community
Hospital
Hospital
Tristar Greenview
M-F 8:00 AM - 4:30 PM
Regional Hospital
Mallory, Brad MD
M-F 8:00 AM - 8:00 PM Small, Karen MD
Gilson, Ian MD
Provider ID: 630319
Provider ID: 630112
Sat 8:30 AM - 8:00 PM
Provider ID: 999987
Gender: Female
Gender: Male
Gender: Male
Miller, Melenda MD
Tj Health Partners
Tj Health Partners
T J Samson Primary Care 312 N L Rogers Wells
Provider ID: 1000008
312 N L Rogers Wells
310 N L Rogers Wells
Gender:
Female
Blvd
Blvd
Blvd
T
J
Samson
Primary
Care
Glasgow, KY 42141
Glasgow, KY 42141
Glasgow, KY 42141
310 N L Rogers Wells
(270) 651-1111
(270) 651-1111
(270) 659-5865
Blvd
Fax: (270) 629-3317
Fax: (270) 629-3317
Fax: (270) 659-5854
Glasgow,
KY
42141
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(270)
659-5865
M-F 8:00 AM - 5:00 PM
Tj Samson Community
Tj Samson Community
Fax: (270) 659-5854
Hospital
Small, Karen MD
Hospital
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 999994
M-F 8:00 AM - 4:30 PM
Tj Samson Community
Mallory, Brad MD
Gender: Female
Hospital
House, Steven MD
Provider ID: 690871
T J Samson Primary Care
M-F 8:00 AM - 4:30 PM
Provider ID: 627653
Gender: Male
310 N L Rogers Wells
Gender: Male
Blvd
T J Samson Primary Care Neuhaus, Linsey MD
Steven A House MD
Glasgow, KY 42141
310 N L Rogers Wells
1325 N Race St
Provider ID: 667046
Blvd
(270) 659-5865
Glasgow, KY 42141
Gender:
Female
Glasgow, KY 42141
Fax: (270) 659-5854
(270) 651-4797
Tj Health Partners
(270) 659-5865
00 Yrs/99 Yrs
Fax: (270) 651-4818
312 N L Rogers Wells
Fax: (270) 659-5854
Tj Samson Community
Blvd
00 Yrs/99 Yrs
Hospital
00 Yrs/99 Yrs
Glasgow,
KY
42141
Tj Samson Community
M-F 8:00 AM - 4:30 PM
Tj Samson Community
Hospital
(270)
651-1111
Hospital
M-TH 8:00 AM - 4:30 PM M-F 8:00 AM - 4:30 PM
Fax: (270) 629-3317
F 8:00 AM - 12:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 4
05/28/2015
Primary Care Physicians
Barren
Family Practice - cont.
Williams, Roger MD
Provider ID: 1000038
Gender: Male
T J Samson Cave City
Office
400 N Dixie Hwy
Cave City, KY 42127
(270) 773-3737
Fax: (270) 773-3738
00 Yrs/99 Yrs
Caverna Memorial
Hospital
Russell County Hospital
Tj Samson Community
Hospital
M-F 8:00 AM - 4:30 PM
Williams, Roger MD
Provider ID: 595196
Gender: Male
Tj Health Partners
400 N Dixie Hwy
Cave City, KY 42127
(270) 773-3737
Fax: (270) 773-3738
00 Yrs/99 Yrs
Caverna Memorial
Hospital
Tj Samson Community
Hospital
M-F 8:00 AM - 5:00 PM
Wright, Rondal MD
Provider ID: 627397
Gender: Male
T J Samson Family
Medicine Center
1325 N Race St
Glasgow, KY 42141
(270) 651-4797
Fax: (270) 651-4818
00 Yrs/99 Yrs
Tj Samson Community
Hospital
M-F 8:00 AM - 5:00 PM
Internal Medicine
German, David MD
Turner, Charles MD
Provider ID: 999979
Campbell, Alison MD
Provider ID: 716470
Gender: Male
Provider ID: 793473
T J Samson Primary Care Gender: Male
Gender: Female
Tj Health Partners
310 N L Rogers Wells
Tj Health Partners
Blvd
312 N L Rogers Wells
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
Blvd
Glasgow, KY 42141
(270) 659-5865
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 659-5854
(270) 651-1111
Fax: (270) 629-3317
12 Yrs/99 Yrs
Fax: (270) 659-5609
12 Yrs/99 Yrs
Tj Samson Community
12 Yrs/99 Yrs
Hospital
Tj Samson Community
Tj Samson Community
Hospital
M-F 8:00 AM - 4:30 PM
Hospital
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM Norris, Ashley DO
Turner, Charles MD
Provider ID: 667069
Campbell, Alison MD
Provider ID: 999962
Gender: Female
Provider ID: 999558
Gender: Male
Tj Health Partners
Gender: Female
T J Samson Primary Care
312 N L Rogers Wells
T J Samson Primary Care Blvd
310 N L Rogers Wells
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
Blvd
Glasgow, KY 42141
(270) 651-1111
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 629-3317
(270) 659-5865
Fax: (270) 659-5854
12 Yrs/99 Yrs
Fax: (270) 659-5854
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
12 Yrs/99 Yrs
Tj Samson Community
Norris, Ashley DO
Tj Samson Community
Hospital
Hospital
Provider ID: 999949
M-F 8:00 AM - 4:30 PM
M-F 8:00 AM - 4:30 PM
Gender: Female
Pediatrics
T J Samson Primary Care
German, David MD
310 N L Rogers Wells
Brooks, Hazel MD
Provider ID: 749202
Blvd
Provider ID: 616419
Gender: Male
Glasgow, KY 42141
Gender: Female
Tj Health Partners
(270) 659-5865
Gpa Primary Care Center
312 N L Rogers Wells
Fax: (270) 659-5854
Blvd
301 Professional Park Dr
12 Yrs/99 Yrs
Glasgow, KY 42141
Glasgow, KY 42141
Tj Samson Community
(270) 651-1111
(270) 651-9696
Hospital
Fax: (270) 629-3317
Fax: (270) 651-0385
M-F 8:00 AM - 4:30 PM
12 Yrs/99 Yrs
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
M-F 7:30 AM - 5:30 PM
Sat 8:00 AM - 11:00 PM
kentucky.wellcare.com | 5
05/28/2015
Primary Care Physicians
Barren
Pediatrics - cont.
Campbell, Alison MD
Provider ID: 793473
Gender: Female
Tj Health Partners
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 659-5609
12 Yrs/99 Yrs
Tj Samson Community
Hospital
M-F 8:00 AM - 5:00 PM
German, David MD
Provider ID: 749202
Gender: Male
Tj Health Partners
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 629-3317
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Warren, Donna MD
Provider ID: 616421
Gender: Female
Gpa Primary Care Center
301 Professional Park Dr
Glasgow, KY 42141
(270) 651-9696
Fax: (270) 651-0385
00 Yrs/21 Yrs
M-TH 7:30 AM - 5:30 PM
F 7:30 AM - 5:00 PM
German, David MD
Primary Care Center
Provider ID: 999979
Brooks, Hazel MD
Gender: Male
T J Samson Primary Care Provider ID: 616419
Campbell, Alison MD
Gender: Female
310 N L Rogers Wells
Provider ID: 999558
Gpa Primary Care Center
Blvd
Gender: Female
301 Professional Park Dr
Glasgow, KY 42141
T J Samson Primary Care (270) 659-5865
Glasgow, KY 42141
310 N L Rogers Wells
(270) 651-9696
Fax: (270) 659-5854
Blvd
Fax: (270) 651-0385
12 Yrs/99 Yrs
Glasgow, KY 42141
00 Yrs/21 Yrs
Tj Samson Community
(270) 659-5865
M-F 7:30 AM - 5:30 PM
Hospital
Fax: (270) 659-5854
Sat 8:00 AM - 11:00 PM
M-F 8:00 AM - 4:30 PM
12 Yrs/99 Yrs
Dennison, Melissa MD
Moss, Sandra MD
Tj Samson Community
Provider ID: 616420
Hospital
Provider ID: 607890
Gender: Female
M-F 8:00 AM - 4:30 PM
Gender: Male
Sandra Dotson Moss MD Gpa Primary Care Center
Dennison, Melissa MD
301 Professional Park Dr
290 Old Jackson Hwy
Provider ID: 616420
Loop
Glasgow, KY 42141
Gender: Female
Glasgow, KY 42141
(270) 651-9696
Gpa Primary Care Center (270) 678-5740
Fax: (270) 651-0385
301 Professional Park Dr
Fax: (270) 678-4701
00 Yrs/21 Yrs
Glasgow, KY 42141
00 Yrs/18 Yrs
M-F 7:30 AM - 5:30 PM
(270) 651-9696
MTTHF 8:00 AM - 4:30
Sat 8:00 AM - 11:00 PM
Fax: (270) 651-0385
PM
Warren, Donna MD
00 Yrs/21 Yrs
W 8:00 AM - 12:00 PM
Provider ID: 616421
M-F 7:30 AM - 5:30 PM
Gender: Female
Sat 8:00 AM - 11:00 PM
Gpa Primary Care Center
301 Professional Park Dr
Glasgow, KY 42141
(270) 651-9696
Fax: (270) 651-0385
00 Yrs/21 Yrs
M-TH 7:30 AM - 5:30 PM
F 7:30 AM - 5:00 PM
kentucky.wellcare.com | 6
05/28/2015
Primary Care Physicians
Butler
Internal Medicine
Chhabra, Shalini MD
Provider ID: 928728
Gender: Female
Graves Gilbert Clinic
101 Roberts St
Morgantown, KY 42261
(270) 526-3841
Fax: (270) 526-2651
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hammad, Ghayth MD
Provider ID: 626658
Gender: Male
Ghayth M. Hammad, MD
234 W Porter St
Morgantown, KY 42261
(270) 526-9652
Fax: (270) 526-9655
02 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 7
05/28/2015
Primary Care Physicians
Casey
Family Practice
Clark, Jonathan MD
Provider ID: 627498
Gender: Male
Liberty Family Medical
Center Locat
511 Middleburg St
Liberty, KY 42539
(606) 787-5963
Fax: (606) 787-5545
00 Yrs/99 Yrs
Ephraim McDowell Reg
Med Center
M-F 9:00 AM - 5:00 PM
Crase, Charles MD
Provider ID: 964743
Gender: Male
Liberty Family Medical
Clinic
511 Middleburg St
Liberty, KY 42539
(606) 787-5963
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Enlow, Anthony MD
Provider ID: 691869
Gender: Male
Liberty Family Medical
Center
511 Middleburg St
Liberty, KY 42539
(606) 787-5963
Fax: (606) 787-5545
00 Yrs/99 Yrs
Ephraim McDowell Reg
Med Center
M-F 8:00 AM - 5:00 PM
James, Naren MD
Tyner, Cassie DO
Provider ID: 597523
Provider ID: 627605
Gender: Male
Gender: Female
Bluegrass Clinic Liberty
Liberty Family Medical
PLLC
Center Locat
19 Abes Plz
511 Middleburg St
Liberty, KY 42539
Liberty, KY 42539
(606) 787-0014
(606) 787-5963
Fax: (606) 787-0035
Fax: (606) 787-5545
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:30 PM Ephraim McDowell Reg
Med Center
F 8:30 AM - 4:30 PM
M-F 9:00 AM - 5:00 PM
Price, John MD
Wilson, Jared MD
Provider ID: 594880
Provider ID: 800095
Gender: Male
Gender: Male
376 Randolph St
Casey County Primary
Liberty, KY 42539
Care
(606) 787-6246
187 Wolford Ave
Fax: (606) 787-6248
Liberty, KY 42539
00 Yrs/99 Yrs
M-TH 8:00 AM - 4:00 PM (606) 787-8348
Fax: (606) 787-9717
Price, John MD
00 Yrs/99 Yrs
Provider ID: 987327
Westlake Regional
Gender: Male
Hospital
Casey Family Medical
M-F 8:00 AM - 5:00 PM
376 Randolph St
General Practice
Liberty, KY 42539
(606) 787-6246
Mirich, Rodney MD
Fax: (606) 787-6248
Provider ID: 1031239
00 Yrs/99 Yrs
Gender: Male
M-TH 8:00 AM - 4:30 PM Liberty Family Medical
Center
Stafford, William MD
511 Middleburg St
Provider ID: 627638
Liberty, KY 42539
Gender: Male
(606) 787-5963
Liberty Family Medical
02 Yrs/99 Yrs
Center Locat
Ephraim McDowell Reg
511 Middleburg St
Med Center
Liberty, KY 42539
M-F 8:00 AM - 5:00 PM
(606) 787-5963
Fax: (606) 787-5545
00 Yrs/99 Yrs
Ephraim McDowell Reg
Med Center
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 8
Internal Medicine
Haddad, Housam MD
Provider ID: 667111
Gender: Male
Casey County Primary
Care
187 Wolford Ave
Liberty, KY 42539
(606) 787-8348
Fax: (606) 787-9717
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Haddad, Housam MD
Provider ID: 667111
Gender: Male
Housam I Haddad
Medical Practice
2490 E Ky 70
Liberty, KY 42539
(859) 327-7283
Fax: (606) 787-0251
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Haddad, Imad MD
Provider ID: 596988
Gender: Male
Casey County Family
Practice
112 Liberty Sq
Liberty, KY 42539
(606) 787-5044
00 Yrs/99 Yrs
Casey County Hospital
Languages: Arabic
M 9:00 AM - 6:00 PM
TWTHF 9:00 AM - 5:00
PM
05/28/2015
Primary Care Physicians
Casey
Obstetrics/Gynecology
Glover, Michael MD
Provider ID: 681488
Gender: Male
Bluegrass Clinic Liberty
19 Abes Plz
Liberty, KY 42539
(606) 787-0014
00 Yrs/99 Yrs
MT 8:00 AM - 6:00 PM
WTH 8:00 AM - 5:00 PM
F 8:00 AM - 4:00 PM
kentucky.wellcare.com | 9
05/28/2015
Primary Care Physicians
Clinton
Family Practice
Brown, Tammy MD
Provider ID: 616311
Gender: Female
Clinton Family Medical
Center
606 Burkesville Rd
Albany, KY 42602
(606) 387-4251
Fax: (606) 387-5785
00 Yrs/99 Yrs
M-F 7:30 AM - 4:00 PM
Sat 8:00 AM - 4:00 PM
Internal Medicine
Catron, Shirley MD
Provider ID: 799802
Gender: Female
Clinton Family Medical
Center
606 Burkesville Rd
Albany, KY 42602
(606) 387-0675
Fax: (606) 387-3149
12 Yrs/99 Yrs
M-W 8:00 AM - 5:00 PM
TH 8:00 AM - 6:00 PM
Cummings, Michael MD Peddicord, Carol MD
Provider ID: 590091
Provider ID: 618424
Gender: Male
Gender: Female
Cummings, Michael L
Peddicord Powell PSC
127 Foothills Ave Ste 1
106 N Cross St
Albany, KY 42602
Albany, KY 42602
(606) 387-6627
(606) 387-6631
Fax: (606) 387-4178
Fax: (606) 387-8121
00 Yrs/99 Yrs
M-W 8:00 AM - 4:30 PM 00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
TH 8:00 AM - 6:00 PM
Federally Qualified
Health Center
Brown, Tammy MD
Provider ID: 616311
Gender: Female
Clinton Family Medical
Center
606 Burkesville Rd
Albany, KY 42602
(606) 387-4251
Fax: (606) 387-5785
00 Yrs/99 Yrs
M-F 7:30 AM - 4:00 PM
Sat 8:00 AM - 4:00 PM
kentucky.wellcare.com | 10
05/28/2015
Primary Care Physicians
Cumberland
Family Practice
Loy, Eric MD
Provider ID: 616308
Gender: Male
Cumberland Family
Medical Center
360 Keen St
Burkesville, KY 42717
(270) 864-2889
Fax: (270) 864-1693
00 Yrs/99 Yrs
Cumberland County
Hospital
M-F 7:30 AM - 5:00 PM
Loy, Eric MD
Provider ID: 616308
Gender: Male
Cumberland Family
Medical Center
360 Keen St
Burkesville, KY 42717
(270) 864-2889
Fax: (270) 864-1693
00 Yrs/99 Yrs
Cumberland County
Hospital
M-F 7:30 AM - 5:00 PM
Primary Care Center
Rice, Samuel MD
Cumberland Family
Medical
Provider ID: 596040
Provider ID: 616829
Gender: Male
360 Keen St
B F Taylor Medical Arts
Clinic
Burkesville, KY 42717
299A Glasgow Rd
(270) 864-2889
Burkesville, KY 42717
Fax: (270) 864-1693
(270) 864-2555
00 Yrs/99 Yrs
Fax: (270) 864-3777
Cumberland County
Hospital
00 Yrs/99 Yrs
M-F 7:30 AM - 5:00 PM
Cumberland County
Hospital
Languages: Spanish
M-TH 8:30 AM - 5:00 PM
F 9:00 AM - 5:00 PM
Federally Qualified
Health Center
Cumberland Family
Medical
Provider ID: 616829
360 Keen St
Burkesville, KY 42717
(270) 864-2889
Fax: (270) 864-1693
00 Yrs/99 Yrs
Cumberland County
Hospital
M-F 7:30 AM - 5:00 PM
kentucky.wellcare.com | 11
05/28/2015
Primary Care Physicians
Edmonson
Internal Medicine
Kaul, Sanjay MD
Provider ID: 606209
Gender: Male
Glk Enterprise LLC DBA
Wilkes Clini
104 Mohawk St
Brownsville, KY 42210
(270) 597-2155
Fax: (270) 597-3811
12 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
kentucky.wellcare.com | 12
05/28/2015
Primary Care Physicians
Green
Family Practice
Internal Medicine
Partin, Gary MD
Provider ID: 613422
Gender: Male
Green County Primary
Care
706 Columbia Hwy
Greensburg, KY 42743
(270) 299-2286
Fax: (270) 299-2157
00 Yrs/99 Yrs
Casey County Hospital
M-F 9:00 AM - 5:00 PM
Kirkpatrick, Mark MD
Provider ID: 716390
Gender: Male
Green County Primary
Care
706 Columbia Hwy
Greensburg, KY 42743
(270) 299-2247
Fax: (270) 299-2157
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wilson, Jared MD
Provider ID: 896606
Gender: Male
Green County Primary
Care
706 Columbia Hwy
Greensburg, KY 42743
(270) 299-2247
Fax: (270) 299-2157
00 Yrs/99 Yrs
Westlake Regional
Hospital
M-F 8:00 AM - 5:00 PM
General Practice
Stone, Monica MD
Provider ID: 679191
Gender: Female
Green County Primary
Care
706 Columbia Hwy
Greensburg, KY 42743
(270) 299-2247
Fax: (270) 299-2157
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pediatrics
Brooks, Hazel MD
Provider ID: 616416
Gender: Female
Greensburg Healthcare
2680 Campbellsville Rd
Greensburg, KY 42743
(270) 299-2222
Fax: (270) 299-2211
00 Yrs/21 Yrs
M-F 8:00 AM - 4:00 PM
Dennison, Melissa MD
Provider ID: 616417
Gender: Female
Greensburg Healthcare
2680 Campbellsville Rd
Greensburg, KY 42743
(270) 299-2222
Fax: (270) 299-2211
00 Yrs/21 Yrs
M-F 8:00 AM - 4:00 PM
Greensburg Healthcare
Provider ID: 616845
2680 Campbellsville Rd
Greensburg, KY 42743
(270) 299-2222
Fax: (270) 299-2211
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
Warren, Donna MD
Provider ID: 616418
Gender: Female
Greensburg Healthcare
2680 Campbellsville Rd
Greensburg, KY 42743
(270) 299-2222
Fax: (270) 299-2211
00 Yrs/21 Yrs
M-F 8:00 AM - 4:00 PM
Rural Health Center
Brooks, Hazel MD
Provider ID: 616416
Gender: Female
Greensburg Healthcare
2680 Campbellsville Rd
Greensburg, KY 42743
(270) 299-2222
Fax: (270) 299-2211
00 Yrs/21 Yrs
M-F 8:00 AM - 4:00 PM
Dennison, Melissa MD
Provider ID: 616417
Gender: Female
Greensburg Healthcare
2680 Campbellsville Rd
Greensburg, KY 42743
(270) 299-2222
Fax: (270) 299-2211
00 Yrs/21 Yrs
M-F 8:00 AM - 4:00 PM
Greensburg Healthcare
Provider ID: 616845
2680 Campbellsville Rd
Greensburg, KY 42743
(270) 299-2222
Fax: (270) 299-2211
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
kentucky.wellcare.com | 13
Warren, Donna MD
Provider ID: 616418
Gender: Female
Greensburg Healthcare
2680 Campbellsville Rd
Greensburg, KY 42743
(270) 299-2222
Fax: (270) 299-2211
00 Yrs/21 Yrs
M-F 8:00 AM - 4:00 PM
05/28/2015
Primary Care Physicians
Hart
Family Practice
Middleton, James MD
Internal Medicine
Chani, Swaranjit MD
Provider ID: 625559
Provider ID: 596032
Gender: Female
Gender: Male
Cmh Physician Office
Family Medical Center of 207 E Main St
Hart Count
Horse Cave, KY 42749
117 W South St
(270) 524-3641
Munfordville, KY 42765
Fax: (270) 524-7595
(270) 524-7231
00 Yrs/99 Yrs
Fax: (270) 524-7415
Languages: Hindi
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Tj Samson Community
Chani, Swaranjit MD
Hospital
Provider ID: 667514
MTTH 8:00 AM - 8:00
Gender: Female
PM
Cmh Munfordville
W 9:00 AM - 5:00 PM
Physicians
F 8:00 AM - 6:00 PM
1134 Main St
Sat 8:00 AM - 1:00 PM
Munfordville, KY 42765
Shah, Amit MD
(270) 524-3641
Provider ID: 712960
Fax: (270) 524-7595
Gender: Male
00 Yrs/99 Yrs
Family Medical Center of M-F 8:00 AM - 4:00 PM
Hart Count
Pandeya, Virag MD
117 W South St
Provider ID: 595522
Munfordville, KY 42765
Gender: Male
(270) 524-7231
Virag Pandeya MD PLLC
Fax: (270) 524-7415
950 Main St
00 Yrs/99 Yrs
Munfordville, KY 42765
M-F 8:00 AM - 8:00 PM
(270) 524-1202
Sat 8:00 AM - 1:00 PM
Fax: (270) 524-1202
Shirley-Jones, Sherry MD 12 Yrs/99 Yrs
Caverna Memorial
Provider ID: 596909
Hospital
Gender: Female
Languages: Hindi
Munfordville Medical
M-F 8:00 AM - 5:00 PM
Center
500AA Whitman Lane
Munfordville, KY 42765
(270) 524-2889
Fax: (270) 524-2893
00 Yrs/99 Yrs
Caverna Memorial
Hospital
M-F 8:00 AM - 4:30 PM
Pediatrics
Hemmer, Ann-Marie MD
Provider ID: 595977
Gender: Female
Family Medical Center of
Hart Count
117 W South St
Munfordville, KY 42765
(270) 524-7231
Fax: (270) 524-7415
00 Yrs/99 Yrs
Tj Samson Community
Hospital
MF 8:00 AM - 4:30 PM
T 8:00 AM - 8:00 PM
WSat 8:00 AM - 12:00
PM
TH 8:00 AM - 5:00 PM
Salisbury, Evelyn MD
Provider ID: 595969
Gender: Female
Family Medical Center of
Hart Count
117 W South St
Munfordville, KY 42765
(270) 524-7231
Fax: (270) 524-7415
00 Yrs/18 Yrs
Caverna Memorial
Hospital
MTTH 8:00 AM - 8:00
PM
W 8:00 AM - 5:00 PM
F 8:00 AM - 5:30 PM
Sat 8:00 AM - 1:00 PM
kentucky.wellcare.com | 14
05/28/2015
Primary Care Physicians
Logan
General Practice
Pediatrics
Singh, Kamal MD
Singh, Kushal MD
Provider ID: 599059
Provider ID: 597102
Mathis, Charles MD
Elder, Ronald MD
Gender: Male
Gender: Male
Singh Medical Associates Singh Medical Associates Provider ID: 629949
Provider ID: 596073
Gender: Male
PLLC
PLLC
Gender: Male
Elder, Ronald B
1405 Nashville St
285 Stacker St
Charles H Mathis MD
1623 Nashville St Ste 201
Russellville, KY 42276
Lewisburg, KY 42256
975 Hopkinsville Rd
Russellville, KY 42276
(270) 725-9700
(270) 725-9700
Russellville, KY 42276
(270) 726-3303
Fax: (270) 725-9992
Fax: (270) 725-9992
(270) 725-9090
Fax: (270) 726-3910
18 Yrs/99 Yrs
18 Yrs/99 Yrs
Fax: (270) 725-4357
Logan Memorial Hospital Logan Memorial Hospital 00 Yrs/18 Yrs
13 Yrs/99 Yrs
The Medical Center
M-W 9:00 AM - 5:00 PM Logan Memorial Hospital
Logan Memorial Hospital M-F 8:00 AM - 5:00 PM
MTTHF 9:00 AM - 5:00
Singh, Kushal MD
M-TH 8:30 AM - 5:00 PM
PM
Singh, Kamal MD
Provider ID: 800421
F 8:00 AM - 12:00 PM
W 9:00 AM - 12:00 PM
Provider ID: 800413
Gender: Male
Internal Medicine
Hutton, Natalie MD
Gender: Male
Graves Gilbert Clinic
Provider ID: 785155
Graves Gilbert Clinic
285 Stacker St
Dodson, James MD
Gender: Female
1405 Nashville St
Lewisburg, KY 42256
Community Health
Russellville, KY 42276
(270) 755-4838
Provider ID: 595919
Centers of Western
(270) 725-9700
Fax: (270) 755-2536
Gender: Male
975 Hopkinsville Rd
Fax: (270) 725-9992
12 Yrs/99 Yrs
James C Dodson MD
12 Yrs/99 Yrs
Logan Memorial Hospital Russellville, KY 42276
147 E 5th St
(270) 726-9568
Logan Memorial Hospital M-F 8:00 AM - 5:00 PM
Russellville, KY 42276
Fax: (270) 726-9560
M-F 8:00 AM - 5:00 PM
(270) 726-8331
Singh, Kushal MD
00 Yrs/18 Yrs
Fax: (270) 725-8259
Singh, Kushal MD
Provider ID: 800422
M-TH 8:00 AM - 5:00 PM
12 Yrs/99 Yrs
Provider ID: 597101
Gender: Male
F 8:00 AM - 12:00 PM
Logan Memorial Hospital Gender: Male
Graves Gilbert Clinic
M-TH 8:30 AM - 4:30 PM Singh Medical Associates 1405 Nashville St
F 8:30 AM - 12:00 PM
PLLC
Russellville, KY 42276
1405
Nashville
St
(270) 725-9700
Singh, Abhilasha MD
Russellville, KY 42276
Fax: (270) 725-9992
(270)
725-9700
12 Yrs/99 Yrs
Provider ID: 599075
Fax:
(270)
725-9992
Logan Memorial Hospital
Gender: Female
18
Yrs/99
Yrs
M-F 8:00 AM - 5:00 PM
Singh Medical Associates
Logan Memorial Hospital
PLLC
M-F 9:00 AM - 5:00 PM
1405 Nashville St
Russellville, KY 42276
(270) 725-9700
Fax: (270) 725-9992
18 Yrs/99 Yrs
Logan Memorial Hospital
MTWF 9:00 AM - 5:00
PM
TH 9:00 AM - 12:00 PM
kentucky.wellcare.com | 15
05/28/2015
Primary Care Physicians
McCreary
Family Practice
Burgess, Jerald MD
Provider ID: 1075242
Gender: Male
Cumberland Family
Medical Center In
19 Medical Loop Plaza
Ste 3
Whitley City, KY 42653
(606) 376-5391
Fax: (606) 376-3326
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Burgess, Jerald MD
Provider ID: 594925
Gender: Male
Winchester Patton
Burgess PSC
19 Medical Loop Ste 3
Whitley City, KY 42653
(606) 376-5391
Fax: (606) 376-3326
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
Languages: Spanish,
Portuguese
M-F 8:00 AM - 8:00 PM
Sat 8:00 AM - 3:00 PM
Floyd Tyner, Cassie DO
Provider ID: 975119
Gender: Female
69 S Main St
Whitley City, KY 42653
(606) 376-7399
Fax: (606) 276-7398
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Patton, John MD
Provider ID: 596920
Gender: Male
Winchester Patton
Burgess PSC
19 Medical Loop Ste 3
Whitley City, KY 42653
(606) 376-5391
Fax: (606) 376-3326
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 8:00 AM - 8:00 PM
Sat 9:00 AM - 3:00 PM
West, Nancy MD
Provider ID: 630357
Gender: Female
Perry and West Fap
10 N Hwy 27
Whitley City, KY 42653
(606) 376-5363
Fax: (606) 376-9919
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
General Practice
Perry, Hoover MD
Provider ID: 594921
Gender: Male
Perry and West Fap
10 N Hwy 27
Whitley City, KY 42653
(606) 376-5363
Fax: (606) 376-9919
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
MWTHF 8:00 AM - 5:00
PM
T 8:00 AM - 8:00 PM
Sat 8:00 AM - 12:00 PM
Federally Qualified
Health Center
Cumberland Family
Clinic PLLC
Provider ID: 951624
57 Hogue Rd
Pine Knot, KY 42635
(606) 376-7212
Fax: (606) 687-3151
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
McCreary Family Medical
Provider ID: 616831
McCreary Family Medical
Center
69 S Main St
Whitley City, KY 42653
(270) 864-1472
Fax: (606) 376-7397
00 Yrs/99 Yrs
M-F 7:30 AM - 6:00 PM
kentucky.wellcare.com | 16
05/28/2015
Primary Care Physicians
Metcalfe
Family Practice
Drury, John MD
Provider ID: 595022
Gender: Male
Metcalfe Family
Physicians
1704 W Stockton St
Edmonton, KY 42129
(270) 432-4800
Fax: (270) 432-4804
00 Yrs/99 Yrs
Tj Samson Community
Hospital
M-F 9:00 AM - 5:00 PM
Dunn, Paul MD
Provider ID: 666964
Gender: Male
Paul D Dunn MD
1704 W Stockton St
Edmonton, KY 42129
(270) 432-4800
Fax: (270) 432-4804
00 Yrs/99 Yrs
MTTHF 9:00 AM - 4:30
PM
W 9:00 AM - 5:00 PM
Wilson, Jared MD
Provider ID: 618452
Gender: Male
Edmonton Primary Care
901 W Stockton St
Edmonton, KY 42129
(270) 432-5782
Fax: (270) 432-0001
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Internal Medicine
Siady, J MD
Provider ID: 595937
Gender: Male
Edmonton Primary Care
112 Sartin Dr Lot 1
Edmonton, KY 42129
(270) 432-5782
Fax: (270) 432-0001
12 Yrs/99 Yrs
Westlake Regional
Hospital
Languages: Urdu
M-F 8:00 AM - 5:00 PM
Kiteck, Clinton DO
Provider ID: 614287
Gender: Male
Edmonton Primary Care
901 W Stockton St
Edmonton, KY 42129
(270) 432-5782
Fax: (270) 432-0001
00 Yrs/99 Yrs
Westlake Regional
Hospital
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 17
05/28/2015
Primary Care Physicians
Monroe
Family Practice
Anderson, Jack DO
Provider ID: 918673
Gender: Male
Monroe Family Medical
Center
1515 Edmonton Rd
Tompkinsville, KY 42167
(270) 487-9272
Fax: (270) 487-6242
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Hume, Timothy MD
Provider ID: 596011
Gender: Male
Timothy D Hume MD
710 N Main St
Tompkinsville, KY 42167
(270) 487-8667
Fax: (270) 487-9505
00 Yrs/99 Yrs
Monroe County Medical
Center
MTTHF 8:00 AM - 5:00
PM
W 9:00 AM - 5:00 PM
Carter, Anthony MD
Provider ID: 780979
Gender: Male
Cumberland Family
Medical Center
604 N Main St
Tompkinsville, KY 42167
(270) 487-9272
Fax: (270) 487-6242
00 Yrs/99 Yrs
Monroe County Medical
Center
M-TH 8:00 AM - 5:00 PM
Bean, Jerry MD
Provider ID: 627672
Dils, Grover MD
Gender: Male
Internal Medicine
Provider ID: 595936
Tompkinsville Primary
Gender: Male
Carter, Anthony MD
Care Associat
Commonwealth Health
901 N Main St
Corporation
Provider ID: 1047059
Tompkinsville, KY 42167
47 Akersville Rd
Gender: Male
(270) 487-0551
Fountain Run, KY 42133
Cumberland Family
Fax: (270) 487-0800
(270) 434-4857
Medical Center
00 Yrs/99 Yrs
Fax: (270) 434-4957
Monroe County Medical 1515 Edmonton Rd
00 Yrs/99 Yrs
Tompkinsville, KY 42167
Center
The Medical Center
(270) 487-9272
M 8:00 AM - 6:00 PM
M-F 9:00 AM - 5:00 PM
Fax: (270) 487-6242
T 9:00 AM - 5:00 PM
WTH 8:00 AM - 5:00 PM 00 Yrs/99 Yrs
Monroe County Medical
F 8:00 AM - 4:00 PM
Center
Carter, William MD
M-TH 8:00 AM - 5:00 PM
Provider ID: 627673
Carter, Anthony MD
Gender: Male
W Michael Carter MD
Provider ID: 595916
606 N Main St
Gender: Male
Tompkinsville, KY 42167
Anthony C Carter MD
(270) 487-6161
604 N Main St
Fax: (270) 487-8009
Tompkinsville, KY 42167
00 Yrs/99 Yrs
Monroe County Medical (270) 487-9272
Fax: (270) 487-6242
Center
00 Yrs/99 Yrs
MTWF 8:00 AM - 5:00
Monroe County Medical
PM
Center
TH 9:00 AM - 5:00 PM
M-TH 8:00 AM - 5:00 PM
kentucky.wellcare.com | 18
05/28/2015
Primary Care Physicians
Pulaski
Family Practice
Jenkins, Patrick MD
Reilly, David MD
White, Barry MD
Provider ID: 628730
Provider ID: 626636
Provider ID: 614337
Dixon, Jonathan MD
Gender: Male
Gender: Male
Gender: Male
Provider ID: 778699
Lake Cumberland
Lake Cumberland
Lake Cumberland Family
Gender: Male
Medical Associates
Medical Associates
Care
Lake Cumberland
350 Hospital Way Ste 100 350 Hospital Way Ste 100 30 Tower Cir
Medical Associates
Somerset, KY 42503
Somerset, KY 42503
Somerset, KY 42503
350 Hospital Way Ste 100 (606) 451-2600
(606) 451-2619
(606) 451-8644
Somerset, KY 42503
Fax: (606) 451-2651
Fax: (606) 451-2641
Fax: (606) 451-9644
(606) 451-2600
00 Yrs/99 Yrs
00 Yrs/99 Yrs
16 Yrs/99 Yrs
Fax: (606) 451-2641
Languages: Spanish
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Reynolds, Betsy MD
Wilson, James MD
Languages: Spanish
Oakes,
Rodney
MD
Provider
ID:
595162
Provider ID: 629083
M-F 8:00 AM - 4:30 PM
Gender: Female
Gender: Male
Golden, Jeffrey MD
Provider ID: 633499
Kentucky Family Care
Lake Cumberland
Provider ID: 685274
Gender: Male
Medical Associ
298 Bogle St Ste B
Gender: Male
Lake Cumberland
350 Hospital Way Ste 100
Somerset, KY 42503
Lake Cumberland
Medical Associ
Somerset, KY 42503
(606) 679-9213
Medical Associates
350 Hospital Way Ste 100 Fax: (606) 677-9963
(606) 451-2619
350 Hospital Way Ste 100 Somerset, KY 42503
Fax: (606) 451-2641
00 Yrs/99 Yrs
Somerset, KY 42503
(606) 451-2619
00 Yrs/99 Yrs
Lake Cumberland
(606) 451-2619
Fax: (616) 451-2641
Regional Hospital
M-F 9:00 AM - 5:00 PM
Fax: (606) 451-2641
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
General Practice
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Reynolds, Betsy MD
M-TH 8:00 AM - 4:30 PM
Sinclair, Keith
Oteham, Larry DO
Provider ID: 595176
Iqbal, Shazia MD
Provider ID: 765706
Provider ID: 912700
Gender: Female
Provider ID: 596576
Gender: Male
Gender: Male
Kentucky Family Care
Gender: Female
Keith Sinclair MD PLLC
Lake Cumberland
3810 S Hwy 27
The Heart Center of
79 Imaging Dr
Medical Associates
Somerset, KY 42503
Somerset PLLC
Somerset, KY 42503
350 Hospital Way Ste 100 (606) 679-9213
850 Hail Knob Rd Ste B
(606) 305-8022
Somerset, KY 42503
Fax: (606) 677-0969
Somerset, KY 42503
Fax: (866) 249-9994
(606) 451-2600
00 Yrs/99 Yrs
(606) 677-1112
00 Yrs/99 Yrs
Fax: (606) 451-2641
Lake Cumberland
Fax: (606) 679-1341
Lake Cumberland
00 Yrs/99 Yrs
Regional Hospital
00 Yrs/99 Yrs
Regional Hospital
Pikeville Medical Center M-F 9:00 AM - 5:00 PM
Lake Cumberland
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 8:00 PM
Regional Hospital
Ruby,
Jonathan
MD
Sat 9:00 AM - 8:00 PM
M-TH 8:30 AM - 5:00 PM Sun 1:00 AM - 6:00 PM
Provider ID: 670476
F 8:30 AM - 3:00 PM
Gender: Male
Lake Cumberland
Medical Associates
350 Hospital Way Ste 100
Somerset, KY 42503
(606) 451-2619
Fax: (606) 451-2641
00 Yrs/99 Yrs
MTWTHFSat 8:30 AM 4:30 PM
kentucky.wellcare.com | 19
05/28/2015
Primary Care Physicians
Pulaski
Internal Medicine
Cherry, Allison MD
Provider ID: 599056
Gender: Female
Somerset Internal
Medicine
10 Tower Cir
Somerset, KY 42503
(606) 425-4895
Fax: (606) 678-2230
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 8:00 AM - 5:00 PM
Cherry, Donald MD
Provider ID: 595104
Gender: Male
Somerst Medical Group
PLLC
10 Tower Cir
Somerset, KY 42503
(606) 425-4895
Fax: (606) 678-2230
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 9:00 AM - 5:00 PM
Cole, Stanton MD
Provider ID: 629401
Gender: Male
Lake Cumberland
Regional Hospital L
350 Hospital Way Ste 100
Somerset, KY 42503
(606) 451-2619
Fax: (606) 451-2641
18 Yrs/99 Yrs
M-F 9:00 AM - 4:00 PM
Eadens, Debra MD
Grimball, Edward MD
Crosslin, Kevin MD
Provider ID: 594915
Provider ID: 595461
Provider ID: 595520
Gender: Female
Gender: Male
Gender: Male
Eadens Grimball Internal Eadens Grimball Internal Lake Cumberland
Medicine
Medicine
Womens Health Speci
402 Bogle St Ste 3
402 Bogle St Ste 3
333 Bogle St
Somerset, KY 42503
Somerset, KY 42503
Somerset, KY 42503
(606) 451-9953
(606) 451-9953
(606) 678-0212
Fax: (606) 451-1533
Fax: (606) 451-1533
Fax: (606) 679-7556
16 Yrs/99 Yrs
16 Yrs/99 Yrs
00 Yrs/99 Yrs
Lake Cumberland
Lake Cumberland
Lake Cumberland
Regional Hospital
Regional Hospital
Regional Hospital
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
Gallo, Daniel MD
Yemane, Mengistu MD
Provider ID: 696124
Provider ID: 594368
Gender: Male
Gender: Male
Lake Cumberland
Medical Associates
Mengistu Yemane MD
350 Hospital Way Ste 100 Pplc
30 Tower Cir
Somerset, KY 42503
Somerset, KY 42503
(606) 451-2600
(606) 451-8644
Fax: (606) 451-2641
Fax: (606) 451-9644
12 Yrs/99 Yrs
17 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Lake Cumberland
Sat 9:00 AM - 8:00 PM
Regional Hospital
Sun 1:00 AM - 6:30 PM
Languages: Amharic
Gammon, David MD
M-F 8:30 AM - 5:00 PM
Provider ID: 961814
Gender: Male
Family Health Care
Associates of Ke
224 Langdon St Ste B
Somerset, KY 42501
(606) 546-7777
Fax: (606) 545-7611
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Obstetrics/Gynecology
Bruner, John MD
Provider ID: 595437
Gender: Male
Lake Cumberland
Womens Health Speci
333 Bogle St
Somerset, KY 42503
(606) 678-0212
Fax: (606) 678-2807
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 8:30 AM - 5:00 PM
kentucky.wellcare.com | 20
Cunningham, Robert MD
Provider ID: 594883
Gender: Male
Robert R Cunningham
MD PLLC
341 Bogle St Ste A
Somerset, KY 42503
(606) 676-8186
Fax: (606) 676-8956
10 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M 9:00 AM - 5:00 PM
TWTHF 8:30 AM - 5:00
PM
Horn, Tara MD
Provider ID: 595350
Gender: Female
Lake Cumberland
Womens Health Speci
333 Bogle St
Somerset, KY 42503
(606) 679-7776
Fax: (606) 679-7556
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 9:00 AM - 5:00 PM
05/28/2015
Primary Care Physicians
Pulaski
Obstetrics/Gynecology - Gibson, Dana MD
cont.
Provider ID: 792322
Gender: Male
Priddle, Brian MD
Lake Cumberland
Provider ID: 595154
Medical Associates
Gender: Male
350 Hospital Way Ste 100
Lake Cumberland
Somerset, KY 42503
Womens Health Speci
(606) 451-2600
333 Bogle St
Fax: (606) 451-2641
Somerset, KY 42503
00 Yrs/21 Yrs
(606) 678-0212
M-F 8:00 AM - 8:00 PM
Fax: (606) 678-2807
Sat 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
Sun 1:00 AM - 6:00 PM
Lake Cumberland
Regional Hospital
Grubbs, Deanna MD
M-F 8:30 AM - 5:00 PM
Provider ID: 816189
Gender: Female
Rutledge, Dale MD
Somerset Pediatric
Provider ID: 596951
Specialists PLLC
Gender: Male
350 Langdon St
Lake Cumberland
Somerset, KY 42503
Womens Health Speci
(606) 678-8155
333 Bogle St
Fax: (606) 678-7548
Somerset, KY 42503
00 Yrs/21 Yrs
(606) 678-0212
M-F 8:00 AM - 4:30 PM
Fax: (606) 678-2807
Sat 8:00 AM - 11:00 PM
00 Yrs/99 Yrs
Lake Cumberland
Patterson, Cherice MD
Regional Hospital
M-F 8:30 AM - 5:00 PM
Provider ID: 596978
Gender: Female
Pediatrics
Somerset Pediatric
Specialists PLLC
Gallo, Daniel MD
350 Langdon St
Provider ID: 696124
Somerset, KY 42503
Gender: Male
(606) 678-8155
Lake Cumberland
Fax: (606) 678-7548
Medical Associates
350 Hospital Way Ste 100 00 Yrs/21 Yrs
Lake Cumberland
Somerset, KY 42503
Regional Hospital
(606) 451-2600
Languages: Spanish
Fax: (606) 451-2641
M-F 8:00 AM - 4:30 PM
12 Yrs/99 Yrs
Sat 8:00 AM - 11:00 PM
M-F 8:00 AM - 8:00 PM
Sat 9:00 AM - 8:00 PM
Sun 1:00 AM - 6:30 PM
kentucky.wellcare.com | 21
05/28/2015
Primary Care Physicians
Russell
Family Practice
General Practice
Miles, Richard MD
Provider ID: 594902
Burton, Martha MD
Gibson, Miles MD
Provider ID: 720454
Gender: Male
Provider ID: 749476
Provider ID: 627460
Gender: Female
Russell County Hospital
Gender: Female
Gender: Male
Jamestown Family
Physician G
Health Solutions LLC
Russell County Hospital
Medical
124 Dowell Rd
9321 Russell Springs Rd
1417 N Main St
Russell Springs, KY 42642 92 Jt Pettey Dr Ste 300
Russell Springs, KY 42642 Jamestown, KY 42629
Russell Springs, KY 42642
(270) 866-2440
(270) 384-0233
(270) 866-4141
(270) 343-2597
Fax: (502) 866-2442
Fax: (270) 384-0245
Fax: (270) 866-2442
Fax: (270) 343-2598
00 Yrs/99 Yrs
00 Yrs/99 Yrs
02 Yrs/99 Yrs
00 Yrs/99 Yrs
Russell County Hospital
Taylor County Hospital
M-F 9:00 AM - 5:00 PM
Russell County Hospital
M-F 8:00 AM - 5:00 PM
Westlake Regional
Languages: Spanish,
Internal Medicine
Hospital
Wilson, Jared MD
French
M-F 8:00 AM - 5:00 PM
M-TH 7:30 AM - 5:00 PM Provider ID: 618458
Bertram, Robert DO
Gender: Male
Provider ID: 596397
Grentz, Liesel MD
Kilgallin, John MD
Westlake Primary Care
Gender: Male
Provider ID: 1066955
Provider ID: 616307
of Russell Co
Lily Creek Medical
Gender: Female
Gender: Male
2465 Lakeway Dr
Group PSC
Russell County Medical
Russell Family Medical
Russell Springs, KY 42642 92 Joe T Petty Dr Ste
Assoicates
Center
(270) 858-3636
400
72 Joe T Petty DR
124 Dowell Rd
00 Yrs/99 Yrs
Russell Springs, KY 42642
Russell Springs, KY 42642 Russell Springs, KY 42642 MWTHF 9:00 AM - 5:00
(270) 866-8881
(270) 866-7771
(270) 866-3161
PM
Fax: (270) 866-8849
Fax: (270) 866-7774
Fax: (270) 866-3163
T 8:00 AM - 6:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Federally Qualified
M-F 8:00 AM - 6:00 PM
MTTH 7:00 AM - 4:00
Health Center
PM
Siady, Jesus MD
Grentz, Liesel DO
W
9:00
AM
4:00
PM
Provider ID: 595947
Kilgallin,
John
MD
Provider ID: 1070616
F
7:00
AM
3:00
PM
Gender: Male
Provider ID: 616307
Gender: Female
Wpc of Russell County
Gender: Male
Russell County Medical Lawson, Jerry MD
2465 Lakeway Dr
Assoicates
Russell Family Medical
Provider ID: 627439
Russell Springs, KY 42642
Center
72 Joe T Petty DR
Gender: Male
(270) 858-3636
124
Dowell
Rd
Russell Springs, KY 42642 Jamestown Family
Russell Springs, KY 42642 Fax: (270) 858-3660
(270) 866-7771
Medical Center
00 Yrs/99 Yrs
(270) 866-3161
Fax: (270) 866-7774
1417 N Main St
Westlake Regional
Fax:
(270)
866-3163
00 Yrs/99 Yrs
Jamestown, KY 42629
Hospital
00
Yrs/99
Yrs
M-F 9:00 AM - 5:00 PM
(270) 343-2597
Languages: Urdu
MTTH 7:00 AM - 4:00
Fax: (270) 343-2598
M-F 8:00 AM - 5:00 PM
PM
00 Yrs/99 Yrs
W 9:00 AM - 4:00 PM
Russell County Hospital
M-TH 8:30 AM - 5:00 PM F 7:00 AM - 3:00 PM
Jones, Stephanie MD
kentucky.wellcare.com | 22
05/28/2015
Primary Care Physicians
Simpson
Family Practice
Rubeen, Shafia MD
Provider ID: 910656
Gender: Female
The Medical Center At
Franklin PRIM
1030 Brookhaven Rd
Franklin, KY 42134
(270) 598-4950
Fax: (270) 598-4977
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Adams, John MD
Provider ID: 607857
Gender: Male
Adams Medical Clinic
119 Memorial Dr
Franklin, KY 42134
(270) 586-9533
Fax: (270) 586-0123
00 Yrs/99 Yrs
The Medical Center At
Wesley, Robert MD
Franklin
M-TH 8:30 AM - 5:00 PM Provider ID: 630976
Gender: Male
F 8:30 AM - 12:00 PM
Wesley Family Medical
Reddy, Karuna MD
PSC
Provider ID: 594939
1100 Brookhaven Rd Ste
Gender: Female
101
Family Medical Clinic
Franklin, KY 42134
PSC
(270) 586-1969
1100 Brookhaven Rd Ste
Fax: (270) 586-1914
103
00 Yrs/99 Yrs
Franklin, KY 42134
M-F 8:00 AM - 5:00 PM
(270) 598-9595
General Practice
Fax: (270) 598-9590
00 Yrs/99 Yrs
MWTHF 8:00 AM - 5:00 Persad, Sam MD
Provider ID: 596074
PM
Gender: Male
T 8:00 AM - 12:00 PM
Sam Persad MD
Reynolds, Roy MD
730 N Main St
Provider ID: 596038
Franklin, KY 42134
Gender: Male
(270) 586-7053
Roy D Reynolds MD
Fax: (270) 598-7166
121 Memorial Dr
02 Yrs/99 Yrs
Franklin, KY 42134
M-F 9:00 AM - 5:00 PM
(270) 586-9581
Fax: (270) 586-6261
00 Yrs/99 Yrs
The Medical Center At
Franklin
M-TH 8:00 AM - 5:00 PM
F 8:00 AM - 12:00 PM
Internal Medicine
Reddy, Karuna MD
Provider ID: 594939
Gender: Female
Family Medical Clinic
PSC
1100 Brookhaven Rd Ste
103
Franklin, KY 42134
(270) 598-9595
Fax: (270) 598-9590
00 Yrs/99 Yrs
MWTHF 8:00 AM - 5:00
PM
T 8:00 AM - 12:00 PM
kentucky.wellcare.com | 23
05/28/2015
Primary Care Physicians
Taylor
Family Practice
General Practice
Harris, Carolyn DO
Provider ID: 628206
Dixon, Jerome DO
Brooks, Bobby MD
Gender: Female
Provider ID: 607881
Provider ID: 624011
Optima Health PSC
Gender: Male
Gender: Male
138 Campbellsville Byp
Crossroads Family
Bobby J Brooks MD
Ste 5
Medicine
Campbellsville, KY 42718 127 Kingswood Dr
150 W Bear Track Rd
Campbellsville, KY 42718
(270) 283-4368
Campbellsville, KY 42718 Fax: (270) 283-4369
(270) 789-3410
(270) 465-8133
Fax: (270) 465-2449
16 Yrs/99 Yrs
Fax: (270) 789-1543
02 Yrs/99 Yrs
M-F 1:00 AM - 6:00 PM
00 Yrs/99 Yrs
Jane Todd Crawford
Stephens, Cassandra MD Memorial Hospital
MTWF 8:00 AM - 5:00
PM
Taylor County Hospital
Provider
ID:
613106
TH 8:00 AM - 12:00 PM
M-W 9:00 AM - 5:00 PM
Gender: Female
Internal Medicine
Feltner, William MD
Stephens Family
Provider ID: 616253
Medicine
Hinton, Stephen MD
Gender: Male
70 Ubermonkey Ln
Bestgroup IPA
Campbellsville, KY 42718 Provider ID: 595934
1866 Old Lebanon Rd
(270) 465-0060
Gender: Male
Campbellsville, KY 42718 Fax: (270) 465-0134
Internal Medicine
(270) 465-3588
00 Yrs/99 Yrs
Associates of Ta
Fax: (270) 465-2635
M-F 8:30 AM - 4:30 PM
95 Kingswood Dr
00 Yrs/99 Yrs
Campbellsville, KY 42718
M-F 8:00 AM - 4:00 PM Sztendera, Lora MD
(270) 465-3812
Provider ID: 618815
Sat 8:00 AM - 11:00 PM
Fax: (270) 465-8352
Gender: Female
16 Yrs/99 Yrs
Frogge, Kellee MD
Taylor County Family
Taylor County Hospital
Provider ID: 628876
Practice
Languages: Spanish
Gender: Female
407 E 1st St
Kellee D Frogge MD
Campbellsville, KY 42718 M-F 8:30 AM - 5:00 PM
105 Greenbriar Dr Ste B
(270) 465-4841
Rogers, Thomas MD
Campbellsville, KY 42718 Fax: (270) 465-0120
Provider ID: 594801
(270) 465-0191
02 Yrs/99 Yrs
Gender: Male
Fax: (270) 465-0463
MTTHF 8:00 AM - 5:00
Internal Medicine
00 Yrs/99 Yrs
PM
Associates of Ta
MTWF 8:30 AM - 5:00
W 8:00 AM - 2:00 PM
95 Kingswood Dr
PM
Campbellsville, KY 42718
TH 8:30 AM - 12:00 PM
(270) 465-3812
Fax: (270) 465-8352
16 Yrs/99 Yrs
Taylor County Hospital
M-F 8:30 AM - 5:00 PM
kentucky.wellcare.com | 24
Pediatrics
Grewal, Harinder MD
Provider ID: 622983
Gender: Male
Springview Pediatrics
101 W Bear Track Rd
Campbellsville, KY 42718
(270) 849-2488
00 Yrs/18 Yrs
Spring View Hospital
M-TH 8:30 AM - 11:30 PM
Hancock, Melissa MD
Provider ID: 630650
Gender: Female
Ulrf General Pediatrics
73 Kingswood Dr
Campbellsville, KY 42718
(270) 789-1112
Fax: (270) 789-3157
00 Yrs/18 Yrs
Kosair Childrens Medical
Center Brownsb
Norton Hospital
M-F 8:00 AM - 5:00 PM
Hesson, David MD
Provider ID: 630950
Gender: Male
Ulrf General Pediatrics
73 Kingswood Dr
Campbellsville, KY 42718
(270) 789-1112
Fax: (270) 789-3157
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
Khan, Muhammad MD
Provider ID: 630953
Gender: Male
Ulrf General Pediatrics
73 Kingswood Dr
Campbellsville, KY 42718
(270) 789-1112
Fax: (270) 789-3157
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Primary Care Physicians
Taylor
Pediatrics - cont.
Schwenk, Klint MD
Thompson, Jennifer MD
Provider ID: 630878
Kinney, Matthew MD
Provider ID: 1067787
Gender: Male
Provider ID: 682638
Gender: Female
Ulrf General Pediatrics
Gender: Male
Ulrf General Pediatrics
73 Kingswood Dr
Ulrf General Pediatrics
Campbellsville, KY 42718 73 Kingswood Dr
73 Kingswood Dr
Campbellsville, KY 42718
(502) 852-8500
Campbellsville, KY 42718 Fax: (502) 852-8556
(270) 789-1112
(270) 789-1112
Fax: (270) 789-3157
00 Yrs/18 Yrs
Fax: (270) 789-3157
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM Stiff, Jennifer MD
Provider ID: 1036762
Liu, Gilbert MD
Gender: Female
Provider ID: 792327
Ulrf General Pediatrics
Gender: Male
73 Kingswood Dr
Ulrf General Pediatrics
Campbellsville, KY 42718
73 Kingswood Dr
(270) 789-1112
Campbellsville, KY 42718 Fax: (270) 789-3157
(270) 789-1112
00 Yrs/21 Yrs
Fax: (270) 789-3157
M-F 8:00 AM - 5:00 PM
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM Tan, Emily MD
Provider ID: 630632
Nota, Maria MD
Gender: Female
Provider ID: 630722
Ulrf General Pediatrics
Gender: Female
73 Kingswood Dr
Ulrf General Pediatrics
Campbellsville, KY 42718
73 Kingswood Dr
(270) 789-1112
Campbellsville, KY 42718 Fax: (270) 789-3157
(270) 789-1112
00 Yrs/18 Yrs
Fax: (270) 789-3157
M-F 8:00 AM - 5:00 PM
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM Taulbee, Rebecca MD
Provider ID: 642864
Patel, Pradip MD
Gender: Female
Provider ID: 630740
Ulrf General Pediatrics
Gender: Male
73 Kingswood Dr
Ulrf General Pediatrics
Campbellsville, KY 42718
73 Kingswood Dr
(270) 789-1112
Campbellsville, KY 42718 Fax: (270) 789-3157
(270) 789-1112
00 Yrs/18 Yrs
Fax: (270) 789-3157
Taylor County Hospital
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 25
05/28/2015
Primary Care Physicians
Warren
Family Practice
Bale, Phillip MD
Provider ID: 935463
Gender: Male
Graves Gilbert Clinic
201 Park St
Bowling Green, KY 42101
(270) 781-5111
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gray, Jennifer MD
Provider ID: 606013
Gender: Female
Fchc Prenatal Annex
825 4th Ave
Bowling Green, KY 42101
(270) 783-3573
Fax: (207) 783-4081
00 Yrs/99 Yrs
Languages: Spanish
M 8:00 AM - 3:30 PM
Macy, Brian MD
Provider ID: 994710
Gender: Male
Graves-Gilbert Clinic
1681 Normal Dr
Bowling Green, KY 42101
(270) 745-2273
Fax: (270) 745-2273
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Purvis, Jeffrey MD
Provider ID: 689219
Gender: Male
Graves Gilbert Clinic
1681 Normal Dr
Bowling Green, KY 42101
(270) 745-2273
Fax: (270) 783-3763
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Mastronardi, Diego MD
Purvis, Jeffrey MD
Provider ID: 985823
Gender: Male
Graves Gilbert Clinic
350 Park St
Bowling Green, KY 42101
(270) 781-5111
Fax: (270) 782-4253
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Provider ID: 994722
Gender: Male
Graves Gilbert Clinic
1681 Normal Dr
Bowling Green, KY 42101
(270) 745-2273
Fax: (270) 783-3763
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gray, Jennifer MD
Napier, David MD
Provider ID: 616354
Provider ID: 1038962
Gender: Female
Gender: Male
Fairview Community
Graves Gilbert Clinic
Health Center
350 Park St
615 7th Ave
Bowling Green, KY 42101
Bowling Green, KY 42101 (270) 781-5111
(270) 783-3573
Fax: (270) 782-4253
Fax: (270) 467-0225
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
MWF 8:00 AM - 5:00 PM
TTH 8:00 AM - 7:00 PM Napier, David MD
Provider ID: 994715
Macy, Brian MD
Gender: Male
Provider ID: 1038951
Graves Gilbert Clinic
Gender: Male
1681 Normal Dr
Graves Gilbert Clinic
Bowling Green, KY 42101
350 Park St
(270) 745-2273
Bowling Green, KY 42101 Fax: (270) 783-3763
(270) 781-5111
00 Yrs/99 Yrs
Fax: (270) 782-4253
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
General Practice
England-Wright, Lori MD
Provider ID: 616353
Gender: Female
Fairview Community
Health Center
615 7th Ave
Bowling Green, KY 42101
(270) 783-3573
Fax: (270) 783-4081
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hsieh, Stanley MD
Provider ID: 596010
Gender: Male
Stanley Hsieh MD
1402 Andrea St
Bowling Green, KY 42104
(270) 781-0167
Fax: (270) 781-7112
02 Yrs/99 Yrs
The Medical Center
MTTHF 9:00 AM - 5:00
PM
W 9:00 AM - 12:00 PM
Tapp, John MD
Provider ID: 596049
Gender: Male
Tapp Medical Clinic
414 Old Morgantown Rd
Internal Medicine
Bowling Green, KY 42101
(270) 781-1483
Avula, Pravin MD
Fax: (270) 781-5101
Provider ID: 1038870
00 Yrs/99 Yrs
Gender: Male
The Medical Center
Graves Gilbert Clinic
M-F 8:30 AM - 4:30 PM
350 Park St
Sat 8:30 AM - 5:00 PM
Bowling Green, KY 42101
(270) 781-5111
Fax: (270) 782-4253
18 Yrs/99 Yrs
The Medical Center
Tristar Greenview
Regional Hospital
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 26
05/28/2015
Primary Care Physicians
Warren
Internal Medicine - cont. Dils, Grover MD
Hendrix, Wayne MD
Provider ID: 595917
Avula, Pravin MD
Provider ID: 600027
Gender: Male
Provider ID: 608218
Gender: Male
Commonwealth Health
Gender: Male
Corporation
Graves Gilbert Clinic
Graves-Gilbert Clinic
250 Park St Ste 6B
201 Park St
121 College St
Bowling Green, KY 42101 Bowling Green, KY 42101
Smiths Grove, KY 42171
(270) 796-6540
(270) 781-5111
(270) 563-3000
Fax: (270) 796-6576
Fax: (270) 783-3750
Fax: (270) 783-3750
00 Yrs/99 Yrs
12 Yrs/99 Yrs
18 Yrs/99 Yrs
The Medical Center
The Medical Center
The Medical Center
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Tristar Greenview
Regional Hospital
Gover, John MD
Hsieh, Anson MD
M-F 8:00 AM - 5:00 PM
Provider ID: 639352
Provider ID: 666986
Gender: Male
Gender: Male
Avula, Pravin MD
Primecare Medicine
Graves Gilbert Clinic
Provider ID: 797199
Associates
1402 Andrea Dr
Gender: Male
990 Wilkinson Trr Ste
Bowling Green, KY 42104
Graves Gilbert Clinic
100
(270) 781-0167
201 Park St
Bowling Green, KY 42103 Fax: (270) 781-0167
Bowling Green, KY 42101 (270) 781-4043
13 Yrs/99 Yrs
(270) 781-5111
Fax: (270) 781-4196
Tristar Greenview
18 Yrs/99 Yrs
12 Yrs/99 Yrs
Regional Hospital
The Medical Center
M-F 8:00 AM - 5:00 PM
Languages: Chinese
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 1:00 PM
MTTHF 9:00 AM - 5:00
PM
Chhabra, Shalini MD
Hendrix, Wayne MD
W 9:00 AM - 12:00 PM
Provider ID: 928735
Provider ID: 1020103
Hsieh, Anson MD
Gender: Female
Gender: Male
Provider ID: 797224
Graves Gilbert Clinic
Graves Gilbert Clinic
Gender: Male
201 Park St
1681 Normal Dr
Graves Gilbert Clinic
Bowling Green, KY 42101 Bowling Green, KY 42101 201 Park St
(270) 780-0490
(270) 745-2273
Bowling Green, KY 42101
Fax: (270) 783-3750
Fax: (270) 783-3763
(270) 781-5111
12 Yrs/99 Yrs
12 Yrs/99 Yrs
13 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
The Medical Center
The Medical Center
M-F 8:00 AM - 5:00 PM
Languages: Chinese
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 27
Jain, Manisha MD
Provider ID: 927260
Gender: Female
Associates In Physician
Services
427 US 31W Byp
Bowling Green, KY 42101
(270) 796-8800
Fax: (270) 796-9328
12 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Kaul, Sanjay MD
Provider ID: 1024238
Gender: Male
Glk Enterprise LLC DBA
Wilkes Clini
440 High St
Bowling Green, KY 42101
(270) 282-7105
Fax: (270) 282-7109
12 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Kelly, Kevin MD
Provider ID: 1070335
Gender: Male
Ohp Walk In Clinics LLC
6807 Louisville Rd Ste 1
Bowling Green, KY 42101
(270) 781-6477
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Kelly, Kevin MD
Provider ID: 909393
Gender: Male
The Glasser Clinic
1325 Andrea St Ste 100
Bowling Green, KY 42104
(270) 901-3454
Fax: (270) 901-3459
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Primary Care Physicians
Warren
Internal Medicine - cont. Redden, Robert MD
Obstetrics/Gynecology
Singh, Kushal MD
Provider ID: 1037001
Provider ID: 799532
Kelly, Kevin MD
Sandhu, Manmeet MD
Gender: Male
Gender: Male
Provider ID: 956435
Fairview Community
Graves Gilbert Clinic
Provider ID: 752119
Gender: Male
Health Center
201 Park St
Ohp Walk In Clinics LLC
811 Fairview Ave
Bowling Green, KY 42101 Gender: Female
Fairview Community
5796 Nashville Rd Ste A
Bowling Green, KY 42101 (270) 781-5111
Health Center
Bowling Green, KY 42101 (270) 783-3573
12 Yrs/99 Yrs
(270) 781-6477
Fax: (270) 467-0225
Logan Memorial Hospital 825 4th Ave
Bowling Green, KY 42101
Fax: (270) 781-6479
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
(270) 783-3573
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 467-0225
Sutton, Dwight MD
M-F 8:00 AM - 5:00 PM
Sahetya, Gul MD
00 Yrs/99 Yrs
Kesri, Sam MD
Provider ID: 604662
Provider ID: 597049
Languages: Punjabi
Provider ID: 710889
Gender: Female
Gender: Male
M-F 8:00 AM - 5:00 PM
Gender: Male
Associates In Pulmonary Southern Kentucky
Pediatrics
Sam Reddy Kesri MD
and Critica
Primary Care
6040 Scottsville Rd
427 US 31W Byp
1325 Andrea St Ste 200
Bowling Green, KY 42104 Bowling Green, KY 42101 Bowling Green, KY 42104 Baker, Brent MD
(270) 842-5850
(270) 796-8000
(270) 782-5002
Provider ID: 599830
Fax: (270) 842-5388
Fax: (270) 796-9328
Fax: (270) 782-5040
Gender: Male
12 Yrs/99 Yrs
00 Yrs/99 Yrs
18 Yrs/99 Yrs
Graves-Gilbert Clinic
M-F 9:00 AM - 5:00 PM
The Medical Center
The Medical Center
201 Park St
M-F
8:00
AM
5:00
PM
M-F
8:00
AM
5:00
PM
Bowling Green, KY 42101
Padilla, Rosalie MD
(270) 781-5111
Sahetya, Kalidas MD
Turner, Charles MD
00 Yrs/18 Yrs
Provider ID: 595930
Provider ID: 431982
Provider ID: 599835
The Medical Center
Gender: Female
Gender: Male
Gender: Male
M-F 8:00 AM - 5:00 PM
Rosalie Padilla MD
Kalidas G Sahetya MD
Commonwealth Health
720 2nd Ave Ste 301
Corporation
427 US 31 W Bypass
Bitterling, Jeffery MD
Bowling Green, KY 42101 Bowling Green, KY 42101 250 Park St Ste 6B
(270) 843-5147
Bowling Green, KY 42101 Provider ID: 596083
(270) 796-8800
Fax: (270) 745-1230
(270) 796-6540
Fax: (270) 796-9328
Gender: Male
18 Yrs/99 Yrs
Fax: (270) 796-6576
00 Yrs/99 Yrs
Pediatric Associates
The Medical Center
00 Yrs/99 Yrs
The Medical Center At
1211 Ashley Cir
Languages: Spanish
Franklin
The Medical Center
Bowling Green, KY 42104
M 8:00 AM - 12:00 PM
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
(270) 782-8700
TWTHF 9:00 AM - 5:00
Fax: (270) 782-8704
Singh, Kamal MD
PM
00 Yrs/21 Yrs
Provider ID: 800408
The Medical Center
Gender: Male
M-F 8:00 AM - 5:00 PM
Graves Gilbert Clinic
201 Park St
Bowling Green, KY 42101
(270) 781-5111
12 Yrs/99 Yrs
Logan Memorial Hospital
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 28
05/28/2015
Primary Care Physicians
Warren
Pediatrics - cont.
Fraser, Zahid MD
Kelly, Kevin MD
Provider ID: 1070335
Blackerby, Jeffries MD
Provider ID: 613420
Gender: Male
Gender: Male
Ohp Walk In Clinics LLC
Provider ID: 595961
Pediatric Associates
6807 Louisville Rd Ste 1
Gender: Male
1211 Ashley Cir
Bowling Green, KY 42101
Pediatric Associates
Bowling Green, KY 42104 (270) 781-6477
1211 Ashley Cir
(270) 782-8700
00 Yrs/99 Yrs
Bowling Green, KY 42104 Fax: (270) 782-8704
M-F 8:00 AM - 5:00 PM
(270) 782-8700
00 Yrs/21 Yrs
Fax: (270) 782-8704
Kelly, Kevin MD
The Medical Center
00 Yrs/21 Yrs
Provider ID: 909393
M-F 8:00 AM - 5:00 PM
The Medical Center
Gender: Male
Sat 8:00 AM - 11:00 PM
M-F 8:00 AM - 5:00 PM
The Glasser Clinic
Sat 8:00 AM - 12:00 PM Garrett, Caroline MD
1325 Andrea St Ste 100
Bowling Green, KY 42104
Castelli, Christopher MD Provider ID: 595690
(270) 901-3454
Gender: Female
Fax: (270) 901-3459
Provider ID: 599006
Bowling Green Internal
12 Yrs/99 Yrs
Gender: Male
Medicine and
M-F 8:00 AM - 5:00 PM
Graves-Gilbert Clinic
1701 Ashley Cir Ste 200
201 Park St
Bowling Green, KY 42104 Kelly, Kevin MD
Bowling Green, KY 42101 (270) 846-4800
Provider ID: 956435
(270) 781-5111
Gender: Male
Fax: (270) 846-4828
00 Yrs/17 Yrs
Ohp Walk In Clinics LLC
12 Yrs/99 Yrs
The Medical Center
5796 Nashville Rd Ste A
The Medical Center
M-F 8:00 AM - 5:00 PM
Bowling Green, KY 42101
Languages: Spanish
(270) 781-6477
MWTHF
8:00
AM
5:00
Faulkner-Simmons,
Fax: (270) 781-6479
PM
Patricia MD
12 Yrs/99 Yrs
T 9:00 AM - 5:00 PM
Provider ID: 600058
M-F 8:00 AM - 5:00 PM
Gender: Female
Harrell, William MD
Graves-Gilbert Clinic
Kniery, Paul MD
Provider ID: 616356
201 Park St
Gender: Male
Bowling Green, KY 42101 Fairview Community
Provider ID: 595221
(270) 781-5111
Gender: Male
Health Center
00 Yrs/17 Yrs
Bowling Green Internal
615 7th Ave
The Medical Center
Bowling Green, KY 42101 Medicine and
M-F 8:00 AM - 6:00 PM
1701 Ashley Cir Ste 200
(270) 783-3573
Sat 8:00 AM - 12:00 PM
Bowling Green, KY 42104
Fax: (270) 467-0225
(270) 846-4800
00 Yrs/21 Yrs
Fax: (270) 846-4828
MF 8:00 AM - 5:00 PM
12 Yrs/99 Yrs
TWTH 8:00 AM - 7:00
Languages: Spanish
PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 29
Kries, Kelly MD
Provider ID: 594658
Gender: Female
Bowling Green Internal
Medicine and
1701 Ashley Cir Ste 200
Bowling Green, KY 42104
(270) 846-4800
Fax: (270) 846-4828
00 Yrs/21 Yrs
The Medical Center
M-F 8:00 AM - 4:30 PM
Lowry, Mark MD
Provider ID: 599004
Gender: Male
Graves-Gilbert Clinic
201 Park St
Bowling Green, KY 42101
(270) 781-5111
00 Yrs/17 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
Mayfield, Sarah MD
Provider ID: 595914
Gender: Female
Bowling Green Internal
Medicine and
1701 Ashley Cir Ste 200
Bowling Green, KY 42104
(270) 846-4800
Fax: (270) 846-4828
12 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 4:30 PM
Pinckley-Stewart, Pippa
MD
Provider ID: 600062
Gender: Female
Graves-Gilbert Clinic
201 Park St
Bowling Green, KY 42101
(270) 781-5111
00 Yrs/17 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
05/28/2015
Primary Care Physicians
Warren
Pediatrics - cont.
Voakes, John MD
Provider ID: 722063
Smith, J MD
Gender: Male
Provider ID: 613401
Fairview Community
Gender: Male
Health Center
Pediatric Associates
615 7th Ave
1211 Ashley Cir
Bowling Green, KY 42101
Bowling Green, KY 42104 (270) 783-3573
(270) 782-8700
Fax: (270) 783-4081
Fax: (270) 782-8704
00 Yrs/21 Yrs
00 Yrs/21 Yrs
MF 8:00 AM - 5:00 PM
The Medical Center
TWTH 8:00 AM - 7:00
M-F 9:00 AM - 5:00 PM
PM
Smith, John MD
Provider ID: 595970
Gender: Male
Pediatric Associates
1211 Ashley Cir
Bowling Green, KY 42104
(270) 782-8700
Fax: (270) 782-8704
00 Yrs/21 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
Sowell, Debra MD
Provider ID: 600065
Gender: Female
Graves-Gilbert Clinic
201 Park St
Bowling Green, KY 42101
(270) 781-5111
00 Yrs/17 Yrs
The Medical Center
Languages: French
M-F 8:30 AM - 4:00 PM
Sat 8:30 AM - 5:00 PM
Watson, George MD
Primary Care Center
Witcher, Lori MD
Provider ID: 616360
England-Wright, Lori MD Gender: Female
Fairview Community
Provider ID: 616353
Health Center
Gender: Female
615 7th Ave
Fairview Community
Bowling Green, KY 42101
Health Center
(270) 783-3573
615 7th Ave
Fax: (270) 783-4081
Bowling Green, KY 42101 00 Yrs/21 Yrs
(270) 783-3573
MF 8:00 AM - 5:00 PM
Fax: (270) 783-4081
TWTH 8:00 AM - 7:00
12 Yrs/99 Yrs
PM
M-F 8:00 AM - 5:00 PM
Gray, Jennifer MD
Provider ID: 616354
Provider ID: 595973
Gender: Female
Gender: Male
Fairview Community
George Adams Watson
Health Center
MD
615 7th Ave
1228 Ashley Cir
Bowling Green, KY 42104 Bowling Green, KY 42101
(270) 783-3573
(270) 781-1237
Fax: (270) 467-0225
Fax: (270) 781-1347
00 Yrs/99 Yrs
00 Yrs/18 Yrs
MWF 8:00 AM - 5:00 PM
The Medical Center
TTH 8:00 AM - 7:00 PM
M-F 10:00 AM - 4:30 PM
Harrell, William MD
Witcher, Lori MD
Provider ID: 616356
Provider ID: 616360
Gender: Male
Gender: Female
Fairview Community
Fairview Community
Health Center
Health Center
615 7th Ave
615 7th Ave
Bowling Green, KY 42101 Bowling Green, KY 42101
(270) 783-3573
(270) 783-3573
Fax: (270) 467-0225
Fax: (270) 783-4081
00 Yrs/21 Yrs
00 Yrs/21 Yrs
MF 8:00 AM - 5:00 PM
MF 8:00 AM - 5:00 PM
TWTH 8:00 AM - 7:00
TWTH 8:00 AM - 7:00
PM
PM
kentucky.wellcare.com | 30
05/28/2015
Primary Care Physicians
Wayne
Family Practice
Mayer, Richard DO
Provider ID: 616618
Gender: Male
Monticello Medical
Associates
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Molloy, Pamela MD
Provider ID: 616619
Gender: Female
Monticello Medical
Associates
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Petrenko, Peter MD
Provider ID: 596440
Gender: Male
Monticello Medical
Associates
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
Wayne County Hospital
Inc-Rad
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Petrenko, Peter MD
Provider ID: 616625
Gender: Male
Monticello Medical
Associates
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sexton, Shawna DO
Provider ID: 712837
Gender: Female
Wayne County Hospital
Rhc
166 Hospital St
Monticello, KY 42633
(606) 340-3251
Fax: (606) 348-3266
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Southard, Stephanie DO
Provider ID: 594567
Gender: Female
Family Care Medical
Center
1215 N Main St Ste 2
Monticello, KY 42633
(606) 340-8825
Fax: (606) 340-0097
00 Yrs/99 Yrs
Wayne County Hospital
Inc-Rad
MTF 8:00 AM - 5:00 PM
W 8:00 AM - 3:00 PM
TH 1:00 AM - 8:00 PM
General Practice
McFarland, Ronald MD
Provider ID: 616624
Gender: Male
Monticello Medical
Associates
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pratt, Gerald MD
Provider ID: 616626
Gender: Male
Monticello Medical
Associates
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
02 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Internal Medicine
Borrowdale-Cox, Peter
MD
Provider ID: 594853
Gender: Male
Monticello Medical
Associates
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
Wayne County Hospital
Inc-Rad
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 31
Brown, Joseph MD
Provider ID: 988228
Gender: Male
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
12 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Martinez, Yanire MD
Provider ID: 616623
Gender: Female
Monticello Medical
Associates
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Roberts, Sherrell MD
Provider ID: 596063
Gender: Male
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
12 Yrs/99 Yrs
Wayne County Hospital
Inc-Rad
M-F 9:00 AM - 5:00 PM
Roberts, Sherrell MD
Provider ID: 616622
Gender: Female
Monticello Medical
Associates
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Primary Care Physicians
Wayne
Pediatrics
Lister, Dana DO
Provider ID: 616621
Gender: Female
Monticello Medical
Associates
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
Rural Health Center
Borrowdale-Cox, Peter
MD
Provider ID: 594853
Gender: Male
Monticello Medical
Associates
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
Wayne County Hospital
Inc-Rad
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 32
05/28/2015
Specialty Physicians
Adair
Cardiac Electrophysiology Schmidt, William MD
Provider ID: 671676
Kammerling, James MD
Gender: Male
Cardiothoracic Surgery
Provider ID: 671667
of Louisvill
Gender: Male
902 W. Lake Dr
Cardiothoracic Surgery
Columbia, KY 42728
of Louisvill
(502) 891-8300
902 W. Lake Dr
Fax: (502) 891-8338
Columbia, KY 42728
18 Yrs/99 Yrs
(502) 891-8300
M-F 8:00 AM - 5:00 PM
Fax: (502) 891-8338
00 Yrs/99 Yrs
Smith, Janet MD
Norton Hospital
Provider ID: 671679
M-F 8:30 AM - 5:00 PM
Gender: Female
Cardiothoracic Surgery
Cardiology
of Louisvill
153 Dowell Rd
Donovan, James MD
Columbia, KY 42728
Provider ID: 671294
(502) 891-8300
Gender: Male
Fax: (502) 891-8338
Cardiothoracic Surgery
18 Yrs/99 Yrs
of Louisvill
M-F 8:00 AM - 5:00 PM
902 W. Lake Dr
Columbia, KY 42728
Smith, Janet MD
(502) 891-8300
Provider ID: 671679
Fax: (502) 891-8338
Gender: Female
00 Yrs/99 Yrs
Cardiothoracic Surgery
Norton Audubon
of Louisvill
Hospital
902 W. Lake Dr
M-F 8:00 AM - 4:30 PM
Columbia, KY 42728
(502) 891-8300
Lash, Joseph MD
Fax: (502) 891-8338
Provider ID: 671671
18 Yrs/99 Yrs
Gender: Male
M-F 8:00 AM - 5:00 PM
Cardiothoracic Surgery
of Louisvill
Chiropractic
902 W. Lake Dr
Columbia, KY 42728
Cooper, Victor DC
(502) 891-8300
Provider ID: 622434
Fax: (502) 891-8338
Gender: Male
18 Yrs/99 Yrs
Victor H Cooper DC
Norton Audubon
117 Merchant St
Hospital
Columbia, KY 42728
M-F 8:00 AM - 5:00 PM
(270) 384-5772
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
General Dentistry
Cooper-Henson, Jaclyn
DC
Brown, Janella DMD
Provider ID: 604980
Gender: Female
Jaclyn K Cooper-Henson Provider ID: TPV3041-01
Gender: Female
DC
318 Public Square
117 Merchant St
Columbia, KY 42728
Columbia, KY 42728
(270) 384-3481
(270) 384-5772
Fax: (270) 385-9866
Fax: (270) 384-5772
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
MTTHF 9:00 AM - 5:00
PM
General Surgery
W 10:00 AM - 2:00 PM
Enguland, Graham MD
Rogers, Ronald DC
Provider ID: 600400
Gender: Male
Ronald P Rogers DC
920 Russell Rd
Columbia, KY 42728
(270) 384-5554
Fax: (270) 384-9575
00 Yrs/99 Yrs
MWFSat 7:30 AM - 5:00
PM
T 7:30 AM - 6:00 PM
TH 7:30 AM - 12:00 PM
Provider ID: 604064
Gender: Male
Taylor Regional Surgical
Associ
805 Burkesville St
Columbia, KY 42728
(270) 384-1110
Fax: (270) 789-6119
00 Yrs/99 Yrs
Taylor County Hospital
M-F 8:00 AM - 5:00 PM
Ear, Nose & Throat
Korba, John MD
Provider ID: 604901
Gender: Male
Bluegrass Surgical
Associates
107 Westlake Dr
Columbia, KY 42728
(270) 384-6832
Fax: (270) 793-9385
00 Yrs/99 Yrs
The Medical Center
M 8:00 AM - 12:00 PM
TTH 9:00 AM - 5:00 PM
W 8:00 AM - 4:00 PM
F 8:00 AM - 5:00 PM
Ewing, James MD
Provider ID: 955637
Gender: Male
Taylor Regional ENT
805 Burkesville St
Columbia, KY 42728
(270) 384-1110
00 Yrs/99 Yrs
Taylor County Hospital
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 33
05/28/2015
Specialty Physicians
Adair
General Surgery - cont.
Romines, Robert MD
Provider ID: 604862
Gender: Male
Taylor Regional Surgical
Associ
805 Burkesville St
Columbia, KY 42728
(270) 384-1110
Fax: (270) 789-6119
00 Yrs/99 Yrs
Taylor County Hospital
M-F 8:00 AM - 5:00 PM
Shively, Eugene MD
Provider ID: 604907
Gender: Male
Taylor Regional Surgical
Associ
805 Burkesville St
Columbia, KY 42728
(270) 384-1110
Fax: (270) 789-6119
00 Yrs/99 Yrs
Taylor County Hospital
Languages: French,
Chinese, Arabic
M-F 8:00 AM - 5:00 PM
Watkins, James MD
Provider ID: 604903
Gender: Male
Taylor Regional Surgical
Associ
805 Burkesville St
Columbia, KY 42728
(270) 384-1110
Fax: (270) 789-6119
00 Yrs/99 Yrs
Taylor County Hospital
M-F 8:00 AM - 5:00 PM
Obstetrics/Gynecology
Pediatrics
Downey, Max OD
Provider ID: TPV4960-01
Feese, Catherine MD
Styer, Thomas MD
Gender: Male
Provider ID: 751062
Provider ID: 635823
301 Burkesville St.
Gender: Female
Gender: Male
Columbia, KY 42728
Taylor Reg Med Grp DBA (270) 384-6043
Nes Kentucky Inc
Taylor
901 Westlake Dr
Fax: (270) 384-0672
805 Burkesville St
Columbia, KY 42728
00 Yrs/99 Yrs
Columbia, KY 42728
(270) 384-5753
M-F 8:00 AM - 5:00 PM
(270) 384-1110
00 Yrs/21 Yrs
00 Yrs/99 Yrs
Kerr, Allison OD
M 11:00 AM - 5:00 PM
Provider ID: TPV3579-02 Weyman, Christine MD
TW 8:00 AM - 5:00 PM
Gender: Female
Provider ID: 601508
2988 Burkesville Rd
Ophthalmology
Gender: Female
Columbia, KY 42728
Lake Cumberland
(270) 384-0476
Huffman, James MD
District Health Dep
Provider ID: TPV3653-02 Fax: (270) 384-0496
801 Westlake Dr
00 Yrs/99 Yrs
Gender: Male
Columbia, KY 42728
M-F 9:00 AM - 5:00 PM
301 Burkesville St.
(270) 384-2286
Columbia, KY 42728
Fax: (270) 384-4800
Silvers, Bob OD
(270) 384-6043
00 Yrs/21 Yrs
Provider ID:
Fax: (270) 384-0672
TPV1790749018WL
Languages: Spanish
00 Yrs/99 Yrs
Gender: Male
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
2988 Burkesville Rd
Pulmonary Disease
Columbia, KY 42728
Huffman, Mark MD
Hansbrough, James MD
Provider ID: TPV3652-02 (270) 384-0476
00
Yrs/99
Yrs
Gender: Male
MW 9:00 AM - 5:00 PM
Provider ID: 618754
301 Burkesville St.
T 10:00 AM - 6:00 PM
Gender: Male
Columbia, KY 42728
Graves Gilbert Clinic
(270) 384-6043
Oral & Maxillofacial
810 Jamestown St
Fax: (270) 384-0672
Surgery
Columbia, KY 42728
00 Yrs/99 Yrs
Wurth, Bradley DMD
(270) 781-5111
M 2:00 AM - 7:00 PM
Provider ID: TPV19135-02 Fax: (270) 780-0473
Optometry
Gender: Male
00 Yrs/99 Yrs
650 Glenmary DR Ste 2
The Medical Center
Burton, Jacob OD
Fairplay,
KY
42728
M-F 8:00 AM - 5:00 PM
Provider ID: TPV12203-01
(270)
384-0843
Gender: Male
Fax: (270) 384-0844
301 Burkesville St.
00 Yrs/20 Yrs
Columbia, KY 42728
M 7:00 AM - 4:00 PM
(270) 384-6043
Fax: (270) 384-0672
00 Yrs/99 Yrs
MTTHF 8:00 AM - 5:00
PM
W 8:00 AM - 11:30 PM
kentucky.wellcare.com | 34
05/28/2015
Specialty Physicians
Adair
Pulmonary Disease - cont.
Hansbrough, James MD
Provider ID: 618754
Gender: Male
Graves-Gilbert Clinic
901 Westlake Dr
Columbia, KY 42728
(270) 384-4753
Fax: (270) 384-6228
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Thomson, Douglas MD
Provider ID: 618755
Gender: Male
Graves-Gilbert Clinic
901 Westlake Dr
Columbia, KY 42728
(270) 384-4753
Fax: (270) 384-6228
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Sports Medicine
Khan, Umar MD
Provider ID: 811228
Gender: Male
Regenerative
Orthopaedic and Sports
210 Lindsey Wilson St
Columbia, KY 42728
(270) 282-7105
Fax: (270) 282-7109
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 35
05/28/2015
Specialty Physicians
Allen
Cardiology
Hand Surgery
Kazimuddin, Mohammed
MD
Abdul-Waheed,
Morrison, Keith MD
Provider ID: 608061
Mohammad MD
Provider ID: 604549
Gender: Male
Provider ID: 627594
Western Kentucky Heart Gender: Male
Gender: Male
Western Kentucky
and Lung Assoc
Western Kentucky Heart 466 Burnley Rd
Orthopaedic and NE
and Lung Assoc
456 Burnley Rd
Scottsville, KY 42164
466 Burnley Rd
Scottsville, KY 42164
(270) 622-9636
Scottsville, KY 42164
(270) 622-3288
Fax: (270) 622-9630
(270) 782-0151
Fax: (270) 783-5228
00 Yrs/99 Yrs
Fax: (270) 782-7528
00 Yrs/99 Yrs
The Medical Center
00 Yrs/99 Yrs
The Medical Center
Tristar Greenview
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Regional Hospital
M-F
9:00
AM
5:00
PM
Harris, Scott DO
Neurosurgery
Provider ID: 1032306
Chiropractic
Schwank, William MD
Gender: Male
Provider ID: 604510
Scott C Harris DO PLLC Watkins, Grant DC
Gender: Male
Provider
ID:
603767
208 S Court St
Western Kentucky
Gender:
Male
Scottsville, KY 42164
Orthopaedic and NE
Spine Stop PLLC
(270) 991-1235
456 Burnley Rd
352 Old Gallatin Rd
00 Yrs/99 Yrs
Scottsville, KY 42164
Scottsville, KY 42164
M-F 8:00 AM - 5:00 PM
(270) 622-3288
(270) 237-3304
Harston, William MD
Fax: (270) 783-5228
Fax: (270) 237-3305
Provider ID: 604725
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Gender: Male
The Medical Center
M-F 8:00 AM - 5:00 PM
Associates In Physician
Languages: Spanish
General Surgery
Services
M-F 9:00 AM - 5:00 PM
208 S Court St
Bush, George MD
Ophthalmology
Scottsville, KY 42164
Provider
ID:
618783
(270) 796-8800
Witcher, Spencer MD
Gender: Male
Fax: (270) 796-9328
George Wayne Bush MD Provider ID: TPV5175-04
00 Yrs/99 Yrs
Gender: Male
244 Burnley Rd
The Medical Center
306 North Court
Scottsville, KY 42164
M-F 9:00 AM - 5:00 PM
Scottsville, KY 42164
(270) 622-2800
(270) 781-4909
Fax: (270) 622-2209
Fax: (270) 846-9678
00 Yrs/99 Yrs
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 36
Optometry
Breiwa, John OD
Provider ID: TPV4758-02
Gender: Male
390 Old Gallatin Rd
Scottsville, KY 42164
(270) 237-5434
Fax: (270) 237-3529
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Jeskie, John OD
Provider ID: TPV4771-02
Gender: Male
390 Old Gallatin Rd
Scottsville, KY 42164
(270) 237-5434
Fax: (270) 237-3529
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Ross, Mark OD
Provider ID: TPV4939-01
Gender: Male
330 Franklin Rd
Scottsville, KY 42164
(270) 237-3871
Fax: (270) 237-5057
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
F 8:00 AM - 12:00 PM
Tucker, Joseph OD
Provider ID: TPV4754-02
Gender: Male
390 Old Gallatin Rd
Scottsville, KY 42164
(270) 237-5434
Fax: (270) 237-3529
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Allen
Orthopaedic Surgery
Beard, Craig MD
Provider ID: 604541
Gender: Male
Western Kentucky
Orthopaedic and NE
456 Burnley Rd
Scottsville, KY 42164
(270) 622-3288
Fax: (270) 783-5228
00 Yrs/99 Yrs
The Medical Center
Languages: Spanish
M-F 9:00 AM - 5:00 PM
Burch, John MD
Provider ID: 604543
Gender: Male
Western Kentucky
Orthopaedic and NE
456 Burnley Rd
Scottsville, KY 42164
(270) 622-3288
Fax: (270) 783-5228
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Fee, Kirk MD
Provider ID: 604544
Gender: Male
Western Kentucky
Orthopaedic and NE
456 Burnley Rd
Scottsville, KY 42164
(270) 622-3288
Fax: (270) 783-5228
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Malmquist, Gregg MD
Provider ID: 601604
Gender: Male
Western Kentucky
Orthopaedic and NE
456 Burnley Rd
Scottsville, KY 42164
(270) 622-3288
Fax: (270) 783-5228
00 Yrs/99 Yrs
The Medical Center
Tristar Greenview
Regional Hospital
M-F 9:00 AM - 5:00 PM
Singer, Phillip MD
Provider ID: 604554
Gender: Male
Western Kentucky
Orthopaedic and NE
456 Burnley Rd
Scottsville, KY 42164
(270) 622-3288
Fax: (270) 783-5228
00 Yrs/99 Yrs
The Medical Center
Tristar Greenview
Regional Hospital
M-F 9:00 AM - 5:00 PM
Patton, Christopher MD
Pain Management
Provider ID: 601762
Gender: Male
Western Kentucky
Orthopaedic and NE
456 Burnley Rd
Scottsville, KY 42164
(270) 622-3288
Fax: (270) 783-5228
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
De Los Reyes, Eduardo
MD
Provider ID: 600289
Gender: Male
Anesthesia Pain
Specialists
456 Burnley Rd
Scottsville, KY 42164
(270) 622-2800
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Richards, David MD
Provider ID: 609829
Gender: Male
Western Kentucky
Orthopaedic and NE
456 Burnley Rd
Scottsville, KY 42164
(270) 622-3288
Fax: (270) 783-5228
00 Yrs/99 Yrs
The Medical Center
Tristar Greenview
Regional Hospital
M-F 8:30 AM - 5:00 PM
De Los Reyes, Eduardo
MD
Provider ID: 600289
Gender: Male
Interventional Pain
Specialists of
466 Burnley Rd
Scottsville, KY 42164
(270) 618-3980
Fax: (270) 266-0292
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 37
Maglinger, Paul MD
Provider ID: 603353
Gender: Male
Interventional Pain
Specialists of
466 Burnley Rd
Scottsville, KY 42164
(270) 618-3980
Fax: (270) 266-0292
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Miller, Rodney MD
Provider ID: 604551
Gender: Male
Anesthesia Pain
Specialists
456 Burnley Rd
Scottsville, KY 42164
(270) 622-2800
00 Yrs/99 Yrs
The Medical Center
Languages: Spanish
M-F 9:00 AM - 5:00 PM
Ogunyemi, Dele DO
Provider ID: 601483
Gender: Male
Anesthesia Pain
Specialists
456 Burnley Rd
Scottsville, KY 42164
(270) 622-2800
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Allen
Pain Management - cont. Watson, Robert MD
Provider ID: 604699
Ogunyemi, Dele DO
Gender: Male
Anesthesia Pain
Provider ID: 601483
Specialists
Gender: Male
456 Burnley Rd
Interventional Pain
Scottsville, KY 42164
Specialists of
(270) 622-2800
466 Burnley Rd
00 Yrs/99 Yrs
Scottsville, KY 42164
The Medical Center
(270) 618-3980
Languages: Spanish
Fax: (270) 266-0292
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Radiology - Interventional
The Medical Center
& Vascular
M-F 8:00 AM - 5:00 PM
Unick, Christian MD
Provider ID: 922375
Gender: Male
Interventional Pain
Specialists of
466 Burnley Rd
Scottsville, KY 42164
(270) 618-3980
Fax: (270) 266-0292
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Vessels, Eric MD
Provider ID: 900209
Gender: Male
Interventional Pain
Specialsits of
466 Burnley Rd
Scottsville, KY 42164
(270) 618-3980
Fax: (270) 266-0292
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Kazimuddin, Mohammed
MD
Provider ID: 608061
Gender: Male
Western Kentucky Heart
and Lung Assoc
466 Burnley Rd
Scottsville, KY 42164
(270) 622-9636
Fax: (270) 622-9630
00 Yrs/99 Yrs
The Medical Center
Tristar Greenview
Regional Hospital
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 38
05/28/2015
Specialty Physicians
Barren
Allergy & Immunology
Cavanah, Diana MD
Provider ID: 604849
Gender: Female
Graves Gilbert Clinic
1330 N Race St
Glasgow, KY 42141
(270) 629-5111
Fax: (270) 629-5115
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Kuhn, Forrest MD
Provider ID: 604877
Gender: Male
218 Columbia Ave
Glasgow, KY 42141
(502) 896-2131
Fax: (502) 896-0345
00 Yrs/99 Yrs
Ephraim McDowell Reg
Med Center
Norton Suburban
Hospital
M 7:00 AM - 2:30 PM
Kuhn, Forrest MD
Provider ID: 604877
Gender: Male
301 Professional Park Dr
Glasgow, KY 42141
(502) 896-2131
Fax: (502) 896-0345
00 Yrs/99 Yrs
Ephraim McDowell Reg
Med Center
Norton Suburban
Hospital
M 7:00 AM - 1:30 PM
Le, Ha MD
Provider ID: 609828
Gender: Male
Ha T Le MD PSC
1008 Glenview Dr Ste A
Glasgow, KY 42141
(270) 651-5897
00 Yrs/99 Yrs
Languages: Vietnamese
M-F 8:30 AM - 5:00 PM
Mercer, Patricia MD
Provider ID: 604886
Gender: Female
Graves-Gilbert Clinic
1330 N Race St
Glasgow, KY 42141
(270) 629-5111
Fax: (270) 629-5115
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Sternberg, Thomas MD
Provider ID: 603852
Gender: Male
Graves Gilbert Clinic
1330 N Race St
Glasgow, KY 42141
(270) 629-5111
Fax: (270) 629-5115
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Sternberg, Thomas MD
Provider ID: 603852
Gender: Male
Graves-Gilbert Clini
1411 Race St
Glasgow, KY 42141
(270) 780-0560
Fax: (270) 780-0467
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
Cardiac Electrophysiology Nair, Harikrishnan MD
Provider ID: 700613
Stavens, Chris MD
Gender: Male
Provider ID: 917171
T J Samson Heart and
Gender: Male
Vascular
Cardiovascular
310 N L Rogers Wells
Specialists PSC
Blvd
511 N Race St
Glasgow, KY 42141
Glasgow, KY 42141
(270) 659-5865
(800) 844-0566
Fax: (270) 659-5854
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Norton Hospital
M-F 8:00 AM - 4:30 PM
M-F 9:00 AM - 5:00 PM
Nair, Harikrishnan MD
Stavens, Gerasimos MD
Provider ID: 700613
Provider ID: 1070667
Gender: Male
Gender: Male
Tj Health Partners
Cardiovascular
312 N L Rogers Wells
Specialists PSC
Blvd
511 North Race
Glasgow, KY 42141
Glasgow, KY 42141
(270) 651-1111
(800) 844-0566
Fax: (270) 659-5853
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Cardiology
Salifu, Zakare DO
Provider ID: 716500
Abdul-Waheed,
Gender: Male
Mohammad MD
T J Samson Hospitalist
Provider ID: 627594
1301 N Race St
Gender: Male
Western Kentucky Heart Glasgow, KY 42141
(270) 651-4444
and Lung Assoc
Fax: (270) 651-4892
1004 Glenview Dr
00 Yrs/99 Yrs
Glasgow, KY 42141
M-F 9:00 AM - 5:00 PM
(270) 846-3811
00 Yrs/99 Yrs
Salifu, Zakare DO
M-F 9:00 AM - 5:00 PM
Provider ID: 716500
Gender: Male
Chalhoub, Anis MD
Tj Health Partners
Provider ID: 936802
312 N L Rogers Wells
Gender: Male
Blvd
Cardiovascular
Glasgow, KY 42141
Specialists PSC
(270) 651-1111
511 N Race St
Fax: (270) 629-3317
Glasgow, KY 42141
00 Yrs/99 Yrs
(800) 844-0566
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 39
05/28/2015
Specialty Physicians
Barren
Cardiology - cont.
Springer, Michael MD
Provider ID: 601413
Gender: Male
Cardiothoracic Surgery
of Louisvill
1004 Glenview Dr
Glasgow, KY 42141
(502) 585-4321
Fax: (502) 587-8306
00 Yrs/99 Yrs
Jewish Hospital
Norton Hospital
Norton Suburban
Hospital
M-F 8:00 AM - 5:00 PM
Stavens, Chris MD
Provider ID: 917171
Gender: Male
Cardiovascular
Specialists PSC
511 N Race St
Glasgow, KY 42141
(800) 844-0566
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
Walton-Shirley, Melissa
MD
Provider ID: 618764
Gender: Female
Tj Samson Community
Hospital
1301 N Race St
Glasgow, KY 42141
(270) 651-4444
Fax: (270) 651-4892
18 Yrs/99 Yrs
Caverna Memorial
Hospital
M-F 8:00 AM - 5:00 PM
Whiteside, Jim MD
Provider ID: 604753
Gender: Male
T J Samson Community
Hospital
1004 Glenview Dr
Glasgow, KY 42141
(270) 651-9611
Fax: (270) 651-9298
18 Yrs/99 Yrs
MTTH 9:00 AM - 5:00
PM
W 12:30 AM - 4:00 PM
F 8:30 AM - 3:00 PM
Walton-Shirley, Melissa
Cardiovascular Surgery
MD
Provider ID: 618764
Reddy, Venkata MD
Gender: Female
Provider ID: 604742
Cardiology Associates of Gender: Male
Southern K
T J Samson Heart and
1004 Glenview Dr
Vascular
Glasgow, KY 42141
310 N L Rogers Wells
(270) 651-9611
Blvd
Fax: (270) 651-9298
Glasgow, KY 42141
18 Yrs/99 Yrs
(270) 659-5865
Caverna Memorial
Fax: (270) 659-5854
Hospital
00 Yrs/99 Yrs
M 10:00 AM - 2:30 PM
The Medical Center
TWF 9:00 AM - 5:00 PM
M-F 8:00 AM - 4:30 PM
TH 11:00 AM - 3:30 PM
Reddy, Venkata MD
Provider ID: 604742
Gender: Male
Tj Health Partners
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 629-3317
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Chiropractic
Jones, John DC
Provider ID: 614406
Gender: Male
John J Jones DC PSC
209 E Main St
Glasgow, KY 42141
(270) 651-7465
Fax: (270) 651-1151
00 Yrs/99 Yrs
MTTH 8:00 AM - 5:30
PM
W 9:00 AM - 5:00 PM
F 8:00 AM - 12:00 PM
Miles, Robert DC
Provider ID: 600747
Gender: Male
Miles Chiropractic
507 S L Rogers Wells
Blvd Ste A
Glasgow, KY 42141
(270) 834-8922
Fax: (270) 834-1730
00 Yrs/99 Yrs
MWTH 7:00 AM - 5:00
PM
TF 7:00 AM - 12:00 PM
Sat 9:00 AM - 12:00 PM
kentucky.wellcare.com | 40
Oldenkamp, Derek DC
Provider ID: 600978
Gender: Male
Pelham Chiropractic
205 Columbia Ave
Glasgow, KY 42141
(270) 651-8340
Fax: (270) 651-6479
00 Yrs/99 Yrs
MTWF 8:00 AM - 6:00
PM
TH 8:00 AM - 12:00 PM
Pelham, Robert DC
Provider ID: 608114
Gender: Male
Robert F Pelham DC
205 Columbia Ave
Glasgow, KY 42141
(270) 651-8340
Fax: (270) 651-6479
00 Yrs/99 Yrs
MTWF 8:00 AM - 6:00
PM
THSat 8:00 AM - 12:00
PM
Starnes, Nicholas DC
Provider ID: 1066015
Gender: Male
Alignlife of Glasgow
507 S L Rogers Wells
Blvd Ste A
Glasgow, KY 42141
(270) 834-8922
Fax: (270) 834-1730
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
05/28/2015
Specialty Physicians
Barren
Chiropractic - cont.
Tank, Thomas DC
Provider ID: 600825
Gender: Male
Tank Chiropractic
215 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-2203
Fax: (270) 651-7543
00 Yrs/99 Yrs
MTWF 8:00 AM - 6:00
PM
TH 3:00 AM - 6:00 PM
Sat 8:00 AM - 12:00 PM
Dermatology
Treen, Ben MD
Provider ID: 1047237
Gender: Male
Graves Gilbert Clinic
1330 N Race St
Glasgow, KY 42141
(270) 629-5111
Fax: (270) 629-5115
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Ear, Nose & Throat
Wilson, Jeffrey MD
Provider ID: 608120
Gender: Male
Jeffrey Lee Wilson MD
102C Physicians Blvd
Glasgow, KY 42141
(270) 651-2433
Fax: (270) 651-2949
00 Yrs/99 Yrs
MW 8:00 AM - 5:00 PM
T 8:00 AM - 4:30 PM
Gastroenterology
General Surgery
Suh, Yoo MD
Provider ID: 601703
Gender: Male
Yoo T Suh MD
1010 Glenview Dr
Glasgow, KY 42141
(270) 651-7168
Fax: (270) 651-8511
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Bush, George MD
Provider ID: 1057149
Gender: Male
T J Urgent Care
1301 N Race St
Glasgow, KY 42141
(270) 651-4444
Fax: (270) 651-4892
00 Yrs/99 Yrs
The Medical Center
MTWTHFSat 6:00 AM 8:00 PM
Sun 10:00 AM - 6:00 PM
General Dentistry
Ballou, Sheldon DMD
Bush, George MD
Provider ID:
Provider ID: 1057149
TPV57878DM-03
Gender: Male
Gender: Male
T J Urgent Care
203 South Dixie Hwy
310 N L Rogers Wells
Cave City, KY 42127
Blvd
(270) 773-3943
Glasgow, KY 42141
Fax: (270) 773-3944
(270) 651-1111
00 Yrs/99 Yrs
Fax: (270) 651-4892
[email protected]
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM The Medical Center
F 8:30 AM - 12:00 PM
MTWTHFSat 6:00 AM 8:00 PM
Coomer, Jason DMD
Sun 10:00 AM - 6:00 PM
Provider ID:
TPV57879DM-01
Klapheke, William MD
Gender: Male
Provider ID: 603144
203 South Dixie Hwy
Gender: Male
Cave City, KY 42127
Tj Health Partners
(270) 773-3943
109 Bravo Blvd
Fax: (270) 773-3944
Glasgow, KY 42141
00 Yrs/99 Yrs
(270) 651-8328
[email protected]
Fax: (270) 651-1731
M-TH 8:00 AM - 5:00 PM 00 Yrs/99 Yrs
F 8:00 AM - 12:00 PM
M-F 8:00 AM - 4:00 PM
Myers, William DMD
Provider ID: TPV2901-01
Gender: Male
207 Professional Park DR
Glasgow, KY 42141
(270) 651-3709
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
kentucky.wellcare.com | 41
Marion, Michael MD
Provider ID: 608121
Gender: Male
T J Samson General
Surgery
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Marion, Michael MD
Provider ID: 608121
Gender: Male
Tj Health Partners
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 629-3317
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Nesbitt, John MD
Provider ID: 600915
Gender: Male
T J Samson Urology
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Nesbitt, John MD
Provider ID: 600915
Gender: Male
Tj Health Partners
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 629-3317
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Barren
General Surgery - cont.
Thistlethwaite, William
MD
Provider ID: 600497
Gender: Male
T J Samson General
Surgery
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Thistlethwaite, William
MD
Provider ID: 600497
Gender: Male
Tj Health Partners
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 629-3317
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gynecology
Gibson, Ray MD
Provider ID: 596085
Gender: Male
T J Samson Gynecology
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 629-3317
00 Yrs/99 Yrs
Tj Samson Community
Hospital
M-F 8:00 AM - 4:30 PM
Gibson, Ray MD
Provider ID: 596085
Gender: Male
Tj Health Partners
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 629-3317
00 Yrs/99 Yrs
Tj Samson Community
Hospital
M-F 8:00 AM - 5:00 PM
Hand Surgery
Morrison, Keith MD
Provider ID: 604549
Gender: Male
Western Kentucky
Orthopaedic and NE
1330 N Race St
Glasgow, KY 42141
(270) 629-2780
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Goodin, Donald MD
Provider ID: 966147
Gender: Male
Tj Health Partners
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 659-5698
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Karippot, Asha MD
Provider ID: 700610
Gender: Female
T J Samson Oncology
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Karippot, Asha MD
Provider ID: 700610
Gender: Female
Tj Health Partners
Hematology & Oncology 312 N L Rogers Wells
Blvd
Goodin, Donald MD
Glasgow, KY 42141
Provider ID: 966147
(270) 651-1111
Gender: Male
Fax: (270) 629-3317
T J Samson Oncology
00 Yrs/99 Yrs
310 N L Rogers Wells
M-F 8:00 AM - 5:00 PM
Blvd
Glasgow, KY 42141
Medical Oncology
(270) 659-5865
Fax: (270) 659-5854
Smith, Steven MD
00 Yrs/99 Yrs
Provider ID: 618748
M-F 8:00 AM - 4:30 PM
Gender: Male
Graves Gilbert Clinic
1330 N Race St
Glasgow, KY 42141
(270) 629-5111
Fax: (270) 629-5115
18 Yrs/99 Yrs
The Medical Center
Languages: Spanish
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 42
Neonatal Perinatal
Medicine
Bibb, Karen MD
Provider ID: 631902
Gender: Female
Ulrf Neonatal Follow-Up
301 Professional Park Dr
Glasgow, KY 42141
(502) 852-7049
Fax: (502) 852-0135
00 Yrs/18 Yrs
Kosair Childrens Medical
Center Brownsb
M-F 8:00 AM - 5:00 PM
Sanders, Lynda MD
Provider ID: 630405
Gender: Female
Pediatrix Medical Group
of Kentucky
1301 N Race St
Glasgow, KY 42141
(270) 651-4444
00 Yrs/01 Yrs
Cincinnati Childrens
Hospital Medical Center
MTWTHFSatSun 8:00
AM - 8:00 PM
Singh, Tamina MD
Provider ID: 631607
Gender: Female
Ulrf Neonatal Follow-Up
301 Professional Park Dr
Glasgow, KY 42141
(502) 852-7049
Fax: (502) 852-0135
00 Yrs/18 Yrs
Kosair Childrens Medical
Center Brownsb
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Barren
Nephrology
Neurosurgery
Isaac, Julie MD
Provider ID: 366892
Gender: Female
Glasgow Kidney Center
205 Professional Park Dr
Glasgow, KY 42141
(270) 846-5114
Fax: (270) 745-1230
18 Yrs/99 Yrs
MTWTHFSatSun 6:00
AM - 4:00 PM
Schwank, William MD
Provider ID: 604510
Gender: Male
Western Kentucky
Orthopaedic and NE
1330 N Race St
Glasgow, KY 42141
(270) 629-2780
00 Yrs/99 Yrs
The Medical Center
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Reddy, Sujata MD
Provider ID: 637831
Gender: Female
T J Samson Nephrology
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Reddy, Sujata MD
Provider ID: 637831
Gender: Female
Tj Health Partners
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 629-3317
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sims, Scott MD
Provider ID: 614283
Gender: Male
Glasgow Kidney Center
205 Professional Park Dr
Glasgow, KY 42141
(270) 846-5114
Fax: (270) 745-1230
18 Yrs/99 Yrs
MTWTHFSatSun 6:00
AM - 4:00 PM
Dirig, Kelly MD
Provider ID: 596353
Gender: Female
T J Samson Women &
Childrens Clinic
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
12 Yrs/99 Yrs
Tj Samson Community
Hospital
M-F 8:00 AM - 4:30 PM
South, Christy MD
Provider ID: 595696
Gender: Female
Graves-Gilbert Clinic
201 Professional Park Dr
Glasgow, KY 42141
(270) 651-2229
Fax: (270) 651-2229
10 Yrs/99 Yrs
Tj Samson Community
Hospital
M-F 8:00 AM - 5:00 PM
Craddock, John MD
Provider ID: 599196
Gender: Male
T J Samson Women and
Childrens Clin
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Dirig, Kelly MD
Provider ID: 596353
Gender: Female
Tj Health Partners LLC
DBA Women An
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
12 Yrs/99 Yrs
Tj Samson Community
Hospital
M-F 8:00 AM - 5:00 PM
Bennett, Donald MD
Provider ID: TPV2934-09
Gender: Male
108 Bravo Blvd
Glasgow, KY 42141
(800) 422-7348
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Craddock, John MD
Provider ID: 599196
Gender: Male
Tj Health Partners LLC
DBA Women An
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Drexel, Todd DO
Provider ID: 599678
Gender: Male
Graves Gilbert Clinic
1330 N Race St
Glasgow, KY 42141
(270) 629-5111
Fax: (270) 629-5115
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Obstetrics/Gynecology
kentucky.wellcare.com | 43
Ophthalmology
Bloom, Steven MD
Provider ID: TPV3513-04
Gender: Male
108 Bravo Blvd
Glasgow, KY 42141
(800) 422-7348
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Brockman, Edward MD
Provider ID: TPV7100-04
Gender: Male
115 Columbia Ave
Glasgow, KY 42141
(270) 651-8323
Fax: (270) 651-8324
00 Yrs/99 Yrs
M 8:00 AM - 10:00 PM
05/28/2015
Specialty Physicians
Barren
Ophthalmology - cont.
Porter, Aaron MD
Provider ID: TPV4322-01
John, Maurice MD
Gender: Male
Provider ID: TPV8522-04 108 Bravo Blvd
Gender: Male
Glasgow, KY 42141
115 Columbia Ave
(270) 651-2181
Glasgow, KY 42141
Fax: (270) 651-2183
(270) 651-8323
00 Yrs/99 Yrs
Fax: (270) 651-8324
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-TH 8:30 AM - 4:30 PM Schmitt, Timothy MD
Provider ID: TPV8537-04
F 8:30 AM - 12:00 PM
Gender: Male
Lazarus, Howard MD
115 Columbia Ave
Provider ID: TPV8530-04 Glasgow, KY 42141
Gender: Male
(270) 651-8323
115 Columbia Ave
Fax: (270) 651-8324
Glasgow, KY 42141
00 Yrs/99 Yrs
(270) 651-8323
M-TH 8:30 AM - 4:30 PM
Fax: (270) 651-8324
F 8:30 AM - 12:00 PM
00 Yrs/99 Yrs
M-TH 8:30 AM - 4:30 PM Singal, Inder MD
Provider ID: TPV3519-07
F 8:30 AM - 12:00 PM
Gender: Male
Melson, Mark MD
108 Bravo Blvd
Provider ID: TPV22135-02 Glasgow, KY 42141
Gender: Male
(800) 422-7348
108 Bravo Blvd
00 Yrs/99 Yrs
Glasgow, KY 42141
M-F 8:00 AM - 5:00 PM
(270) 651-2181
Witcher, Spencer MD
Fax: (270) 651-2183
Provider ID: TPV5175-01
00 Yrs/99 Yrs
[email protected] Gender: Male
108 Bravo Blvd
M-F 8:00 AM - 5:00 PM
Glasgow, KY 42141
Piracha, Asim MD
(270) 651-2181
Provider ID: TPV2949-04 Fax: (270) 651-2183
Gender: Male
00 Yrs/99 Yrs
115 Columbia Ave
M-F 8:00 AM - 5:00 PM
Glasgow, KY 42141
(270) 651-8323
Fax: (270) 651-8324
00 Yrs/99 Yrs
M-TH 8:30 AM - 4:30 PM
F 8:30 AM - 12:00 PM
Optician
McCandless, Donneta
Ldo
Provider ID: TPV3406-01
Gender: Female
108 Bravo Blvd
Glasgow, KY 42141
(270) 651-2181
Fax: (270) 651-2183
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
Optometry
Coomer, Darcy OD
Provider ID:
TPV1598779019WL
Gender: Female
1407 North Race St
Glasgow, KY 42141
(270) 651-6652
Fax: (888) 834-1659
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Durham, Terry OD
Provider ID: TPV5233-01
Gender: Male
218 South Liberty St
Glasgow, KY 42141
(270) 651-3466
Fax: (270) 659-0633
00 Yrs/99 Yrs
M 9:00 AM - 7:00 PM
TWTH 8:00 AM - 5:00
PM
F 8:00 AM - 1:00 PM
Ewing, Vanessa OD
Provider ID: TPV3570-07
Gender: Female
108 Bravo Blvd
Glasgow, KY 42141
(800) 422-7348
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 44
Heffron, Jamison OD
Provider ID: TPV3255-01
Gender: Male
507 S L Rogers Wells
Blvd Ste B
Glasgow, KY 42141
(270) 629-2015
Fax: (270) 629-2016
00 Yrs/99 Yrs
M 9:00 AM - 7:00 PM
TWTH 8:00 AM - 5:00
PM
F 8:00 AM - 1:00 PM
Lifferth, Austin OD
Provider ID: TPV3515-07
Gender: Male
108 Bravo Blvd
Glasgow, KY 42141
(800) 422-7348
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Mayhew, Jarrod OD
Provider ID:
TPV1730395187WL
Gender: Male
2345 Happy Valley Rd
Glasgow, KY 42141
(270) 678-1003
00 Yrs/99 Yrs
McWherter, Ian OD
Provider ID: TPV18343-12
Gender: Male
108 Bravo Blvd
Glasgow, KY 42141
(502) 895-0040
Fax: (502) 361-4488
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Peplinski, Lee OD
Provider ID: TPV3517-07
Gender: Male
108 Bravo Blvd
Glasgow, KY 42141
(800) 422-7348
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Barren
Optometry - cont.
Price, William OD
Provider ID: TPV5303-01
Gender: Male
108 Bravo Blvd
Glasgow, KY 42141
(270) 651-2181
Fax: (270) 651-2183
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rooney, George OD
Provider ID: TPV4634-01
Gender: Male
108 Bravo Blvd
Glasgow, KY 42141
(270) 651-2181
Fax: (270) 651-2183
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wagner, Ronald OD
Provider ID: TPV5138-01
Gender: Male
115 Columbia Ave
Glasgow, KY 42141
(270) 651-8323
00 Yrs/99 Yrs
M-F 8:30 AM - 4:30 PM
Whitlow, Cheryl OD
Provider ID: TPV4472-02
Gender: Female
705 N Race St
Glasgow, KY 42141
(270) 651-2020
Fax: (270) 651-1706
00 Yrs/99 Yrs
MTTH 9:00 AM - 5:00
PM
W 8:00 AM - 5:00 PM
F 9:00 AM - 4:00 PM
Whitlow, Robert OD
Provider ID: TPV5119-02
Gender: Male
705 N Race St
Glasgow, KY 42141
(270) 651-2020
Fax: (270) 651-1706
00 Yrs/99 Yrs
MTTH 9:00 AM - 5:00
PM
W 8:00 AM - 5:00 PM
F 9:00 AM - 4:00 PM
Oral & Maxillofacial
Surgery
Allen, Mark DMD
Provider ID: 618749
Gender: Male
Ward, Stephen OD
Mark Allen DMD
Provider ID: TPV5190-01
203 Professional Park Dr
Gender: Male
Glasgow, KY 42141
1407 North Race St
(270) 651-6868
Glasgow, KY 42141
Fax: (270) 651-6213
(270) 651-6652
00 Yrs/99 Yrs
00 Yrs/99 Yrs
The Medical Center
M-TH 8:00 AM - 5:30 PM M-F 9:00 AM - 5:00 PM
F 8:00 AM - 4:30 PM
Clark, Jeffrey DDS
Sutton, James DMD
Provider ID: 602450
Provider ID:
TPV65405DM-05
Gender: Male
Thomas Mark Thompson Gender: Male
DMD
1214 North Race St Ste A
1214 A N Race St
Glasgow, KY 42141
Glasgow, KY 42141
(270) 629-3040
(270) 629-3040
Fax: (270) 629-3042
Fax: (270) 629-3042
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
The Medical Center
Sat 8:00 AM - 12:00 PM
M-F 8:00 AM - 5:00 PM
Thompson, Thomas DMD
Clark, Jeffrey DDS
Provider ID: 727602
Provider ID:
Gender: Male
TPV1649261850DM
Thomas Mark Thompson
Gender: Male
DMD
1214 North Race St Ste A 1214 A N Race St
Glasgow, KY 42141
Glasgow, KY 42141
(270) 629-3040
(270) 629-3040
00 Yrs/99 Yrs
Fax: (270) 629-3042
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Sat 8:00 AM - 12:00 PM
The Medical Center
M-F 8:00 AM - 5:00 PM
Greer, Brandon DMD
Provider ID: TPV8200-04 Thompson, Thomas DMD
Gender: Male
1214 North Race St Ste A Provider ID:
TPV42061DM-04
Glasgow, KY 42141
Gender: Male
(270) 629-3040
1214 North Race St Ste A
Fax: (270) 629-3042
Glasgow, KY 42141
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM (270) 629-3040
Fax: (270) 629-3042
F 8:00 AM - 12:00 PM
00 Yrs/99 Yrs
Sutton, James DMD
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
Provider ID: 603748
Gender: Male
Thomas Mark Thompson
DMD
1214 A N Race St
Glasgow, KY 42141
(270) 629-3040
Fax: (270) 629-3042
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 45
05/28/2015
Specialty Physicians
Barren
Orthopaedic Surgery
Lessenberry, Barrett MD
Beard, Craig MD
Provider ID: 604541
Gender: Male
Western Kentucky
Orthopaedic and NE
1330 N Race St
Glasgow, KY 42141
(270) 629-2780
00 Yrs/99 Yrs
The Medical Center
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Provider ID: 604546
Gender: Male
South Central Kentucky
Orthopaedics
106 Columns Plaza Dr
Glasgow, KY 42141
(270) 651-9390
Fax: (270) 651-8698
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Burch, John MD
Provider ID: 604543
Gender: Male
Western Kentucky
Orthopaedic and NE
405 S L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 782-7800
Fax: (270) 782-3276
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Elmlinger, Brian MD
Provider ID: 627283
Gender: Male
South Central Kentucky
Orthopaedics
106 Columns Plaza Dr
Glasgow, KY 42141
(270) 651-9390
Fax: (270) 651-8698
00 Yrs/99 Yrs
Tj Samson Community
Hospital
M-F 9:00 AM - 5:00 PM
Patton, Christopher MD
Provider ID: 601762
Gender: Male
Western Kentucky
Orthopaedic and NE
1330 N Race St
Glasgow, KY 42141
(270) 629-2780
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Reddy, A MD
Provider ID: 604552
Gender: Male
South Central Kentucky
Orthopaedics
106 Columns Plaza Dr
Glasgow, KY 42141
(270) 651-9390
Fax: (270) 651-8698
00 Yrs/99 Yrs
Cumberland County
Hospital
M-F 8:00 AM - 4:00 PM
Rose, Stephen MD
Jain, Vivek MD
Provider ID: 601171
Provider ID: 607036
Gender: Male
Gender: Male
Tj Health Partners
Reddy Lessenberry Rose 312 N L Rogers Wells
PSC
Blvd
106 Columns Plaza Dr
Glasgow, KY 42141
Glasgow, KY 42141
(270) 651-1111
(270) 651-9390
Fax: (270) 659-5856
Fax: (270) 651-8698
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Monroe County Medical
Pediatric Cardiology
Center
MWTH 9:00 AM - 5:00
Bullock, Smitha MD
PM
Provider ID: 727257
T 9:30 AM - 1:00 PM
Gender: Female
F 8:00 AM - 3:30 PM
Ulrf Pediatric Cardiology
301 Proffesional Park
Singer, Phillip MD
Glasgow, KY 42141
Provider ID: 604554
(502) 585-4802
Gender: Male
Fax: (502) 589-1256
Western Kentucky
Orthopaedic and NE
00 Yrs/99 Yrs
1330 N Race St
M-F 8:00 AM - 5:00 PM
Glasgow, KY 42141
Holland, Brian MD
(270) 629-2780
Provider ID: 604352
00 Yrs/99 Yrs
Gender: Male
The Medical Center
Ulrf Pediatric Cardiology
Tristar Greenview
301 Professional Park
Regional Hospital
Glasgow, KY 42141
M-F 8:00 AM - 5:00 PM
(502) 585-4802
Pain Management
Fax: (502) 589-1256
00 Yrs/18 Yrs
Jain, Vivek MD
M-F 8:00 AM - 5:00 PM
Provider ID: 601171
Gender: Male
Johnsrude, Christopher
T J Samson Pain
MD
Management
Provider ID: 601837
310 N L Rogers Wells
Gender: Male
Blvd
Ulrf Pediatric Cardiology
Glasgow, KY 42141
301 Professional Park Dr
(270) 659-5865
Glasgow, KY 42141
Fax: (270) 659-5854
(502) 585-4802
00 Yrs/99 Yrs
Fax: (502) 589-1256
M-F 8:00 AM - 4:30 PM
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 46
05/28/2015
Specialty Physicians
Barren
Pediatric Cardiology cont.
Matta, Jyothi MD
Wright, Lucinda MD
Leahy, Ryan MD
Provider ID: 602336
Provider ID: 601497
Provider ID: 631604
Gender: Female
Gender: Female
Gender: Male
Keller, Bradley MD
Ulrf Pediatric Cardiology Ulrf Pediatric Cardiology Ulrf Pediatric Cardiology
Provider ID: 631924
301 Professional Pk
301 Professional Park Dr
301 Professional Park
Gender: Male
Glasgow, KY 42141
Glasgow, KY 42141
Glasgow, KY 42141
Ulrf Pediatric Cardiology (502) 585-4802
(502) 585-4802
(502) 585-4802
301 Professional Park Dr
Fax: (502) 589-1256
Fax: (502) 589-1256
Fax: (502) 589-1256
Glasgow, KY 42141
00 Yrs/99 Yrs
00 Yrs/18 Yrs
00 Yrs/18 Yrs
(502) 585-4802
Kosair Childrens Medical Kosair Childrens Medical Kosair Childrens Medical
Fax: (502) 589-1256
Center Brownsb
Center Brownsb
Center Brownsb
00 Yrs/18 Yrs
Norton Hospital
M-F 8:00 AM - 5:00 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
Neal, Ashley MD
Matta, Jyothi MD
Kim, Edward MD
Pediatrics
Provider ID: 1027382
Provider ID: 602336
Provider ID: 602973
Gender: Female
Gender: Female
Gender: Male
Ulrf Pediatric Cardiology Bibb, Karen MD
Ulrf Pediatric Cardiology
Provider ID: 631902
Ulrf Pediatric Cardiology 301 Professional Pk
301 Professional Pk
Gender:
Female
301 Professional Park Dr
Glasgow, KY 42141
Glasgow, KY 42141
Ulrf Neonatal Follow-Up (502) 585-4802
Glasgow, KY 42141
(502) 585-4802
301 Professional Park Dr
(502) 585-4802
Fax: (502) 589-1256
Fax: (502) 589-1256
Glasgow, KY 42141
Fax: (502) 589-1256
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(502)
852-7049
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Kosair Childrens Medical
Fax: (502) 852-0135
Norton Hospital
Center Brownsb
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM Sobczyk, Walter MD
M-F 8:00 AM - 5:00 PM
Provider ID: 604601
Kosair Childrens Medical
Leahy, Ryan MD
Center Brownsb
Sanders, Lynda MD
Gender: Male
Provider ID: 631604
M-F
8:00
AM
5:00
PM
Ulrf Pediatric Cardiology
Gender: Male
Provider ID: 630405
301 Professional Park Dr
Bullock, Smitha MD
Ulrf Pediatric Cardiology Glasgow, KY 42141
Gender: Female
Provider ID: 727257
301 Professional Park
Pediatrix Medical Group
(502) 585-4802
Gender:
Female
Glasgow, KY 42141
of Kentucky
Fax: (502) 589-1256
Ulrf
Pediatric
Cardiology
(502) 585-4802
1301 N Race St
00 Yrs/18 Yrs
301
Proffesional
Park
Fax: (502) 589-1256
Glasgow, KY 42141
Jennie Stuart Medical
Glasgow,
KY
42141
00 Yrs/18 Yrs
(270) 651-4444
Center
(502) 585-4802
Kosair Childrens Medical M-F 8:00 AM - 5:00 PM
00 Yrs/01 Yrs
Fax: (502) 589-1256
Center Brownsb
Cincinnati Childrens
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Sparks, Joshua MD
Hospital Medical Center
Provider ID: 723048
M-F 8:00 AM - 5:00 PM
MTWTHFSatSun 8:00
Gender: Male
AM - 8:00 PM
Ulrf Pediatric Cardiology Holland, Brian MD
Provider ID: 604352
301 Professional Pk
Gender: Male
Glasgow, KY 42141
Ulrf Pediatric Cardiology
(502) 585-4802
301 Professional Park
Fax: (502) 589-1256
Glasgow, KY 42141
00 Yrs/99 Yrs
(502) 585-4802
M-F 8:00 AM - 5:00 PM
Fax: (502) 589-1256
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 47
05/28/2015
Specialty Physicians
Barren
Pediatrics - cont.
Pedodontics
Schuschke, Leslie MD
Elliott, Erin DMD
Provider ID: 633799
Provider ID: TPV2847-02
Gender: Female
Gender: Female
Neonatal Ulrf
1337 North Race St Ste B
Neonfollow-Up Program Glasgow, KY 42141
301 Professional Park Dr
(270) 782-0716
Glasgow, KY 42141
Fax: (270) 629-2720
(502) 852-7049
01 Yrs/12 Yrs
Fax: (502) 852-0135
elliottwork2001@hotmail.
00 Yrs/21 Yrs
com
Norton Hospital
M 9:00 AM - 4:00 PM
M-F 8:00 AM - 5:00 PM
Elliott, Randall DMD
Singh, Tamina MD
Provider ID: TPV2846-02
Provider ID: 631607
Gender: Male
Gender: Female
1337 North Race St Ste B
Ulrf Neonatal Follow-Up Glasgow, KY 42141
301 Professional Park Dr
(270) 782-0716
Glasgow, KY 42141
Fax: (270) 746-9603
(502) 852-7049
00 Yrs/99 Yrs
Fax: (502) 852-0135
elliottwork2001@hotmail.
com
00 Yrs/18 Yrs
Kosair Childrens Medical M 8:00 AM - 5:00 PM
Center Brownsb
Podiatry
M-F 8:00 AM - 5:00 PM
Risen, Mark DPM
Sparks, Joshua MD
Provider ID: 608104
Provider ID: 723048
Gender: Male
Gender: Male
Ulrf Pediatric Cardiology Mark A Risen DPM
211 Professional Park Dr
301 Professional Pk
Glasgow, KY 42141
Glasgow, KY 42141
(270) 659-0013
(502) 585-4802
Fax: (270) 659-2020
Fax: (502) 589-1256
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Westlake Regional
M-F 8:00 AM - 5:00 PM
Hospital
M-F 9:00 AM - 5:00 PM
Pulmonary Disease
Hansbrough, James MD
Provider ID: 618754
Gender: Male
Graves-Gilbert Clinic
102 Physicians Blvd
Glasgow, KY 42141
(270) 651-4865
Fax: (270) 651-4751
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Hansbrough, James MD
Provider ID: 618754
Gender: Male
Graves-Gilbert Clinic
1301 N Race St
Glasgow, KY 42141
(270) 651-4472
Fax: (270) 651-4229
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Kummerfeldt Fabian,
Carlos MD
Provider ID: 1012382
Gender: Male
T J Samson Community
Hospital
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 48
Kummerfeldt Fabian,
Carlos MD
Provider ID: 1012382
Gender: Male
Tj Health Partners
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 659-5856
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Nambiar, Sudheer MD
Provider ID: 671415
Gender: Male
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 659-5609
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Nambiar, Sudheer MD
Provider ID: 671415
Gender: Male
T J Samson Hospitalist
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Thomson, Douglas MD
Provider ID: 618755
Gender: Male
Barren River District
Health Depart
318 W Washington St
Glasgow, KY 42141
(270) 651-8321
Fax: (270) 659-0062
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Barren
Pulmonary Disease - cont. Zachek, Michael MD
Thomson, Douglas MD
Provider ID: 618755
Gender: Male
Graves-Gilbert Clinic
102 Physicians Blvd
Glasgow, KY 42141
(270) 651-4865
Fax: (270) 651-4751
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Thomson, Douglas MD
Provider ID: 618755
Gender: Male
Graves-Gilbert Clinic
1301 N Race St
Glasgow, KY 42141
(270) 651-4472
Fax: (270) 651-4229
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Sleep Medicine
Turpen, Klark MD
Provider ID: 667395
Gender: Female
T J Samson Sleep Clinic
1301 N Race St
Glasgow, KY 42141
(270) 651-4444
Fax: (270) 651-4892
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Provider ID: 618757
Gender: Male
Graves Gilbert Clinic
1330 N Race St
Glasgow, KY 42141
(270) 629-5111
Fax: (270) 629-5115
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Urology
Turpen, Ryan MD
Provider ID: 700571
Gender: Male
T J Samson Urology
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Vascular Surgery
Peterson, Gilman MD
Provider ID: 607247
Gender: Male
Tj Health Partners
109 Bravo Blvd
Glasgow, KY 42141
(270) 651-8328
Fax: (270) 651-1731
00 Yrs/99 Yrs
Caverna Memorial
Hospital
M-F 8:00 AM - 5:00 PM
Turpen, Ryan MD
Provider ID: 700571
Gender: Male
Tj Health Partners
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 629-3317
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 49
05/28/2015
Specialty Physicians
Butler
Cardiology
Chhabra, Sandeep MD
Provider ID: 708690
Gender: Male
Graves Gilbert Clinic
101 W Roberts St
Morgantown, KY 42261
(270) 526-3841
Fax: (270) 526-2651
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Chiropractic
Jackson, Joseph DC
Provider ID: 1074168
Gender: Male
Jackson Chiropractic
PLLC
119 W Ohio St Ste B
Morgantown, KY 42261
(270) 288-5017
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
General Dentistry
Birkenhauer, Meghan
DMD
Provider ID: TPV6657-01
Gender: Female
304 W. Ohio St
Morgantown, KY 42261
(270) 526-3346
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Birkenhauer, Thomas
DMD
Provider ID: TPV6655-01
Gender: Male
304 W. Ohio St
Morgantown, KY 42261
(270) 526-3346
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Neurosurgery
Shuemaker, Christopher
DMD
Schwank, William MD
Provider ID:
Provider ID: 604510
TPV23020-04
Gender: Male
Gender: Male
Western Kentucky
304 W. Ohio St
Orthopaedic and NE
Morgantown, KY 42261
234 W Porter St
(270) 526-3346
Morgantown, KY 42261
Fax: (270) 781-6129
(270) 526-0808
00 Yrs/99 Yrs
Fax: (270) 629-2781
[email protected]
M-TH 8:00 AM - 5:00 PM 00 Yrs/99 Yrs
The Medical Center
Williams, Tarin DMD
Languages: Spanish
Provider ID:
M-F 8:00 AM - 5:00 PM
TPV62655DM-01
Optometry
Gender: Female
222 W. Porter St
Cohron, Wallace OD
Morgantown, KY 42261
Provider ID: TPV5287-03
(270) 526-8500
Gender: Male
Fax: (270) 526-8555
221 W Gl Smith St
00 Yrs/99 Yrs
Morgantown, KY 42261
M 9:00 AM - 5:00 PM
(270) 526-6800
TWTH 8:00 AM - 5:00
Fax: (270) 526-5462
PM
00 Yrs/99 Yrs
Geriatric Medicine
M-F 8:00 AM - 5:00 PM
Burt, Andrew DMD
Provider ID: TPV3595-01
Gender: Male
304 W. Ohio St
Morgantown, KY 42261
Lease, Vicky DC
(270) 526-3346
Provider ID: 602357
Chhabra, Shalini MD
00 Yrs/99 Yrs
Gender: Female
Provider ID: 928728
MTTH 7:00 AM - 7:00
All Ease Chiropractic LLC PM
Gender: Female
1116 S Main St Ste 1
Graves Gilbert Clinic
WF 8:30 AM - 5:00 PM
Morgantown, KY 42261
101 Roberts St
Campbell, Leslie DMD
(270) 526-6206
Morgantown, KY 42261
Provider ID: TPV3499-03 (270) 526-3841
Fax: (270) 526-6296
Gender: Female
00 Yrs/99 Yrs
Fax: (270) 526-2651
304 W. Ohio St
M-F 8:00 AM - 5:00 PM
12 Yrs/99 Yrs
Morgantown, KY 42261
M-F 8:00 AM - 5:00 PM
Rogers, Adam DC
(270) 526-3346
Provider ID: 600826
00 Yrs/99 Yrs
Gender: Male
MTTH 7:00 AM - 7:00
Magna Chiropractic
PM
Fitness
WF 8:30 AM - 5:00 PM
725 S Main St Ste 1
Morgantown, KY 42261
(270) 526-6206
Fax: (270) 526-6296
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 50
Orthopaedic Surgery
Beard, Craig MD
Provider ID: 604541
Gender: Male
Western Kentucky
Orthopaedic and NE
234 Porter St
Morgantown, KY 42261
(270) 526-0808
Fax: (270) 629-2781
00 Yrs/99 Yrs
The Medical Center
Languages: Spanish
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Butler
Orthopaedic Surgery cont.
Burch, John MD
Provider ID: 604543
Gender: Male
Western Kentucky
Orthopaedic and NE
234 Porter St
Morgantown, KY 42261
(270) 526-0808
Fax: (270) 629-2781
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Fee, Kirk MD
Provider ID: 604544
Gender: Male
Western Kentucky
Orthopaedic and NE
234 W Porter St
Morgantown, KY 42261
(270) 526-0808
Fax: (270) 629-2781
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Malmquist, Gregg MD
Provider ID: 601604
Gender: Male
Western Kentucky
Orthopaedic and NE
234 W Porter St
Morgantown, KY 42261
(270) 526-0808
Fax: (270) 629-2781
00 Yrs/99 Yrs
The Medical Center
Tristar Greenview
Regional Hospital
M-F 8:00 AM - 5:00 PM
Patton, Christopher MD
Pulmonary Disease
Provider ID: 601762
Gender: Male
Western Kentucky
Orthopaedic and NE
234 W Porter St
Morgantown, KY 42261
(270) 526-0808
Fax: (270) 629-2781
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Thomson, Douglas MD
Provider ID: 618755
Gender: Male
Barren River District
Health Depart
104 N Warren St
Morgantown, KY 42261
(270) 526-3221
Fax: (270) 526-6828
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Richards, David MD
Provider ID: 609829
Gender: Male
Western Kentucky
Orthopaedic and NE
234 W Porter St
Morgantown, KY 42261
(270) 526-0808
Fax: (270) 629-2781
00 Yrs/99 Yrs
The Medical Center
Tristar Greenview
Regional Hospital
M-F 8:00 AM - 5:00 PM
Singer, Phillip MD
Provider ID: 604554
Gender: Male
Western Kentucky
Orthopaedic and NE
234 Porter St
Morgantown, KY 42261
(270) 526-0808
Fax: (270) 629-2781
00 Yrs/99 Yrs
The Medical Center
Tristar Greenview
Regional Hospital
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 51
05/28/2015
Specialty Physicians
Casey
Chiropractic
General Dentistry
Optometry
Pediatrics
Cundiff, Kerry DC
Beeler, Michele DMD
Smith, Kimberly OD
Weyman, Christine MD
Provider ID: 600875
Provider ID: TPV2845-01
Provider ID: TPV3664-02
Provider ID: 601508
Gender: Male
Gender: Female
Gender: Female
Gender: Female
Cundiff Family
650 Whipp Ave
46 Farmers Bank DR Ste
Chiropractic PSC
100
Lake Cumberland
Liberty, KY 42539
District Health Dep
256 N Wallace Wilkinson (606) 787-5222
Liberty, KY 42539
Blvd
199 Adams St
(859)
236-8644
Fax: (606) 787-9599
Liberty, KY 42539
Liberty, KY 42539
Fax: (859) 236-0523
00 Yrs/99 Yrs
(606) 787-7900
(606) 787-6911
M-TH 8:00 AM - 5:30 PM 00 Yrs/99 Yrs
Fax: (606) 787-2225
Fax: (606) 787-2507
Smith, Michael OD
Neal, Lisa DMD
00 Yrs/99 Yrs
00 Yrs/21 Yrs
Provider ID: TPV3665-02 Languages: Spanish
Provider ID:
M-F 9:00 AM - 5:00 PM
TPV33383DM-02
Gender: Male
M-F 9:00 AM - 5:00 PM
Montgomery-Turner,
Gender: Female
46 Farmers Bank DR Ste
Erica DC
Podiatry
100
44 Liberty Sqaure
Provider ID: 601914
Liberty, KY 42539
Liberty, KY 42539
Benac, Christopher DPM
Gender: Female
(859) 236-8644
(606) 787-2443
Provider ID: 818266
Back and Body
Fax: (859) 236-0523
Fax: (606) 787-2334
Gender: Male
Chiropractic Center
00 Yrs/99 Yrs
00 Yrs/21 Yrs
Cumberland Foot And
69 Hustonville St
M-F 8:00 AM - 5:00 PM
Steffen,
Laura
OD
Ankle Center
Liberty, KY 42539
Provider
ID:
TPV17725-01
511 Middleburg St
Popplewell, Jessica DMD
(606) 787-2800
Gender: Female
Liberty, KY 42539
Fax: (606) 787-2880
Provider
ID:
46
Farmers
Bank
DR
Ste
(606) 787-5963
00 Yrs/99 Yrs
TPV71071DM-02
100
Fax: (606) 787-5545
MWTH 9:00 AM - 6:00
Gender:
Female
Liberty,
KY
42539
00 Yrs/99 Yrs
PM
44
Liberty
Sqaure
(606)
722-0180
M-F 8:00 AM - 5:00 PM
TF 9:00 AM - 5:00 PM
Liberty, KY 42539
Fax: (859) 236-0523
Sat 8:30 AM - 11:30 PM
Vascular Surgery
(606) 787-2443
00 Yrs/99 Yrs
Turner, Michael DC
Fax: (606) 787-2334
doctorkim2020@yahoo. Spoonamore, Barry MD
Provider ID: 601612
com
00 Yrs/21 Yrs
Gender: Male
M-TH 8:00 AM - 5:00 PM Languages: Spanish
Provider ID: 601943
Back and Body
MW 9:00 AM - 5:00 PM
F 8:00 AM - 2:00 PM
Gender: Male
Chiropractic Center
T 1:00 AM - 5:00 PM
Danville Surgical
Scott, Laura DMD
69 Hustonville St
TH 9:00 AM - 1:00 PM
Associates Pllp
Provider ID: TPV8739-03
Liberty, KY 42539
511 Middleburg St
Gender: Female
(606) 787-2800
Liberty, KY 42539
428 Hustonville St
Fax: (606) 787-2880
(606) 787-5963
Liberty, KY 42539
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(606) 787-2688
MWTH 9:00 AM - 6:00
Ephraim McDowell Reg
Fax: (606) 787-2687
PM
Med Center
00 Yrs/99 Yrs
TF 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
[email protected]
Sat 8:30 AM - 11:30 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 52
05/28/2015
Specialty Physicians
Clinton
Chiropractic
Dixson, Susan DC
Provider ID: 925875
Gender: Female
701 Burkesville Rd
Albany, KY 42602
(606) 387-5793
Fax: (606) 387-0519
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Short, Dennis DC
Provider ID: 625787
Gender: Male
Albany Family
Chiropractic
701 Burkesville Rd
Albany, KY 42602
(606) 387-5793
Fax: (606) 387-0519
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
General Dentistry
Allen, Dawn DMD
Provider ID: TPV4188-01
Gender: Female
1107 Cross St
Albany, KY 42602
(606) 387-6427
Fax: (606) 387-6427
00 Yrs/99 Yrs
M 7:30 AM - 5:30 PM
TWTH 7:30 AM - 2:30
PM
Brummett, Daniel DMD
Provider ID: TPV3248-01
Gender: Male
108 Plaza DR
Albany, KY 42602
(606) 557-1023
Fax: (606) 557-1024
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Brummett, Denny DMD
Gynecology
Hesse, Matthew OD
Provider ID: TPV3257-02
Provider ID: TPV3250-01 Hay, Donald MD
Gender: Male
Provider ID: 597189
Gender: Male
256 Burkesville Rd
Gender: Male
108 Plaza DR
Albany, KY 42602
Clinton County Hospital (606) 387-5355
Albany, KY 42602
Physician G
(606) 557-1023
00 Yrs/99 Yrs
723 Burkesville Rd Ste
Fax: (606) 557-1024
M-W 8:00 AM - 7:00 PM
100
00 Yrs/99 Yrs
TH 8:00 AM - 5:00 PM
Albany, KY 42602
M-F 8:00 AM - 5:00 PM
(606) 387-3636
Jacobs, Mark OD
Riley, Terry DDS
Fax: (606) 387-0803
Provider ID: TPV4933-02
Provider ID: TPV3015-01
00 Yrs/99 Yrs
Gender: Male
Gender: Male
Clinton County Hospital 127 Foothills Ave Ste 3
105 Foothills Ave
M-TH 9:00 AM - 4:00 PM Albany, KY 42602
Albany, KY 42602
(606) 387-5612
Neurology
(606) 387-8372
Fax: (606) 387-6602
Fax: (606) 387-9352
00 Yrs/99 Yrs
Wright, Peter MD
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Provider ID: 602286
M-TH 8:00 AM - 5:00 PM Gender: Male
Martin, Frederick OD
Ballard Wright MD Pcs
Tallent, Steven DMD
Provider ID: TPV4619-09
256 Burkesville Rd
Provider ID: TPV8742-01
Gender: Male
Albany, KY 42602
Gender: Male
127 Foothills Ave Ste 3
(859) 278-1316
108 Plaza DR
Albany, KY 42602
Fax: (859) 278-9896
Albany, KY 42602
(606) 387-5612
00 Yrs/99 Yrs
(606) 557-1023
Fax: (606) 387-6602
Baptist Health Lexington 00 Yrs/99 Yrs
Fax: (606) 557-1024
Saint Joseph East
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M 1:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
T 8:00 AM - 2:30 PM
McGiffin, Ryan OD
General Surgery
Provider ID: TPV24371-02
Optometry
Gender: Male
Cross, Tracy MD
256 Burkesville Rd
Brown, Jennifer OD
Provider ID: 600921
Provider ID: TPV2945-06 Albany, KY 42602
Gender: Male
(606) 387-5355
Gender: Female
Surgical Specialties PSC
00 Yrs/99 Yrs
256 Burkesville Rd
250 Burkesville Rd
emily@visioncarepsc.
Albany, KY 42602
Albany, KY 42602
com
(606) 387-5355
(606) 387-3000
MW 8:00 AM - 7:00 PM
00 Yrs/99 Yrs
Fax: (606) 387-3307
TTH 8:00 AM - 5:00 PM
MW 8:00 AM - 7:00 PM
00 Yrs/99 Yrs
TTH 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 53
05/28/2015
Specialty Physicians
Clinton
Optometry - cont.
Sparkman, Timothy OD
McKinley, Lindsay OD
Provider ID: TPV8284-11
Provider ID: TPV4897-02 Gender: Male
Gender: Female
127 Foothills Ave Ste 3
127 Foothills Ave Ste 3
Albany, KY 42602
Albany, KY 42602
(606) 387-5612
(606) 387-5612
Fax: (606) 387-6602
Fax: (606) 387-6602
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM Upchurch, Gary OD
Provider ID: TPV4627-01
McKinley, Stephen OD
Gender: Male
127 Foothills Ave Ste 3
Provider ID: TPV5185-03
Albany, KY 42602
Gender: Male
(606) 387-5612
127 Foothills Ave Ste 3
Fax: (606) 387-6602
Albany, KY 42602
00 Yrs/99 Yrs
(606) 387-5612
MWTHF 9:00 AM - 5:00
Fax: (606) 387-6602
PM
00 Yrs/99 Yrs
T 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
Sat 9:00 AM - 12:00 PM
Orthopaedic Surgery
Mysliwiec, Kevin OD
Provider ID: TPV3917-06 McKinney, James MD
Gender: Male
Provider ID: 636900
127 Foothills Ave Ste 3
Gender: Male
Albany, KY 42602
Tier 1 Orthopedics
(606) 387-5612
723 Burkesville Rd
00 Yrs/99 Yrs
Albany, KY 42602
M-F 8:00 AM - 5:00 PM
(931) 526-9518
Overley, Eric OD
Fax: (931) 372-0087
Provider ID: TPV4602-07 00 Yrs/99 Yrs
Gender: Male
M 8:00 AM - 4:00 PM
127 Foothills Ave Ste 3
Albany, KY 42602
(606) 387-5612
Fax: (606) 387-6602
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pain Management
Wright, Ballard MD
Provider ID: 602284
Gender: Male
Ballard Wright MD Pcs
256 Burkesville Rd
Albany, KY 42602
(859) 278-1316
Fax: (859) 278-9896
00 Yrs/99 Yrs
M 1:00 AM - 5:00 PM
T 8:00 AM - 2:30 PM
Wright, Peter MD
Provider ID: 602286
Gender: Male
Ballard Wright MD Pcs
256 Burkesville Rd
Albany, KY 42602
(859) 278-1316
Fax: (859) 278-9896
00 Yrs/99 Yrs
Baptist Health Lexington
Saint Joseph East
M 1:00 AM - 5:00 PM
T 8:00 AM - 2:30 PM
kentucky.wellcare.com | 54
05/28/2015
Specialty Physicians
Cumberland
Cardiac Electrophysiology
General Dentistry
Obstetrics/Gynecology
Schwender, Frank MD
Provider ID: 603816
Gender: Male
Southern Kentucky
Heart Institute
299 Glasgow Rd
Burkesville, KY 42717
(270) 864-2511
18 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Scott, Laura DMD
Gibson, Ray MD
Provider ID: TPV8739-01
Provider ID: 596093
Gender: Female
Gender: Male
360 Keen St
Bf Taylor Medical Arts
Clinic
Burkesville, KY 42717
2994 Glasgow Rd
(270) 864-2889
Burkesville, KY 42717
Fax: (270) 864-1693
(270) 864-2555
01 Yrs/99 Yrs
M-TH 8:00 AM - 1:00 PM Fax: (270) 864-3777
00 Yrs/99 Yrs
Stephenson, John DMD
Caverna Memorial
Hospital
Cardiology
Provider ID: TPV3983-01
Tj Samson Community
Gender: Male
Hospital
Schwender, Frank MD
405 North Main St
M-F 9:00 AM - 5:00 PM
Provider ID: 603816
Burkesville, KY 42717
Gender: Male
Pediatrics
(270) 864-3465
Southern Kentucky
00 Yrs/99 Yrs
Weyman, Christine MD
Heart Institute
M-TH 8:00 AM - 4:00 PM
299 Glasgow Rd
Provider ID: 601508
General Surgery
Burkesville, KY 42717
Gender: Female
(270) 864-2511
Stephenson,
Julius
DMD
Lake Cumberland
18 Yrs/99 Yrs
District Health Dep
The Medical Center
Provider
ID:
TPV5774-01
226 Copper Ln
M-F 8:00 AM - 5:00 PM
Gender: Male
Burkesville, KY 42717
Chiropractic
405 North Main St
(270) 864-2206
Burkesville, KY 42717
Fax: (270) 864-1232
Flannagan, Joseph DC
(270) 864-3465
00 Yrs/21 Yrs
Provider ID: 632588
00 Yrs/99 Yrs
Languages: Spanish
Gender: Male
M-W 9:00 AM - 4:30 PM M-F 9:00 AM - 5:00 PM
Dale Hollow Chiropractic TH 9:00 AM - 12:00 PM
404 Courthouse Sq
Burkesville, KY 42717
(270) 864-1774
Fax: (801) 820-3309
00 Yrs/99 Yrs
MWF 8:00 AM - 5:00 PM
TTH 2:00 AM - 5:00 PM
kentucky.wellcare.com | 55
05/28/2015
Specialty Physicians
Edmonson
Cardiology
Thomas, Steven MD
Harlan, Aubrey OD
Provider ID: 604873
Provider ID: TPV4387-04
Sahetya, Kalidas MD
Gender: Male
Gender: Female
Provider ID: 655293
Twin Lakes Medical
100 Park Pl Ste 4
Gender: Male
Foundation Inc
Brownsville, KY 42210
Associates In Physician
104 Mohawk St
(270) 259-0500
Services
Brownsville, KY 42210
Fax: (270) 259-0079
1573 Ky Hwy 259 N
(270) 597-9373
00 Yrs/99 Yrs
Brownsville, KY 42210
Fax: (270) 597-9566
M-F 8:00 AM - 5:00 PM
(270) 796-8800
00 Yrs/99 Yrs
Fax: (270) 796-9328
Twin Lakes Regional Med Krein, Sarah OD
00 Yrs/99 Yrs
Provider ID: TPV10115-02
Center
The Medical Center At
Gender: Female
Languages: Spanish
Franklin
100 Park Pl Ste 4
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Brownsville, KY 42210
Optometry
(270) 259-0500
Cardiovascular Surgery
Fax: (270) 259-0079
Abney, Larry OD
00 Yrs/99 Yrs
Emanuele, Tullio MD
Provider ID: TPV4870-02 M-F 8:00 AM - 5:00 PM
Provider ID: 600892
Gender: Male
Gender: Male
100 Park Pl Ste 4
Pulmonary Disease
Tullio Emanuele MD PSC Brownsville, KY 42210
104 Mohawk St
Sahetya, Gul MD
(270) 259-0500
Brownsville, KY 42210
Provider ID: 949434
Fax: (270) 259-0079
(270) 782-0151
Gender: Female
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Associates In Physician
M-F 8:00 AM - 5:00 PM
The Medical Center
Services
Buckner,
James
OD
Languages: Italian
1573 Ky Hwy 259 N
Provider ID: TPV4689-13
M-F 9:00 AM - 5:00 PM
Brownsville, KY 42210
Gender: Male
(270) 597-2168
General Surgery
100 Park Pl Ste 4
Fax: (270) 597-2033
Brownsville,
KY
42210
00 Yrs/99 Yrs
Nunnally, Ian MD
(270)
259-0500
M-F 8:00 AM - 5:00 PM
Provider ID: 667270
Fax:
(270)
259-0079
Gender: Male
Thomson, Douglas MD
00 Yrs/99 Yrs
Twin Lakes Medical
Provider ID: 618755
M-F 8:00 AM - 5:00 PM
Foundation
Gender: Male
104 Mohawk St
Coats, Adam OD
Barren River District
Brownsville, KY 42210
Provider ID: TPV3567-03 Health Depart
(270) 597-9373
Gender: Male
221 Mammoth Cave Rd
Fax: (270) 597-9566
100 Park Pl Ste 4
Brownsville, KY 42210
00 Yrs/99 Yrs
Brownsville, KY 42210
(270) 597-2194
M-F 8:00 AM - 5:00 PM
(270) 968-0203
Fax: (270) 597-3326
Fax: (270) 968-0204
00 Yrs/99 Yrs
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 56
05/28/2015
Specialty Physicians
Green
Cardiac Electrophysiology
Schwender, Frank MD
Provider ID: 603816
Gender: Male
Southern Kentucky
Heart Institute
212 Industrial Dr
Greensburg, KY 42743
(270) 495-1484
Fax: (270) 495-1488
18 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Cardiology
Schwender, Frank MD
Provider ID: 603816
Gender: Male
Southern Kentucky
Heart Institute
212 Industrial Dr
Greensburg, KY 42743
(270) 495-1484
Fax: (270) 495-1488
18 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Chiropractic
Slinker, Jason DC
Provider ID: 609827
Gender: Male
Dr Jason W Slinker
863 Campbellsville Rd
Greensburg, KY 42743
(270) 932-2030
Fax: (270) 932-2031
00 Yrs/99 Yrs
M 8:00 AM - 6:00 PM
TTH 9:00 AM - 1:00 PM
W 9:00 AM - 6:00 PM
F 9:00 AM - 7:00 PM
General Dentistry
Bobrowski, Garth DMD
Provider ID: TPV3863-01
Gender: Male
125 Healthy Way
Greensburg, KY 42743
(270) 932-3666
Fax: (270) 932-5458
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Neurology
Pediatrics
Weyman, Christine MD
Provider ID: 601508
Gender: Female
Lake Cumberland
District Health Dep
220 Industrial Park Rd
Greensburg, KY 42743
(270) 932-4341
Fax: (270) 932-6016
00 Yrs/21 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
Angeles, Victor MD
Provider ID: 601633
Vascular Surgery
Gender: Male
Klamer, Thomas MD
Leitchfield Adult
Medicine
Provider ID: 671322
1911 Campbellsville Rd
Gender: Male
Greensburg, KY 42743
Cardiothoracic Surgery
of Louisvill
(270) 230-0111
1911 Campbellsville Rd
Fax: (270) 259-3593
Greensburg, KY 42743
00 Yrs/99 Yrs
(270) 923-2023
Taylor County Hospital
Twin Lakes Regional Med Fax: (270) 923-2223
Center
00 Yrs/99 Yrs
Languages: Tagalog
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Liu, Nathaniel MD
Nuclear Medicine
Provider ID: 993956
Gender: Male
Harris, Carolyn DO
Cardiothoracic Surgery
Provider ID: 596745
of Louisvill
Gender: Female
1911 Campbellsville Rd
Taylor Regional Hospital Greensburg, KY 42743
Care Center
(270) 923-2023
1911 Campbellsville Rd
Fax: (270) 923-2223
Greensburg, KY 42743
00 Yrs/99 Yrs
(270) 932-2221
Norton Hospital
Fax: (270) 932-2201
M-F 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
Taylor County Hospital
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 57
05/28/2015
Specialty Physicians
Hart
Cardiovascular Surgery
General Dentistry
Holt, John MD
Provider ID: 602533
Gender: Male
Caverna Memorial
Hospital ER
1501 S Dixie St
Horse Cave, KY 42749
(270) 786-2191
Fax: (270) 786-1557
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Forster, Karl DDS
Provider ID:
TPV32741DM-01
Gender: Male
309 Caldwell St
Munfordville, KY 42765
(270) 524-3008
Fax: (270) 524-9561
03 Yrs/99 Yrs
[email protected]
M-TH 8:30 AM - 5:00 PM
Chiropractic
Neville, Les DMD
Provider ID:
TPV85090DM-01
Gender: Male
311 South Dixie St
Horse Cave, KY 42749
(270) 786-2547
Fax: (270) 786-4576
03 Yrs/99 Yrs
[email protected]
M-F 8:30 AM - 5:00 PM
Smith, Jason DMD
Provider ID:
TPV64122DM-01
Gender: Male
663 Main St
Munfordville, KY 42765
(270) 524-5422
Fax: (270) 524-5847
00 Yrs/99 Yrs
MW 8:00 AM - 5:00 PM
TTH 11:00 AM - 8:00 PM
F 8:00 AM - 2:00 PM
Gynecology
Gibson, Ray MD
Pillars, Kevin DC
Provider ID: 596085
Provider ID: 717950
Gender: Male
Gender: Male
Cmh Physicians Office
Kevin Pillars
1495 S Dixie St
1132B Main St
Horse Cave, KY 42749
Munfordville, KY 42765
(270) 786-2372
(270) 524-5240
Fax: (270) 786-2472
Fax: (270) 524-5241
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Tj Samson Community
M-W 8:00 AM - 5:00 PM
Hospital
Neville, Steven DMD
TH 9:00 AM - 12:00 PM
M-F 8:00 AM - 5:00 PM
Provider ID:
Pillars, Kevin DC
TPV32784DM-01
Ophthalmology
Provider ID: 717950
Gender: Male
Brockman, Edward MD
Gender: Male
311 South Dixie St
Kevin Pillars
Horse Cave, KY 42749
Provider ID: TPV7100-05
300 Main St
(270) 786-2547
Gender: Male
Munfordville, KY 42765
Fax: (270) 786-4576
815 Main St
(270) 524-5240
00 Yrs/99 Yrs
Munfordville, KY 42765
Fax: (270) 524-5241
[email protected]
(270) 524-5444
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Fax: (270) 524-4600
M-W 8:00 AM - 5:00 PM
Shelton, Alan DMD
00 Yrs/99 Yrs
TH 9:00 AM - 12:00 PM
Provider ID:
M 10:00 AM - 1:00 PM
TPV33119DM-01
Gender: Male
865 South Dixie Hwy
Munfordville, KY 42765
(270) 524-5580
Fax: (270) 524-5680
00 Yrs/99 Yrs
MTH 8:00 AM - 4:00 PM
T 8:00 AM - 5:00 PM
W 8:00 AM - 1:00 PM
kentucky.wellcare.com | 58
Brockman, Edward MD
Provider ID: TPV7100-18
Gender: Male
1483 South Dixie Hwy
Horse Cave, KY 42749
(270) 786-2085
Fax: (270) 786-1215
00 Yrs/99 Yrs
M 1:00 AM - 5:00 PM
John, Maurice MD
Provider ID: TPV8522-05
Gender: Male
815 Main St
Munfordville, KY 42765
(270) 524-5444
Fax: (270) 524-4600
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
John, Maurice MD
Provider ID: TPV8522-18
Gender: Male
1483 South Dixie Hwy
Horse Cave, KY 42749
(270) 786-2085
Fax: (270) 786-1215
00 Yrs/99 Yrs
MT 8:00 AM - 5:00 PM
W 8:00 AM - 4:00 PM
TH 8:00 AM - 12:00 PM
Lazarus, Howard MD
Provider ID: TPV8530-05
Gender: Male
815 Main St
Munfordville, KY 42765
(270) 524-5444
Fax: (270) 524-4600
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Hart
Ophthalmology - cont.
Lazarus, Howard MD
Provider ID: TPV8530-18
Gender: Male
1483 South Dixie Hwy
Horse Cave, KY 42749
(270) 786-2085
Fax: (270) 786-1215
00 Yrs/99 Yrs
MT 8:00 AM - 5:00 PM
W 8:00 AM - 4:00 PM
TH 8:00 AM - 12:00 PM
Schmitt, Timothy MD
Provider ID: TPV8537-05
Gender: Male
815 Main St
Munfordville, KY 42765
(270) 524-5444
Fax: (270) 524-4600
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sleep Medicine
Bricker, Sarah OD
Provider ID: TPV25466-01
Zachek, Michael MD
Gender: Female
815 Main St
Provider ID: 618757
Munfordville, KY 42765
Gender: Male
(270) 524-5444
Graves Gilbert Clinic
Fax: (270) 524-4600
1501 South Dixie Hwy
02 Yrs/10 Yrs
lwitten@visionfirsteyecare. Horse Cave, KY 42749
(270) 781-5111
com
Fax: (270) 780-0464
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Seadler, Celeste OD
The Medical Center
Provider ID: TPV4454-02 M-F 8:00 AM - 5:00 PM
Gender: Female
815 Main St
Munfordville, KY 42765
(270) 524-5444
Fax: (270) 524-4600
00 Yrs/99 Yrs
lwitten@visionfirsteyecare.
com
M-TH 8:00 AM - 5:00 PM
Schmitt, Timothy MD
Provider ID: TPV8537-18
Gender: Male
1483 South Dixie Hwy
Pahuja, Sandhya MD
Horse Cave, KY 42749
Provider ID: TPV18530-02 (270) 786-2085
Gender: Female
Fax: (270) 786-1215
950 Main St
00 Yrs/99 Yrs
Munfordville, KY 42765
MTTH 8:00 AM - 5:00
(270) 524-1201
PM
Fax: (270) 524-1202
W 8:00 AM - 4:00 PM
00 Yrs/99 Yrs
F 8:00 AM - 12:00 PM
M-F 8:00 AM - 5:00 PM
Optometry
Piracha, Asim MD
Simpson, Charles OD
Provider ID: TPV2949-05 Abney, Larry OD
Provider ID:
Provider ID: TPV4870-04 TPV1952410524WL
Gender: Male
Gender: Male
815 Main St
Gender: Male
1483 South Dixie Hwy
Munfordville, KY 42765
815 Main St
Horse Cave, KY 42749
(270) 524-5444
Munfordville, KY 42765
(270) 786-2085
Fax: (270) 524-4600
(270) 524-5444
Fax: (270) 786-1215
00 Yrs/99 Yrs
Fax: (270) 524-4600
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-TH 8:00 AM - 5:00 PM
Piracha, Asim MD
Provider ID: TPV2949-20 Andrews, Billy OD
Pulmonary Disease
Provider ID: TPV2825-01
Gender: Male
Thomson, Douglas MD
Gender: Male
1483 South Dixie Hwy
Provider ID: 618755
1483 South Dixie Hwy
Horse Cave, KY 42749
Gender: Male
Horse
Cave,
KY
42749
(270) 786-2085
Barren River District
(270) 786-2085
Fax: (270) 786-1215
Health Depart
Fax: (270) 786-1215
00 Yrs/99 Yrs
500 AA Whitman Rd
00 Yrs/99 Yrs
MT 8:00 AM - 5:00 PM
Munfordville, KY 42765
M-F 8:00 AM - 5:00 PM
W 8:00 AM - 4:00 PM
(270) 524-2511
TH 8:00 AM - 12:00 PM
Fax: (270) 524-5642
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 59
05/28/2015
Specialty Physicians
Logan
Cardiac Electrophysiology Schwender, Frank MD
Provider ID: 603816
Schwender, Frank MD
Gender: Male
Provider ID: 603816
Southern Kentucky
Gender: Male
Heart Institute
Southern Kentucky
1625 Nashville St
Heart Institute
Russellville, KY 42276
1625 Nashville St
(270) 726-4011
Russellville, KY 42276
Fax: (270) 495-1488
(270) 726-4011
18 Yrs/99 Yrs
Fax: (270) 495-1488
The Medical Center
18 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
The Medical Center
Cardiovascular Surgery
M-F 8:00 AM - 5:00 PM
General Dentistry
General Surgery
Clark, Dale DMD
Ellis, Adam MD
Provider ID:
Provider ID: 601298
TPV33156DM-01
Gender: Male
Gender: Male
Adam Ellis MD PLLC
204 East 4th St
1623 Nashville St Ste 106
Russellville, KY 42276
Russellville, KY 42276
(270) 726-7511
(270) 726-8090
Fax: (270) 726-6831
Fax: (270) 726-9008
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-TH 8:00 AM - 4:30 PM Logan Memorial Hospital
F 8:00 AM - 12:00 PM
M-F 8:00 AM - 5:00 PM
Kerr, Paul DMD
Ellis, Adam MD
Provider ID: TPV3337-01
Provider ID: 601298
Gender: Male
Gender: Male
Chhabra, Sandeep MD
Provider ID: 600892
64 Shelton Lane
Apogee Medical Group
Gender: Male
Russellville, KY 42276
1625 Nashville St
Provider ID: 708690
Tullio Emanuele MD PSC (270) 726-9595
Russellville, KY 42276
Gender: Male
1623 Nashville St Ste 204 Fax: (270) 725-8324
(270) 726-4011
Graves Gilbert Clinic
Russellville, KY 42276
00 Yrs/99 Yrs
00 Yrs/99 Yrs
1405 Nashville St
(270) 726-1728
M-W 8:00 AM - 5:00 PM Logan Memorial Hospital
Russellville, KY 42276
Fax: (270) 726-2278
TH 8:00 AM - 12:00 PM
M-F 8:00 AM - 5:00 PM
(270) 725-9700
00 Yrs/99 Yrs
F 8:00 AM - 4:00 PM
Fax: (270) 725-9992
Hand Surgery
The Medical Center
00 Yrs/99 Yrs
Koller,
Michael
DMD
Languages: Italian
Morrison, Keith MD
M-F 8:00 AM - 5:00 PM
Provider ID:
MTTHF 9:00 AM - 5:00
Provider ID: 604549
TPV77988DM-01
Kazimuddin, Mohammed PM
Gender: Male
Gender: Male
W 1:00 AM - 3:30 PM
MD
Western Kentucky
288 North Main St
Provider ID: 608061
Orthopaedic and NE
Chiropractic
Lewisburg, KY 42256
Gender: Male
101 W 2nd St
(270) 755-4899
Western Kentucky Heart Poe, David DC
Russellville, KY 42276
Fax: (270) 755-3285
and Lung Assoc
Provider ID: 667475
(270) 725-8200
00 Yrs/99 Yrs
1623 Nashville St Ste 204 Gender: Male
M-TH 9:00 AM - 6:00 PM Fax: (270) 783-5228
Russellville, KY 42276
David Alan Poe DC
00 Yrs/99 Yrs
F 9:00 AM - 2:00 PM
(270) 726-1728
909 W 9th St Ste A
The Medical Center
Fax: (270) 726-2278
Russellville, KY 42276
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
(270) 726-4600
The Medical Center
Fax: (270) 726-4604
Tristar Greenview
00 Yrs/99 Yrs
Regional Hospital
Languages: Spanish
M-F 9:00 AM - 5:00 PM
MWF 9:00 AM - 6:00 PM
T 9:00 AM - 12:00 PM
TH 9:00 AM - 3:00 PM
Cardiology
Emanuele, Tullio MD
kentucky.wellcare.com | 60
05/28/2015
Specialty Physicians
Logan
Neurosurgery
Schwank, William MD
Provider ID: 604510
Gender: Male
Western Kentucky
Orthopaedic and NE
101 W 2nd St
Russellville, KY 42276
(270) 725-8200
Fax: (270) 783-5228
00 Yrs/99 Yrs
The Medical Center
Languages: Spanish
M-F 9:00 AM - 5:00 PM
Ophthalmology
Porter, Aaron MD
Provider ID: TPV4322-05
Gender: Male
709 East 4th St
Russellville, KY 42276
(270) 781-4909
Fax: (270) 846-7997
00 Yrs/99 Yrs
Witcher, Spencer MD
Provider ID: TPV5175-05
Gender: Male
709 East 4th St
Russellville, KY 42276
(270) 781-4909
Fax: (270) 846-7997
00 Yrs/99 Yrs
Optometry
Barrow, Darla OD
Provider ID: TPV4511-02
Gender: Female
102 Armory Dr
Russellville, KY 42276
(270) 725-8382
Fax: (270) 725-9666
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Higdon, Amanda OD
Provider ID: TPV4348-02
Gender: Female
102 Armory Dr
Russellville, KY 42276
(270) 725-8382
Fax: (270) 725-9666
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Stanley, Anna OD
Provider ID:
TPV1164402939WL
Gender: Female
120 Sam Walton DR
Russellville, KY 42276
(270) 726-8283
00 Yrs/99 Yrs
Oral & Maxillofacial
Surgery
Sutton, James DMD
Provider ID:
TPV65405DM-03
Clark, Jeffrey DDS
Gender: Male
Provider ID: 602450
204 Market St
Gender: Male
Russellville, KY 42276
Thomas Mark Thompson (888) 357-0064
DMD
00 Yrs/99 Yrs
204 Market St
M-F 8:00 AM - 5:00 PM
Russellville, KY 42276
(270) 783-0064
Thompson, Thomas DMD
Fax: (270) 901-1997
Provider ID: 727602
00 Yrs/99 Yrs
Gender: Male
The Medical Center
Thomas Mark Thompson
M-F 8:00 AM - 5:00 PM
DMD
Clark, Jeffrey DDS
204 Market Sq
Provider ID:
Russellville, KY 42276
TPV1649261850DM
(270) 783-0064
Gender: Male
Fax: (270) 901-1997
204 Market St
00 Yrs/99 Yrs
Russellville, KY 42276
The Medical Center
(888) 357-0064
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Thompson, Thomas DMD
Webb, Bill OD
Provider ID: TPV4404-01
Gender: Male
603 E 4th St
Russellville, KY 42276
(270) 726-2434
Fax: (270) 726-2435
Greer, Brandon DMD
Provider ID:
00 Yrs/99 Yrs
Provider
ID:
TPV8200-03
TPV42061DM-03
MTTHF 8:30 AM - 5:00
Gender:
Male
Gender: Male
PM
204
Market
St
204 Market St
WSat 8:30 AM - 12:00 PM
Russellville, KY 42276
Russellville, KY 42276
Wells, Thad OD
(888) 357-0064
(888) 357-0064
Provider ID: TPV5238-01
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Gender: Male
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
105 Robins Way Ste 206
Sutton, James DMD
Orthopaedic Surgery
Russellville, KY 42276
(270) 726-2022
Beard, Craig MD
Provider ID: 603748
Fax: (270) 726-2035
Provider ID: 604541
Gender:
Male
00 Yrs/99 Yrs
Mark Thompson Gender: Male
MWF 8:30 AM - 5:00 PM Thomas
DMD
Western Kentucky
T 10:30 AM - 6:30 PM
Orthopaedic and NE
204 Market St
TH 8:30 AM - 12:00 PM
101 W 2nd St
Russellville, KY 42276
Russellville, KY 42276
(270) 783-0064
(270) 725-8200
Fax: (270) 901-1997
Fax: (270) 783-5228
00 Yrs/99 Yrs
00 Yrs/99 Yrs
The Medical Center
The Medical Center
M-F 8:00 AM - 5:00 PM
Languages: Spanish
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 61
05/28/2015
Specialty Physicians
Logan
Orthopaedic Surgery cont.
Burch, John MD
Provider ID: 604543
Gender: Male
Western Kentucky
Orthopaedic and NE
101 W 2nd St
Russellville, KY 42276
(270) 725-8200
Fax: (270) 783-5228
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Fee, Kirk MD
Provider ID: 604544
Gender: Male
Western Kentucky
Orthopaedic and NE
101 W 2nd St
Russellville, KY 42276
(270) 725-8200
Fax: (270) 783-5228
00 Yrs/99 Yrs
The Medical Center
MF 9:00 AM - 5:00 PM
TWTH 8:00 AM - 12:00
PM
Hansbrough, Eugene MD
Provider ID: 618685
Gender: Male
Graves Gilbert Clinic
1405 Nashville St
Russellville, KY 42276
(270) 725-9700
Fax: (270) 725-9992
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Malmquist, Gregg MD
Provider ID: 601604
Gender: Male
Western Kentucky
Orthopaedic and NE
101 W 2nd St
Russellville, KY 42276
(270) 725-8200
Fax: (270) 783-5228
00 Yrs/99 Yrs
The Medical Center
Tristar Greenview
Regional Hospital
M-F 9:00 AM - 5:00 PM
Singer, Phillip MD
Provider ID: 604554
Gender: Male
Western Kentucky
Orthopaedic and NE
101 W 2nd St
Russellville, KY 42276
(270) 725-8200
Fax: (270) 783-5228
00 Yrs/99 Yrs
The Medical Center
Tristar Greenview
Regional Hospital
M-F 9:00 AM - 5:00 PM
Patton, Christopher MD
Zehner, Joseph MD
Provider ID: 601762
Gender: Male
Western Kentucky
Orthopaedic and NE
101 W 2nd St
Russellville, KY 42276
(270) 725-8200
Fax: (270) 783-5228
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Richards, David MD
Provider ID: 609829
Gender: Male
Western Kentucky
Orthopaedic and NE
101 W 2nd St
Russellville, KY 42276
(270) 725-8200
Fax: (270) 783-5228
00 Yrs/99 Yrs
The Medical Center
Tristar Greenview
Regional Hospital
M-F 8:30 AM - 5:00 PM
Pulmonary Disease
Thomson, Douglas MD
Provider ID: 618755
Gender: Male
Barren River District
Health Depart
151 S Franklin St
Russellville, KY 42276
(270) 726-8341
Fax: (270) 726-8399
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Radiology - Interventional
& Vascular
Provider ID: 603086
Kazimuddin, Mohammed
Gender: Male
MD
Joseph B Zehner MD
Provider ID: 608061
1623 Nashville St Ste 103
Gender: Male
Russellville, KY 42276
Western Kentucky Heart
(270) 725-8660
and Lung Assoc
Fax: (888) 735-8407
1623 Nashville St Ste 204
00 Yrs/99 Yrs
Russellville, KY 42276
Logan Memorial Hospital (270) 726-1728
M-F 8:00 AM - 5:00 PM
Fax: (270) 726-2278
00 Yrs/99 Yrs
Podiatry
The Medical Center
Benge, Jennifer DPM
Tristar Greenview
Regional Hospital
Provider ID: 671503
M-F 9:00 AM - 5:00 PM
Gender: Female
Vascular Surgery
Commonwealth Foot
and Ankle Care LL
Unruh, Thomas MD
1405 Nashville St
Russellville, KY 42276
Provider ID: 781534
(270) 725-9300
Gender: Male
Fax: (270) 598-4930
Apogee Medical Group
00 Yrs/99 Yrs
1623 Nashville St Ste 106
M-F 9:00 AM - 5:00 PM
Russellville, KY 42276
(270) 726-8090
Fax: (602) 324-2249
00 Yrs/99 Yrs
MTWTHFSatSun 6:00
AM - 5:30 PM
kentucky.wellcare.com | 62
05/28/2015
Specialty Physicians
Logan
Vascular Surgery - cont.
Unruh, Thomas MD
Provider ID: 781534
Gender: Male
Apogee Medical Group
1625 Nashville St
Russellville, KY 42276
(270) 726-4011
00 Yrs/99 Yrs
MTWTHFSatSun 6:00
AM - 5:30 PM
Unruh, Thomas MD
Unruh, Thomas MD
Provider ID: 814850
Gender: Male
Apogee Medical Group
Kentucky
1625 Nashville St
Russellville, KY 42276
(270) 726-4011
Fax: (602) 324-2249
00 Yrs/99 Yrs
Languages: German
MTWTHFSatSun 6:00
AM - 5:30 PM
Provider ID: 781534
Gender: Male
Apogee Medical Group
683 E 3rd St
Russellville, KY 42276
(270) 726-4011
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Unruh, Thomas MD
Provider ID: 814850
Gender: Male
Apogee Medical Group
Kentucky
1623 Nashville St 106
Russellville, KY 42276
(270) 726-8090
Fax: (602) 324-2249
00 Yrs/99 Yrs
Languages: German
MTWTHFSatSun 6:00
AM - 5:30 PM
kentucky.wellcare.com | 63
05/28/2015
Specialty Physicians
McCreary
Chiropractic
Ophthalmology
Lose, Kenneth DMD
McKinley, Stephen OD
Provider ID: TPV3040-03
West, Timothy DC
Naser, Mahmud MD
Provider ID: TPV5185-04
Gender: Male
Provider ID: 602762
Provider ID: TPV5920-01
Gender: Male
54 Medical Lane
Gender: Male
Gender:
Male
19 Medical Loop
Whitley City, KY 42653
West Chiropractic
551
North
Hwy
27
Whitley City, KY 42653
(606) 376-5055
Centre
Whitley City, KY 42653
(606) 376-5258
Fax: (606) 376-5055
242 S Main St
(606) 376-4199
Fax: (606) 376-2045
01 Yrs/97 Yrs
Whitley City, KY 42653
Fax:
(606)
376-9693
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM
(606) 376-2123
00
Yrs/99
Yrs
M-F 9:00 AM - 5:00 PM
F 8:30 AM - 12:00 PM
Fax: (606) 376-4233
M-TH 9:00 AM - 5:00 PM Sat 9:00 AM - 12:00 PM
00 Yrs/99 Yrs
Maynard, Harold DMD
F 9:00 AM - 3:00 PM
Mysliwiec, Kevin OD
M-F 9:00 AM - 5:00 PM
Optometry
Provider ID: TPV3038-03
Provider ID: TPV3917-05
General Dentistry
Gender: Male
Gender: Male
Jacobs, Mark OD
54
Medical
Lane
19 Medical Loop
Bates, Gwenna DMD
Provider ID: TPV4933-14
Whitley
City,
KY
42653
Whitley City, KY 42653
Provider ID: TPV3188-03
Gender: Male
(606)
376-5055
(606) 376-5258
Gender: Female
19 Medical Loop
Fax: (606) 376-5055
Fax: (606) 376-2045
54 Medical Lane
Whitley City, KY 42653
01
Yrs/97
Yrs
00 Yrs/99 Yrs
Whitley City, KY 42653
(606) 376-5258
M-TH
8:30
AM
5:00
PM
M-F 8:00 AM - 5:00 PM
(606) 376-5055
Fax: (606) 376-2045
F
8:30
AM
12:00
PM
Fax: (606) 376-5055
00 Yrs/99 Yrs
Overley, Eric OD
01 Yrs/97 Yrs
M-F
8:00
AM
5:00
PM
Millay, Robert DMD
Provider ID: TPV4602-06
M-TH 8:30 AM - 5:00 PM Provider ID: TPV3109-03
Gender: Male
Martin, Frederick OD
F 8:30 AM - 12:00 PM
Gender: Male
19 Medical Loop
Provider ID: TPV4619-02
54
Medical
Lane
Whitley City, KY 42653
Hamm, Corey DMD
Gender: Male
(606) 376-5258
Provider ID: TPV23585-03 Whitley City, KY 42653
19 Medical Loop
(606)
376-5055
Fax: (606) 376-2045
Gender: Male
Whitley City, KY 42653
00
Yrs/99
Yrs
00 Yrs/99 Yrs
54 Medical Lane
(606) 376-5258
M-TH
8:30
AM
5:00
PM
M-F 8:00 AM - 5:00 PM
Whitley City, KY 42653
Fax: (606) 376-2045
F 8:30 AM - 12:00 PM
(606) 376-5055
00 Yrs/99 Yrs
Sparkman, Timothy OD
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Stewart, Kyle DMD
M-F 8:30 AM - 5:00 PM
Provider ID: TPV8284-10
Provider ID: TPV3034-03 Sat 9:00 AM - 12:00 PM
Sat 8:30 AM - 12:00 PM
Gender: Male
Gender: Male
McKinley, Lindsay OD
19 Medical Loop
54 Medical Lane
Hamm, Jessica DMD
Provider ID: TPV4897-03 Whitley City, KY 42653
Whitley City, KY 42653
Provider ID: TPV3061-03
Gender: Female
(606) 376-5258
(606) 376-5055
Gender: Female
19 Medical Loop
Fax: (606) 376-2045
Fax:
(606)
376-5055
54 Medical Lane
Whitley City, KY 42653
00 Yrs/99 Yrs
01 Yrs/97 Yrs
Whitley City, KY 42653
(606) 376-5258
M-F 8:00 AM - 5:00 PM
M-TH 8:30 AM - 5:00 PM Fax: (606) 376-2045
(606) 376-5055
F
8:30
AM
12:00
PM
Fax: (606) 376-5055
00 Yrs/99 Yrs
01 Yrs/97 Yrs
M-F 9:00 AM - 5:00 PM
M-TH 8:30 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
F 8:30 AM - 12:00 PM
kentucky.wellcare.com | 64
05/28/2015
Specialty Physicians
McCreary
Optometry - cont.
Upchurch, Gary OD
Provider ID: TPV4627-05
Gender: Male
19 Medical Loop
Whitley City, KY 42653
(606) 376-5258
Fax: (606) 376-2045
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pediatrics
Weyman, Christine MD
Provider ID: 601508
Gender: Female
Lake Cumberland
District Health Dep
119 Medical Ln
Whitley City, KY 42653
(606) 376-8775
Fax: (606) 376-3815
00 Yrs/21 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
Podiatry
Schnell, Shannon DPM
Provider ID: 718229
Gender: Female
Cumberland Foot And
Ankle Center
49 Medical Loop
Whitley City, KY 42653
(606) 376-2272
00 Yrs/99 Yrs
MT 8:00 AM - 5:00 PM
kentucky.wellcare.com | 65
05/28/2015
Specialty Physicians
Metcalfe
Chiropractic
Optometry
McMurtrey, Kelly DC
Whitlow, Cheryl OD
Provider ID: 671441
Provider ID: TPV4472-01
Gender: Female
Gender: Female
McMurtrey Chiropractic 1406 W. Stockton St
Inc
Edmonton, KY 42129
106 W. Stockton St
(270) 432-0123
Edmonton, KY 42129
Fax: (270) 432-5899
(270) 432-5656
00 Yrs/99 Yrs
Fax: (270) 432-5658
MTH 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
T 9:00 AM - 6:00 PM
M-F 8:00 AM - 5:00 PM
W 9:00 AM - 5:00 PM
F 9:00 AM - 4:00 PM
General Dentistry
Froedge, Mark DMD
Provider ID: TPV3039-01
Gender: Male
706 W Stockton St
Edmonton, KY 42129
(270) 432-3617
Fax: (270) 432-3617
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
Miller, John DMD
Provider ID:
TPV85624DM-01
Gender: Male
108 Elmore St
Edmonton, KY 42129
(270) 432-7211
Fax: (270) 432-7215
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Whitlow, Robert OD
Provider ID: TPV5119-01
Gender: Male
1406 W. Stockton St
Edmonton, KY 42129
(270) 432-0123
Fax: (270) 432-5899
00 Yrs/99 Yrs
MTH 8:30 AM - 5:00 PM
T 9:00 AM - 6:00 PM
W 9:00 AM - 5:00 PM
F 9:00 AM - 4:00 PM
Pulmonary Disease
Thomson, Douglas MD
Provider ID: 618755
Gender: Male
Barren River District
Health Depart
615 W Stockton St
Edmonton, KY 42129
(270) 432-3214
Fax: (270) 432-4000
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 66
05/28/2015
Specialty Physicians
Monroe
Allergy & Immunology
Cavanah, Diana MD
Provider ID: 604849
Gender: Female
Graves-Gilbert Clinic
529 Capp Harlan Rd
Tompkinsville, KY 42167
(270) 487-9231
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Stavens, Chris MD
Provider ID: 917171
Gender: Male
Cardiovascular
Specialists PSC
476 Capp Harlan Rd
Monroe, KY 42167
(800) 844-0566
Fax: (270) 487-2013
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
Mercer, Patricia MD
Stavens, Gerasimos MD
Provider ID: 604886
Gender: Female
Graves-Gilbert Clinic
529 Harlans Crossroads
Tompkinsville, KY 42167
(270) 487-9231
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Provider ID: 1070667
Gender: Male
Cardiovascular
Specialists PSC
476 Capp Harlan
Tompkinsville, KY 42167
(800) 844-0566
Fax: (270) 487-2013
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Warrier, Priya MD
Provider ID: 603959
Cardiology
Gender: Female
Family Allergy & Asthma Chalhoub, Anis MD
Provider ID: 936802
529 Capp Harlan Rd
Gender: Male
Tompkinsville, KY 42167
Cardiovascular
(800) 999-1249
Specialists PSC
Fax: (502) 429-6157
476 Capp Harlan Rd
00 Yrs/99 Yrs
Monroe, KY 42167
M 8:30 AM - 5:00 PM
(800) 844-0566
Cardiac Electrophysiology Fax: (270) 487-2013
00 Yrs/99 Yrs
Schwender, Frank MD
M-F 9:00 AM - 5:00 PM
Provider ID: 603816
Gender: Male
Southern Kentucky
Heart Institute
529 Capp Harlan Rd
Tompkinsville, KY 42167
(270) 487-9231
18 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Schwender, Frank MD
Provider ID: 603816
Gender: Male
Southern Kentucky
Heart Institute
529 Capp Harlan Rd
Tompkinsville, KY 42167
(270) 487-9231
18 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Stavens, Chris MD
Provider ID: 917171
Gender: Male
Cardiovascular
Specialists PSC
476 Capp Harlan Rd
Monroe, KY 42167
(800) 844-0566
Fax: (270) 487-2013
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
Cardiovascular Surgery
Xenopoulos, Nicholas
MD
Provider ID: 601841
Gender: Male
Cardiovascular
Specialists PSC
477 Capp Harlan Rd
Tompkinsville, KY 42167
(502) 561-6174
Fax: (502) 561-6180
00 Yrs/99 Yrs
Monroe County Medical
Center
M-F 9:00 AM - 5:00 PM
Chiropractic
Keith, Collin DC
Provider ID: 618898
Gender: Male
907 N Main St
Tompkinsville, KY 42167
(270) 487-8283
Fax: (270) 487-8283
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
Poynter, Nicholas DC
Sharma, Anil MD
Provider ID: 601274
Provider ID: 601467
Gender: Male
Gender: Male
Tompkinsville
Cardiovascular
Chiropractic
Specialists PSC
200 E 4th St Ste C
529 Capp Harlan Rd
Tompkinsville, KY 42167
Tompkinsville, KY 42167
(270) 487-6254
(502) 561-6174
Fax: (270) 487-1462
Fax: (502) 561-6180
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Monroe County Medical MTTH 8:00 AM - 5:00
PM
Center
Norton Hospital
W 8:00 AM - 4:00 PM
M-F 9:00 AM - 5:00 PM
F 8:00 AM - 12:00 PM
kentucky.wellcare.com | 67
05/28/2015
Specialty Physicians
Monroe
General Dentistry
McAlpin, Gordon DMD
Geriatric Medicine
Burroughs, Cynthia DMD
Ophthalmology
Downing, John MD
Provider ID: TPV7814-01 Carter, Anthony MD
Provider ID: TPV4763-03
Gender: Female
Provider ID:
Provider
ID:
1047059
Gender: Male
110 North Main St
TPV84979DM-01
Gender:
Male
22 Executive Blvd
Tompkinsville, KY 42167
Gender: Female
Cumberland
Family
Tompkinsville, KY 42167
(270) 487-6263
101 W. 4th St
Medical
Center
(270) 799-2259
00 Yrs/99 Yrs
Tompkinsville, KY 42167
1515
Edmonton
Rd
Fax: (877) 992-8072
M-W 8:00 AM - 5:00 PM
(270) 487-5545
Tompkinsville, KY 42167
00 Yrs/99 Yrs
Fax: (270) 487-5812
Page, John DMD
(270) 487-9272
Porter, Aaron MD
00 Yrs/99 Yrs
Provider ID: TPV3141-01
Fax: (270) 487-6242
Provider ID: TPV4322-03
M-TH 7:00 AM - 4:00 PM Gender: Male
00 Yrs/99 Yrs
204 W. Paige St
Monroe County Medical Gender: Male
Crabtree, Gregory DMD
22 Executive Dr
Center
Tompkinsville, KY 42167
M-TH 8:00 AM - 5:00 PM Tompkinsville, KY 42167
(270) 487-5196
Provider ID: TPV3125-01
(270) 651-2181
Fax: (270) 487-5196
Gender: Male
Carter,
Anthony
MD
Fax: (270) 651-2183
00 Yrs/99 Yrs
103 East 2nd St
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM Provider ID: 780979
Tompkinsville, KY 42167
Witcher, Spencer MD
Gender: Male
(270) 487-6066
General Surgery
Provider ID: TPV5175-03
Cumberland Family
Fax: (270) 487-8689
Korba,
John
MD
Medical Center
Gender: Male
00 Yrs/99 Yrs
604 N Main St
22 Executive Dr
M-TH 8:00 AM - 5:00 PM Provider ID: 604901
Gender: Male
Tompkinsville, KY 42167
Tompkinsville, KY 42167
Greer, Rebecca DMD
Bluegrass Surgical
(270) 487-9272
(270) 651-2181
Provider ID: TPV3530-01
Associates
Fax: (270) 487-6242
Fax: (270) 651-2183
Gender: Female
529 Capp Harlan Rd
00 Yrs/99 Yrs
00 Yrs/99 Yrs
42 Executive DR
Tompkinsville, KY 42167
Monroe County Medical
Optometry
Tompkinsville, KY 42167
(270) 487-9231
Center
(270) 487-5474
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM Birge, Steven OD
Fax: (270) 487-5156
The Medical Center
Provider ID: TPV5196-01
Neurology
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Gender: Male
M-TH 8:00 AM - 9:00 PM
Chou,
Wesley
MD
22 Executive Dr
Nowell, Mark MD
Provider
ID:
615275
Tompkinsville, KY 42167
Hagan, Crystal DMD
Provider ID: 698191
Gender: Male
(270) 487-5741
Gender: Male
Graves-Gilbert
Clinic
Provider ID: TPV2899-01
Fax: (270) 487-9664
Monroe County Medical
529
Capp
Harlan
Rd
Gender: Female
00 Yrs/99 Yrs
Center
Tompkinsville,
KY
42167
449 Capp Harlan Rd
M 8:00 AM - 6:00 PM
529 Capp Harlan Rd
(270) 487-9231
Tompkinsville, KY 42167
TWTHF 8:00 AM - 5:00
Tompkinsville, KY 42167
16 Yrs/99 Yrs
PM
(270) 487-8026
(270) 487-9231
The
Medical
Center
Sat 8:00 AM - 1:00 PM
Fax: (270) 487-0540
Fax: (270) 487-0891
M-F
8:00
AM
5:00
PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 68
05/28/2015
Specialty Physicians
Monroe
Optometry - cont.
Ross, Willie OD
Provider ID: TPV5307-01
Gender: Male
22 Executive Dr
Tompkinsville, KY 42167
(270) 487-5741
Fax: (270) 487-9664
00 Yrs/99 Yrs
M 8:00 AM - 6:00 PM
TWTHF 8:00 AM - 4:30
PM
Sat 8:00 AM - 12:00 PM
Stephens, Heather OD
Provider ID: TPV4660-01
Gender: Female
22 Executive Dr
Tompkinsville, KY 42167
(270) 487-5741
Fax: (270) 487-9664
00 Yrs/99 Yrs
M 8:00 AM - 6:00 PM
TWTHF 8:00 AM - 5:00
PM
Sat 8:00 AM - 1:00 PM
Pulmonary Disease
Hansbrough, James MD
Provider ID: 618754
Gender: Male
Graves-Gilbert Clinic
529 Capp Harlan Rd
Tompkinsville, KY 42167
(270) 487-9231
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Thomson, Douglas MD
Provider ID: 618755
Gender: Male
Graves-Gilbert Clinic
529 Capp Harlan Rd
Tompkinsville, KY 42167
(270) 487-9231
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Sleep Medicine
Zachek, Michael MD
Provider ID: 618757
Gender: Male
Graves-Gilbert Clinic
529 Capp Harlan Rd
Tompkinsville, KY 42167
(270) 487-9231
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Urology
Bigler, Mark MD
Provider ID: 618760
Gender: Male
Graves-Gilbert Clinic
529 Capp Harlan Rd
Tompkinsville, KY 42167
(270) 487-9231
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 69
05/28/2015
Specialty Physicians
Pulaski
Allergy & Immunology
Feger, Timothy MD
Provider ID: 284233
Arora, Rajiv MD
Gender: Male
Provider ID: 618688
Family Allergy Asthma
Gender: Male
971 S Hwy 27
Family Allergy & Asthma Somerset, KY 42501
971 S Hwy 27
(877) 879-2632
Somerset, KY 42501
Fax: (502) 429-6157
(877) 879-2632
00 Yrs/99 Yrs
Fax: (502) 429-6157
Norton Hospital
00 Yrs/99 Yrs
M 7:00 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
TWTHF 8:30 AM - 5:00
PM
Bozeman, Sarah DO
Provider ID: 671402
Guin, Jason MD
Gender: Female
Provider ID: 719261
Family Allergy & Asthma Gender: Male
971 S Hwy 27
Family Allergy and
Somerset, KY 42501
Asthma
(877) 879-2632
971 S Hwy 27
Fax: (502) 429-6157
Somerset, KY 42501
00 Yrs/99 Yrs
(877) 879-2632
M-F 8:30 AM - 5:00 PM
Fax: (502) 429-6157
00 Yrs/99 Yrs
Coyle, Damon MD
M-F 9:00 AM - 5:00 PM
Provider ID: 714281
Gender: Male
Lotz, Douglas MD
Family Allergy & Asthma Provider ID: 604245
971 S Hwy 27
Gender: Male
Somerset, KY 42501
Family Allergy and
(877) 879-2632
Asthma
Fax: (502) 429-6157
971 South Hwy 27
00 Yrs/99 Yrs
Somerset, KY 42501
Kosair Childrens Medical (877) 879-2632
Center Brownsb
Fax: (502) 429-6157
Norton Hospital
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Languages: Spanish
M-F 9:00 AM - 5:00 PM
Dyer, Brandi MD
Provider ID: 817951
Gender: Female
Family Allergy & Asthma
971 S Hwy 27
Somerset, KY 42501
(606) 451-0239
Fax: (606) 451-9640
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Mahmoud, Sanaa MD
Provider ID: 614634
Gender: Female
Allergy Asthma and
Immunology
110 Hardin Ln Ste 3
Somerset, KY 42503
(606) 451-0115
Fax: (606) 451-0155
01 Yrs/99 Yrs
Languages: French,
Arabic
M-F 9:00 AM - 5:00 PM
Miller, Natalie MD
Provider ID: 935270
Gender: Female
Family Allergy & Asthma
971 S Hwy 27
Somerset, KY 42501
(877) 879-2632
Fax: (502) 429-6157
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Otto, Hans MD
Provider ID: 671342
Gender: Male
Family Allergy and
Asthma
971 South Hwy 27
Somerset, KY 42501
(877) 879-2632
Fax: (502) 429-6157
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Pollard, Stephen MD
Provider ID: 618647
Gender: Male
Family Allergy Asthma
971 S Hwy 27
Somerset, KY 42501
(606) 451-0239
Fax: (606) 451-9640
00 Yrs/99 Yrs
Jewish Hospital
Norton Hospital
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 70
Rankin, Bradley MD
Provider ID: 618602
Gender: Male
Family Allergy and
Asthma
971 South Hwy 27
Somerset, KY 42501
(877) 879-2632
Fax: (502) 429-6157
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 9:00 AM - 5:00 PM
Richards, Nathan MD
Provider ID: 708707
Gender: Male
Family Allergy Asthma
971 S Hwy 27
Somerset, KY 42501
(606) 451-0239
Fax: (502) 429-6157
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sublett, James MD
Provider ID: 670144
Gender: Male
Family Allergy & Asthma
971 S Hwy 27
Somerset, KY 42501
(606) 451-0239
Fax: (606) 451-9640
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sublett, James MD
Provider ID: 672054
Gender: Male
Family Allergy & Asthma
971 S Hwy 27
Somerset, KY 42501
(877) 879-2632
Fax: (502) 429-6157
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Pulaski
Allergy & Immunology cont.
Turbyville, Joseph MD
Provider ID: 683774
Gender: Male
Family Allergy and
Asthma
971 S Hwy 27
Somerset, KY 42501
(877) 879-2632
Fax: (502) 429-6157
00 Yrs/99 Yrs
MTTHF 8:30 AM - 5:00
PM
W 8:00 AM - 5:00 PM
Stavens, Gerasimos MD
Provider ID: 1070667
Gender: Male
Cardiovascular
Specialists PSC
104 Hardin Ln Ste B
Somerset, KY 42503
(800) 844-0566
Fax: (606) 679-1341
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Cardiology
Iqbal, Ibraiz MD
Provider ID: 910318
Gender: Male
The Heart Center of
Somerset PLLC
104 Hardin Ln
Somerset, KY 42503
(606) 677-1112
Fax: (606) 679-1341
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 8:00 AM - 5:00 PM
Stavens, Chris MD
Provider ID: 917171
Gender: Male
Cardiovascular
Specialists PSC
104 Hardin Ln Ste B
Somerset, KY 42503
(800) 844-0566
Fax: (606) 679-1341
00 Yrs/99 Yrs
Norton Hospital
M-F 9:00 AM - 5:00 PM
Cardiovascular Surgery
Saleh, Khaled MD
Cameron, Robert MD
Karam, Nicolas MD
Provider ID: 601912
Gender: Male
Warrier, Priya MD
Provider ID: 601753
Provider ID: 602969
Somerset Cardiology
Provider ID: 603959
Gender: Male
Gender: Male
PSC
Gender: Female
Baptist Health Medical
Cumberland Clinic PLLC
402 Bogle St Ste 2
Group Inc
Family Allergy Asthma
27 Imaging Dr Ste B
Somerset, KY 42503
349 Bogle St Ste B
971 S Hwy 27
Somerset, KY 42503
(606) 679-1189
Somerset, KY 42503
Somerset, KY 42501
(606) 678-0599
00 Yrs/99 Yrs
(606) 451-9448
(606) 451-0239
Fax: (606) 678-0608
Lake Cumberland
Fax: (606) 451-9450
Fax: (606) 451-9640
00 Yrs/99 Yrs
Regional Hospital
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Languages: Arabic
M-TH 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Chiropractic
F 8:00 AM - 12:00 PM
Cardiac Electrophysiology
Saleh, Khaled MD
Belcher, Jonathan DC
Chalhoub, Anis MD
Provider ID: 601912
Stavens, Chris MD
Provider ID: 604073
Provider ID: 936802
Gender: Male
Provider ID: 917171
Gender: Male
Gender: Male
Somerset Cardiology
Gender: Male
Jonathan A Belcher DC
Cardiovascular
PSC
Cardiovascular
112 Southport Dr
Specialists PSC
850 Hail Knob Rd Ste A
Specialists PSC
Somerset, KY 42501
104 Hardin Ln Ste B
Somerset, KY 42503
104 Hardin Ln Ste B
(606) 676-0022
Somerset, KY 42503
(606) 679-1189
Somerset, KY 42503
Fax: (606) 676-0333
(800) 844-0566
Fax: (606) 679-1187
(800) 844-0566
00 Yrs/99 Yrs
Fax: (606) 679-1341
00 Yrs/99 Yrs
Fax: (606) 679-1341
M-TH 8:30 AM - 5:30 PM
00 Yrs/99 Yrs
Lake Cumberland
00 Yrs/99 Yrs
F 8:30 AM - 1:00 PM
M-F 9:00 AM - 5:00 PM
Regional Hospital
Norton Hospital
Languages: Arabic
M-F 9:00 AM - 5:00 PM
M-TH 8:00 AM - 5:00 PM
F 8:00 AM - 12:00 PM
kentucky.wellcare.com | 71
05/28/2015
Specialty Physicians
Pulaski
Chiropractic - cont.
Ear, Nose & Throat
True, Matthew DC
Provider ID: 602765
Bramble, Todd DC
Dalton, Randall MD
Gender: Male
Provider ID: 604977
True Family Chiropractic
Provider ID: 603778
Gender: Male
2070 S Hwy 70 Ste D
Gender: Male
Bramble Chiropractic
Somerset, KY 42501
PLLC
Ear, Nose and Throat
(606) 676-0040
Specialists of
110 Richie Ln Ste B
00 Yrs/99 Yrs
143A Bogle Office Park
Somerset, KY 42503
M-F 9:00 AM - 5:00 PM
Dr
(606) 679-1433
Somerset, KY 42503
00 Yrs/99 Yrs
Wilson, Angie DC
(606) 451-3890
M-F 9:00 AM - 5:00 PM
Provider ID: 600498
Fax: (606) 451-3896
Gender: Female
Casada, Rodney DC
00 Yrs/99 Yrs
Align Care Chiropractic
Provider ID: 604978
Lake Cumberland
Center
Gender: Male
Regional Hospital
4044 Sarah's Ln
Chad C Henderson DC
M-F 8:00 AM - 5:00 PM
Somerset, KY 42503
PSC
(606) 451-0564
Good, Terry MD
1056 S Hwy 27 Ste 5
Fax: (606) 451-0565
Provider ID: 716231
Somerset, KY 42501
00 Yrs/99 Yrs
Gender: Male
(606) 679-6385
MWTH 9:00 AM - 6:00
Ear, Nose and Throat
Fax: (606) 679-5556
PM
Specialists of
00 Yrs/99 Yrs
T 11:00 AM - 7:00 PM
143A Bogle Office Park
MWTHF 8:00 AM - 5:00
F 8:00 AM - 12:00 PM
Dr
PM
Somerset, KY 42503
Dermatology
T 8:00 AM - 6:00 PM
(606) 451-3890
Davis, Wade DC
Baker, Brian MD
Fax: (560) 645-3896
Provider ID: 623606
Provider ID: 603363
00 Yrs/99 Yrs
Gender: Male
Gender: Male
M-F 8:00 AM - 5:00 PM
Davis Chiropractic
Dermatology of
Woods II, Robert MD
604 Ogden St Ste 202
Southern Kentucky Pl
Provider ID: 601640
Somerset, KY 42501
85 Tower Cir
Gender: Male
(606) 679-1991
Somerset, KY 42503
Robert D Woods II MD
Fax: (606) 679-1149
(606) 772-3376
348 Langdon St
00 Yrs/99 Yrs
Fax: (606) 677-0335
Somerset, KY 42503
M-TH 9:00 AM - 5:30 PM 00 Yrs/99 Yrs
(606) 679-8349
M-F 8:00 AM - 5:00 PM
True, Matthew DC
00 Yrs/99 Yrs
Provider ID: 602765
Schosser, Robert MD
Baptist Health Lexington
Gender: Male
Provider ID: 920042
M-F 9:00 AM - 5:00 PM
True Family Chiropractic Gender: Male
111 W Hwy 80 Ste B
Dermatology of
Southern Kentucky Pl
Somerset, KY 42503
85 Tower Cir
(606) 676-0400
Somerset, KY 42503
Fax: (606) 676-0641
(606) 772-3376
00 Yrs/99 Yrs
Fax: (606) 677-0335
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 72
Endocrinology, Diabetes,
Metabolism
Joseph, Dennis MD
Provider ID: 849204
Gender: Male
Endocrinology Center of
Lake Cumber
349 Bogle St Ste A
Somerset, KY 42503
(606) 451-6060
Fax: (606) 678-4528
14 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gastroenterology
Cook, Samir MD
Provider ID: 600739
Gender: Male
Cumberland
Gastroenterology PSC
56 Tower Cir
Somerset, KY 42503
(606) 677-2913
Fax: (606) 677-6983
02 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
MTTH 8:00 AM - 5:00
PM
W 8:00 AM - 12:00 PM
F 8:00 AM - 4:00 PM
Horn, Todd MD
Provider ID: 602825
Gender: Male
Cumberland
Gastroenterology PSC
56 Tower Cir
Somerset, KY 42503
(606) 677-2913
Fax: (606) 677-6983
19 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
F 8:00 AM - 4:00 PM
05/28/2015
Specialty Physicians
Pulaski
Gastroenterology - cont.
Jobson, Brenda DO
Provider ID: 601153
Gender: Female
Brenda Jean Jobson DO
PLLC
298 Bogle St Ste A
Somerset, KY 42503
(606) 678-8883
Fax: (606) 677-0220
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 8:30 AM - 6:00 PM
Jobson, Brenda DO
Provider ID: 972479
Gender: Female
Baptist Health Medical
Group
2441 S Hwy 27
Somerset, KY 42501
(606) 677-4068
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 8:00 AM - 5:00 PM
Jobson, Brenda DO
Provider ID: 972479
Gender: Female
Baptist Health Medical
Group
349 Bogle St Ste B
Somerset, KY 42503
(606) 451-9448
Fax: (606) 451-9450
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 8:00 AM - 5:00 PM
General Dentistry
Brummett, David DMD
Hamm, Corey DMD
Provider ID: TPV23585-01
Bartley, Darrell DMD
Provider ID: TPV3249-01
Gender: Male
Provider ID:
Gender: Male
29 Eury Lane
TPV33309DM-01
3876 South Hwy 27
Somerset, KY 42501
Gender: Male
Somerset, KY 42501
(606) 678-8881
296 Medpark DR
(606) 679-5328
Fax: (606) 678-8881
Somerset, KY 42503
Fax: (606) 679-1972
00 Yrs/99 Yrs
(606) 677-0238
06 Yrs/99 Yrs
somerset@smilesouthky.
00 Yrs/99 Yrs
[email protected]
com
M-TH 8:00 AM - 5:00 PM M-TH 8:30 AM - 5:00 PM M-F 8:00 AM - 5:00 PM
F 9:00 AM - 1:00 PM
Sat 8:00 AM - 12:00 PM
Brummett, Denny DMD
Bates, Gwenna DMD
Hamm, Jessica DMD
Provider ID: TPV3188-01
Provider ID: TPV3250-03 Provider ID: TPV3061-01
Gender: Female
Gender: Male
Gender: Female
29 Eury Lane
3876 South Hwy 27
29 Eury Lane
Somerset, KY 42501
Somerset, KY 42501
Somerset, KY 42501
(606) 678-8881
(606) 679-5328
(606) 678-8881
Fax: (606) 678-8881
Fax: (606) 679-1972
Fax: (606) 678-8881
00 Yrs/99 Yrs
06 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
[email protected]
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
M-W 8:30 AM - 5:00 PM Sat 8:00 AM - 12:00 PM
Binder, Gregory DMD
Coffey, Henry DMD
Jayme, Annelee DMD
Provider ID: TPV3543-01
Provider ID:
Provider ID: TPV3545-01
Gender: Male
TPV73662DM-01
Gender: Female
54 Imaging DR
Gender: Male
54 Imaging DR
Somerset, KY 42503
313 Langdon St
Somerset, KY 42503
(606) 451-2273
Somerset, KY 42503
(606) 451-2273
Fax: (606) 451-9322
(606) 679-7419
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (606) 679-1150
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Jayme, Annelee DMD
Branscum, Rebekah DMD MTH 8:30 AM - 7:00 PM
Provider ID: TPV3545-02
TW 8:30 AM - 5:00 PM
Gender: Female
F 8:30 AM - 3:00 PM
Provider ID:
30 Med Park DR
Sat 8:00 AM - 12:00 PM
TPV74534DM-01
Somerset, KY 42503
Gender: Female
Grippe, Robert Brian
(606) 451-2273
8536 W. Hwy 80
DMD
Fax: (606) 451-9322
Nancy, KY 42544
Provider ID: TPV3532-01
00 Yrs/99 Yrs
(606) 636-4311
Gender: Male
M-F 8:00 AM - 5:00 PM
Fax: (606) 636-4315
54 Imaging DR
00 Yrs/99 Yrs
Somerset, KY 42503
M-TH 9:00 AM - 5:00 PM (606) 451-2273
Fax: (606) 451-9322
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
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05/28/2015
Specialty Physicians
Pulaski
General Dentistry - cont. Millay, Robert DMD
Provider ID: TPV3109-05
Lose, Kenneth DMD
Gender: Male
Provider ID: TPV3040-01
30 Med Park DR
Gender: Male
Somerset, KY 42503
29 Eury Lane
(606) 679-9322
Somerset, KY 42501
Fax: (866) 998-0588
(606) 678-8881
00 Yrs/99 Yrs
Fax: (606) 678-8881
M-TH 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
F 8:30 AM - 12:00 PM
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM Stewart, Kyle DMD
Provider ID: TPV3034-01
Maynard, Harold DMD
Gender: Male
29 Eury Lane
Provider ID: TPV3038-01
Somerset, KY 42501
Gender: Male
(606) 678-8881
29 Eury Lane
Fax: (606) 678-8881
Somerset, KY 42501
00 Yrs/99 Yrs
(606) 678-8881
M-F 8:00 AM - 5:00 PM
Fax: (606) 678-8881
Sat 8:00 AM - 12:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Tohill, Thomas DMD
Sat 8:00 AM - 12:00 PM
Provider ID: TPV3107-01
Gender: Male
McAlpin, Joshua DMD
101 Sarah's Lane
Provider ID:
Somerset, KY 42503
TPV86124DM-02
(606) 679-4450
Gender: Male
Fax: (606) 677-1418
54 Imaging DR
00 Yrs/99 Yrs
Somerset, KY 42503
M 9:00 AM - 5:00 PM
(606) 451-2273
T 9:00 AM - 7:00 PM
Fax: (606) 451-9322
WTH 8:00 AM - 4:00 PM
04 Yrs/10 Yrs
M-TH 9:00 AM - 5:00 PM
General Surgery
F 9:00 AM - 2:00 PM
Baker, Brian MD
Millay, Robert DMD
Provider ID: 603363
Provider ID: TPV3109-01
Gender: Male
Gender: Male
Dermatology of
29 Eury Lane
Southern Kentucky Pl
Somerset, KY 42501
85 Tower Cir
(606) 678-8881
Somerset, KY 42503
Fax: (606) 678-8881
(606) 772-3376
00 Yrs/99 Yrs
Fax: (606) 677-0335
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Sat 8:00 AM - 12:00 PM
M-F 8:00 AM - 5:00 PM
Brown, Donald MD
Provider ID: 800109
Gender: Male
Baptist Health Medical
Group
349 Bogle St Ste B
Somerset, KY 42503
(606) 451-9448
Fax: (606) 451-9450
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fallahzadeh, Hossein MD
Provider ID: 600866
Gender: Male
Lake Cumberland
Surgical Associates
353 Bogle St Ste A
Somerset, KY 42503
(606) 451-3820
Fax: (606) 451-3826
00 Yrs/99 Yrs
M-F 8:30 AM - 4:30 PM
Jazarevic, Slobodan MD
Provider ID: 984984
Gender: Male
349 Bogle St Ste A
Somerset, KY 42503
(606) 451-2600
Fax: (606) 451-2641
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Ritchey, Dasen MD
Provider ID: 1063640
Gender: Male
76 Oxford Way Ste B
Somerset, KY 42503
(606) 425-4298
Fax: (606) 425-4299
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat-Sun 8:00 AM - 5:00
PM
kentucky.wellcare.com | 74
Ritchey, Dasen MD
Provider ID: 1063640
Gender: Male
Lake Cumberland
Physician Practies
350 Hospital Way Ste
270
Somerset, KY 42503
(606) 425-4298
Fax: (606) 425-4299
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Shelton, Tommy MD
Provider ID: 1040264
Gender: Male
350 Hospital Way Ste
270
Somerset, KY 42503
(606) 425-4298
Fax: (606) 425-4299
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Stivers, Benjamin MD
Provider ID: 1062874
Gender: Male
Lake Cumberland
Surgery Specialists
350 Hospital Way Ste
270
Somerset, KY 42503
(606) 425-4298
Fax: (606) 425-4299
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Pulaski
Head & Neck Surgery
Dalton, Randall MD
Provider ID: 603778
Gender: Male
Ear, Nose and Throat
Specialists of
143A Bogle Office Park
Dr
Somerset, KY 42503
(606) 451-3890
Fax: (606) 451-3896
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 8:00 AM - 5:00 PM
Hematology
Mullai, N MD
Provider ID: 965305
Gender: Female
Lake Cumberland
Hematology And Onco
401 Bogle St Ste 101
Somerset, KY 42503
(606) 676-0275
Fax: (606) 676-0295
16 Yrs/99 Yrs
Languages: Tamil
M-F 8:30 AM - 5:00 PM
Infectious Disease
Baeker, Thomas MD
Provider ID: 327126
Gender: Male
Commonwealth
Hematology Oncology
Ps
95 Bogle Office Park Dr
Somerset, KY 42503
(606) 677-1451
Fax: (606) 678-0814
00 Yrs/99 Yrs
Ephraim McDowell Reg
Med Center
M-F 8:00 AM - 4:30 PM
Nidhiry, Emmanuel MD
Provider ID: 914765
Gender: Male
Commonwealth
Hematology Oncology
Ps
95 Bogle Office Park Dr
Somerset, KY 42503
(606) 677-1451
Fax: (606) 678-0814
00 Yrs/99 Yrs
Russell County Hospital
M-F 8:00 AM - 5:00 PM
Veligandla, Shailaja MD
Jabbour, Nicola MD
Provider ID: 980357
Gender: Male
Commonwealth
Hematology Oncology
Ps
95 Bogle Office Park Dr
Somerset, KY 42503
(606) 677-1451
Fax: (606) 678-0814
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Perumandla, Sirisha MD
Provider ID: 602725
Gender: Female
Infection Disease PSC
118 Tradepark Dr Ste B
Somerset, KY 42503
(606) 679-0581
Fax: (606) 679-1261
00 Yrs/99 Yrs
Languages: Arabic
M-F 8:00 AM - 4:30 PM
Kassem, Bachar MD
Provider ID: 296677
Gender: Male
Commonwealth
Hematology & Oncology Hematology Oncology
Ps
95 Bogle Office Park
Arekapudi, Aruna MD
Somerset, KY 42503
Provider ID: 726499
(606) 677-1451
Gender: Female
Fax: (606) 678-0814
Commonwealth
00 Yrs/99 Yrs
Hematology Oncology
M-F 8:00 AM - 5:00 PM
Ps
95 Bogle Office Park Dr
Somerset, KY 42503
(606) 677-1451
Fax: (606) 678-0814
00 Yrs/99 Yrs
Ephraim McDowell
Regional Medical Center
M-F 8:00 AM - 4:30 PM
Provider ID: 648514
Gender: Female
Commonwealth
Hematology Oncology
Ps
95 Bogle Office Park Dr
Somerset, KY 42503
(606) 677-1451
Fax: (606) 678-0814
00 Yrs/99 Yrs
Ephraim McDowell Reg
Med Center
M-F 8:00 AM - 5:00 PM
Vinjamuri, Mridula MD
Provider ID: 603622
Gender: Male
Commonwealth
Hematology Oncology
Ps
95 Bogle Office Park Dr
Somerset, KY 42503
(606) 677-1451
Fax: (606) 678-0814
00 Yrs/99 Yrs
Ephraim McDowell Reg
Med Center
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 75
Provider ID: 602725
Gender: Female
298 Bogle St Ste 5
Somerset, KY 42503
(606) 679-0581
00 Yrs/99 Yrs
Languages: Arabic
M-F 9:00 AM - 5:00 PM
Veligandla, Shailaja MD
Medical Oncology
Mullai, N MD
Provider ID: 965305
Gender: Female
Lake Cumberland
Hematology And Onco
401 Bogle St Ste 101
Somerset, KY 42503
(606) 676-0275
Fax: (606) 676-0295
16 Yrs/99 Yrs
Languages: Tamil
M-F 8:30 AM - 5:00 PM
05/28/2015
Specialty Physicians
Pulaski
Medical Oncology - cont. Matthews, Clifford MD
Niazi, Muhammad MD
Provider ID: 692714
Gender: Male
Commonwealth
Hematology Oncology
Ps
95 Bogle Office Park Dr
Somerset, KY 42503
(606) 677-1451
Fax: (606) 678-0814
00 Yrs/99 Yrs
Baptist Health Corbin
Ephraim McDowell Reg
Med Center
Frankfort Regional
Medical Center
M-F 8:00 AM - 4:30 PM
Provider ID: 600741
Gender: Male
Clifford Connelley
Matthews Jr MD
401 Bogle St Ste 207
Somerset, KY 42503
(606) 679-5277
Fax: (606) 677-1929
16 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 8:30 AM - 4:30 PM
Neuroradiology
Kenney, Charles MD
Provider ID: 623906
Gender: Male
Physician Services PSC
Nephrology
607 Clifty St
Somerset, KY 42503
Helton, Harold MD
(859) 252-6500
Fax: (859) 252-6500
Provider ID: 634053
00 Yrs/99 Yrs
Gender: Male
Cumberland Nephrology M-F 9:00 AM - 5:00 PM
PLLC
Neurosurgery
100 Hardin Ln Ste B
Somerset, KY 42503
El-Kalliny, Magdy MD
(606) 678-2063
Provider ID: 600831
Fax: (606) 678-2218
Gender: Male
00 Yrs/99 Yrs
Lake Cumberland
Lake Cumberland
Neurosurgical Clini
Regional Hospital
75 Hail Knob Rd
M-F 9:00 AM - 5:00 PM
Somerset, KY 42503
(606) 678-9671
Fax: (606) 678-9619
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
Languages: French,
Arabic
M-F 9:00 AM - 5:00 PM
El-Naggar, Amr MD
Provider ID: 600841
Gender: Male
Lake Cumberland
Neurosurgical Clini
75 Hail Knob Rd
Somerset, KY 42503
(606) 678-9671
Fax: (606) 678-9619
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
Languages: Arabic
M-F 8:00 AM - 5:00 PM
Obstetrics/Gynecology
Horn, Tara MD
Provider ID: 633702
Gender: Female
Womens Care of
Somerset Corp
402 Bogle St Ste 2
Somerset, KY 42503
(606) 451-3145
Fax: (606) 451-3149
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Ophthalmology
Cole, Matthew MD
Provider ID:
TPV10808-02
Gender: Male
120 Tradepark DR Ste A
Somerset, KY 42503
(859) 263-3900
Fax: (859) 971-1124
00 Yrs/99 Yrs
MT 8:30 AM - 5:00 PM
WTHF 8:00 AM - 5:00
PM
kentucky.wellcare.com | 76
Dykhuizen, Matthew MD
Provider ID: TPV16889-26
Gender: Male
120 Tradepark DR Ste A
Somerset, KY 42503
(859) 263-3900
Fax: (859) 263-3757
00 Yrs/99 Yrs
Fraser, Claire MD
Provider ID: TPV9312-02
Gender: Female
120 Tradepark DR Ste A
Somerset, KY 42503
(859) 263-3900
Fax: (859) 977-1124
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Henry, Mark MD
Provider ID: TPV3908-01
Gender: Male
120 Tradepark DR Ste A
Somerset, KY 42503
(606) 679-7778
Fax: (606) 451-1814
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
F 8:00 AM - 4:30 PM
Huffman, James MD
Provider ID: TPV3653-01
Gender: Male
303 Langdon St
Somerset, KY 42503
(606) 679-7461
Fax: (606) 679-8202
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Huffman, Mark MD
Provider ID: TPV3652-01
Gender: Male
303 Langdon St
Somerset, KY 42503
(606) 679-7461
Fax: (606) 679-8202
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Pulaski
Ophthalmology - cont.
Kleinman, Mark MD
Provider ID: TPV3485-02
Gender: Male
120 Tradepark DR Ste A
Somerset, KY 42503
(859) 236-3900
Fax: (859) 977-1124
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Prescott, Daniel MD
Provider ID: TPV3488-02
Gender: Male
120 Tradepark DR Ste A
Somerset, KY 42503
(859) 263-3900
Fax: (859) 263-3757
00 Yrs/99 Yrs
M 8:30 AM - 4:00 PM
Purkiss, Todd MD
Provider ID: TPV2951-04
Gender: Male
120 Tradepark DR Ste A
Somerset, KY 42503
(859) 263-3900
Fax: (859) 263-3757
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Optometry
Henson, Amy OD
Provider ID:
TPV1033106653WL
Gender: Female
303 Langdon St
Somerset, KY 42503
(606) 679-7461
Fax: (606) 679-8202
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Martin, Frederick OD
Provider ID: TPV4619-01
Gender: Male
3810 S Hwy 27 Ste 1
Somerset, KY 42501
(606) 678-4551
Fax: (606) 678-0972
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 12:00 PM
Huffman, Hannah OD
Martin, Frederick OD
Provider ID: TPV19072-01 Provider ID: TPV4619-03
Gender: Female
Gender: Male
303 Langdon St
607 Waddle St
Somerset, KY 42503
Ferguson, KY 42533
(606) 679-7461
(606) 676-8622
Fax: (606) 679-8202
Fax: (606) 676-0873
00 Yrs/99 Yrs
00 Yrs/99 Yrs
loretta@huffmanandhuf- eyecarekaren@windstream.
fman.com
net
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Jacobs, Mark OD
Provider ID: TPV4933-01
Gender: Male
3810 S Hwy 27 Ste 1
Somerset, KY 42501
(606) 678-4551
Fax: (606) 678-0972
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 12:00 PM
Brown-Murray, Tamela
Jacobs, Mark OD
OD
Provider ID: TPV5224-02 Provider ID: TPV4933-03
Gender: Male
Gender: Female
607 Waddle St
165 Parker's Mill Way
Ferguson, KY 42533
Somerset, KY 42503
(606) 676-8622
(606) 677-0377
Fax: (606) 676-0873
Fax: (606) 677-6542
00 Yrs/99 Yrs
00 Yrs/99 Yrs
MTH 10:00 AM - 7:00 PM M-F 8:00 AM - 5:00 PM
TWF 9:00 AM - 5:00 PM
McKinley, Stephen OD
Provider ID: TPV5185-07
Gender: Male
607 Waddle St
Ferguson, KY 42533
(606) 677-0492
Fax: (606) 676-0873
00 Yrs/11 Yrs
M-F 8:00 AM - 4:30 PM
Mysliwiec, Kevin OD
Provider ID: TPV3917-02
Gender: Male
607 Waddle St
Ferguson, KY 42533
(606) 676-8622
Fax: (606) 676-0873
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Mysliwiec, Kevin OD
Provider ID: TPV3917-07
McKinley, Lindsay OD
Gender: Male
Provider ID: TPV4897-08 3810 S Hwy 27 Ste 1
Gender: Female
Somerset, KY 42501
3810 S Hwy 27 Ste 1
(606) 678-4551
Somerset, KY 42501
Fax: (606) 678-0972
(606) 678-4551
00 Yrs/99 Yrs
Fax: (606) 678-0972
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Nichols, Joshua OD
Provider ID: TPV4799-02
McKinley, Stephen OD
Gender: Male
165 Parker's Mill Way
Provider ID: TPV5185-02
Somerset, KY 42503
Gender: Male
(606) 677-0377
3810 S Hwy 27 Ste 1
Fax: (606) 677-6542
Somerset, KY 42501
00 Yrs/99 Yrs
(606) 678-4551
MTH 10:00 AM - 7:00 PM
Fax: (606) 678-0972
TWF 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 12:00 PM
kentucky.wellcare.com | 77
05/28/2015
Specialty Physicians
Pulaski
Optometry - cont.
Oral & Maxillofacial
Orthodontics
Schleter, Harvey OD
Surgery
Provider ID: TPV4057-01
Overley, Eric OD
Newcomb, John DMD
Gender: Male
Provider ID: TPV4602-03 709 East Mount Vernon Alderdice, Ben DMD
Provider ID: TPV3139-01
Provider
ID:
601555
Gender: Male
Gender: Male
St
Gender:
Male
607 Waddle St
224 Langdon St
Somerset, KY 42501
Ben
Alderdice
DMD
Ferguson, KY 42533
Somerset, KY 42501
(606) 679-5177
100
Hardin
Ln
Ste
B
(606) 676-8622
(606) 451-0771
Fax: (606) 678-9200
Somerset,
KY
42503
Fax: (606) 676-0873
Fax: (606) 451-0780
00 Yrs/99 Yrs
(606)
679-8568
00 Yrs/99 Yrs
09 Yrs/60 Yrs
MTTHF 8:30 AM - 5:00
Fax:
(606)
676-0868
M-F 8:00 AM - 5:00 PM
info@petreyandnewcoPM
00
Yrs/99
Yrs
mborthodontics.com
W 8:30 AM - 12:00 PM
Overley, Eric OD
Lake Cumberland
M-TH 9:00 AM - 5:00 PM
Provider ID: TPV4602-08 Sparkman, Timothy OD
Regional Hospital
F 9:00 AM - 12:00 PM
Gender: Male
M-F 9:00 AM - 5:00 PM
Petrey, Joseph DMD
3810 S Hwy 27 Ste 1
Provider ID: TPV8284-02
Alderdice,
Ben
DMD
Provider ID: TPV3127-01
Somerset, KY 42501
Gender: Male
Provider
ID:
TPV25902-01
Gender: Male
(606) 678-4551
607 Waddle St
Gender:
Male
224 Langdon St
Fax: (606) 678-0972
Ferguson, KY 42533
100 Hardin Lane Ste B
Somerset, KY 42501
00 Yrs/99 Yrs
(606) 676-8622
Somerset,
KY
42503
(606) 451-0771
M-F 8:00 AM - 5:00 PM
Fax: (606) 676-0873
(606)
679-8568
Fax: (606) 451-0780
00 Yrs/99 Yrs
Richardson, Donald OD
Fax:
(606)
676-0868
09 Yrs/60 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
info@petreyandnewcoProvider ID: TPV4566-01 Sparkman, Timothy OD
alderdicesurgery@yahoo. mborthodontics.com
Gender: Male
com
M-TH 9:00 AM - 5:00 PM
246 Poplar Ave Ste 1
Provider ID: TPV8284-12
M-F 8:00 AM - 5:00 PM
F 9:00 AM - 12:00 PM
Somerset, KY 42503
Gender: Male
Alderdice, Bennie DMD
Orthopaedic Surgery
(606) 679-5588
3810 S Hwy 27 Ste 1
Fax: (606) 677-9394
Somerset, KY 42501
Provider ID: TPV3557-01 Nadim, Yasser MD
00 Yrs/99 Yrs
(606) 678-4551
Provider ID: 601644
Gender: Male
M-TH 9:30 AM - 5:00 PM Fax: (606) 678-0972
Gender: Male
100 Hardin Lane Ste B
F 9:00 AM - 1:00 PM
00 Yrs/99 Yrs
Yasser Nadim MD
Somerset,
KY
42503
M-F 8:00 AM - 5:00 PM
Robinson, William OD
26 Oxford Way Ste B
(606) 679-8568
Somerset, KY 42503
Upchurch, Gary OD
Fax: (606) 676-0868
Provider ID: TPV7101-01
(606) 679-7464
Provider ID: TPV4627-06 00 Yrs/99 Yrs
Gender: Male
Fax: (606) 678-8586
Gender: Male
M-F 8:00 AM - 5:00 PM
709 East Mount Vernon
00 Yrs/99 Yrs
3810 S Hwy 27 Ste 1
Wurth,
Bradley
DMD
St Ste A
Lake Cumberland
Somerset, KY 42501
Provider
ID:
TPV19135-03
Somerset, KY 42501
Regional Hospital
(606) 678-4551
Gender:
Male
(606) 679-5177
Languages: French,
Fax: (606) 678-0972
401 Bogle St Ste 204
Fax: (606) 678-9200
Arabic
00 Yrs/99 Yrs
Somerset,
KY
42503
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
(606) 451-0888
MTTHF 8:30 AM - 5:00
PM
Fax: (606) 451-0889
W 8:30 AM - 12:00 PM
00 Yrs/20 Yrs
MT 8:00 AM - 4:30 PM
kentucky.wellcare.com | 78
05/28/2015
Specialty Physicians
Pulaski
Orthopaedic Surgery cont.
Supinski, Robert MD
Provider ID: 669328
Gender: Male
353 Bogle St Ste C
Somerset, KY 42503
(606) 678-2220
Fax: (606) 451-0595
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Supinski, Robert MD
Provider ID: 757877
Gender: Male
Sports Medicine and
Orthopaedic Center
353 Bogle St Ste C
Somerset, KY 42503
(606) 678-2220
Fax: (606) 451-0595
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Yanicko, Daniel MD
Provider ID: 603269
Gender: Male
Daniel Robert Yanicko Jr
MD
26 Oxford Way Ste B
Somerset, KY 42503
(606) 679-7464
Fax: (606) 678-8586
02 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 8:30 AM - 4:30 PM
Yanicko Jr, Daniel MD
Provider ID: 804930
Gender: Male
Lake Cumberland
Physician Practices
27 Imaging Dr Ste B
Somerset, KY 42503
(606) 678-2663
Fax: (606) 678-0576
00 Yrs/99 Yrs
M-F 8:30 AM - 4:30 PM
Pain Management
Rutledge, Harold MD
Provider ID: 928954
Gender: Male
Pain Center of Lake
Cumberland
305 Langdon St Ste P
Somerset, KY 42503
(606) 676-0206
Fax: (606) 676-0220
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Weber, David MD
Provider ID: 754825
Gender: Male
Pain Center of Lake
Cumberland
305 Langdon St Ste P
Somerset, KY 42503
(606) 676-0206
Fax: (606) 676-0220
16 Yrs/99 Yrs
M-W 6:30 AM - 5:00 PM
Pediatric Allergy &
Immunology
Pollard, Stephen MD
Provider ID: 618647
Gender: Male
Family Allergy Asthma
971 S Hwy 27
Somerset, KY 42501
(606) 451-0239
Fax: (606) 451-9640
00 Yrs/99 Yrs
Jewish Hospital
Norton Hospital
M-F 9:00 AM - 5:00 PM
Pediatrics
Lotz, Douglas MD
Provider ID: 604245
Gender: Male
Family Allergy and
Asthma
971 South Hwy 27
Somerset, KY 42501
(877) 879-2632
Fax: (502) 429-6157
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
Mahmoud, Sanaa MD
Provider ID: 614634
Gender: Female
Allergy Asthma and
Immunology
110 Hardin Ln Ste 3
Somerset, KY 42503
(606) 451-0115
Fax: (606) 451-0155
01 Yrs/99 Yrs
Languages: French,
Arabic
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 79
Weyman, Christine MD
Provider ID: 601508
Gender: Female
Lake Cumberland
District Health Dep
45 Roberts St
Somerset, KY 42501
(606) 679-4416
Fax: (606) 679-4419
00 Yrs/21 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
Pedodontics
Prather, Brandi DMD
Provider ID: TPV3316-01
Gender: Female
47 Sarah's Lane
Somerset, KY 42503
(606) 679-5437
Fax: (606) 679-1716
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Physical Medicine &
Rehabilitation
Dangaria, Harsh MD
Provider ID: 1022619
Gender: Male
Physician Services PSC
607 Clifty St
Somerset, KY 42503
(606) 676-0088
Fax: (606) 676-0065
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Pulaski
Physical Medicine &
Rehabilitation - cont.
Demunbrun, Steven MD
Provider ID: 600784
Gender: Male
Cumberland Valley
Rehab
100 Hardin Ln Ste D
Somerset, KY 42503
(606) 677-6886
Fax: (606) 677-0017
16 Yrs/99 Yrs
M-F 9:00 AM - 3:00 PM
DO, An MD
Provider ID: 1029067
Gender: Male
Physician Services PSC
607 Clifty St
Somerset, KY 42503
(606) 676-0088
Fax: (606) 676-0065
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Rajput, Gaurav DO
Provider ID: 1029068
Gender: Male
Physician Services PSC
607 Clifty St
Somerset, KY 42503
(606) 676-0088
Fax: (606) 676-0065
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Reddy, Adithya MD
Provider ID: 778813
Gender: Male
Physician Services PSC
607 Clifty St
Somerset, KY 42503
(606) 676-0088
Fax: (606) 676-0065
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sarlis, Demosthenes MD Jensen-Stanley, Pamela
DPM
Provider ID: 778820
Provider ID: 667214
Gender: Male
Gender: Female
Physician Services PSC
Cumberland Foot Ankle
Center
607 Clifty St
117 Trade Park Dr
Somerset, KY 42503
Somerset, KY 42503
(606) 676-0088
(606) 679-2773
Fax: (606) 676-0065
Fax: (606) 679-4626
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Plastic & Reconstructive
Surgery
Miller, Christopher DPM
Marek, Christopher MD
Provider ID: 602070
Gender: Male
Plastic Surgery of Lake
Cumberland
353 Bogle St Ste B
Somerset, KY 42503
(606) 451-3827
Fax: (606) 451-3829
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 9:00 AM - 5:00 PM
Podiatry
Provider ID: 601313
Gender: Male
Cumberland Foot Ankle
Center
117 Tradepark Dr
Somerset, KY 42503
(606) 679-2773
Fax: (606) 679-4626
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
Languages: Spanish
M 8:00 AM - 7:00 PM
TWTHF 8:00 AM - 5:00
PM
Benac, Christopher DPM Moore, Jonathan DPM
Provider ID: 818266
Provider ID: 601542
Gender: Male
Gender: Male
Cumberland Foot And
Cumberland Foot Ankle
Ankle Center
Center
117 Trade Park Dr
117 Tradepark Dr
Somerset, KY 42503
Somerset, KY 42503
(606) 679-2773
(606) 679-2773
Fax: (606) 679-4626
Fax: (606) 679-4626
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Lake Cumberland
Regional Hospital
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 80
Schnell, Shannon DPM
Provider ID: 718229
Gender: Female
Cumberland Foot And
Ankle Center
117 Trade Park Dr
Somerset, KY 42503
(606) 679-2773
Fax: (606) 679-4626
00 Yrs/99 Yrs
M-TH 9:00 AM - 5:00 PM
F 9:00 AM - 12:00 PM
Pulmonary Disease
Ahmed, Mateen MD
Provider ID: 671395
Gender: Male
Pulmonary and Sleep
Associates LLC
110 Hardin Ln Ste 10
Somerset, KY 42503
(606) 678-0946
Fax: (606) 678-0949
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
Schuldheisz, Sandra MD
Provider ID: 607024
Gender: Female
The Lung and Sleep
Disorder Institu
2441 S Hwy 27
Somerset, KY 42501
(606) 679-0179
Fax: (606) 679-0546
13 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 9:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Pulaski
Pulmonary Disease - cont. Shoptaw, James MD
Schuldheisz, Sandra MD
Provider ID: 607024
Gender: Female
The Lung and Sleep
Disorder Institu
46 Turpen Ct Ste B
Somerset, KY 42503
(606) 679-0179
Fax: (606) 679-0546
13 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 8:00 AM - 5:00 PM
Provider ID: 818070
Gender: Male
Cardiothoracic Surgical
Associates
350 Hospital Way Ste
444
Somerset, KY 42503
(606) 451-0300
Fax: (606) 451-0595
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Radiation Oncology
Khan, Amtullah MD
Provider ID: 600283
Gender: Female
Cumberland Radiation
Oncology
112 Tradepark Dr
Somerset, KY 42503
(606) 451-3755
Fax: (606) 451-3756
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 8:00 AM - 4:30 PM
Thoracic Surgery
Heuer, Richard MD
Provider ID: 710194
Gender: Male
Cardiothoracic Surgical
Associates
350 Hospital Way Ste
444
Somerset, KY 42503
(606) 451-0300
Fax: (606) 451-0595
16 Yrs/99 Yrs
Languages: Spanish
M-F 8:30 AM - 4:40 PM
kentucky.wellcare.com | 81
05/28/2015
Specialty Physicians
Russell
Cardiac Electrophysiology Schmidt, William MD
Provider ID: 671676
Kammerling, James MD
Gender: Male
Cardiothoracic Surgery
Provider ID: 671667
of Louisvill
Gender: Male
153 Dowell Rd
Cardiothoracic Surgery
Russell Springs, KY 42642
of Louisvill
(502) 891-8300
153 Dowell Rd
Fax: (502) 891-8338
Russell Springs, KY 42642 18 Yrs/99 Yrs
(502) 891-8300
M-F 8:00 AM - 5:00 PM
Fax: (502) 891-8338
Cardiovascular Surgery
00 Yrs/99 Yrs
Norton Hospital
M-F 8:30 AM - 5:00 PM Siddiqui, Tariq MD
Provider ID: 603588
Cardiology
Gender: Male
Cardiovascular
Donovan, James MD
Associates
Provider ID: 671294
153 Dowell Rd
Gender: Male
Russell Springs, KY 42642
Cardiothoracic Surgery
(502) 891-8300
of Louisvill
Fax: (502) 891-8668
153 Dowell Rd
00 Yrs/99 Yrs
Russell Springs, KY 42642 M-F 9:00 AM - 5:00 PM
(502) 891-8300
Chiropractic
Fax: (502) 891-8338
00 Yrs/99 Yrs
Cooper, Bethany DC
Norton Audubon
Provider ID: 751406
Hospital
Gender: Female
M-F 8:00 AM - 5:00 PM
Bethany V Cooper DC
Lash, Joseph MD
350 Lakeway Dr
Provider ID: 671671
Russell Springs, KY 42642
Gender: Male
(270) 866-3543
Cardiothoracic Surgery
Fax: (270) 866-8371
of Louisvill
00 Yrs/99 Yrs
153 Dowell Rd
MTTHF 8:30 AM - 5:00
Russell Springs, KY 42642 PM
(502) 891-8300
W 2:00 AM - 5:00 PM
Fax: (502) 891-8338
Sat 8:00 AM - 12:00 PM
18 Yrs/99 Yrs
Norton Audubon
Hospital
M-F 8:30 AM - 5:00 PM
Cooper, Victor DC
Grippe, Robert Brian
DMD
Provider ID: 622434
Provider ID: TPV3532-02
Gender: Male
Gender: Male
Victor H Cooper DC
458 Main St
350 Lakeway Dr
Russell Springs, KY 42642 Russell Springs, KY 42642
(270) 866-7222
(270) 866-3543
Fax: (270) 866-7035
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Cooper-Henson, Jaclyn
DC
Hamm, Corey DMD
Provider ID: 604980
Provider ID:
TPV23585-02
Gender: Female
Jaclyn K Cooper-Henson Gender: Male
DC
2289 Lakeway DR
350 Lakeway Dr
Russell Springs, KY 42642
Russell Springs, KY 42642 (270) 866-8891
(270) 866-3543
00 Yrs/99 Yrs
Fax: (270) 866-8371
M-F 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
Sat 8:30 AM - 12:00 PM
M-F 9:00 AM - 5:00 PM
Hamm, Jessica DMD
Gastroenterology
Provider ID: TPV3061-02
Gender: Female
Horn, Todd MD
2289 Lakeway DR
Provider ID: 602825
Russell Springs, KY 42642
Gender: Male
(270) 866-8891
Cumberland
Fax: (270) 866-8891
Gastroenterology PSC
02 Yrs/99 Yrs
92 J T Pettey Dr
M-TH 8:30 AM - 5:00 PM
Russell Springs, KY 42642 F 8:30 AM - 12:00 PM
(606) 677-2913
19 Yrs/99 Yrs
Lose, Kenneth DMD
M-F 9:00 AM - 5:00 PM
Provider ID: TPV3040-02
Gender: Male
General Dentistry
2289 Lakeway DR
Russell Springs, KY 42642
Bates, Gwenna DMD
(270) 866-8891
Provider ID: TPV3188-02
Fax: (270) 866-8891
Gender: Female
02 Yrs/99 Yrs
2289 Lakeway DR
Russell Springs, KY 42642 M-TH 8:30 AM - 5:00 PM
F 8:30 AM - 12:00 PM
(270) 866-8891
Fax: (270) 866-8891
02 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM
F 8:30 AM - 12:00 PM
kentucky.wellcare.com | 82
05/28/2015
Specialty Physicians
Russell
General Dentistry - cont. Popplewell, Howard
DMD
Loy-Flanagan, Melanie
Provider ID: TPV3134-01
DMD
Gender: Male
Provider ID:
108 Town Square
TPV33273DM-01
Jamestown, KY 42629
Gender: Female
(270) 343-3324
43 Fruit of Loom DR
Fax: (270) 343-3324
Jamestown, KY 42629
00 Yrs/99 Yrs
(270) 343-4422
M 7:30 AM - 11:00 PM
Fax: (270) 343-4420
TTH 7:30 AM - 5:00 PM
00 Yrs/99 Yrs
W 7:30 AM - 4:00 PM
M-TH 8:00 AM - 4:00 PM F 7:30 AM - 3:00 PM
Maynard, Harold DMD
Smith, Henry DMD
Provider ID: TPV4208-01
Provider ID: TPV3038-02 Gender: Male
Gender: Male
519 Main St
2289 Lakeway DR
Russell Springs, KY 42642
Russell Springs, KY 42642 (270) 866-3560
(270) 866-8891
00 Yrs/99 Yrs
Fax: (270) 866-8891
M-F 9:00 AM - 5:00 PM
02 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM Stewart, Kyle DMD
F 8:30 AM - 12:00 PM
Provider ID: TPV3034-02
Gender: Male
McAlpin, Joshua DMD
2289 Lakeway DR
Provider ID:
Russell Springs, KY 42642
TPV86124DM-03
(270) 866-8891
Gender: Male
Fax: (270) 866-8891
458 North Main St
Russell Springs, KY 42642 02 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM
(270) 866-7222
F 8:30 AM - 12:00 PM
Fax: (270) 866-7035
Hematology & Oncology Kassem, Bachar MD
Arekapudi, Aruna MD
Provider ID: 296677
Provider ID: 627225
Gender: Male
Gender: Female
Commonwealth
Commonwealth
Hematologyoncology
Hematologyoncology
PSC
PSC
169 Jt Pettey Dr
169 Jt Pettey Dr
Russell Springs, KY 42642
Russell Springs, KY 42642 (270) 866-7900
(270) 866-7900
00 Yrs/99 Yrs
17 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Lake Cumberland
Niazi, Muhammad MD
Regional Hospital
Provider ID: 626998
M-F 9:00 AM - 5:00 PM
Gender: Male
Arekapudi, Aruna MD
Commonwealth
Hematologyoncology
Provider ID: 726499
PSC
Gender: Female
169 Jt Pettey Dr
Commonwealth
Russell Springs, KY 42642
Hematologyoncology
(270) 866-7900
PSC
00 Yrs/99 Yrs
169 Jt Pettey Dr
Ephraim McDowell Reg
Russell Springs, KY 42642 Med Center
(270) 866-7900
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Nidhiry, Emmanuel MD
Ephraim McDowell
Regional Medical Center
Provider ID: 627058
M-F 9:00 AM - 5:00 PM
Gender: Male
Jabbour, Nicola MD
Commonwealth Cancer
Provider ID: 980357
Center
Gender: Male
169 J T Petty Dr
Commonwealth
00 Yrs/99 Yrs
Russell Springs, KY 42642
General Surgery
Hematology Oncology
[email protected]
(270) 866-7900
Ps
M-F 9:00 AM - 5:00 PM Shelton, Tommy MD
Fax: (270) 866-7935
165 J T Petty Dr
Provider ID: 701700
00 Yrs/99 Yrs
Millay, Robert DMD
Russell Springs, KY 42642 M-F 9:00 AM - 5:00 PM
Gender: Male
Provider ID: TPV3109-02
(270) 866-7900
Russell County Hospital
Gender: Male
Fax: (270) 866-7935
Physician G
2289 Lakeway DR
00 Yrs/99 Yrs
153 Dowell Rd
Russell Springs, KY 42642 Russell Springs, KY 42642 M-F 8:00 AM - 5:00 PM
(270) 866-8891
(270) 866-4141
00 Yrs/99 Yrs
Fax: (270) 866-7148
M-TH 8:30 AM - 5:00 PM 00 Yrs/99 Yrs
F 8:30 AM - 12:00 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 83
05/28/2015
Specialty Physicians
Russell
Optometry
Podiatry
Keltner, Margena OD
Jensen-Stanley, Pamela
DPM
Provider ID: TPV4924-01
Provider ID: 667214
Gender: Female
Gender: Female
1503 W. Steve Wariner
Cumberland Foot Ankle
Dr.
Center
Russell Springs, KY 42642 92 Joe T Petty Dr
(270) 866-3177
Russell Springs, KY 42642
00 Yrs/99 Yrs
(270) 866-7303
Fax: (270) 866-7306
Watkins, Terri OD
00 Yrs/99 Yrs
Provider ID: TPV5231-02
M-F 8:00 AM - 5:00 PM
Gender: Female
24 Caden Way Ste 2
Webbs Crs Rds, KY
42642
(270) 866-3177
Fax: (270) 866-3155
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pediatrics
Weyman, Christine MD
Provider ID: 601508
Gender: Female
Lake Cumberland
District Health Dep
251 Fruit of The Loom Dr
Jamestown, KY 42629
(270) 343-2181
Fax: (270) 343-2183
00 Yrs/21 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 84
05/28/2015
Specialty Physicians
Simpson
Cardiology
Harris, Scott DO
Provider ID: 1032306
Gender: Male
Scott C Harris DO PLLC
1030 Brookhaven Rd
Franklin, KY 42134
(270) 991-1235
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Johnston, Thomas MD
Provider ID: 778708
Gender: Male
Centennial Heart LLC
125 Memorial Dr
Franklin, KY 42134
(615) 515-1966
Fax: (615) 292-4633
18 Yrs/99 Yrs
M 9:00 AM - 2:30 PM
General Dentistry
Adkins, Robert DDS
Provider ID: TPV9733-02
Gender: Male
927 Brookhaven Rd
Franklin, KY 42134
(270) 586-9444
Fax: (321) 254-6800
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Dorroh, Audra DMD
Provider ID:
TPV86967DM-02
Gender: Female
927 Brookhaven Rd
Franklin, KY 42134
(270) 586-9444
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
General Surgery
Daniel, William MD
Obstetrics/Gynecology
Nemec, Jeffery MD
Provider ID: 604888
Gender: Male
CHC DBA Franklin
Surgical Services
1100 Brookhaven Rd Ste
102
Franklin, KY 42134
(270) 253-3147
Fax: (270) 253-3156
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Provider ID: 619489
Gender: Male
Womens Health
Specialists
1030 Brookhaven Rd
Franklin, KY 42134
(866) 997-5784
14 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Hand Surgery
Bray, Rhonda OD
Provider ID:
TPV1285623512WL
Gender: Female
100 W Kentucky Ave
Franklin, KY 42134
(270) 598-8755
Fax: (270) 622-3734
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Morrison, Keith MD
Provider ID: 604549
Gender: Male
Western Kentucky
Orthopaedic and NE
Kissinger,
Phillip
DMD
1100 Brookhaven Rd
Chiropractic
Franklin, KY 42134
Crnkic, Sanda DC
Provider ID: TPV4904-05 (270) 586-0286
Provider ID: 603468
Gender: Male
Fax: (270) 783-5228
Gender: Female
927 Brookhaven Rd
00 Yrs/99 Yrs
Spinecare Chiropractic
Franklin, KY 42134
The Medical Center
607 S Main St
(270) 586-9444
M-F 9:00 AM - 5:00 PM
Franklin, KY 42134
Fax: (270) 586-6753
Neurosurgery
(270) 586-8740
05 Yrs/12 Yrs
Fax: (270) 586-8743
M-F 8:00 AM - 5:00 PM Schwank, William MD
00 Yrs/99 Yrs
Provider ID: 604510
M-F 9:00 AM - 5:00 PM Knecht, Tim DMD
Provider ID: TPV21856-01 Gender: Male
Western Kentucky
Heinze, Dane DC
Gender: Male
Orthopaedic and NE
Provider ID: 614351
927 Brookhaven Rd
1100 Brookhaven Rd
Gender: Male
Franklin, KY 42134
Franklin, KY 42134
Heinze Family
(270) 586-9444
(270) 586-0286
Chiropractic
Fax: (321) 254-6800
Fax: (270) 783-5228
1248 Nashville Rd
00 Yrs/10 Yrs
00 Yrs/99 Yrs
Franklin, KY 42134
smartinez@dentalThe Medical Center
(270) 586-6900
partners.com
Languages: Spanish
Fax: (270) 586-6966
MWTHF 8:00 AM - 5:00
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
PM
MWF 8:00 AM - 6:00 PM T 8:00 AM - 6:00 PM
T 8:00 AM - 5:00 PM
TH 8:00 AM - 12:00 PM
kentucky.wellcare.com | 85
Optometry
Compton, Steven OD
Provider ID: TPV5197-01
Gender: Male
403 North College St
Franklin, KY 42134
(270) 586-5181
Fax: (270) 586-7933
00 Yrs/99 Yrs
MWTHF 8:30 AM - 5:00
PM
T 8:30 AM - 6:00 PM
Sat 7:00 AM - 12:00 PM
05/28/2015
Specialty Physicians
Simpson
Oral & Maxillofacial
Surgery
Sutton, James DMD
Fee, Kirk MD
Provider ID:
Provider ID: 604544
TPV65405DM-07
Gender: Male
Clark, Jeffrey DDS
Gender: Male
1100 Brookhaven Rd
Provider ID: 602450
324 South Main St
Franklin, KY 42134
Gender: Male
Franklin, KY 42134
(270) 586-0286
Thomas Mark Thompson (270) 586-5445
Fax: (270) 783-5228
DMD
00 Yrs/99 Yrs
00 Yrs/99 Yrs
324 S Main St
M-W 8:00 AM - 5:00 PM The Medical Center
Franklin, KY 42134
M-F 9:00 AM - 5:00 PM
(270) 586-5445
Thompson, Thomas DMD
Fax: (270) 586-5447
Provider ID: 727602
Malmquist, Gregg MD
00 Yrs/99 Yrs
Gender: Male
Provider ID: 601604
The Medical Center
Thomas Mark Thompson Gender: Male
DMD
M-F 8:00 AM - 5:00 PM
Western Kentucky
324 S Main St
Orthopaedic and NE
Clark, Jeffrey DDS
Franklin, KY 42134
1100 Brookhaven Rd
Provider ID:
(270) 586-5445
Franklin, KY 42134
TPV1649261850DM
Fax: (270) 586-5447
(270) 586-0286
Gender: Male
00 Yrs/99 Yrs
Fax: (270) 783-5228
324 South Main St
The Medical Center
00 Yrs/99 Yrs
Franklin, KY 42134
M-F 8:00 AM - 5:00 PM
The Medical Center
(270) 586-5445
Tristar Greenview
00 Yrs/99 Yrs
Thompson, Thomas DMD Regional Hospital
M-W 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Provider ID:
Greer, Brandon DMD
TPV42061DM-06
Patton, Christopher MD
Provider ID: TPV8200-06 Gender: Male
Gender: Male
324 South Main St
Provider ID: 601762
324 South Main St
Franklin, KY 42134
Gender: Male
Franklin, KY 42134
(270) 586-5445
Western Kentucky
(270) 586-5445
Orthopaedic and NE
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-W 8:00 AM - 5:00 PM 1030 Brookhaven Rd
M-W 8:00 AM - 5:00 PM
Franklin, KY 42134
Orthopaedic Surgery
(270) 586-0286
Sutton, James DMD
00 Yrs/99 Yrs
Burch, John MD
Provider ID: 603748
The Medical Center
Provider ID: 604543
Gender: Male
M-F 9:00 AM - 5:00 PM
Thomas Mark Thompson Gender: Male
DMD
Western Kentucky
Orthopaedic and NE
324 S Main St
1100 Brookhaven Rd
Franklin, KY 42134
Franklin, KY 42134
(270) 586-5445
(270) 586-0286
Fax: (270) 586-5447
Fax: (270) 783-5228
00 Yrs/99 Yrs
00 Yrs/99 Yrs
The Medical Center
The Medical Center
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 86
Richards, David MD
Provider ID: 609829
Gender: Male
Western Kentucky
Orthopaedic and NE
1030 Brookhaven Rd
Franklin, KY 42134
(270) 586-0286
00 Yrs/99 Yrs
The Medical Center
Tristar Greenview
Regional Hospital
M-F 8:30 AM - 5:00 PM
Singer, Phillip MD
Provider ID: 604554
Gender: Male
Western Kentucky
Orthopaedic and NE
1100 Brookhaven Rd
Franklin, KY 42134
(270) 586-0286
Fax: (270) 783-5228
00 Yrs/99 Yrs
The Medical Center
Tristar Greenview
Regional Hospital
M-F 9:00 AM - 5:00 PM
Pain Management
Miller, Rodney MD
Provider ID: 604551
Gender: Male
Anesthesia Pain
Specialists
1100 Brookhaven Rd
Franklin, KY 42134
(270) 598-4832
00 Yrs/99 Yrs
The Medical Center
Languages: Spanish
M-F 9:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Simpson
Pain Management - cont.
Pulmonary Disease
Watson, Robert MD
Provider ID: 604699
Gender: Male
Interventional Pain
Specialists of
1100 Brookhaven Rd
Franklin, KY 42134
(270) 598-4832
Fax: (270) 598-4984
00 Yrs/99 Yrs
The Medical Center
Languages: Spanish
M-F 9:00 AM - 5:00 PM
Thomson, Douglas MD
Provider ID: 618755
Gender: Male
Barren River District
Health Depart
1131 S College St
Franklin, KY 42134
(270) 586-8261
Fax: (270) 586-8264
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Podiatry
Benge, Jennifer DPM
Provider ID: 671503
Gender: Female
Commonwealth Foot
and Ankle Care LL
1030 Brookhaven Dr
Franklin, KY 42134
(270) 598-4910
Fax: (270) 598-4930
00 Yrs/99 Yrs
MTWTHFSatSun 9:00
AM - 5:00 PM
Urology
Bergamini, David MD
Provider ID: 604709
Gender: Male
Graves Gilbert Clinic
1100 Brookhaven Rd
Franklin, KY 42134
(270) 781-5111
Fax: (270) 780-0476
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Preventive Medicine
Marroquin, Gloria MD
Provider ID: 1024213
Gender: Female
Commonwealth Health
Corporation Inc
1030 Brookhaven Rd
Franklin, KY 42134
(270) 598-4950
Fax: (270) 598-4977
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 87
05/28/2015
Specialty Physicians
Taylor
Allergy & Immunology
Arora, Rajiv MD
Provider ID: 618688
Gender: Male
Family Allergy & Asthma
111 Wildflower Dr Ste A4
Campbellsville, KY 42718
(270) 469-3408
Fax: (502) 429-6157
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Bozeman, Sarah DO
Provider ID: 671402
Gender: Female
Family Allergy & Asthma
111 Wildflower Dr Ste A
Campbellsville, KY 42718
(270) 469-3408
Fax: (502) 429-6157
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM
Coyle, Damon MD
Provider ID: 714281
Gender: Male
Family Allergy & Asthma
111 Wildflower Dr Ste A
Campbellsville, KY 42718
(270) 469-3408
Fax: (502) 429-6157
00 Yrs/99 Yrs
Kosair Childrens Medical
Center Brownsb
Norton Hospital
M-TH 8:30 AM - 5:00 PM
Dyer, Brandi MD
Provider ID: 817951
Gender: Female
Family Allergy & Asthma
111 Wildflower Dr Ste A
Campbellsville, KY 42718
(270) 469-3408
Fax: (502) 429-6157
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Feger, Timothy MD
Miller, Natalie MD
Richards, Nathan MD
Provider ID: 935270
Provider ID: 708707
Provider ID: 284233
Gender: Female
Gender: Male
Gender: Male
Family Allergy & Asthma Family Allergy Asthma
Family Allergy and
111 Wildflower Dr Ste A
111 Wildflower Dr Ste A
Asthma
Campbellsville, KY 42718 Campbellsville, KY 42718
111 Wildflower Ln Ste A
(270) 469-3408
(270) 469-3408
Campbellsville, KY 42718 Fax: (502) 429-6157
Fax: (502) 429-6157
(270) 469-3408
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (502) 429-6157
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Otto, Hans MD
Sublett, James MD
Norton Hospital
Provider
ID:
671342
Provider ID: 670144
M-TH 8:30 AM - 5:00 PM
Gender: Male
Gender: Male
Feger, Timothy MD
Family Allergy and
Family Allergy & Asthma
Provider ID: 284233
Asthma
111 Wildflower Dr Ste A
Gender: Male
111 Wildflower Dr Ste A
Campbellsville, KY 42718
Family Allergy Asthma
Campbellsville, KY 42718 (270) 469-3408
67 Kingswood Dr Ste 4
(270) 469-3408
Fax: (270) 469-9033
Campbellsville, KY 42718 Fax: (502) 429-6157
00 Yrs/99 Yrs
(270) 469-3408
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Fax: (270) 469-9033
M-F 8:30 AM - 5:00 PM
Turbyville, Joseph MD
00 Yrs/99 Yrs
Pollard,
Stephen
MD
Provider ID: 683774
Norton Hospital
Provider
ID:
618647
Gender: Male
MT 8:30 AM - 5:00 PM
Gender: Male
Family Allergy and
Guin, Jason MD
Family Allergy Asthma
Asthma - Campbel
Provider ID: 719261
111 Wildflower Dr Ste A
111 Wildflower Dr Ste A
Gender: Male
Campbellsville, KY 42718 Campbellsville, KY 42718
Family Allergy and
(270) 469-3408
(270) 469-3408
Asthma
Fax: (270) 469-9033
Fax: (502) 429-6157
111 Wildflower Dr Ste A
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Campbellsville, KY 42718 Jewish Hospital
M-F 8:30 AM - 5:00 PM
(270) 469-3408
Norton Hospital
Fax: (502) 429-6157
M-F 8:30 AM - 5:00 PM Warrier, Priya MD
Provider ID: 603959
00 Yrs/99 Yrs
Rankin,
Bradley
MD
Gender: Female
M-F 8:30 AM - 5:00 PM
Family Allergy & Asthma
Lotz, Douglas MD
Provider ID: 618602
111 Wildflower Ln Ste A
Provider ID: 604245
Gender: Male
Campbellsville, KY 42718
Gender: Male
Family Allergy and
(270) 469-3408
Asthma
Family Allergy and
Fax: (502) 429-6157
Asthma
111 Wildflower Dr Ste A
00 Yrs/99 Yrs
111 Wildflower Dr Ste A
Campbellsville, KY 42718 M-TH 8:30 AM - 5:00 PM
Campbellsville, KY 42718 (270) 469-3408
(270) 469-3408
Fax: (502) 429-6157
Fax: (502) 429-6157
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Baptist Health Paducah
Languages: Spanish
M-F 8:30 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
kentucky.wellcare.com | 88
05/28/2015
Specialty Physicians
Taylor
Cardiology
General Dentistry
Roberts, Raymond DC
Provider ID: 608115
Challappa, Krishnan MD
Wilkerson, Harold DMD
Provider ID: 604856
Gender: Male
Gender: Male
Raymond A Roberts DC
Provider ID: 906587
Provider ID: TPV3308-01
Bluegrass Cardiology
108 Lebanon Ave
Gender: Male
Associates
Campbellsville, KY 42718 Gender: Male
Central Cardiology
227 W. Main St
95 Kingswood Dr
(270) 789-0060
Associates
Campbellsville, KY 42718
Campbellsville, KY 42718 Fax: (270) 465-0307
111A Kingswood Dr
(270) 465-6204
(270) 789-2788
00 Yrs/99 Yrs
Campbellsville, KY 42718 18 Yrs/99 Yrs
Fax: (270) 469-9424
M-F 9:00 AM - 6:00 PM
(270) 789-9640
00 Yrs/99 Yrs
Carroll Co Mem Hospital Sat 9:00 AM - 1:00 PM
Fax: (270) 789-4294
htwilkerson@windstream.
Kindred Hospital
00 Yrs/99 Yrs
net
Yoder,
Samuel
DC
Louisville
Jane Todd Crawford
M-TH 9:00 AM - 4:00 PM
Taylor County Hospital
Provider ID: 720472
Memorial Hospital
F 9:00 AM - 3:00 PM
M-F 8:00 AM - 5:30 PM
Gender: Male
Taylor County Hospital
Campbellsville
General Surgery
Cardiovascular Surgery
Westlake Regional
Chiropractic LLC
Hospital
101 Winston Way Ste B
Bentley, David MD
M-F 9:00 AM - 5:00 PM Challappa, Krishnan MD
Campbellsville, KY 42718 Provider ID: 613509
(270) 789-0033
Joseph, Sunny Abraham
Provider ID: 618761
Gender: Male
Fax: (270) 789-0038
MD
Gender: Male
Central Kentucky
00 Yrs/99 Yrs
Provider ID: 600563
Surgical Institute
Central Cardiology
M-F 8:00 AM - 5:00 PM
Gender: Male
Associates
1878 Old Lebanon Rd
Bluegrass Cardiology
111 Kingswood Dr Ste A
Campbellsville, KY 42718
Ear, Nose & Throat
Associates
Campbellsville, KY 42718
(270) 465-7505
95 Kingswood Dr
(270) 789-9640
Fax: (502) 271-2656
Ewing, James MD
Campbellsville, KY 42718 Fax: (270) 789-4294
00 Yrs/99 Yrs
Provider ID: 604739
(270) 789-2788
13 Yrs/99 Yrs
Taylor County Hospital
Gender: Male
Fax: (502) 368-9820
Taylor County Hospital
M-F 8:30 AM - 5:00 PM
Taylor Regional ENT
18 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
105A Greenbriar Dr
Norton Hospital
Campbellsville, KY 42718 Romines, Robert MD
Chiropractic
Provider ID: 604862
Sts Mary and Elizabeth
(270) 465-3595
Gender: Male
Hospital
Fax: (270) 789-2044
Taylor Regional Medical
Taylor County Hospital Gresham, Janna DC
00 Yrs/99 Yrs
Provider ID: 602868
Group DBA T
M 8:00 AM - 5:00 PM
Taylor County Hospital
Gender: Female
1698 Old Lebanon Rd Ste
M-F 9:00 AM - 5:00 PM
Taylor County
2A
Chiropractic Inc
Campbellsville, KY 42718
Ewing, James MD
100 Greenbriar Dr
(270) 465-3561
Provider ID: 955637
Campbellsville, KY 42718 Gender: Male
Fax: (270) 789-6119
(270) 465-5200
00 Yrs/99 Yrs
Taylor Regional ENT
Fax: (270) 465-4627
Taylor County Hospital
105A Greenbriar Dr
00 Yrs/99 Yrs
Campbellsville, KY 42718 M-F 9:00 AM - 5:00 PM
MWTH 8:00 AM - 6:00
(270) 465-3595
PM
Fax: (270) 789-2044
TF 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Taylor County Hospital
M-F 8:00 AM - 5:00 PM
Prince, Charles MD
kentucky.wellcare.com | 89
05/28/2015
Specialty Physicians
Taylor
General Surgery - cont.
Hematology & Oncology
Nuclear Cardiology
Shively, Eugene MD
Obstetrics/Gynecology
Lissanu, Zewdu MD
Joseph, Sunny Abraham Burress, Susan MD
MD
Provider ID: 600613
Provider ID: 594661
Provider ID: 604907
Provider
ID:
600563
Gender: Male
Gender: Female
Gender: Male
Gender: Male
Taylor Reg Med Group
Taylor Reg Med Grp DBA
Taylor Regional Medical
DBA Taylor Reg
Bluegrass Cardiology
Taylor Regio
Group DBA T
Associates
125 Greenbriar Dr
1698 Old Lebanon Rd Ste
1698 Old Lebanon Rd Ste Campbellsville, KY 42718 95 Kingswood Dr
2B
2A
Campbellsville,
KY
42718
Campbellsville, KY 42718
(270) 789-9999
Campbellsville, KY 42718 00 Yrs/99 Yrs
(270) 789-2788
(270) 465-3568
(270) 465-3561
Fax: (502) 368-9820
Fax: (270) 465-3115
Taylor County Hospital
Fax: (270) 789-6119
18 Yrs/99 Yrs
00 Yrs/99 Yrs
Languages: Chinese,
00 Yrs/99 Yrs
Arabic, Bulgarian
Norton Hospital
Baptist Health Lexington
Taylor County Hospital
Sts
Mary
and
Elizabeth
Taylor County Hospital
M-F 9:00 AM - 5:00 PM
Hospital
Languages: French,
M-F 9:00 AM - 5:00 PM
Sharma, Vivek MD
Taylor County Hospital
Chinese, Arabic
Feese, Catherine MD
M 8:00 AM - 5:00 PM
M-TH 9:00 AM - 4:30 PM Provider ID: 631428
Provider ID: 751062
Gender:
Male
F 9:00 AM - 12:00 PM
Nuclear
Medicine
Gender: Female
University Medical
Watkins, James MD
Associates
Taylor Reg Med Grp DBA
Harris, Carolyn DO
Taylor Regio
1700 Old Lebanon Rd
Provider ID: 604903
1698 Old Lebanon Rd Ste
Campbellsville, KY 42718 Provider ID: 596745
Gender: Female
Gender: Male
2B
(270) 465-3561
Optima
Health
PSC
Taylor Regional Medical
Campbellsville, KY 42718
Fax: (270) 465-3465
138
Campbellsville
Byp
Group DBA T
(270) 465-3568
00 Yrs/99 Yrs
Ste 5
1698 Old Lebanon Rd Ste Norton Hospital
Fax: (270) 465-3115
Campbellsville, KY 42718 00 Yrs/99 Yrs
2A
M-F 8:00 AM - 5:00 PM
(270) 283-4638
Campbellsville, KY 42718
M-F 8:30 AM - 5:00 PM
Fax: (270) 283-4369
Neurology
(270) 465-3561
00 Yrs/99 Yrs
Vanmeter, Steve MD
Fax: (270) 789-6119
Blandford,
Jill
DO
Taylor County Hospital
00 Yrs/99 Yrs
Provider
ID:
1008896
Provider ID: 595050
M-F 8:00 AM - 5:00 PM
Taylor County Hospital
Gender:
Female
Gender: Male
M-TH 9:00 AM - 4:30 PM
Harris, Carolyn DO
Taylor
Regional
Medical
Taylor Reg Med Grp DBA
F 9:00 AM - 12:00 PM
Provider ID: 596745
Group
Taylor Regio
Gender: Female
125 B Kingswood Dr
1698 Old Lebanon Rd Ste
Campbellsville, KY 42718 Taylor Regional Medical
2B
Group
(270) 789-6175
Campbellsville, KY 42718
1698 Old Lebanon Rd
Fax: (270) 789-6176
(270) 465-3568
Campbellsville, KY 42718 Fax: (270) 465-3115
00 Yrs/99 Yrs
M-TH 8:00 AM - 4:30 PM (270) 789-6116
14 Yrs/99 Yrs
Fax:
(270)
789-6119
F 8:00 AM - 11:00 PM
Taylor County Hospital
00 Yrs/99 Yrs
M-F 9:00 AM - 4:00 PM
Taylor County Hospital
MTWTHFSatSun 9:00
AM - 7:00 PM
kentucky.wellcare.com | 90
05/28/2015
Specialty Physicians
Taylor
Ophthalmology
Abell, Thomas MD
Provider ID: TPV5241-01
Gender: Female
1800 Old Lebanon Rd
Campbellsvlle, KY 42718
(270) 789-2023
Fax: (270) 465-5361
00 Yrs/99 Yrs
[email protected]
M-F 8:30 AM - 5:00 PM
Brockman, Edward MD
Provider ID: TPV7100-19
Gender: Male
295 Campbellsville
Bypass Ste 1
Campbellsvlle, KY 42718
(270) 465-4677
Fax: (270) 465-4677
00 Yrs/99 Yrs
M 8:00 AM - 12:00 PM
Cole, Matthew MD
Provider ID:
TPV10808-04
Gender: Male
1800 Old Lebanon Rd
Campbellsvlle, KY 42718
(859) 263-3900
Fax: (859) 971-1124
00 Yrs/99 Yrs
MT 8:30 AM - 5:00 PM
WTHF 8:00 AM - 5:00
PM
Fraser, Claire MD
Provider ID: TPV9312-03
Gender: Female
1800 Old Lebanon Rd
Campbellsvlle, KY 42718
(859) 263-3900
Fax: (859) 977-1124
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
John, Maurice MD
Provider ID: TPV8522-19
Gender: Male
295 Campbellsville
Bypass Ste 1
Campbellsvlle, KY 42718
(270) 465-4677
Fax: (270) 465-4677
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Kleinman, Mark MD
Provider ID: TPV3485-03
Gender: Male
1800 Old Lebanon Rd
Campbellsvlle, KY 42718
(859) 236-3900
Fax: (859) 977-1124
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Lazarus, Howard MD
Provider ID: TPV8530-19
Gender: Male
295 Campbellsville
Bypass Ste 1
Campbellsvlle, KY 42718
(270) 465-4677
Dykhuizen, Matthew MD Fax: (270) 465-4677
Provider ID: TPV16889-28 00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gender: Male
1800 Old Lebanon Rd
Campbellsvlle, KY 42718
(859) 263-3900
Fax: (859) 263-3757
00 Yrs/99 Yrs
Piracha, Asim MD
Schmitt, Timothy MD
Provider ID: TPV2949-22 Provider ID: TPV8537-19
Gender: Male
Gender: Male
295 Campbellsville
295 Campbellsville
Bypass Ste 1
Bypass Ste 1
Campbellsvlle, KY 42718
Campbellsvlle, KY 42718
(270) 465-4677
(270) 465-4677
Fax: (270) 465-4677
Fax: (270) 465-4677
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Prescott, Daniel MD
Wortz, Gary MD
Provider ID: TPV3488-04 Provider ID: TPV3088-02
Gender: Male
Gender: Male
1800 Old Lebanon Rd
125 Kingswood DR
Campbellsvlle, KY 42718
Campbellsvlle, KY 42718
(859) 263-3900
(270) 789-6175
Fax: (859) 263-3757
Fax: (270) 789-6176
00 Yrs/99 Yrs
00 Yrs/99 Yrs
MT 8:30 AM - 4:00 PM
M 8:30 AM - 4:30 PM
Purkiss, Todd MD
Provider ID: TPV2951-06
Gender: Male
1800 Old Lebanon Rd
Campbellsvlle, KY 42718
(859) 263-3900
Fax: (859) 263-3757
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Optometry
Crockett, Jason OD
Provider ID: TPV4717-04
Gender: Male
1800 Old Lebanon Rd
Campbellsville, KY 42718
(859) 373-0300
Fax: (270) 465-4220
00 Yrs/99 Yrs
M-F 8:40 AM - 5:00 PM
Rinne, James MD
Provider ID: TPV4704-01
Doerr, Molly OD
Gender: Male
Provider ID: TPV4992-02
1886 Old Lebanon Rd
Campbellsville, KY 42718 Gender: Female
1800 Old Lebanon Rd
(270) 465-9237
Campbellsvlle, KY 42718
Fax: (270) 465-9418
(270) 789-2023
00 Yrs/99 Yrs
Fax: (270) 465-5361
M-F 8:30 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
kentucky.wellcare.com | 91
05/28/2015
Specialty Physicians
Taylor
Optometry - cont.
Haley, Arthur OD
Provider ID: TPV4384-01
Gender: Male
68 Wellness Lane
Campbellsvlle, KY 42718
(270) 469-4393
Fax: (270) 469-1050
00 Yrs/99 Yrs
M-F 8:00 AM - 5:30 PM
Sat 8:00 AM - 1:00 PM
Krein, Sarah OD
Provider ID: TPV10115-04
Gender: Female
68 Wellness Lane
Campbellsvlle, KY 42718
(270) 469-4393
Fax: (270) 469-1050
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Segree, Joseph OD
Provider ID:
TPV1871639005WL
Gender: Male
725 Campbellsville
Bypass
Campbellsvlle, KY 42718
(270) 465-3669
00 Yrs/99 Yrs
M 11:00 AM - 7:30 PM
T 9:00 AM - 6:00 PM
Oral & Maxillofacial
Surgery
Inman, Gregory DMD
Provider ID: TPV7143-03
Gender: Male
105 Medical Park DR Ste
2
Campbellsville, KY 42718
(270) 789-4542
Fax: (270) 469-1405
00 Yrs/99 Yrs
kelly@inmanorthodontics.
com
MT 9:00 AM - 4:30 PM
Orthopaedic Surgery
Pediatric Allergy &
Immunology
Pollard, Stephen MD
Provider ID: 618647
Gender: Male
Family Allergy Asthma
111 Wildflower Dr Ste A
Campbellsville, KY 42718
(270) 469-3408
Fax: (270) 469-9033
00 Yrs/99 Yrs
Jewish Hospital
Norton Hospital
M-F 8:30 AM - 5:00 PM
Graves, David DMD
Gonzalez, Nestor MD
Provider ID: TPV2795-02 Provider ID: 607153
Pediatric Cardiology
Gender: Male
Gender: Male
105 Medical Park DR
Taylor Regional Med Grp Bullock, Smitha MD
Provider ID: 727257
Campbellsville, KY 42718 DBA Taylor
(270) 789-4540
1698 Old Lebanon Rd Ste Gender: Female
Ulrf Pediatric Cardiology
3A
00 Yrs/21 Yrs
Campbellsville, KY 42718 70 Uber Monkey Ln
Wurth,
Bradley
DMD
Campbellsville, KY 42718
Matthews, John OD
(270) 465-3561
Provider ID: TPV19135-01
(502) 585-4802
Provider ID:
Fax: (270) 789-6119
Gender: Male
TPV1235153404WL
Fax: (502) 589-1256
00 Yrs/99 Yrs
1870 Old Lebanon Rd
Gender: Male
00 Yrs/99 Yrs
Taylor County Hospital
Campbellsvlle,
KY
42718
725 Campbellsville
M-F 8:00 AM - 5:00 PM
Languages: Spanish
(270) 469-1155
Bypass
M-F 9:00 AM - 4:30 PM Holland, Brian MD
Campbellsville, KY 42718 Fax: (270) 469-1156
Provider ID: 604352
Weiss, Galen MD
00 Yrs/20 Yrs
(270) 465-3669
Gender: Male
[email protected] Provider ID: 601928
00 Yrs/99 Yrs
Ulrf Pediatric Cardiology
M-TH 8:00 AM - 5:00 PM Gender: Male
Oliver, Heather OD
70 Uber Monkey Ln
Taylor
Regional
Med
Grp
F 8:00 AM - 12:00 PM
Provider ID: TPV18436-22
Campbellsville, KY 42718
DBA Taylor
Orthodontics
Gender: Female
(502) 585-4802
1698 Old Lebanon Rd
1800 Old Lebanon Rd
Campbellsville, KY 42718 Fax: (502) 589-1256
Campbellsvlle, KY 42718 Akridge, Matt DMD
00 Yrs/18 Yrs
(270) 789-6116
Provider ID:
(270) 789-2023
M-F 8:00 AM - 5:00 PM
Fax:
(270)
789-6119
TPV84956DM-03
Fax: (270) 465-5361
00 Yrs/99 Yrs
Gender: Male
00 Yrs/99 Yrs
Taylor County Hospital
108 Medical Park DR
[email protected]
Languages: French,
Campbellsvlle, KY 42718
M-F 8:30 AM - 5:00 PM
Chinese, German
(270) 465-6570
M-F 9:00 AM - 4:30 PM
00 Yrs/99 Yrs
M 9:00 AM - 5:00 PM
kentucky.wellcare.com | 92
05/28/2015
Specialty Physicians
Taylor
Pediatric Cardiology cont.
Kim, Edward MD
Sobczyk, Walter MD
Wright, Lucinda MD
Provider ID: 602973
Provider ID: 604601
Provider ID: 601497
Gender: Male
Gender: Male
Gender: Female
Johnsrude, Christopher
Ulrf Pediatric Cardiology Pediatric Cardiology
Pediatric Cardiology
MD
Associates
PSC
Associates PSC
70 Uber Monkey Ln
Provider ID: 601837
Campbellsville, KY 42718 1003 Old Greensburg Rd 1003 Old Greensburg Rd
Gender: Male
Campbellsville, KY 42718 Campbellsville, KY 42718
(502) 585-4802
Ulrf Pediatric Cardiology Fax: (502) 589-1256
(502) 585-4802
(502) 585-4802
70 Uber Monkey Ln
Fax:
(502)
589-1256
Fax: (502) 589-1256
00 Yrs/99 Yrs
Campbellsville, KY 42718 Norton Hospital
00 Yrs/18 Yrs
00 Yrs/18 Yrs
(502) 585-4802
Jennie Stuart Medical
Kosair Childrens Medical
M-F 8:00 AM - 5:00 PM
Fax: (502) 589-1256
Center
Center Brownsb
00 Yrs/18 Yrs
Leahy, Ryan MD
Norton Hospital
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Provider ID: 631604
M-F 8:00 AM - 5:00 PM
Sobczyk, Walter MD
Gender: Male
Keller, Bradley MD
Wright, Lucinda MD
Ulrf Pediatric Cardiology
Provider ID: 631924
Provider ID: 604601
70 Uber Monkey Ln
Gender: Male
Provider ID: 601497
Campbellsville, KY 42718 Gender: Male
Pediatric Cardiology
Gender: Female
Ulrf
Pediatric
Cardiology
(502) 585-4802
Associates PSC
Ulrf Pediatric Cardiology
70
Uber
Monkey
Ln
1003 Old Greensburg Rd Fax: (502) 589-1256
Campbellsville, KY 42718 70 Uber Monkey Ln
Campbellsville, KY 42718 00 Yrs/18 Yrs
Campbellsville, KY 42718
Kosair Childrens Medical (502) 585-4802
(502) 585-4802
(502) 585-4802
Fax:
(502)
589-1256
Center Brownsb
Fax: (502) 589-1256
Fax: (502) 589-1256
00
Yrs/18
Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/18 Yrs
00 Yrs/18 Yrs
Jennie Stuart Medical
M-F 8:00 AM - 5:00 PM Matta, Jyothi MD
Center
Kosair Childrens Medical
Provider ID: 602336
Center Brownsb
M-F
8:00
AM
5:00
PM
Keller, Bradley MD
Gender: Female
Norton Hospital
Provider ID: 631924
Ulrf Pediatric Cardiology Sparks, Joshua MD
M-F 8:00 AM - 5:00 PM
Gender: Male
Provider ID: 723048
70 Uber Monkey Ln
Ulrf Pediatric Cardiology Campbellsville, KY 42718 Gender: Male
Pediatrics
70 Uber Monkey Ln
Ulrf Pediatric Cardiology
(502) 585-4802
Bullock, Smitha MD
Campbellsville, KY 42718 Fax: (502) 589-1256
70 Uber Monkey Ln
(502) 585-4802
Campbellsville, KY 42718 Provider ID: 727257
00 Yrs/99 Yrs
Gender: Female
Fax: (502) 589-1256
Kosair Childrens Medical (502) 585-4802
Ulrf Pediatric Cardiology
00 Yrs/18 Yrs
Fax: (502) 589-1256
Center Brownsb
70 Uber Monkey Ln
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Campbellsville, KY 42718
M-F 8:00 AM - 5:00 PM
Kim, Edward MD
(502) 585-4802
Neal, Ashley MD
Provider ID: 602973
Fax: (502) 589-1256
Provider ID: 1027382
Gender: Male
00 Yrs/99 Yrs
Gender: Female
Pediatric Cardiology
M-F 8:00 AM - 5:00 PM
Ulrf Pediatric Cardiology
Associates PSC
70 Uber Monkey Ln
1003 Old Greensburg Rd Campbellsville, KY 42718
Campbellsville, KY 42718 (502) 585-4802
(502) 585-4802
Fax: (502) 589-1256
Fax: (502) 589-1256
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Norton Hospital
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 93
05/28/2015
Specialty Physicians
Taylor
Pediatrics - cont.
Matta, Jyothi MD
Wurth, Mary DMD
Provider ID: 602336
Provider ID: TPV17511-01
Holland, Brian MD
Gender: Female
Gender: Female
Provider ID: 604352
Ulrf Pediatric Cardiology 105 Medical Park DR Ste
Gender: Male
Ste 1
70 Uber Monkey Ln
Ulrf Pediatric Cardiology Campbellsville, KY 42718 Campbellsville, KY 42718
70 Uber Monkey Ln
(270) 469-1403
(502) 585-4802
Campbellsville, KY 42718 Fax: (502) 589-1256
Fax: (270) 469-1405
(502) 585-4802
00 Yrs/21 Yrs
00 Yrs/99 Yrs
Fax: (502) 589-1256
Kosair Childrens Medical cheryl@wisedentistry4kids.
00 Yrs/18 Yrs
com
Center Brownsb
M-F 8:00 AM - 5:00 PM
M-TH 8:00 AM - 4:00 PM
M-F 8:00 AM - 5:00 PM
Leahy, Ryan MD
Wurth, Mary DMD
Sparks, Joshua MD
Provider ID: 631604
Provider ID: TPV17511-02
Provider ID: 723048
Gender: Male
Gender: Female
Gender: Male
Ulrf Pediatric Cardiology Ulrf Pediatric Cardiology 1700 Old Lebanon Rd
70 Uber Monkey Ln
Campbellsville, KY 42718
70 Uber Monkey Ln
Campbellsville, KY 42718 Campbellsville, KY 42718 (270) 469-1403
(502) 585-4802
Fax: (270) 469-1405
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/99 Yrs
Fax: (502) 589-1256
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Kosair Childrens Medical M-F 8:00 AM - 5:00 PM
Podiatry
Center Brownsb
Pedodontics
M-F 8:00 AM - 5:00 PM
Risen, Mark DPM
Lotz, Douglas MD
Wise, Heather DMD
Provider ID: 608104
Provider ID: 604245
Provider ID: TPV3247-01
Gender: Male
Gender: Male
Gender: Female
Mark A Risen DPM
Family Allergy and
105 Medical Park DR Ste
1003 Old Greensburg Rd
Asthma
Ste 1
111 Wildflower Dr Ste A
Campbellsville, KY 42718 Campbellsville, KY 42718
(270) 789-4342
Campbellsville, KY 42718 (270) 469-1403
00 Yrs/99 Yrs
(270) 469-3408
Fax: (270) 469-1405
Westlake Regional
Fax: (502) 429-6157
00 Yrs/21 Yrs
00 Yrs/99 Yrs
cheryl@wisedentistry4kids. Hospital
MWTH 9:00 AM - 5:00
com
Languages: Spanish
PM
M-F 9:00 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
T 9:00 AM - 2:00 PM
F 9:00 AM - 12:00 PM
kentucky.wellcare.com | 94
Pulmonary Disease
El-Atfy, Asser MD
Provider ID: 599148
Gender: Male
Taylor Reg Med Grp DBA
Taylor Reg P
67 Kingswood Dr
Campbellsville, KY 42718
(270) 465-2116
Fax: (270) 465-2126
00 Yrs/99 Yrs
Taylor County Hospital
M-F 9:00 AM - 5:00 PM
Karman, Robert MD
Provider ID: 602499
Gender: Male
Taylor Reg Pulmonary
and Sleep Med
67 Kingswood Dr
Campbellsville, KY 42718
(270) 465-2116
Fax: (270) 465-2126
00 Yrs/99 Yrs
Norton Hospital
M-F 8:00 AM - 5:00 PM
Radiation Oncology
Hardin, Peter MD
Provider ID: 754325
Gender: Male
Taylor Regional
Radiation Oncology
125 Greenbriar Dr
Campbellsville, KY 42718
(270) 789-9999
Fax: (270) 789-0247
00 Yrs/99 Yrs
Taylor County Hospital
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Taylor
Radiation Oncology cont.
Watkins, Samuel MD
Provider ID: 667245
Gender: Male
McGahan, Richard MD
Taylor Regional Urology
1698 Old Lebanon Rd Ste
Provider ID: 754407
3B
Gender: Male
Campbellsville, KY 42718
Taylor Regional
(270) 789-2471
Radiation Oncology
Fax: (270) 465-4669
125 Greenbriar Dr
00 Yrs/99 Yrs
Campbellsville, KY 42718 M-F 8:00 AM - 5:00 PM
(270) 789-9999
Fax: (270) 789-0247
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Urology
Angel, James MD
Provider ID: 609021
Gender: Male
Taylor Regional Medical
Group DBA T
1698 Old Lebanon Rd Ste
3B
Campbellsville, KY 42718
(270) 789-2471
Fax: (270) 465-4669
00 Yrs/99 Yrs
Taylor County Hospital
M-F 8:30 AM - 5:00 PM
Prendergast, Neal MD
Provider ID: 667216
Gender: Male
Taylor Regional Medical
Group DBA T
1698 Old Lebanon Rd Ste
3B
Campbellsville, KY 42718
(270) 789-2471
Fax: (270) 465-4669
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 95
05/28/2015
Specialty Physicians
Warren
Allergy & Immunology
Cardiac Electrophysiology Schwender, Frank MD
Provider ID: 603816
Baldwin, Jonathon MD
Brumfield, Jeffrey MD
Provider ID: 604886
Gender: Male
Provider ID: 756620
Gender: Female
Southern Kentucky
Provider ID: 604842
Gender: Male
Graves-Gilbert Clinic
Heart Institute
Gender: Male
Western
Kentucky
Heart
1411 Race St
720 Second St Ste 301
Allergy Care of Bowling
Bowling Green, KY 42101 and Lung Assoc
Bowling Green, KY 42101
Green
825 2nd Ave Ste B1
(270) 780-0560
(270) 495-1484
1724 Rockingham Ave Ste Fax: (270) 780-0467
Bowling Green, KY 42101 Fax: (270) 495-1488
101
(270) 782-0151
00 Yrs/99 Yrs
18 Yrs/99 Yrs
Bowling Green, KY 42104 The Medical Center
Fax: (270) 782-7528
The Medical Center
(270) 842-7588
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM M-F 8:00 AM - 5:00 PM
Fax: (270) 842-7687
M-F 8:00 AM - 5:00 PM
5:00 PM
02 Yrs/99 Yrs
Cardiology
Gautam, Sandeep MD
The Medical Center
Mercer, Patricia MD
Provider ID: 716443
Abdul-Waheed,
Tristar Greenview
Mohammad MD
Gender:
Male
Regional Hospital
Provider ID: 604886
Provider ID: 627594
Associates
In
Physician
MTHF 8:00 AM - 5:00
Gender: Female
Services
Gender: Male
PM
Graves-Gilbert Clinic
427 US 31W Byp
Western Kentucky Heart
T 8:00 AM - 6:00 PM
201 Park St
and Lung Assoc
Bowling
Green,
KY
42101
W 8:00 AM - 4:00 PM
Bowling Green, KY 42101
825 2nd Ave Ste B1
(270)
796-8800
(270) 781-5111
Cavanah, Diana MD
Bowling Green, KY 42101
Fax:
(270)
796-9328
00 Yrs/99 Yrs
(270) 782-0151
00 Yrs/99 Yrs
The Medical Center
Provider ID: 604849
Fax: (270) 782-7528
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Gender: Female
00 Yrs/99 Yrs
Graves-Gilbert Clinic
Schwender, Frank MD
Sternberg, Thomas MD
M-F 9:00 AM - 5:00 PM
201 Park St
Provider ID: 603816
Akbar, Muhammad MD
Bowling Green, KY 42101 Provider ID: 603852
Gender: Male
(270) 781-5111
Southern Kentucky
Gender: Male
Provider ID: 793506
Heart Institute
00 Yrs/99 Yrs
Graves-Gilbert Clinic
Gender: Male
1848
Lyda
Ave
The Medical Center
201 Park St
Western Kentucky Heart
Bowling
Green,
KY
42104
M-F 8:00 AM - 5:00 PM
Bowling Green, KY 42101
and Lung Assoc
(270) 495-1484
(270) 781-5111
Jhamb, Indar MD
1325 Andrea St Ste 305
Fax: (270) 495-1488
00 Yrs/99 Yrs
Provider ID: 604866
Bowling Green, KY 42104
18 Yrs/99 Yrs
The Medical Center
Gender: Male
(270) 904-6094
The
Medical
Center
M-F 8:00 AM - 5:00 PM
Indar Mohan Jhamb MD
Fax: (270) 904-6345
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
1217 Ashley Cir
00 Yrs/99 Yrs
Bowling Green, KY 42104
M-W 8:00 AM - 5:00 PM
(270) 782-3237
Fax: (270) 782-1412
00 Yrs/99 Yrs
The Medical Center
MTTHF 9:00 AM - 5:00
PM
W 10:00 AM - 12:00 PM
Mercer, Patricia MD
kentucky.wellcare.com | 96
05/28/2015
Specialty Physicians
Warren
Cardiology - cont.
Fitts, John MD
Kazimuddin, Mohammed
MD
Provider ID: 604722
Bryant, Beth MD
Provider ID: 608061
Gender: Male
Provider ID: 614405
Gender: Male
Graves Gilbert Clinic
Gender: Female
Western Kentucky Heart
1325 Andrea St Ste 101
Graves Gilbert Clinic
Bowling Green, KY 42104 and Lung Assoc
1325 Andrea St Ste 101
1325 Andrea St Ste 305
(270) 842-7272
Bowling Green, KY 42104 Fax: (270) 842-7478
Bowling Green, KY 42104
(270) 842-7272
(270) 904-6094
00 Yrs/99 Yrs
Fax: (270) 842-7478
Fax: (270) 904-6345
The Medical Center
15 Yrs/99 Yrs
M-W 8:00 AM - 5:00 PM 00 Yrs/99 Yrs
The Medical Center
The Medical Center
TH 8:00 AM - 4:00 PM
M-W 8:00 AM - 5:00 PM F 8:00 AM - 1:00 PM
Tristar Greenview
TH 8:00 AM - 4:00 PM
Regional Hospital
Fitts, John MD
F 8:00 AM - 1:00 PM
M-F 8:00 AM - 5:00 PM
Provider ID: 604722
Bryant, Beth MD
Kazimuddin, Mohammed
Gender: Male
MD
Provider ID: 614405
Graves Gilbert Clinic
Provider ID: 608061
Gender: Female
201 Park St
Graves Gilbert Clinic
Bowling Green, KY 42101 Gender: Male
Western Kentucky Heart
201 Park St
(270) 781-5111
and Lung Assoc
Bowling Green, KY 42101 00 Yrs/99 Yrs
825 2nd Ave Ste B1
(270) 781-5111
The Medical Center
Bowling Green, KY 42101
15 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
(270) 782-0151
The Medical Center
Fax: (270) 782-7528
Gaba,
Deepak
MD
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Provider ID: 627095
Chhabra, Sandeep MD
The Medical Center
Gender: Male
Tristar Greenview
Associates In Physician
Provider ID: 708690
Regional Hospital
Services
Gender: Male
MTHF 9:00 AM - 5:00 PM
427 US 31W Byp
Graves-Gilbert Clinic
Bowling Green, KY 42101 TW 11:00 AM - 5:00 PM
201 Park St
(270) 796-8800
Pribble, Allan MD
Bowling Green, KY 42101 Fax: (270) 796-9328
Provider ID: 618763
(270) 781-5111
00 Yrs/99 Yrs
Gender: Male
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Graves-Gilbert Clinic
M-F 8:00 AM - 5:00 PM
201 Park St
Harston, William MD
Bowling Green, KY 42101
Provider ID: 604725
(270) 781-5111
Gender: Male
00 Yrs/99 Yrs
Associates In Physician
The Medical Center
Services
M-F 8:00 AM - 5:00 PM
427 US 31W Byp
Bowling Green, KY 42101
(270) 796-8800
Fax: (270) 796-9328
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 97
Sahetya, Kalidas MD
Provider ID: 431982
Gender: Male
Kalidas G Sahetya MD
427 US 31 W Bypass
Bowling Green, KY 42101
(270) 796-8800
Fax: (270) 796-9328
00 Yrs/99 Yrs
The Medical Center At
Franklin
M-F 8:00 AM - 5:00 PM
Schwender, Frank MD
Provider ID: 603816
Gender: Male
Southern Kentucky
Heart Institute
1848 Lyda Ave
Bowling Green, KY 42104
(270) 495-1484
Fax: (270) 495-1488
18 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Schwender, Frank MD
Provider ID: 603816
Gender: Male
Southern Kentucky
Heart Institute
720 Second St Ste 301
Bowling Green, KY 42101
(270) 495-1484
Fax: (270) 495-1488
18 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Waked, Alain MD
Provider ID: 900391
Gender: Male
Associates In Physician
Services
427 US 31 W Byp
Bowling Green, KY 42101
(270) 796-8800
Fax: (270) 796-9328
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Warren
Cardiology - cont.
Emanuele, Tullio MD
Brumlow, Amy DC
Folk, Chad DC
Provider ID: 618724
Provider ID: 671585
Waked, Alain MD
Provider ID: 600892
Gender: Female
Gender: Male
Provider ID: 913666
Gender: Male
Body Works Chiropractic Sterling Chiropractic
Gender: Male
Tullio Emanuele MD PSC 2965 N Mill Ave
Center
Associates In Physician
825 2nd Ave Ste B1
Bowling Green, KY 42104 1143 Fairway St Ste 103
Services
Bowling Green, KY 42101 (270) 904-2639
Bowling Green, KY 42103
427 US 31W Byp
(270) 782-0151
(270) 783-4500
Fax: (270) 904-0815
Bowling Green, KY 42101 Fax: (270) 782-7528
Fax: (270) 605-5151
00 Yrs/99 Yrs
(270) 796-8800
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M 10:30 AM - 6:00 PM
Fax: (270) 796-9328
The Medical Center
Languages: Spanish
TF 10:30 AM - 7:00 PM
00 Yrs/99 Yrs
Languages: Italian
M-F 8:00 AM - 5:00 PM
W 10:30 AM - 5:30 PM
M-F 8:00 AM - 5:00 PM
MWTH 9:00 AM - 5:00
TH 9:00 AM - 5:00 PM
Hawley, Bryan DC
PM
Sat 8:30 AM - 12:00 PM
Cardiovascular Surgery
Provider ID: 618624
T 8:00 AM - 12:00 PM
Gender: Male
Clark,
Amie
DC
F 10:00 AM - 1:30 PM
Emanuele, Tullio MD
Magna Chiropractic LLC
Provider
ID:
600598
Provider ID: 600892
Child Neurology
2424 Airway Dr Ste B
Gender: Female
Gender: Male
Clark Family Chiropractic Bowling Green, KY 42103
Tullio Emanuele MD PSC Farber, Darren DO
(270) 746-9400
351 Pascoe Blvd Ste 106
427 Hwy 31W Bypass
Provider ID: 631943
Fax: (270) 746-0240
Bowling
Green,
KY
42104
Bowling Green, KY 42101 Gender: Male
00 Yrs/99 Yrs
(270) 843-1930
(270) 904-0657
Ulrf Pediatric Neurology Fax: (866) 530-9599
M-F 8:30 AM - 6:00 PM
Fax: (270) 904-1746
720 2nd Ave Ste 102
00
Yrs/99
Yrs
00 Yrs/99 Yrs
Bowling Green, KY 42101 M-F 9:00 AM - 5:00 PM Ratusny, John DC
The Medical Center
(502) 589-8022
Provider ID: 601821
Languages: Italian
Fax: (502) 589-8233
Gender: Male
Crnkic, Sanda DC
M-F 8:00 AM - 5:00 PM
00 Yrs/18 Yrs
Western Kentucky
Provider ID: 603468
Chiropractic Center
M-F
8:00
AM
5:00
PM
Gender:
Female
Emanuele, Tullio MD
661 US 31W Bypass Ste A
Magna
Chiropractic
Provider ID: 600892
Chiropractic
Bowling Green, KY 42101
Fitness
Gender: Male
(270) 904-3499
165 Natchez Trace Ave
Tullio Emanuele MD PSC Baity, Leon DC
Ste 201
Fax: (270) 904-3472
Provider ID: 671650
720 2nd Ave Ste 204
Bowling
Green,
KY
42103
00 Yrs/99 Yrs
Bowling Green, KY 42101 Gender: Male
(270)
746-9400
M-F 8:00 AM - 5:00 PM
Leon Baity DC
(270) 746-5400
Fax:
(270)
746-0240
1043 Pedigo Way Ste 9
Fax: (270) 782-3276
Rogers, Adam DC
Bowling Green, KY 42103 00 Yrs/99 Yrs
00 Yrs/99 Yrs
Provider ID: 600826
MTWTHFSatSun 8:00
(270) 781-6216
The Medical Center
Gender: Male
AM - 7:00 PM
Fax: (270) 842-5759
Languages: Italian
Rogers Chiropractic PLLC
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
1051 Bryant Way Ste 203
MWF 9:00 AM - 6:00 PM
Bowling Green, KY 42103
TTH 9:00 AM - 5:00 PM
(270) 282-8872
Fax: (270) 282-8871
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 98
05/28/2015
Specialty Physicians
Warren
Dermatology
Watkins, Shannon MD
Ear, Nose & Throat
Wilson, Jeffrey MD
Provider ID: 936121
Jones, Jo Ann MD
Morris, Lonnie MD
Provider ID: 618794
Gender: Male
Provider ID: 618634
Provider ID: 700560
Gender: Female
Graves Gilbert Clinic
Gender: Female
Gender: Male
Graves Gilbert Clinic
201 Park St
Graves Gilbert Clinic
ENT of Bowling Green
201 Park St
Bowling Green, KY 42101
201 Park St
Bowling Green, KY 42101 340 New Towne Dr
(270) 781-5111
Bowling Green, KY 42101 (270) 781-5111
Bowling Green, KY 42103 00 Yrs/99 Yrs
(270) 781-5111
(270) 782-7768
00 Yrs/99 Yrs
Tj Samson Community
00 Yrs/99 Yrs
Fax: (270) 781-9480
The Medical Center
Hospital
The Medical Center
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Endocrinology, Diabetes,
Watkins, Shannon MD
Jones, Jo Ann MD
Salmon, James MD
Metabolism
Provider ID: 618634
Provider ID: 618751
Provider ID: 618794
Chaudhari, Ronak MD
Gender: Female
Gender: Male
Gender: Female
Provider ID: 1057111
Graves-Gilbert Clinic
Graves
Gilbert
Clinic
Graves-Gilbert Clinic
Gender: Male
1065 Ashley St Ste 2
350 Park St
1065 Ashley St Ste 2
Bowling Green, KY 42103 Bowling Green, KY 42103 Bowling Green, KY 42101 Graves Gilbert Clinic
201 Park St
(270) 781-5111
(270) 781-5111
(270) 781-5111
Bowling Green, KY 42101
Fax: (270) 782-4253
Fax:
(270)
782-4253
Fax: (270) 782-4253
(270) 781-5111
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 783-3750
The Medical Center
The Medical Center
The Medical Center
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
The Medical Center
Treen, Ben MD
Salmon, James MD
Dermatopathology
M-F 8:00 AM - 5:00 PM
Provider ID: 1047237
Provider ID: 618751
Granese, Jacqueline MD
Cofoid, Paul MD
Gender: Male
Gender: Male
Provider ID: 618770
Graves Gilbert Clinic
Graves-Gilbert Clinic
Provider ID: 618728
Gender: Male
1065 Ashley St Ste 200
201 Park St
Gender:
Female
Bowling Green, KY 42103
Bowling Green, KY 42101 Graves-Gilbert Clinic
Graves-Gilbert
Clinic
201 Park St
(270) 843-3376
(270) 781-5111
1065
Ashley
St
Ste
2
Bowling Green, KY 42101
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Bowling Green, KY 42103 The Medical Center
(270) 781-5111
M-F 8:00 AM - 5:00 PM
(270) 781-5111
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Treen, Ben MD
Fax: (270) 782-4253
The Medical Center
Provider ID: 1047237
Sims, Hugh MD
00 Yrs/99 Yrs
Tristar Greenview
Gender: Male
Provider
ID:
604568
Regional Hospital
M-F 8:00 AM - 5:00 PM
Graves Gilbert Clinic
Gender: Male
M-F 8:00 AM - 5:00 PM
Granese, Jacqueline MD
201 Park St
Commonwealth Health
Corporation Inc
Bowling Green, KY 42101
Provider ID: 618728
340 New Towne Rd
(270) 781-5111
Gender: Female
Bowling Green, KY 42103
00 Yrs/99 Yrs
Graves-Gilbert
Clinic
(270) 782-7768
M-F 8:00 AM - 5:00 PM
201 Park St
Fax: (270) 781-9480
Bowling Green, KY 42101 00 Yrs/99 Yrs
(270) 781-5111
The Medical Center
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 99
05/28/2015
Specialty Physicians
Warren
Endocrinology, Diabetes, Sheikh, Hamza MD
Metabolism - cont.
Provider ID: 642697
Gender: Male
Cofoid, Paul MD
Graves-Gilbert Clinic
Provider ID: 618770
350 Park St
Gender: Male
Bowling Green, KY 42101
Graves-Gilbert Clinic
(270) 781-5111
350 Park St
Fax: (270) 782-4253
Bowling Green, KY 42101 00 Yrs/17 Yrs
(270) 781-5111
M-F 8:00 AM - 5:00 PM
Fax: (270) 782-4253
Gastroenterology
00 Yrs/99 Yrs
The Medical Center
Arshad, Abrar MD
Tristar Greenview
Provider ID: 604736
Regional Hospital
Gender: Male
M-F 9:00 AM - 5:00 PM
Western Kentucky
Shadowen, David MD
Gastroenterology A
Provider ID: 618771
996 Wilkinson Trce Ste
Gender: Male
A10
Graves Gilbert Clinic
Bowling Green, KY 42103
201 Park St
(270) 393-9829
Bowling Green, KY 42101 Fax: (270) 393-9830
(270) 781-5111
00 Yrs/99 Yrs
16 Yrs/99 Yrs
The Medical Center
The Medical Center
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Curtiss, James MD
Shadowen, David MD
Provider ID: 601014
Gender: Male
Provider ID: 618771
James R Curtiss MD
Gender: Male
291 New Towne Dr
Graves-Gilbert Clinic
Bowling Green, KY 42103
350 Park St
(270) 393-4223
Bowling Green, KY 42101 Fax: (270) 393-4225
(270) 781-5111
18 Yrs/99 Yrs
Fax: (270) 782-4253
The Medical Center
16 Yrs/99 Yrs
Tristar Greenview
The Medical Center
Regional Hospital
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Sheikh, Hamza MD
Provider ID: 642697
Gender: Male
Graves Gilbert Clinic
201 Park St
Bowling Green, KY 42101
(270) 781-5111
00 Yrs/17 Yrs
M-F 8:00 AM - 5:00 PM
Griggs, Leah MD
Provider ID: 618741
Gender: Female
Graves Gilbert Clinic
201 Park St
Bowling Green, KY 42101
(270) 781-5111
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Griggs, Leah MD
Provider ID: 618741
Gender: Female
Graves-Gilbert Clinic
350 Park St
Bowling Green, KY 42101
(270) 781-5111
Fax: (270) 782-4253
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Rauh, Donald MD
Provider ID: 618781
Gender: Male
Graves-Gilbert Clinic
350 Park St
Bowling Green, KY 42101
(270) 781-5111
Fax: (270) 782-4253
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Shahmir, Mort MD
Provider ID: 604882
Gender: Male
Mort Shahmir MD
1211 Woodhurst St
Bowling Green, KY 42104
(270) 782-7373
Fax: (270) 796-8676
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Morsi, Nagy MD
General Dentistry
Provider ID: 604881
Gender: Male
Adkins, Robert DDS
Nagy H Morsi MD
1701 Ashley Cir Ste 100
Bowling Green, KY 42104 Provider ID: TPV9733-01
Gender: Male
(270) 796-6000
996 Wilkinson Trace Ste
Fax: (270) 796-1915
B6
18 Yrs/99 Yrs
Bowling Green, KY 42103
The Medical Center
(270) 782-1128
M-F 8:00 AM - 5:00 PM
Fax: (321) 254-6800
00 Yrs/99 Yrs
Rauh, Donald MD
M-F 8:00 AM - 5:00 PM
Provider ID: 618781
Gender: Male
Ballou, Sheldon DMD
Graves Gilbert Clinic
Provider ID:
201 Park St
TPV57878DM-02
Bowling Green, KY 42101 Gender: Male
(270) 781-5111
1109 State St
00 Yrs/99 Yrs
Bowling Green, KY 42101
The Medical Center
(270) 781-8039
M-F 8:00 AM - 5:00 PM
Fax: (270) 796-8946
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 100
05/28/2015
Specialty Physicians
Warren
General Dentistry - cont. Birkenhauer, Thomas
DMD
Benson, Charles DMD
Provider ID: TPV6655-02
Provider ID:
Gender: Male
TPV50792DM-01
546 Park St Ste 400
Gender: Male
Bowling Green, KY 42101
148 Vincent St
(270) 781-6161
Smiths Grove, KY 42171
Fax: (270) 781-6129
(270) 563-4706
00 Yrs/99 Yrs
Fax: (270) 563-4819
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM Birkenhauer, Thomas
DMD
F 7:00 AM - 2:00 PM
Provider ID: TPV6655-03
Benson, Mary DMD
Gender: Male
Provider ID: TPV4243-01
141 Main St
Gender: Female
Smiths Grove, KY 42171
148 Vincent St
(270) 451-0059
Smiths Grove, KY 42171
00 Yrs/99 Yrs
(270) 563-4706
M-F 9:00 AM - 5:00 PM
Fax: (270) 563-4819
Buchanan, David DMD
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM Provider ID:
TPV51023DM-01
F 7:00 AM - 2:00 PM
Gender: Male
Birkenhauer, Meghan
546 Park St Ste 100
DMD
Bowling Green, KY 42101
Provider ID: TPV6657-02 (270) 781-3133
Gender: Female
Fax: (270) 846-0193
546 Park St Ste 400
00 Yrs/99 Yrs
Bowling Green, KY 42101 buchanandentistry@insi(270) 781-6161
ghtbb.com
Fax: (270) 781-6129
MTWF 8:00 AM - 5:00
00 Yrs/99 Yrs
PM
M-F 9:00 AM - 5:00 PM
TH 8:00 AM - 12:00 PM
Birkenhauer, Meghan
DMD
Provider ID: TPV6657-03
Gender: Female
141 Main St
Smiths Grove, KY 42171
(270) 451-0071
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Buchanan, John DMD
Provider ID:
TPV51151DM-01
Gender: Male
546 Park St Ste 100
Bowling Green, KY 42101
(270) 781-3133
Fax: (270) 846-0193
00 Yrs/99 Yrs
[email protected]
MTWF 8:00 AM - 5:00
PM
TH 8:00 AM - 12:00 PM
Burress, Shanna DMD
Campbell, Leslie DMD
Provider ID: TPV8690-02 Provider ID: TPV3499-04
Gender: Female
Gender: Female
1109 State St
1109 State St
Bowling Green, KY 42101 Bowling Green, KY 42101
(270) 781-8039
(270) 781-8039
Fax: (270) 796-8946
Fax: (270) 796-8946
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 4:30 PM
M-F 8:00 AM - 4:30 PM
Campbell, Leslie DMD
Burt, Andrew DMD
Provider ID: TPV3499-05
Provider ID: TPV3595-02 Gender: Female
Gender: Male
141 Main St
546 Park St Ste 400
Smiths Grove, KY 42171
Bowling Green, KY 42101 (270) 451-0059
(270) 781-6161
Fax: (270) 451-0071
Fax: (270) 781-6129
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-W 8:00 AM - 5:00 PM
MTTH 7:00 AM - 7:00
Carter, Daniel DMD
PM
Provider ID: TPV5710-02
WF 8:30 AM - 5:00 PM
Gender: Male
Burt, Andrew DMD
1109 State St
Provider ID: TPV3595-03 Bowling Green, KY 42101
Gender: Male
(270) 781-8039
141 Main St
Fax: (270) 796-8946
Smiths Grove, KY 42171
00 Yrs/99 Yrs
(270) 451-0059
M-F 8:00 AM - 4:30 PM
Fax: (270) 451-0071
Coomer, Jason DMD
00 Yrs/99 Yrs
M-W 8:00 AM - 5:00 PM Provider ID:
TPV57879DM-02
Campbell, Leslie DMD
Gender: Male
1109 State St
Provider ID: TPV3499-02 Bowling Green, KY 42101
Gender: Female
(270) 781-8039
546 Park St Ste 400
Fax: (270) 796-8946
Bowling Green, KY 42101 00 Yrs/99 Yrs
(270) 781-6161
korana.
Fax: (270) 781-6129
durham@barrenriverhealth.
org
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
MT 8:00 AM - 5:00 PM
kentucky.wellcare.com | 101
05/28/2015
Specialty Physicians
Warren
General Dentistry - cont. Hanes, Christopher DMD Knecht, Tim DMD
Provider ID: TPV21856-02
Craycroft, James DMD
Provider ID: TPV2863-01
Gender: Male
Provider ID:
Gender: Male
996 Wilkinson Trace Ste
TPV60633DM-01
1658 Campbell Lane
B6
Gender: Male
Bowling Green, KY 42104 Bowling Green, KY 42103
1711 Ashley Circle Ste 3
(270) 781-4906
(270) 782-1128
Bowling Green, KY 42104 Fax: (270) 781-4912
Fax: (270) 282-8910
(270) 781-4997
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 781-8557
M-TH 8:30 AM - 5:00 PM akindley@dentalpartners.
00 Yrs/99 Yrs
com
M-TH 8:00 AM - 5:00 PM Howell, Michael DMD
M-TH 8:00 AM - 5:00 PM
Provider ID:
F 8:00 AM - 12:00 PM
F 8:00 AM - 12:00 PM
TPV32772DM-02
Davis, Gina DMD
Gender: Male
Pitcock, Christopher
Provider ID: TPV3123-01
DMD
952 31 W. Bypass
Gender: Female
Bowling Green, KY 42102 Provider ID: TPV14425-01
1720 Destiny Lane
Gender: Male
(502) 533-1345
Bowling Green, KY 42104 Fax: (502) 458-7070
1355 Veterans Memorial
(270) 842-3554
Blvd Ste 100
03 Yrs/10 Yrs
Fax: (270) 781-4644
Bowling Green, KY 42101
Languages: Spanish
01 Yrs/99 Yrs
(270) 846-9994
MT 8:00 AM - 5:30 PM
info@bgdestinydental.
Fax: (270) 846-9934
Kissinger, Phillip DMD
com
00 Yrs/99 Yrs
Provider ID: TPV4904-02 wkdental1355@gmail.
MTTH 8:00 AM - 5:00
PM
Gender: Male
com
W 10:00 AM - 5:00 PM
1109 State St
M 9:00 AM - 6:00 PM
Bowling Green, KY 42101 TWTH 8:00 AM - 8:00
Dorroh, Audra DMD
(270) 781-8039
PM
Fax: (270) 796-8946
F 7:00 AM - 7:00 PM
Provider ID:
00
Yrs/99
Yrs
TPV86967DM-05
M-W 8:00 AM - 4:30 PM Shuemaker, Christopher
Gender: Female
DMD
996 Wilkinson Trace Ste TH 8:00 AM - 7:00 PM
Provider ID:
F 8:00 AM - 1:00 PM
B6
TPV23020-02
Bowling Green, KY 42103 Kissinger, Phillip DMD
Gender: Male
(270) 782-1128
546 Park St Ste 400
Fax: (321) 254-6800
Provider ID: TPV4904-04 Bowling Green, KY 42101
00 Yrs/99 Yrs
Gender: Male
(270) 781-6161
M-F 8:00 AM - 5:00 PM
996 Wilkinson Trace Ste Fax: (270) 781-6129
B6
00 Yrs/99 Yrs
Bowling Green, KY 42103 [email protected]
(270) 782-1128
M-F 8:00 AM - 5:00 PM
Fax: (270) 282-8910
05 Yrs/12 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 102
Shuemaker, Christopher
DMD
Provider ID:
TPV23020-03
Gender: Male
141 Main St
Smiths Grove, KY 42171
(270) 451-0059
00 Yrs/99 Yrs
[email protected]
M-W 8:00 AM - 5:00 PM
Walden, Brenda DMD
Provider ID: TPV4205-01
Gender: Female
725-A Kenton St
Bowling Green, KY 42101
(270) 782-0414
Fax: (270) 782-0414
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:30 PM
Walden, Gary DMD
Provider ID: TPV4042-01
Gender: Male
725-A Kenton St
Bowling Green, KY 42101
(270) 782-0414
Fax: (270) 782-0414
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:30 PM
Whiteside, William DMD
Provider ID:
TPV79790DM-01
Gender: Male
1109 State St
Bowling Green, KY 42101
(270) 781-8039
Fax: (270) 796-8946
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 4:30 PM
05/28/2015
Specialty Physicians
Warren
General Surgery
Geriatric Medicine
Hurt, Amber MD
Sheth, Nirav MD
Provider ID: 618742
Provider ID: 627025
Bush, George MD
Chhabra, Shalini MD
Gender: Female
Gender: Male
Provider ID: 618783
Graves-Gilbert Clinic
Graves-Gilbert Clinic
Provider
ID:
928735
Gender: Male
201 Park St
201 Park St
George Wayne Bush MD Bowling Green, KY 42101 Gender: Female
Bowling Green, KY 42101
Graves Gilbert Clinic
1325 Andrea St Ste 209
(270) 781-5111
(270) 781-5111
201 Park St
Bowling Green, KY 42104 00 Yrs/99 Yrs
00 Yrs/99 Yrs
Bowling
Green,
KY
42101
(270) 842-1669
The Medical Center
Twin Lakes Regional Med
(270) 780-0490
Fax: (270) 843-1911
Center
M-F 8:00 AM - 5:00 PM
Fax: (270) 783-3750
00 Yrs/99 Yrs
Languages: Spanish
Jessen, Mark MD
12 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Provider ID: 622965
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Gynecology
Gender: Male
Sheth,
Nirav
MD
Haase, Tage MD
Jessen Surgical Inc
Provider ID: 627025
Yurchisin, Mark MD
Provider ID: 618788
1326 Andrea St
Gender:
Male
Gender: Male
Bowling Green, KY 42104
Provider ID: 595957
Commonwealth Health
Graves Gilbert Clinic
(270) 782-7384
Corporation
Gender: Male
201 Park St
Fax: (270) 781-1598
1225 Fairway St Ste 100
Graves Gilbert Clinic
Bowling Green, KY 42101 00 Yrs/99 Yrs
Bowling
Green,
KY
42103
1312 Western St
(270) 781-5111
M 9:00 AM - 12:00 PM
(270)
781-3910
Bowling Green, KY 42104
00 Yrs/99 Yrs
T 9:00 AM - 4:00 PM
Fax:
(270)
842-7177
(270) 781-2111
The Medical Center
00 Yrs/99 Yrs
Fax: (270) 781-2722
M-F 8:00 AM - 5:00 PM Korba, John MD
Twin Lakes Regional Med 00 Yrs/99 Yrs
Provider ID: 604901
Haase, Tage MD
Center
The Medical Center
Gender: Male
Provider ID: 618788
Languages:
Spanish
M-F 9:00 AM - 5:00 PM
Bluegrass Surgical
Gender: Male
M-F
9:00
AM
5:00
PM
Associates
Yurchisin, Mark MD
Graves-Gilbert Clinic
996 Wilkinson Trce Ste
Sheth,
Nirav
MD
350 Park St
A5
Provider ID: 595957
Bowling Green, KY 42101 Bowling Green, KY 42103 Provider ID: 627025
Gender:
Male
Gender: Male
(270) 781-5111
(270) 782-5219
Commonwealth
Health
Graves Gilbert Clinic
Fax: (270) 782-4253
Fax: (270) 793-9385
Corporation
201 Park St
00 Yrs/99 Yrs
00 Yrs/99 Yrs
250
Park
St
Ste
6B
Bowling Green, KY 42101
The Medical Center
The Medical Center
Bowling
Green,
KY
42101
(270) 781-5111
MTWF 9:00 AM - 5:00
M-F 8:00 AM - 5:00 PM
(270)
796-6540
00 Yrs/99 Yrs
PM
Fax:
(270)
796-6576
Okeeffe, Shane MD
The Medical Center
TH 9:00 AM - 4:30 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hurt, Amber MD
Provider ID: 615581
Twin Lakes Regional Med
Provider ID: 618742
Center
Gender: Male
Gender: Female
Languages: Spanish
Commonwealth Health
Graves Gilbert Clinic
Corporation
M-F 8:00 AM - 5:00 PM
350 Park St
350 Park St Ste 210
Bowling Green, KY 42101 Bowling Green, KY 42101
(270) 781-5111
(270) 796-3330
Fax: (270) 782-4253
Fax: (270) 796-3338
00 Yrs/99 Yrs
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 4:30 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 103
05/28/2015
Specialty Physicians
Warren
Gynecology - cont.
Yurchisin, Mark MD
Provider ID: 595957
Gender: Male
Graves Gilbert Clinic
720 2nd Ave Ste 202
Bowling Green, KY 42101
(270) 843-5111
Fax: (270) 843-5056
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Infectious Disease
Lombardi, Salvatore MD
Shadowen, Rebecca MD
Provider ID: 673298
Gender: Male
The Perinatal Group
720 Second Ave Ste 305
Bowling Green, KY 42101
(931) 572-0036
Fax: (931) 572-1078
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 629613
Gender: Female
Medical Specialists of
Central Ky
1326 Andrea St
Bowling Green, KY 42104
(270) 746-0440
Fax: (270) 746-0882
00 Yrs/99 Yrs
Mayor-Lynn, Kathleen
M-F 9:00 AM - 5:00 PM MD
Provider ID: 597277
Hand Surgery
Shadowen, Rebecca MD
Gender: Female
The Perinatal Group
Morrison, Keith MD
Provider ID: 957885
720 2nd Ave Ste 305
Provider ID: 604549
Gender: Female
Bowling Green, KY 42101
Gender: Male
Commonwealth Health
(931) 572-0036
Western Kentucky
Corporation
Fax: (931) 572-1078
Orthopaedic and NE
825 2nd Ave Ste C1
00 Yrs/99 Yrs
165 Natchez Trace Ave
Bowling Green, KY 42101 Baptist Health
Ste 100
(270) 780-2760
Madisonville Rehab
Bowling Green, KY 42103 Fax: (270) 780-2761
Distin
(270) 782-7800
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 783-5228
The Medical Center
00 Yrs/99 Yrs
Medical Oncology
M-F 8:00 AM - 5:00 PM
The Medical Center
Maternal Fetal Medicine Smith, Steven MD
M-F 8:00 AM - 5:00 PM
Provider ID: 618748
Hematology & Oncology Lombardi, Salvatore MD
Gender: Male
Graves-Gilbert Clinic
Seshadri, Vidya MD
Provider ID: 630119
201 Park St
Provider ID: 618726
Gender: Male
Bowling Green, KY 42101
Gender: Female
Pediatrix Medical Group (270) 781-5111
Graves-Gilbert Clinic
of Tennesse
18 Yrs/99 Yrs
201 Park St
825 2nd Ave Ste B6
Bowling Green, KY 42101 Bowling Green, KY 42101 The Medical Center
Languages: Spanish
(270) 781-5111
(270) 843-8600
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Fax: (270) 843-8900
The Medical Center
12 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 104
Neonatal Perinatal
Medicine
Bibb, Karen MD
Provider ID: 631902
Gender: Female
Ulrf Neonatal Follow-Up
720 2nd Ave Ste 102
Bowling Green, KY 42101
(502) 852-7049
Fax: (502) 852-0135
00 Yrs/18 Yrs
Kosair Childrens Medical
Center Brownsb
M-F 8:00 AM - 5:00 PM
Fissikoudi, Aspasia MD
Provider ID: 641850
Gender: Female
Neonatal Services PSC
250 Park St
Bowling Green, KY 42101
(270) 821-1229
Fax: (270) 821-1220
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
Singh, Tamina MD
Provider ID: 631607
Gender: Female
Ulrf Neonatal Follow-Up
720 Second Ave Ste 102
Bowling Green, KY 42101
(502) 852-7049
Fax: (502) 852-0135
00 Yrs/18 Yrs
Kosair Childrens Medical
Center Brownsb
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Warren
Neonatal Perinatal
Medicine - cont.
Soriano, Alejandro MD
Provider ID: 641854
Gender: Male
Neonatal Services PSC
250 Park St
Bowling Green, KY 42101
(270) 821-1229
Fax: (270) 821-1220
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sprague, Douglas MD
Provider ID: 649727
Gender: Male
Neonatal Services PSC
250 Park St
Bowling Green, KY 42101
(270) 821-1229
Fax: (270) 821-1220
00 Yrs/21 Yrs
M-F 9:00 AM - 5:00 PM
Nephrology
Ali, Reza MD
Provider ID: 900215
Gender: Male
Kidney Specialists of
Kentucky PLLC
500 Chestnut St
Bowling Green, KY 42101
(270) 904-2050
Fax: (270) 904-4117
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Bhatti, Khalid MD
Provider ID: 608052
Gender: Male
Kidney Specialists of
Kentucky PLLC
500 Chestnut St
Bowling Green, KY 42101
(270) 904-2050
Fax: (270) 904-4117
18 Yrs/99 Yrs
Taylor County Hospital
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Regmi, Subash MD
Provider ID: 712847
Gender: Male
Kidney Specialists of
Kentucky PLLC
500 Chestnut St
Bowling Green, KY 42101
(270) 904-2050
Fax: (270) 904-4117
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Neurology
Brown, Martin MD
Provider ID: 631815
Gender: Male
Ulrf Pediatric Neurology
720 2nd Ave Ste 102
Bowling Green, KY 42101
(502) 589-8022
Fax: (502) 589-8233
00 Yrs/99 Yrs
Norton Hospital
M-F 8:00 AM - 5:00 PM
Sims, Scott MD
Provider ID: 614283
Chou, Wesley MD
Isaac, Julie MD
Gender: Male
Provider ID: 615275
Provider ID: 366892
Bowling Green Kidney
Gender: Male
Center
Gender: Female
Graves Gilbert Clinic
1834 Lyda Ave
Bowling Green Kidney
Center
Bowling Green, KY 42104 350 Park St Ste 208
Bowling Green, KY 42101
1834 Lyda Ave
(270) 843-5114
(270) 781-8420
Bowling Green, KY 42104 Fax: (270) 745-1230
Fax: (270) 781-0566
(270) 843-5114
18 Yrs/99 Yrs
16 Yrs/99 Yrs
Fax: (270) 745-1230
MTWTHFSat 6:00 AM The Medical Center
4:00
PM
18 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
MTWTHFSatSun 6:00
Sims,
Scott
MD
AM - 4:00 PM
Chou, Wesley MD
Provider ID: 614283
Isaac, Julie MD
Gender: Male
Provider ID: 615275
Provider ID: 366892
Southern Kentucky
Gender: Male
Nephrology
Assoc
Gender: Female
Graves-Gilbert Clinic
720 E 2nd Ave
Southern Kentucky
Nephrology
Bowling Green, KY 42101 201 Park St
Bowling Green, KY 42101
720 2nd Ave Ste 301
(270) 843-5114
(270) 781-5111
Bowling Green, KY 42101 Fax: (270) 745-1230
16 Yrs/99 Yrs
(270) 843-5114
18 Yrs/99 Yrs
The Medical Center
Fax: (270) 745-1230
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
18 Yrs/99 Yrs
Vasudeva, Amita MD
MT 8:00 AM - 5:00 PM
Ehret, Anna MD
WTH 8:00 AM - 4:00 PM Provider ID: 1008706
Provider ID: 631308
Gender: Female
F 8:00 AM - 3:30 PM
Gender: Female
Kidney Specialists of
Kentucky PLLC
Ulrf Pediatric Neurology
500 Chestnut St
720 2nd Ave Ste 102
Bowling Green, KY 42101 Bowling Green, KY 42101
(270) 904-2050
(502) 589-8022
Fax: (270) 904-4117
Fax: (502) 589-8233
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 105
05/28/2015
Specialty Physicians
Warren
Neurology - cont.
Igbokwe, Eme MD
Provider ID: 638947
Gender: Male
Graves Gilbert Clinic
201 Park St
Bowling Green, KY 42101
(270) 781-5111
00 Yrs/17 Yrs
M-F 8:00 AM - 5:00 PM
Zia, Amir MD
Nathoo, Narendra MD
Provider ID: 600871
Provider ID: 665687
Gender: Male
Gender: Male
Zia Neurology
Commonwealth Health
Associates LLC
Corporation Inc
996 Wilkinson Trce Ste
825 2nd Ave E Ste C3
A7
Bowling Green, KY 42101
Bowling Green, KY 42103 (270) 780-2660
(270) 393-8418
Fax: (270) 780-2692
Fax: (270) 393-8440
00 Yrs/99 Yrs
07 Yrs/99 Yrs
The Medical Center At
The Medical Center
Scottsville
Languages: Urdu
Languages: Afrikaans
M-F 8:00 AM - 4:00 PM
M-F 8:00 AM - 5:00 PM
Shafer, Christopher MD
Provider ID: 631301
Gender: Male
Ulrf Pediatric Neurology
Neurosurgery
Schwank, William MD
720 2nd Ave Ste 102
Bowling Green, KY 42101 Bernard, Clark MD
Provider ID: 604510
Provider ID: 791785
(502) 589-8022
Gender: Male
Gender: Male
Fax: (502) 589-8233
Western Kentucky
Bowling Green
00 Yrs/99 Yrs
Orthopaedic and NE
Neurosurgical
Assoc
M-F 8:00 AM - 5:00 PM
165 Natchez Trace Ave
825 2nd Ave E Ste C3
Ste 100
Sowell, Michael MD
Bowling Green, KY 42101 Bowling Green, KY 42103
Provider ID: 631741
(270) 780-2660
(270) 782-7800
Gender: Male
Fax: (270) 780-2692
Fax: (270) 783-5228
Ulrf Pediatric Neurology 00 Yrs/99 Yrs
00 Yrs/99 Yrs
720 2nd Ave Ste 102
M-F 8:00 AM - 4:30 PM
The Medical Center
Bowling Green, KY 42101
Languages: Spanish
Dixit, Sanat MD
(502) 589-8022
M-F 9:00 AM - 5:00 PM
Provider ID: 1048564
Fax: (502) 589-8233
Gender: Male
Taleghani, Christopher
00 Yrs/99 Yrs
Pinnacle Surgical
MD
M-F 8:00 AM - 5:00 PM
Partners
Provider ID: 1044124
Zhu, Jianhua MD
1048 Ashley St Ste 101
Gender: Male
Provider ID: 618600
Bowling Green, KY 42103 Pinnacle Surgical
Gender: Male
(270) 282-7116
Partners
Graves-Gilbert Clinic
Fax: (270) 781-2212
1048 Ashley St Ste 101
201 Park St
18 Yrs/99 Yrs
Bowling Green, KY 42103
Bowling Green, KY 42101 M-F 8:00 AM - 6:00 PM
(270) 282-7116
(270) 781-5111
Fax: (270) 781-2212
00 Yrs/99 Yrs
18 Yrs/99 Yrs
The Medical Center
M 8:00 AM - 12:00 PM
Tristar Greenview
T 1:00 AM - 5:00 PM
Regional Hospital
Languages: Chinese
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 106
Taleghani, Christopher
MD
Provider ID: 1044124
Gender: Male
Pinnacle Surgical
Partners
1641 Scottsville Rd
Bowling Green, KY 42104
(270) 781-1772
Fax: (270) 781-2212
18 Yrs/99 Yrs
M 8:30 AM - 4:30 PM
Taleghani, Christopher
MD
Provider ID: 611405
Gender: Male
Cumberland Brain And
Spine
1641 Scottsville Rd
Bowling Green, KY 42104
(615) 884-0001
Fax: (615) 884-0009
17 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Obstetrics/Gynecology
Brooks, Andrea MD
Provider ID: 816206
Gender: Female
Graves Gilbert Clinic
1312 Western St
Bowling Green, KY 42104
(270) 781-2111
Fax: (270) 781-2722
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Brooks, Andrea MD
Provider ID: 816206
Gender: Female
Graves Gilbert Clinic
201 Park St
Bowling Green, KY 42101
(270) 781-5111
Fax: (270) 783-3750
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Warren
Obstetrics/Gynecology - Hewitt, Keith MD
Lyons, Karen MD
cont.
Provider ID: 595950
Provider ID: 897355
Gender: Male
Gender: Female
Dobson, Carl MD
Hewitt Davis Fee and
Commonwealth Health
Provider ID: 595945
Lyons
Corporation
Gender: Male
1805 Scottsville Rd
350 Park St Ste 203
Graves Gilbert Clinic
Bowling Green, KY 42104 Bowling Green, KY 42101
1312 Westen St
(270) 781-3415
(270) 781-0075
Bowling Green, KY 42104 Fax: (270) 781-2091
Fax: (270) 781-0143
(270) 781-2111
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 781-2722
The Medical Center
M-F 8:00 AM - 5:00 PM
10 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Lyons, Karen MD
The Medical Center
Kasica,
Deborah
MD
Provider ID: 908939
M-F 8:00 AM - 5:00 PM
Provider ID: 617064
Gender: Female
Dobson, Carl MD
Gender: Female
Fairview Community
Provider ID: 595945
Health Clinic
Fairview Community
Gender: Male
Health Center
825 4th Ave
Graves Gilbert Clinic
825 4th Ave
Bowling Green, KY 42101
201 Park St
Bowling Green, KY 42101 (270) 783-3573
Bowling Green, KY 42101 (270) 783-3573
00 Yrs/99 Yrs
(270) 781-5111
Fax: (270) 783-4081
M-F 8:00 AM - 5:00 PM
Fax: (270) 783-3750
12 Yrs/99 Yrs
10 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Mangold, Sara MD
Provider ID: 599861
The Medical Center
Gender: Female
M-F 8:00 AM - 5:00 PM Kasica, Deborah MD
Graves-Gilbert Clinic
Drexel, Todd DO
Provider ID: 619468
201 Park St
Provider ID: 599678
Gender: Female
Bowling Green, KY 42101
Gender: Male
Commonwealth Health
(270) 781-5111
Graves-Gilbert Clinic
Corporation
00 Yrs/99 Yrs
201 Park St
350 Park St Ste 203
M-F 8:00 AM - 5:00 PM
Bowling Green, KY 42101 Bowling Green, KY 42101
Nemec, Jeffery MD
(270) 781-5111
(270) 781-0075
Provider ID: 617000
00 Yrs/99 Yrs
Fax: (270) 781-0143
Gender: Male
The Medical Center
00 Yrs/99 Yrs
Fairview Community
M-F 8:00 AM - 5:00 PM
The Medical Center
Health Center
MTTH 8:00 AM - 5:00
Gass, Joseph MD
825 4th Ave
PM
Provider ID: 600047
Bowling Green, KY 42101
W 9:00 AM - 5:00 PM
Gender: Male
(270) 783-3573
F 8:00 AM - 12:00 PM
Graves-Gilbert Clinic
Fax: (270) 783-4081
201 Park St
12 Yrs/99 Yrs
Bowling Green, KY 42101
M-F 8:00 AM - 5:00 PM
(270) 781-5111
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 107
Nemec, Jeffery MD
Provider ID: 619489
Gender: Male
Womens Health
Specialists
350 Park St Ste 203
Bowling Green, KY 42101
(270) 781-0075
Fax: (270) 781-0143
14 Yrs/99 Yrs
The Medical Center
MWTH 8:00 AM - 5:00
PM
T 9:00 AM - 5:00 PM
F 8:00 AM - 1:00 PM
Sandhu, Manmeet MD
Provider ID: 718107
Gender: Female
Womens Health
Specialists
350 Park St Ste 203
Bowling Green, KY 42101
(270) 781-0075
Fax: (270) 781-0143
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
South, Christy MD
Provider ID: 595696
Gender: Female
Graves-Gilbert Clinic
201 Park St
Bowling Green, KY 42101
(270) 781-5111
10 Yrs/99 Yrs
Tj Samson Community
Hospital
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Warren
Obstetrics/Gynecology - Trevor, Devin MD
cont.
Provider ID: 619439
Stice, Nathan MD
Gender: Male
Provider ID: 599996
Womens Health
Gender: Male
Specialists
Graves Gilbert Clinic
350 Park St Ste 203
1312 Western St
Bowling Green, KY 42101
Bowling Green, KY 42104 (270) 781-0075
(270) 781-2111
Fax: (270) 781-0143
Fax: (270) 781-2722
00 Yrs/99 Yrs
00 Yrs/99 Yrs
The Medical Center
The Medical Center
M-TH 9:00 AM - 4:00 PM
M-F 8:00 AM - 5:00 PM
F 9:00 AM - 1:00 PM
Stice, Nathan MD
Ophthalmology
Provider ID: 599996
Brockman, Edward MD
Gender: Male
Graves-Gilbert Clinic
Provider ID: TPV7100-03
201 Park St
Bowling Green, KY 42101 Gender: Male
335 New Towne Rd
(270) 781-5111
Bowling Green, KY 42103
00 Yrs/99 Yrs
(812) 948-0616
The Medical Center
Fax: (812) 949-3447
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Sutton, Jarrett MD
M 8:00 AM - 12:00 PM
Provider ID: 712848
Downing, John MD
Gender: Male
Provider ID: TPV4763-02
Hewitt Davis Fee Lyons
Gender: Male
1805 Scottsville Rd
Bowling Green, KY 42104 1724 Rockingham Ave Ste
204
(270) 781-3415
Bowling Green, KY 42104
Fax: (270) 781-2091
(270) 799-2259
00 Yrs/99 Yrs
Fax: (877) 992-8072
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Trevor, Devin MD
M-W 8:00 AM - 1:00 PM
Provider ID: 617008
Grinde, Stephen MD
Gender: Male
Provider ID: TPV4551-01
Fairview Community
Gender: Male
Health Center
730 Fairview Ave Ste B3
825 4th Ave
Bowling Green, KY 42101 Bowling Green, KY 42101
(270) 843-6969
(270) 783-3573
Fax: (615) 860-1542
Fax: (270) 783-4081
00 Yrs/99 Yrs
12 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Haider, Mohammad DO
Reichstein, David MD
Provider ID: TPV23535-01
Provider ID: TPV2871-04
Gender: Male
Gender: Male
1332 Andrea St
1724 Rockingham Ave Ste Bowling Green, KY 42104
204
(615) 983-6000
Bowling Green, KY 42104 Fax: (615) 983-6010
(270) 799-2259
00 Yrs/99 Yrs
Fax: (877) 992-8072
[email protected]
00 Yrs/99 Yrs
M-F 8:00 AM - 5:30 PM
M-W 8:00 AM - 1:00 PM
Schneider, Eric MD
Melson, Mark MD
Provider ID: TPV23538-01
Provider ID: TPV22135-01 Gender: Male
Gender: Male
1332 Andrea St
1403 Andrea Circle
Bowling Green, KY 42104
Bowling Green, KY 42104 (615) 983-6000
(270) 781-4909
Fax: (615) 983-6010
Fax: (270) 843-9678
00 Yrs/99 Yrs
00 Yrs/99 Yrs
[email protected]
[email protected] M-F 8:00 AM - 5:30 PM
M-F 8:00 AM - 5:00 PM
Solomon, Marcus MD
Moffat, Kenneth MD
Provider ID: TPV4552-01
Provider ID: TPV4262-01
Gender: Male
Gender: Male
730 Fairview Ave Ste B3
1225 Ashley Circle
Bowling Green, KY 42101
Bowling Green, KY 42104 (270) 843-6969
(615) 983-6000
Fax: (615) 860-1542
Fax: (615) 983-6010
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Wentworth, Jennifer MD
Porter, Aaron MD
Provider ID: TPV4322-02
Provider ID: TPV8734-02
Gender: Male
Gender: Female
1403 Andrea Circle
825 2nd Ave
Bowling Green, KY 42104 Bowling Green, KY 42101
(270) 781-4909
(270) 780-2494
Fax: (270) 651-2183
Fax: (270) 783-3750
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
[email protected]
M 8:00 AM - 6:30 PM
TWTHF 8:00 AM - 5:00
PM
kentucky.wellcare.com | 108
05/28/2015
Specialty Physicians
Warren
Ophthalmology - cont.
Wilkins, Edmund MD
Provider ID: TPV3317-01
Gender: Male
1724 Rockingham Ave Ste
201
Bowling Green, KY 42104
(270) 745-0040
Fax: (270) 745-0041
00 Yrs/99 Yrs
M-W 8:00 AM - 4:00 PM
THF 8:00 AM - 2:30 PM
Witcher, Spencer MD
Provider ID: TPV5175-02
Gender: Male
1403 Andrea Circle
Bowling Green, KY 42104
(270) 781-4909
Fax: (270) 651-2183
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Optician
McCandless, Donneta
Ldo
Provider ID: TPV3406-02
Gender: Female
1403 Andrea Circle
Bowling Green, KY 42104
(270) 781-4909
Fax: (270) 651-2183
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
Optometry
Beauchamp, Johnathan
Brumit, Michael OD
OD
Provider ID:
Adkins, Tiffany OD
Provider ID: TPV23732-04 TPV950000269-07
Provider ID: TPV14993-07 Gender: Male
Gender: Male
Gender: Female
2608 Scottville Rd
2608 Scottville Rd
2608 Scottville Rd
Bowling Green, KY 42104 Bowling Green, KY 42104
Bowling Green, KY 42104 (270) 782-2025
(270) 782-2025
(270) 782-2025
Fax: (270) 796-2075
Fax: (270) 796-2075
Fax: (270) 796-2075
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sat 9:00 AM - 5:30 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
Buckner, James OD
Sun 1:00 AM - 5:00 PM
Bharadia, Mohamed OD
Provider ID: TPV4689-07
Ahmad, Bilal OD
Gender: Male
Provider ID: TPV23729-04 Provider ID:
2608 Scottville Rd
Gender: Male
TPV103757-07
Bowling Green, KY 42104
2608 Scottville Rd
Gender: Male
(270) 782-2025
Bowling Green, KY 42104 2608 Scottville Rd
Fax: (270) 796-2075
(270) 782-2025
Bowling Green, KY 42104 00 Yrs/99 Yrs
Fax: (270) 796-2075
(270) 782-2025
M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Sat 9:00 AM - 5:30 PM
M-F 9:00 AM - 8:00 PM
M-F 8:00 AM - 5:00 PM
Sun 1:00 AM - 5:00 PM
Sat 9:00 AM - 5:30 PM
Bowling, Aja OD
Burt, Kevin OD
Sun 1:00 AM - 5:00 PM
Provider ID: TPV3371-07
Provider ID: TPV4845-07
Avery, Dwight OD
Gender: Female
Gender: Male
Provider ID: TPV3972-01
2608 Scottville Rd
2608 Scottville Rd
Gender: Male
Bowling Green, KY 42104 Bowling Green, KY 42104
738 Chestnut St
(270) 782-2025
(270) 782-2025
Bowling Green, KY 42101 Fax: (270) 796-2075
Fax: (270) 796-2075
(270) 781-6366
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 782-3320
M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
Sat 9:00 AM - 5:30 PM
Sat 9:00 AM - 5:30 PM
M 9:00 AM - 3:00 PM
Sun 1:00 AM - 5:00 PM
Sun 1:00 AM - 5:00 PM
Avery, Ozzie OD
Breiwa, John OD
Busey, Lannie OD
Provider ID: TPV5019-01
Provider ID: TPV4758-01
Provider ID: TPV4869-07
Gender: Male
Gender: Male
Gender: Male
738 Chestnut St
335 New Towne Rd
2608 Scottville Rd
Bowling Green, KY 42101 Bowling Green, KY 42103 Bowling Green, KY 42104
(270) 781-6366
(270) 842-0383
(270) 782-2025
Fax: (270) 782-3320
Fax: (270) 842-0485
Fax: (270) 796-2075
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
MTHF 8:00 AM - 6:00
M-F 9:00 AM - 8:00 PM
Sat 8:00 AM - 12:00 PM
PM
Sat 9:00 AM - 5:30 PM
T 7:00 AM - 6:00 PM
Sun 1:00 AM - 5:00 PM
W 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
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Specialty Physicians
Warren
Optometry - cont.
Cora, Eduardo OD
Edling, Marie OD
Provider ID: TPV4582-08 Provider ID: TPV3376-07
Case, Michael OD
Gender: Male
Gender: Female
Provider ID: TPV23297-03 2608 Scottville Rd
2608 Scottville Rd
Gender: Male
Bowling Green, KY 42104 Bowling Green, KY 42104
2608 Scottville Rd
(270) 782-2025
(270) 782-2025
Bowling Green, KY 42104 Fax: (270) 796-2075
Fax: (270) 796-2075
(270) 782-2025
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 796-2075
M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
Sat 9:00 AM - 5:30 PM
Sat 9:00 AM - 5:30 PM
M-F 9:00 AM - 8:00 PM
Sun 1:00 AM - 5:00 PM
Sun 1:00 AM - 5:00 PM
Sat 9:00 AM - 5:30 PM
Crockett, Jason OD
Eger, Michael OD
Sun 1:00 AM - 5:00 PM
Provider ID: TPV4717-08
Provider ID: TPV4975-07
Chatham, Kaley OD
Gender: Male
Gender: Male
Provider ID: TPV5915-07
2608 Scottville Rd
2608 Scottville Rd
Gender: Female
Bowling Green, KY 42104 Bowling Green, KY 42104
2608 Scottville Rd
(270) 782-2025
(270) 782-2025
Bowling Green, KY 42104 Fax: (270) 796-2075
Fax: (270) 796-2075
(270) 782-2025
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 796-2075
M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
Sat 9:00 AM - 5:30 PM
Sat 9:00 AM - 5:30 PM
M-F 9:00 AM - 8:00 PM
Sun 1:00 AM - 5:00 PM
Sun 1:00 AM - 5:00 PM
Sat 9:00 AM - 5:30 PM
Daniel, Joshua OD
Ficarra, Anthony OD
Sun 1:00 AM - 5:00 PM
Provider ID: TPV14996-01 Provider ID: TPV13354-07
Coats, Adam OD
Gender: Male
Gender: Male
Provider ID: TPV3567-02 2608 Scottville Rd
2608 Scottville Rd
Gender: Male
Bowling Green, KY 42104 Bowling Green, KY 42104
760 Campbell Lane Ste
(270) 782-2025
(270) 782-2025
120
Fax: (270) 796-2075
Fax: (270) 796-2075
Bowling Green, KY 42104 00 Yrs/99 Yrs
00 Yrs/99 Yrs
(270) 781-3937
M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 8:00 PM
Fax: (270) 783-3435
Sat 9:00 AM - 5:30 PM
Sat 9:00 AM - 5:30 PM
00 Yrs/99 Yrs
Sun 1:00 AM - 5:00 PM
Sun 1:00 AM - 5:00 PM
M-F 8:30 AM - 5:30 PM
Sat 8:30 AM - 1:30 PM
Duvall, Robert OD
Fleshman, Todd OD
Provider ID: TPV5103-01
Provider ID: TPV3382-07
Coleman, Justin OD
Gender: Male
Gender: Male
Provider ID: TPV18437-13 760 Campbell Lane Ste
2608 Scottville Rd
Gender: Male
120
Bowling Green, KY 42104
2608 Scottville Rd
Bowling Green, KY 42104 (270) 782-2025
Bowling Green, KY 42104 (270) 781-3937
Fax: (270) 796-2075
(270) 782-2025
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 796-2075
MW 8:30 AM - 5:30 PM
M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
TTH 8:30 AM - 6:30 PM
Sat 9:00 AM - 5:30 PM
M-F 9:00 AM - 8:00 PM
F 8:30 AM - 4:30 PM
Sun 1:00 AM - 5:00 PM
Sat 9:00 AM - 5:30 PM
Sat 8:00 AM - 1:30 PM
Sun 1:00 AM - 5:00 PM
kentucky.wellcare.com | 110
Gainous, Brian OD
Provider ID: TPV3378-01
Gender: Male
2608 Scottville Rd
Bowling Green, KY 42104
(270) 782-2025
Fax: (270) 796-2075
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
Gaskin, Whitney OD
Provider ID:
TPV1962607267WL
Gender: Female
3200 Ken Bale Blvd
Bowling Green, KY 42103
(270) 781-7768
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gersh, Richard OD
Provider ID: TPV3379-07
Gender: Male
2608 Scottville Rd
Bowling Green, KY 42104
(270) 782-2025
Fax: (270) 796-2075
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
Glenn, Jason OD
Provider ID: TPV4719-07
Gender: Male
2608 Scottville Rd
Bowling Green, KY 42104
(270) 782-2025
Fax: (270) 796-2075
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Warren
Optometry - cont.
Jackson, Kevin OD
Provider ID: 756613
Green, Rebecca OD
Gender: Male
Provider ID: TPV18575-07 Graves Gilbert Clinic
Gender: Female
825 2nd Ave
2608 Scottville Rd
Bowling Green, KY 42101
Bowling Green, KY 42104 (270) 781-5111
(270) 782-2025
Fax: (270) 780-0498
Fax: (270) 796-2075
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 8:00 PM
Jackson, Kevin OD
Sat 9:00 AM - 5:30 PM
Provider ID: TPV3497-02
Sun 1:00 AM - 5:00 PM
Gender: Male
Heltsley, Russell OD
2608 Scottville Rd
Provider ID: TPV3749-01
Bowling Green, KY 42104
Gender: Male
(270) 782-2025
2425 Scottsville Rd Ste
Fax: (270) 796-2075
114
00 Yrs/99 Yrs
Bowling Green, KY 42104 M-F 9:00 AM - 8:00 PM
(270) 846-2500
Sat 9:00 AM - 5:30 PM
00 Yrs/99 Yrs
Sun 1:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Jackson, Kevin OD
Henderson, Richard OD
Provider ID: TPV3497-04
Gender: Male
Provider ID: TPV3387-07 201 Park St
Gender: Male
Bowling Green, KY 42101
2608 Scottville Rd
(270) 781-5111
Bowling Green, KY 42104 Fax: (270) 783-3750
(270) 782-2025
00 Yrs/99 Yrs
Fax: (270) 796-2075
[email protected]
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 8:00 PM
M-F 8:00 AM - 5:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
Jeskie, John OD
Provider ID: TPV4771-01
Jackson, Kevin OD
Gender: Male
Provider ID: 756613
335 New Towne Rd
Gender: Male
Bowling Green, KY 42103
Graves Gilbert Clinic
(270) 842-0383
201 Park St
Fax: (270) 842-0485
Bowling Green, KY 42101 00 Yrs/99 Yrs
(270) 781-5111
MTHF 8:00 AM - 6:00
00 Yrs/99 Yrs
PM
M-F 8:00 AM - 5:00 PM
T 7:00 AM - 6:00 PM
W 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
Johnson, Douglas OD
Love, Marcus OD
Provider ID: TPV3408-07 Provider ID: TPV3422-07
Gender: Male
Gender: Male
2608 Scottville Rd
2608 Scottville Rd
Bowling Green, KY 42104 Bowling Green, KY 42104
(270) 782-2025
(270) 782-2025
Fax: (270) 796-2075
Fax: (270) 782-2025
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
Sun 1:00 AM - 5:00 PM
Jones, John OD
Love, Tammy OD
Provider ID: TPV5690-07 Provider ID: TPV5225-01
Gender: Male
Gender: Female
2608 Scottville Rd
1256 Campbell Lane Ste
Bowling Green, KY 42104 106
Bowling Green, KY 42104
(270) 782-2025
(270) 796-6021
Fax: (270) 796-2075
Fax: (270) 781-5763
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
M-TH 9:00 AM - 6:00 PM
Sat 9:00 AM - 5:30 PM
F 9:00 AM - 5:00 PM
Sun 1:00 AM - 5:00 PM
Sat 9:00 AM - 1:00 PM
Klutts, Fred OD
Provider ID: TPV3420-07 Luckett, James OD
Provider ID: TPV3427-07
Gender: Male
Gender: Male
2608 Scottville Rd
Bowling Green, KY 42104 2608 Scottville Rd
Bowling Green, KY 42104
(270) 782-2025
(270) 782-2025
Fax: (270) 796-2075
Fax: (270) 796-2075
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
Sun 1:00 AM - 5:00 PM
Lawrence, Stephen OD
Lynn, Mark OD
Provider ID: TPV5184-08
Provider ID: TPV3431-07
Gender: Male
Gender: Male
2608 Scottville Rd
2608 Scottville Rd
Bowling Green, KY 42104 Bowling Green, KY 42104
(270) 782-2025
(270) 782-2025
Fax: (270) 796-2075
Fax: (270) 796-2075
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
Sun 1:00 AM - 5:00 PM
kentucky.wellcare.com | 111
05/28/2015
Specialty Physicians
Warren
Optometry - cont.
Meyer, Victor OD
Provider ID: TPV3434-07
Gender: Male
2608 Scottville Rd
Bowling Green, KY 42104
(270) 782-2025
Fax: (270) 796-2075
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
Montalvo, Noemi OD
Provider ID: TPV3455-07
Gender: Female
2608 Scottville Rd
Bowling Green, KY 42104
(270) 782-2025
Fax: (270) 796-2075
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
Nagatoshi, Raymond OD
Provider ID: TPV3456-07
Gender: Male
2608 Scottville Rd
Bowling Green, KY 42104
(270) 782-2025
Fax: (270) 796-2075
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
Nolan-Rose, Laura OD
Price, Martin OD
Roberts, Keith OD
Provider ID: TPV3461-12
Provider ID: TPV4829-16
Provider ID: TPV13482-07 Gender: Male
Gender: Male
Gender: Female
2608 Scottville Rd
2608 Scottville Rd
2608 Scottville Rd
Bowling Green, KY 42104 Bowling Green, KY 42104
Bowling Green, KY 42104 (502) 449-2080
(270) 782-2025
(270) 782-2025
Fax: (502) 449-1636
Fax: (270) 796-2075
Fax: (270) 796-2075
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Robertson, Paul OD
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
Provider ID: TPV5034-01
Sun 1:00 AM - 5:00 PM
Price, William OD
Gender: Male
Oliver, Heather OD
Provider ID: TPV5303-02 2608 Scottville Rd
Provider ID: TPV18436-16 Gender: Male
Bowling Green, KY 42104
Gender: Female
1403 Andrea Circle
(270) 782-2025
2608 Scottville Rd
Bowling Green, KY 42104 Fax: (270) 796-2075
Bowling Green, KY 42104 (270) 781-4909
00 Yrs/99 Yrs
(270) 782-2025
Fax: (270) 651-2183
M-F 9:00 AM - 8:00 PM
Fax: (270) 796-2075
00 Yrs/99 Yrs
Sat 9:00 AM - 5:30 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sun 1:00 AM - 5:00 PM
M-F 9:00 AM - 8:00 PM
Pulliam, Mark OD
Rogers, Brian OD
Sat 9:00 AM - 5:30 PM
Provider
ID:
TPV3462-16
Provider ID:
Sun 1:00 AM - 5:00 PM
TPV24982-04
Gender: Male
Omar, Rashid OD
Gender: Male
2608 Scottville Rd
Provider ID: TPV3459-17
Bowling Green, KY 42104 2608 Scottville Rd
Gender: Male
Bowling Green, KY 42104
(270) 782-2025
2608 Scottville Rd
(270) 782-2025
Fax: (270) 796-2075
Bowling Green, KY 42104 00 Yrs/99 Yrs
Fax: (270) 796-2075
(270) 782-2025
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Fax: (270) 796-2075
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
00 Yrs/99 Yrs
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
M-F 9:00 AM - 8:00 PM
Sun 1:00 AM - 5:00 PM
Raley, James OD
Sat 9:00 AM - 5:30 PM
Provider ID: TPV1956-01 Rooney, George OD
Sun 1:00 AM - 5:00 PM
Provider ID: TPV4634-02
Gender: Male
Partain, Jeffrey OD
Gender: Male
150 Walton Ave
Provider ID: TPV4733-16
Bowling Green, KY 42104 1403 Andrea Circle
Gender: Male
Bowling Green, KY 42104
(270) 781-7903
2608 Scottville Rd
(270) 781-4909
00 Yrs/99 Yrs
Bowling Green, KY 42104 MT 8:30 AM - 6:30 PM
Fax: (270) 651-2183
(270) 782-2025
00 Yrs/99 Yrs
W 8:30 AM - 3:00 PM
Fax: (270) 796-2075
M-F 8:00 AM - 5:00 PM
THF 8:30 AM - 5:30 PM
00 Yrs/99 Yrs
Sat 8:30 AM - 3:30 PM
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
kentucky.wellcare.com | 112
05/28/2015
Specialty Physicians
Warren
Optometry - cont.
Souleyrette, Dale OD
Tabassi, Bita OD
Tucker, Joseph OD
Provider ID: TPV3467-05 Provider ID: TPV4405-16
Provider ID: TPV4754-01
Rubesh, Grant OD
Gender: Male
Gender: Female
Gender: Male
Provider ID: TPV3465-07 2608 Scottville Rd
2608 Scottville Rd
335 New Towne Rd
Gender: Male
Bowling Green, KY 42104 Bowling Green, KY 42104 Bowling Green, KY 42103
2608 Scottville Rd
(270) 782-2025
(270) 782-2025
(270) 842-0383
Bowling Green, KY 42104 00 Yrs/99 Yrs
Fax: (270) 796-2075
Fax: (270) 842-0485
(270) 782-2025
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Spear, Steven OD
Fax: (270) 796-2075
M-F 9:00 AM - 8:00 PM
MTHF 8:00 AM - 6:00
Provider ID: TPV5206-14
00 Yrs/99 Yrs
PM
Sat 9:00 AM - 5:30 PM
Gender: Male
M-F 9:00 AM - 8:00 PM
T 7:00 AM - 6:00 PM
Sun 1:00 AM - 5:00 PM
2608 Scottville Rd
Sat 9:00 AM - 5:30 PM
W 8:00 AM - 5:00 PM
Bowling Green, KY 42104 Tade, Darrell OD
Sun 1:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
(270) 782-2025
Provider ID: TPV4513-01
Salee, Sarah OD
Warden, Trina OD
Fax: (270) 796-2075
Gender: Male
Provider ID: TPV5151-07
Provider ID: TPV5274-01
00 Yrs/99 Yrs
760 Campbell Lane Ste
Gender: Female
120
Gender: Female
M-F 9:00 AM - 8:00 PM
2608 Scottville Rd
Bowling
Green,
KY
42104
1256 Campbell Lane Ste
Sat 9:00 AM - 5:30 PM
Bowling Green, KY 42104 Sun 1:00 AM - 5:00 PM
106
(270) 781-3937
(270) 782-2025
Bowling Green, KY 42104
Fax: (270) 781-0005
Stanis, Carl OD
Fax: (270) 796-2075
(270) 796-6021
00 Yrs/99 Yrs
Provider ID: TPV3468-20 MWF 8:00 AM - 6:00 PM Fax: (270) 781-5763
00 Yrs/99 Yrs
Gender: Male
M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
TTH 8:00 AM - 7:00 PM
2608 Scottville Rd
Sat 9:00 AM - 5:30 PM
M-TH 9:00 AM - 6:00 PM
Sat 9:00 AM - 4:00 PM
Bowling Green, KY 42104
Sun 1:00 AM - 5:00 PM
F 9:00 AM - 5:00 PM
Taylor, Terri OD
(270) 782-2025
Sat 9:00 AM - 1:00 PM
Smith, Stephen OD
Provider ID: TPV6241-07
Fax: (270) 796-2075
Provider ID: TPV5187-17
Ware, Lowell OD
Gender: Female
00 Yrs/99 Yrs
Gender: Male
Provider ID: TPV4914-01
2608 Scottville Rd
M-F 9:00 AM - 8:00 PM
2608 Scottville Rd
Bowling Green, KY 42104 Gender: Male
Sat 9:00 AM - 5:30 PM
Bowling Green, KY 42104 Sun 1:00 AM - 5:00 PM
952 Fairview Ave
(270) 782-2025
(270) 782-2025
Bowling Green, KY 42101
Fax: (270) 796-2075
Sydnor, Carl OD
Fax: (270) 796-2075
(270) 781-2220
00 Yrs/99 Yrs
Provider ID: TPV4434-20 M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
Fax: (270) 781-2155
Gender: Male
M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs
Sat 9:00 AM - 5:30 PM
2608 Scottville Rd
Sat 9:00 AM - 5:30 PM
M-F 8:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
Bowling Green, KY 42104
Sun 1:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
(270) 782-2025
Snead, Kevin OD
Fax: (270) 796-2075
Provider ID: TPV4850-13
00 Yrs/99 Yrs
Gender: Male
M-F 8:00 AM - 5:00 PM
2608 Scottville Rd
Bowling Green, KY 42104
(270) 782-2025
Fax: (270) 796-2075
00 Yrs/99 Yrs
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 5:30 PM
Sun 1:00 AM - 5:00 PM
kentucky.wellcare.com | 113
05/28/2015
Specialty Physicians
Warren
Optometry - cont.
Allen, Mark DMD
Cohron, Jerry DMD
Greer, Brandon DMD
Provider ID: TPV4055-01
Provider ID: TPV2964-02 Provider ID: TPV8200-02
Wilkins, Justin OD
Gender: Male
Gender: Male
Gender: Male
Provider ID: TPV3606-02 1716 Ashley Circle
1938 Lyda Ave
1938 Lyda Ave
Gender: Male
Bowling Green, KY 42104 Bowling Green, KY 42104 Bowling Green, KY 42104
2625 Scottsville Rd Ste
(270) 842-0166
(270) 783-0064
(270) 783-0064
324
Fax: (270) 781-1055
Fax: (270) 901-1997
Fax: (270) 901-1997
Bowling Green, KY 42104 00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(270) 846-0134
M-TH 8:00 AM - 5:00 PM valvey.omshg@gmail.
M-TH 8:00 AM - 5:00 PM
Fax: (270) 781-1505
com
F 8:00 AM - 4:30 PM
F 7:00 AM - 2:00 PM
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
justin.c.wilkins.od@gmail. Clark, Jeffrey DDS
Nuckols, Charles DMD
F 8:00 AM - 2:00 PM
com
Provider ID: 602450
MTWTHFSat 10:00 AM - Gender: Male
Gaskill, Julie DDS
Provider ID: 608102
7:00 PM
Gender: Male
Thomas Mark Thompson Provider ID: 608101
DMD
Gender: Female
627 Eastwood Ave
Wolf, Nicholas OD
1938 Lyda Ave
Julie Gaskill DDS
Bowling Green, KY 42103
Provider ID: TPV13175-15
Bowling Green, KY 42104 546 Park St Ste 500
(270) 843-4341
Gender: Male
(270) 783-0064
Bowling Green, KY 42101 Fax: (270) 746-9551
2608 Scottville Rd
Fax: (270) 901-1997
(270) 843-6891
00 Yrs/99 Yrs
Bowling Green, KY 42104 00 Yrs/99 Yrs
Fax: (270) 843-4469
The Medical Center
(270) 782-2025
The Medical Center
00 Yrs/99 Yrs
M-TH 8:30 AM - 4:30 PM
00 Yrs/99 Yrs
MT 8:00 AM - 4:00 PM
The Medical Center
F 8:30 AM - 4:00 PM
M-F 9:00 AM - 8:00 PM
MT 8:00 AM - 3:00 PM
Sat 9:00 AM - 5:30 PM
Clark, Jeffrey DDS
Nuckols, Charles DMD
W 8:00 AM - 12:00 PM
Sun 1:00 AM - 5:00 PM
Provider ID:
TH 7:30 AM - 3:00 PM
TPV1649261850DM
Provider ID: TPV3106-01
F 7:30 AM - 3:30 PM
Oral & Maxillofacial
Gender:
Male
Gender: Male
Surgery
1938 Lyda Ave
627 Eastwood Ave
Gaskill, Julie DDS
Bowling
Green,
KY
42104
Bowling Green, KY 42103
Provider
ID:
TPV3178-01
Allen, Mark DMD
(270)
783-0064
(270) 843-4341
Gender:
Female
Provider ID: 618749
Fax:
(270)
783-4229
Fax: (270) 746-9551
546 Park St Ste 500
Gender: Male
00 Yrs/99 Yrs
Bowling Green, KY 42101 03 Yrs/99 Yrs
Mark Allen DMD
M-TH
8:00
AM
5:00
PM
[email protected]
(270) 843-6891
1716 Ashley Cir
F
7:00
AM
2:00
PM
M-TH 8:15 AM - 3:30 PM
Fax:
(270)
843-4469
Bowling Green, KY 42104
F 8:15 AM - 1:00 PM
00 Yrs/99 Yrs
(270) 842-0166
Cohron, Jerry DMD
MTTHF 8:00 AM - 3:00
Fax: (270) 781-1055
Provider ID: TPV2964-01
PM
00 Yrs/99 Yrs
Gender: Male
W 8:00 AM - 12:00 PM
The Medical Center
948 Elm St
M-F 9:00 AM - 5:00 PM
Bowling Green, KY 42101
(270) 745-0698
Fax: (270) 745-0067
00 Yrs/99 Yrs
MTTHF 7:30 AM - 4:30
PM
W 7:30 AM - 12:00 PM
kentucky.wellcare.com | 114
05/28/2015
Specialty Physicians
Warren
Oral & Maxillofacial
Surgery - cont.
Sutton, James DMD
Provider ID: 603748
Gender: Male
Thomas Mark Thompson
DMD
1938 Lyda Ave
Bowling Green, KY 42104
(270) 783-0064
Fax: (270) 901-1997
00 Yrs/99 Yrs
The Medical Center
M-TH 8:00 AM - 5:00 PM
F 7:00 AM - 2:00 PM
Sutton, James DMD
Provider ID:
TPV65405DM-02
Gender: Male
1938 Lyda Ave
Bowling Green, KY 42104
(270) 783-0064
Fax: (270) 783-4229
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
F 7:00 AM - 2:00 PM
Sutton, James DMD
Provider ID:
TPV65405DM-04
Gender: Male
250 Park St
Bowling Green, KY 42101
(270) 745-1000
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Thompson, Thomas DMD Buchanan, Mark MD
Hansbrough, Eugene MD
Provider ID: 727602
Provider ID: 615317
Provider ID: 618685
Gender: Male
Gender: Male
Gender: Male
Thomas Mark Thompson Graves-Gilbert Clinic
Graves-Gilbert Clinic
DMD
201 Park St
201 Park St
1938 Lyda Ave
Bowling Green, KY 42101 Bowling Green, KY 42101
Bowling Green, KY 42104 (270) 781-5111
(270) 781-5111
(270) 783-0064
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 901-1997
The Medical Center
MTWTHFSatSun 8:00
00 Yrs/99 Yrs
AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
The Medical Center
Malmquist, Gregg MD
M-F 9:00 AM - 5:00 PM Burch, John MD
Provider ID: 604543
Provider ID: 601604
Thompson, Thomas DMD Gender: Male
Gender: Male
Western Kentucky
Provider ID:
Western Kentucky
Orthopaedic and NE
TPV42061DM-02
Orthopaedic and NE
165 Natchez Trace Ste
Gender: Male
165 Natchez Trace Ave
100
1938 Lyda Ave
Bowling Green, KY 42103 Ste 100
Bowling Green, KY 42103
Bowling Green, KY 42104 (270) 782-7800
(270) 782-7800
(270) 783-0064
Fax: (270) 782-3276
Fax: (270) 783-5228
Fax: (270) 783-4229
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
The Medical Center
The Medical Center
M-TH 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM
Tristar Greenview
F 7:00 AM - 2:00 PM
Fee, Kirk MD
Regional Hospital
Orthopaedic Surgery
Provider ID: 604544
M-F 8:00 AM - 5:00 PM
Gender: Male
Beard, Craig MD
Moore, Andrew MD
Western Kentucky
Provider ID: 604541
Orthopaedic and NE
Gender: Male
Provider ID: 604329
165 Natchez Trace Ave
Western Kentucky
Gender: Male
Ste 100
Orthopaedic and NE
Bowling Green, KY 42103 Western Kentucky
165 Natchez Trace Ave
Orthopaedic and NE
(270) 782-7800
Ste 100
165 Natchez Trace Ave
Fax: (270) 782-3276
Bowling Green, KY 42103 00 Yrs/99 Yrs
Ste 100
(270) 782-7800
Bowling Green, KY 42103
The Medical Center
Fax: (270) 782-3276
(270) 782-7800
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Fax: (270) 783-5228
The Medical Center
00 Yrs/99 Yrs
Languages: Spanish
The Medical Center
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 115
05/28/2015
Specialty Physicians
Warren
Orthopaedic Surgery cont.
Pain Management
De Los Reyes, Eduardo
MD
De Los Reyes, Eduardo
Provider ID: 600289
Patton, Christopher MD MD
Gender: Male
Provider ID: 600289
Anesthesia Pain
Provider ID: 601762
Gender: Male
Specialists
Gender: Male
Anesthesia Pain
720 2nd Ave Ste 202
Western Kentucky
Specialists
Bowling Green, KY 42101
Orthopaedic and NE
165 Natchez Trace Ave
(270) 393-1912
165 Natchez Trace Ave
Ste 205
00 Yrs/99 Yrs
Ste 100
Bowling Green, KY 42103 The Medical Center
Bowling Green, KY 42103 (270) 393-1912
M-F 9:00 AM - 5:00 PM
(270) 782-7800
00 Yrs/99 Yrs
Fax: (270) 783-5228
The Medical Center
Dickerson, Steven MD
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
The Medical Center
Provider ID: 978405
De
Los
Reyes,
Eduardo
M-F 8:00 AM - 5:00 PM
Gender: Male
MD
Comprehensive Pain
Richards, David MD
Provider ID: 600289
Specialists
Gender: Male
1048 Ashley St Ste 103A
Provider ID: 609829
Anesthesia Pain
Bowling Green, KY 42103
Gender: Male
Specialists
(615) 824-3737
Western Kentucky
201 Park St
Fax: (888) 687-6133
Orthopaedic and NE
Bowling Green, KY 42101 00 Yrs/99 Yrs
165 Natchez Trace Ave
(270) 393-1912
M-F 8:00 AM - 5:00 PM
Ste 100
Fax: (270) 393-1913
Bowling Green, KY 42103 00 Yrs/99 Yrs
Kroll, Peter MD
(270) 782-7800
The Medical Center
Provider ID: 758521
Fax: (270) 783-5228
M-F 9:00 AM - 5:00 PM
Gender: Male
00 Yrs/99 Yrs
Comprehensive Pain
De Los Reyes, Eduardo
The Medical Center
Specialists
MD
Tristar Greenview
1048 Ashley St Ste 103A
Provider ID: 600289
Regional Hospital
Bowling Green, KY 42103
Gender: Male
M-F 8:00 AM - 5:00 PM
(615) 824-3737
Anesthesia Pain
Fax: (888) 687-6133
Singer, Phillip MD
Specialists
00 Yrs/99 Yrs
Provider ID: 604554
350 Park St Ste 203B
M-F 9:00 AM - 5:00 PM
Gender: Male
Bowling Green, KY 42101
Western Kentucky
(270) 393-1912
Ladson, James MD
Orthopaedic and NE
Fax: (270) 393-1913
Provider ID: 899936
165 Natchez Trace Ave
00 Yrs/99 Yrs
Gender: Male
Ste 100
The Medical Center
Anesthesia Services
Bowling Green, KY 42103 M-F 9:00 AM - 5:00 PM
Assoc DBA Compr
(270) 782-7800
1048 Ashley St Ste 103A
Fax: (270) 783-5228
Bowling Green, KY 42103
00 Yrs/99 Yrs
(270) 599-0958
The Medical Center
Fax: (270) 599-0960
Tristar Greenview
00 Yrs/99 Yrs
Regional Hospital
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 116
Maglinger, Paul MD
Provider ID: 603353
Gender: Male
Anesthesia Pain
Specialists
165 Natchez Trace Ave
Ste 205
Bowling Green, KY 42103
(270) 393-1912
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Maglinger, Paul MD
Provider ID: 603353
Gender: Male
Anesthesia Pain
Specialists
201 Park St
Bowling Green, KY 42101
(270) 393-1912
Fax: (270) 393-1913
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Maglinger, Paul MD
Provider ID: 603353
Gender: Male
Anesthesia Pain
Specialists
350 Park St Ste 203B
Bowling Green, KY 42101
(270) 393-1912
Fax: (270) 393-1913
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 4:00 PM
Maglinger, Paul MD
Provider ID: 603353
Gender: Male
Anesthesia Pain
Specialists
720 2nd Ave Ste 202
Bowling Green, KY 42101
(270) 393-1912
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Warren
Pain Management - cont. Miller, Rodney MD
Provider ID: 604551
Miller, Rodney MD
Gender: Male
Provider ID: 604551
Anesthesia Pain
Gender: Male
Specialists
Anesthesia Pain
720 2nd Ave Ste 202
Specialists
Bowling Green, KY 42101
165 Natchez Trace Ave
(270) 393-1912
Ste 205
00 Yrs/99 Yrs
Bowling Green, KY 42103 The Medical Center
(270) 393-1912
Languages: Spanish
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
The Medical Center
Languages: Spanish
Ogunyemi, Dele DO
M-F 9:00 AM - 5:00 PM
Provider ID: 601483
Miller, Rodney MD
Gender: Male
Provider ID: 604551
Anesthesia Pain
Gender: Male
Specialists
Anesthesia Pain
201 Park St
Specialists
Bowling Green, KY 42101
201 Park St
(270) 393-1912
Bowling Green, KY 42101 Fax: (270) 393-1913
(270) 393-1912
00 Yrs/99 Yrs
Fax: (270) 393-1913
The Medical Center
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
The Medical Center
Ogunyemi, Dele DO
Languages: Spanish
M-F 9:00 AM - 5:00 PM
Provider ID: 601483
Miller, Rodney MD
Gender: Male
Provider ID: 604551
Anesthesia Pain
Gender: Male
Specialists
Anesthesia Pain
350 Park St Ste 203B
Specialists
Bowling Green, KY 42101
350 Park St Ste 203B
(270) 393-1912
Bowling Green, KY 42101 Fax: (270) 393-1913
(270) 393-1912
00 Yrs/99 Yrs
Fax: (270) 393-1913
The Medical Center
00 Yrs/99 Yrs
M-F 9:00 AM - 4:00 PM
The Medical Center
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Ogunyemi, Dele DO
Provider ID: 601483
Gender: Male
Anesthesia Pain
Specialists
720 2nd Ave Ste 202
Bowling Green, KY 42101
(270) 393-1912
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Ogunyemi, Dele DO
Pasupuleti, Ramarao MD
Provider ID: 807932
Gender: Male
Center For Pain
Management
440 High St Ste B
Bowling Green, KY 42101
(270) 282-7116
Fax: (270) 282-7121
18 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Underwood, John MD
Provider ID: 889435
Provider ID: 601483
Gender: Male
Gender: Male
Comprehensive Pain
Interventional Pain
Specs
Specialists of
1048 Ashley St Ste 104
165 Natchez Trace Ave
Bowling Green, KY 42103
Ste 205
(615) 824-3737
Bowling Green, KY 42103 Fax: (888) 687-6133
(270) 745-7246
00 Yrs/99 Yrs
Fax: (270) 282-2027
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Unick, Christian MD
The Medical Center
Provider ID: 922375
M-F 9:00 AM - 5:00 PM
Gender: Male
Pasupuleti, Ramarao MD Anesthesia & Pain
Provider ID: 611400
Specialists
Gender: Male
350 Park St Ste 203B
Cumberland Brain And
Bowling Green, KY 42101
Spine
(270) 393-1912
1641 Scottsville Rd
Fax: (270) 393-1913
Bowling Green, KY 42104 00 Yrs/99 Yrs
(615) 884-0001
M-F 8:00 AM - 4:00 PM
Fax: (615) 884-0009
Unick, Christian MD
17 Yrs/99 Yrs
Provider ID: 922375
M-F 9:00 AM - 5:00 PM
Gender: Male
Interventional Pain
Specialists of
165 Natchez Trace Ave
Ste 205
Bowling Green, KY 42103
(270) 745-7246
Fax: (270) 745-7246
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
kentucky.wellcare.com | 117
05/28/2015
Specialty Physicians
Warren
Pain Management - cont. Watson, Robert MD
Keller, Bradley MD
Provider ID: 604699
Provider ID: 631924
Vessels, Eric MD
Gender: Male
Gender: Male
Provider ID: 900209
Anesthesia Pain
Pediatric Cardiology
Gender: Male
Specialists
Associates PSC
Interventional Pain
720 2nd Ave Ste 202
495 Three Springs Rd
Specialists of
Bowling Green, KY 42101 Bowling Green, KY 42104
165 Natchez Trace Ste
(270) 393-1912
(502) 585-4802
205
00 Yrs/99 Yrs
Fax: (502) 589-1256
Bowling Green, KY 42101 The Medical Center
00 Yrs/18 Yrs
(270) 745-7246
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Fax: (270) 282-2027
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Keller, Bradley MD
The Medical Center
Watson, Robert MD
Provider ID: 631924
M-F 7:00 AM - 4:00 PM
Provider ID: 604699
Gender: Male
Gender: Male
Ulrf Pediatric Cardiology
Watson, Robert MD
Interventional Pain
720 Second Ave Ste 102
Provider ID: 604699
Specialists of
Bowling Green, KY 42101
Gender: Male
165 Natchez Trace Ave
(502) 585-4802
Anesthesia Pain
Ste 205
Fax: (502) 589-1256
Specialists
Bowling Green, KY 42103 00 Yrs/18 Yrs
201 Park St
(270) 393-1912
M-F 8:00 AM - 5:00 PM
Bowling Green, KY 42101 Fax: (270) 282-2027
(270) 393-1912
Kim, Edward MD
00 Yrs/99 Yrs
Fax: (270) 393-1913
Provider ID: 602973
The Medical Center
00 Yrs/99 Yrs
Gender: Male
Languages: Spanish
The Medical Center
Pediatric Cardiology
M-F 9:00 AM - 5:00 PM
Languages: Spanish
Associates PSC
Pediatric
Cardiology
M-F 9:00 AM - 5:00 PM
495 Three Springs Rd
Bowling Green, KY 42104
Watson, Robert MD
Johnsrude, Christopher
(502) 585-4802
MD
Fax: (502) 589-1256
Provider ID: 604699
Provider ID: 601837
00 Yrs/99 Yrs
Gender: Male
Gender: Male
Norton Hospital
Anesthesia Pain
Ulrf Pediatric Cardiology M-F 8:00 AM - 5:00 PM
Specialists
720 2nd Ave Ste 102
350 Park St Ste 203B
Bowling Green, KY 42101 Kim, Edward MD
Bowling Green, KY 42101 (502) 585-4802
Provider ID: 602973
(270) 393-1912
Fax: (502) 589-1256
Gender: Male
Fax: (270) 393-1913
00 Yrs/18 Yrs
Ulrf Pediatric Cardiology
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
720 Second Ave Ste 102
The Medical Center
Bowling Green, KY 42101
Languages: Spanish
(502) 585-4802
M-F 9:00 AM - 5:00 PM
Fax: (502) 589-1256
00 Yrs/99 Yrs
Norton Hospital
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 118
Leahy, Ryan MD
Provider ID: 631604
Gender: Male
Ulrf Pediatric Cardiology
720 Second Ave Ste 102
Bowling Green, KY 42101
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/18 Yrs
Kosair Childrens Medical
Center Brownsb
M-F 8:00 AM - 5:00 PM
Matta, Jyothi MD
Provider ID: 602336
Gender: Female
Ulrf Pediatric Cardiology
720 Second Ave
Bowling Green, KY 42101
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/99 Yrs
Kosair Childrens Medical
Center Brownsb
M-F 8:00 AM - 5:00 PM
Neal, Ashley MD
Provider ID: 1027382
Gender: Female
Ulrf Pediatric Cardiology
720 2nd Ave Ste 102
Bowling Green, KY 42101
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sobczyk, Walter MD
Provider ID: 604601
Gender: Male
Pediatric Cardiology
Associates PSC
495 Three Springs Rd
Bowling Green, KY 42104
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/18 Yrs
Jennie Stuart Medical
Center
M-F 8:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Warren
Pediatric Cardiology cont.
Wright, Lucinda MD
Omoruyi, Adetokunbo
Stephen, Thomas MD
MD
Provider ID: 631965
Provider ID: 601497
Provider ID: 631641
Gender: Male
Sobczyk, Walter MD
Gender: Female
Gender: Female
Ulrf Pediatric
Ulrf Pediatric Cardiology Ulrf Pediatric
Gastroenterology
Provider ID: 604601
Endocrinology
720 Second Ave Ste 102
720 2nd Ave Ste 102
Gender: Male
Bowling Green, KY 42101 720 2nd Ave Ste 102
Bowling Green, KY 42101
Ulrf Pediatric Cardiology (502) 585-4802
Bowling Green, KY 42101 (502) 852-7670
720 Second Ave Ste 102
(502) 629-8821
Fax: (502) 589-1256
Fax: (502) 852-7743
Bowling Green, KY 42101 00 Yrs/18 Yrs
Fax: (502) 629-8824
00 Yrs/18 Yrs
(502) 585-4802
Kosair Childrens Medical 00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (502) 589-1256
Center Brownsb
Kosair Childrens Medical
00 Yrs/18 Yrs
Stutts, John MD
Norton Hospital
Center Brownsb
Jennie Stuart Medical
Provider ID: 631612
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Center
Gender: Male
Pediatric Endocrinology Wintergerst, Kupper MD Ulrf Pediatric
M-F 8:00 AM - 5:00 PM
Provider ID: 631417
Gastroenterology
Sparks, Joshua MD
Foster, Michael MD
Gender: Male
720 2nd Ave Ste 102
Provider ID: 723048
Provider ID: 631652
Ulrf Pediatric
Bowling Green, KY 42101
Gender: Male
Gender: Male
Endocrinology
(502) 852-7670
Ulrf Pediatric Cardiology Ulrf Pediatric
720 2nd Ave Ste 102
Fax: (502) 852-7743
Endocrinology
720 Second Ave Ste 102
Bowling Green, KY 42101 00 Yrs/18 Yrs
Bowling Green, KY 42101 720 2nd Ave Ste 102
(502) 629-8821
M-F 8:00 AM - 5:00 PM
Bowling Green, KY 42101 Fax: (502) 629-8824
(502) 585-4802
(502) 629-8821
Fax: (502) 589-1256
Volk, Donna MD
00 Yrs/18 Yrs
Fax: (502) 629-8824
00 Yrs/99 Yrs
Provider ID: 795744
M-F 8:00 AM - 5:00 PM
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
Gender: Female
Pediatric
Kosair Childrens Medical
Ulrf Pediatric
Wright, Lucinda MD
Gastroenterology
Center Brownsb
Gastroenterology
Provider ID: 601497
M-F 8:00 AM - 5:00 PM
720 2nd St Ste 102
Jeffries, Angela MD
Gender: Female
Bowling Green, KY 42101
Kingery, Suzanne MD
Provider ID: 631706
Pediatric Cardiology
(502) 852-7670
Provider ID: 631893
Gender: Female
Associates PSC
Fax: (502) 852-7743
Gender: Female
Ulrf Pediatric
495 Three Springs Rd
00 Yrs/99 Yrs
Gastroenterology
Bowling Green, KY 42104 Ulrf Pediatric
M-F 8:00 AM - 5:00 PM
Endocrinology
720 2nd Ave Ste 102
(502) 585-4802
720 2nd Ave Ste 102
Bowling Green, KY 42101
Pediatrics
Fax: (502) 589-1256
Bowling Green, KY 42101 (502) 852-7670
00 Yrs/18 Yrs
Bibb, Karen MD
Fax: (502) 852-7743
Kosair Childrens Medical (502) 629-8821
Provider ID: 631902
Fax:
(502)
629-8824
00
Yrs/18
Yrs
Center Brownsb
Gender: Female
Norton Hospital
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
Ulrf Neonatal Follow-Up
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
720 2nd Ave Ste 102
Bowling Green, KY 42101
(502) 852-7049
Fax: (502) 852-0135
00 Yrs/18 Yrs
Kosair Childrens Medical
Center Brownsb
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 119
05/28/2015
Specialty Physicians
Warren
Pediatrics - cont.
Kingery, Suzanne MD
Provider ID: 631893
Gender: Female
Ulrf Pediatric
Endocrinology
720 2nd Ave Ste 102
Bowling Green, KY 42101
(502) 629-8821
Fax: (502) 629-8824
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
Leahy, Ryan MD
Provider ID: 631604
Gender: Male
Ulrf Pediatric Cardiology
720 Second Ave Ste 102
Bowling Green, KY 42101
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/18 Yrs
Kosair Childrens Medical
Center Brownsb
M-F 8:00 AM - 5:00 PM
Matta, Jyothi MD
Provider ID: 602336
Gender: Female
Ulrf Pediatric Cardiology
720 Second Ave
Bowling Green, KY 42101
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/99 Yrs
Kosair Childrens Medical
Center Brownsb
M-F 8:00 AM - 5:00 PM
Pedodontics
Schuschke, Leslie MD
Sternberg, Elizabeth DO
Provider ID: 633799
Ashley, Amanda DMD
Provider ID: 599446
Gender: Female
Provider ID: TPV14381-01
Ulrf Neonatal Follow-Up Gender: Female
Gender: Female
Graves Gilbert Clinic
720 Second Ave Ste 102
1109 State St
Bowling Green, KY 42101 1065 Ashley St Ste 200
Bowling Green, KY 42103 Bowling Green, KY 42101
(502) 852-7049
(270) 781-8039
(270) 843-3376
Fax: (502) 852-0135
Fax: (270) 796-8946
00 Yrs/17 Yrs
00 Yrs/21 Yrs
00 Yrs/99 Yrs
The Medical Center
Norton Hospital
lisa.
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
sowders@barrenriverhealth.
Sternberg, Elizabeth DO
org
Singh, Tamina MD
M-F 8:00 AM - 4:30 PM
Provider ID: 631607
Provider
ID:
599446
Gender: Female
Ashley, Amanda DMD
Ulrf Neonatal Follow-Up Gender: Female
Provider ID: TPV14381-02
Graves-Gilbert Clinic
720 Second Ave Ste 102
Gender: Female
Bowling Green, KY 42101 201 Park St
Bowling Green, KY 42101 727 US 31 W. Bypass Ste
(502) 852-7049
101
(270) 781-5111
Fax: (502) 852-0135
Bowling Green, KY 42101
00 Yrs/17 Yrs
00 Yrs/18 Yrs
(270) 715-5437
Kosair Childrens Medical The Medical Center
00 Yrs/10 Yrs
M-F 8:00 AM - 5:00 PM
Center Brownsb
dr.amanda.ashley@gmail.
Sat 8:00 AM - 12:00 PM
M-F 8:00 AM - 5:00 PM
com
MW 9:00 AM - 5:00 PM
Watson, Sara MD
Sparks, Joshua MD
TTH 7:00 AM - 3:00 PM
Provider ID: 1027641
Provider ID: 723048
F 7:00 AM - 1:00 PM
Gender:
Female
Gender: Male
Sat 9:00 AM - 1:00 PM
Ulrf Pediatric Cardiology Ulrf Pediatric
Endocrinology
720 Second Ave Ste 102
Barbee, Jeffrey DMD
Bowling Green, KY 42101 720 2nd St Ste 102
Bowling Green, KY 42101 Provider ID: TPV3037-01
(502) 585-4802
Gender: Male
(502) 629-8821
Fax: (502) 589-1256
1830 Destiny Lane Ste 119
Fax: (502) 629-8824
00 Yrs/99 Yrs
Bowling Green, KY 42104
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
(270) 393-9925
M-F 9:00 AM - 5:00 PM
Fax: (270) 393-9928
Sprague, Douglas MD
00 Yrs/99 Yrs
Provider ID: 649727
MTTH 8:00 AM - 5:00
Gender: Male
PM
Neonatal Services PSC
W 8:00 AM - 2:00 PM
250 Park St
Bowling Green, KY 42101
(270) 821-1229
Fax: (270) 821-1220
00 Yrs/21 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 120
05/28/2015
Specialty Physicians
Warren
Pedodontics - cont.
Elliott, Erin DMD
Provider ID: TPV2847-01
Gender: Female
120 Callaway Court
Bowling Green, KY 42103
(270) 782-0716
Fax: (270) 746-9603
01 Yrs/12 Yrs
elliottwork2001@hotmail.
com
M-TH 8:00 AM - 5:00 PM
F 8:00 AM - 12:00 PM
Elliott, Randall DMD
Provider ID: TPV2846-01
Gender: Male
120 Callaway Court
Bowling Green, KY 42103
(270) 782-0716
Fax: (270) 746-9603
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
Physical Medicine &
Rehabilitation
Byrd, Robert MD
Provider ID: 607240
Gender: Male
Rehab Associates of
Bowling Green
1725 McIntosh St
Bowling Green, KY 42104
(270) 793-9229
Fax: (270) 793-9076
00 Yrs/99 Yrs
Tristar Greenview
Regional Hospital
M-F 9:00 AM - 5:00 PM
Pulmonary Disease
Holland, Christopher
DPM
Cheema, Farooq MD
Provider ID: 607241
Provider ID: 608103
Provider ID: 985597
Gender: Male
Gender: Male
Gender: Male
Rehab Associates of
Christopher Matthew
Western Kentucky Heart
Bowling Green
Holland DPM
and Lung Assoc
1725 McIntosh St
843 Fairview Ave Ste B5
Bowling Green, KY 42104 Bowling Green, KY 42101 825 2nd Ave Ste B1
Bowling Green, KY 42101
(270) 793-9229
(270) 846-1900
(270) 782-0151
Fax: (270) 793-9076
Fax: (270) 846-2919
Fax: (270) 782-7528
00 Yrs/99 Yrs
00 Yrs/99 Yrs
The Medical Center
Twin Lakes Regional Med 00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Center
M-F 8:00 AM - 4:30 PM
MTTHF 8:00 AM - 5:00
Hansbrough, James MD
Plastic & Reconstructive PM
Surgery
W 8:00 AM - 12:00 PM
Provider ID: 618754
Atalla, Fouad MD
Gender: Male
Schnell, Jeffrey DPM
Provider ID: 667471
Graves Gilbert Clinic
Provider ID: 717512
Gender: Male
350 Park St
Gender: Male
Center For Plastic
Bowling Green, KY 42101
Cumberland Foot And
Reconstructive
(270) 781-5111
Ankle Center
816 Chestnut St
Fax: (270) 393-2737
1830 Destiny Ln Ste 110
Bowling Green, KY 42101 Bowling Green, KY 42104 00 Yrs/99 Yrs
(270) 796-8960
The Medical Center
(270) 846-3338
Fax: (270) 842-5683
M-F 8:00 AM - 5:00 PM
Fax: (270) 846-3318
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Tristar Greenview
M-F 8:00 AM - 5:00 PM Hansbrough, James MD
Regional Hospital
Provider ID: 618754
Schnell, Shannon DPM
Languages: French,
Gender: Male
Arabic
Graves-Gilbert Clinic
Provider
ID:
718229
M-TH 8:30 AM - 5:00 PM
201 Park St
Gender: Female
F 8:30 AM - 3:00 PM
Bowling Green, KY 42101
Cumberland Foot And
Podiatry
Ankle Center
(270) 781-5111
1830
Destiny
Ln
Ste
110
00 Yrs/99 Yrs
Benge, Jennifer DPM
Bowling
Green,
KY
42104
The Medical Center
Provider ID: 671503
(270) 846-3338
MTWF 8:30 AM - 11:30
Gender: Female
PM
Fax:
(270)
846-3318
Commonwealth Foot
TH 9:00 AM - 5:00 PM
00
Yrs/99
Yrs
and Ankle Care LL
M-F
8:00
AM
5:00
PM
1600 Scottsville Rd Ste
301
Bowling Green, KY 42104
(270) 796-6160
Fax: (270) 796-6177
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Farrage, James MD
kentucky.wellcare.com | 121
05/28/2015
Specialty Physicians
Warren
Pulmonary Disease - cont. Sahetya, Gul MD
Provider ID: 604662
Lanier, Randall MD
Gender: Female
Provider ID: 667501
Associates In Pulmonary
Gender: Male
and Critica
Graves Gilbert Clinic
427 US 31W Byp
350 Park St
Bowling Green, KY 42101
Bowling Green, KY 42101 (270) 796-8000
(270) 781-5111
Fax: (270) 796-9328
Fax: (270) 782-4253
00 Yrs/99 Yrs
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Lanier, Randall MD
Smith, David MD
Provider ID: 667501
Provider ID: 600600
Gender: Male
Gender: Male
Graves-Gilbert Clinic
Western Kentucky Heart
201 Park St
and Lung Assoc
Bowling Green, KY 42101 1325 Andrea St Ste 305
(270) 781-5111
Bowling Green, KY 42104
00 Yrs/99 Yrs
(270) 904-6094
M-F 8:00 AM - 5:00 PM
Fax: (270) 904-6345
00 Yrs/99 Yrs
Najmuddin, Asif MD
The Medical Center
Provider ID: 1074153
Tristar Greenview
Gender: Male
Regional Hospital
Graves Gilbert Clinic
M-F 8:00 AM - 5:00 PM
201 Park St
Bowling Green, KY 42101 Smith, David MD
(270) 781-5111
Provider ID: 600600
Fax: (270) 783-3750
Gender: Male
00 Yrs/99 Yrs
Western Kentucky Heart
and Lung Assoc
M-F 8:00 AM - 5:00 PM
825 2nd Ave Ste B1
Najmuddin, Asif MD
Bowling Green, KY 42101
Provider ID: 1074153
(270) 782-0151
Gender: Male
Fax: (270) 782-7528
Graves Gilbert Clinic
00 Yrs/99 Yrs
350 Park St
The Medical Center
Bowling Green, KY 42101 Tristar Greenview
(270) 781-5111
Regional Hospital
Fax: (270) 783-3750
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Thomson, Douglas MD
Provider ID: 618755
Gender: Male
Barren River District
Health Depart
1109 State St
Bowling Green, KY 42101
(270) 781-2490
Fax: (270) 781-2520
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Thomson, Douglas MD
Provider ID: 618755
Gender: Male
Graves Gilbert Clinic
350 Park St
Bowling Green, KY 42101
(270) 781-5111
Fax: (270) 782-4253
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Thomson, Douglas MD
McGahan, Richard MD
Provider ID: 614404
Gender: Male
Richard A McGahan MD
PSC
250 Park St
Bowling Green, KY 42101
(270) 781-7178
Fax: (270) 796-5516
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Seither, Richard MD
Provider ID: 687166
Gender: Male
Kentucky Radiation
Therapy Associat
1728 Rockingham Ave
Bowling Green, KY 42104
(270) 904-0845
Fax: (270) 904-2651
00 Yrs/99 Yrs
Hardin Memorial
Hospital
M-F 8:00 AM - 5:00 PM
Provider ID: 618755
Radiology - Interventional
Gender: Male
& Vascular
Graves-Gilbert Clinic
201 Park St
Kazimuddin, Mohammed
Bowling Green, KY 42101 MD
(270) 781-5111
Provider ID: 608061
00 Yrs/99 Yrs
Gender: Male
The Medical Center
Western Kentucky Heart
M-F 8:00 AM - 5:00 PM
and Lung Assoc
1325 Andrea St Ste 305
Radiation Oncology
Bowling Green, KY 42104
Hardin, Peter MD
(270) 904-6094
Provider ID: 627096
Fax: (270) 904-6345
Gender: Male
00 Yrs/99 Yrs
Richard A McGahan MD The Medical Center
PSC
Tristar Greenview
Regional Hospital
250 Park St
Bowling Green, KY 42101 M-F 8:00 AM - 5:00 PM
(270) 781-7178
Fax: (270) 796-5516
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 122
05/28/2015
Specialty Physicians
Warren
Radiology - Interventional Pansuria, Neha MD
& Vascular - cont.
Provider ID: 618731
Gender: Female
Kazimuddin, Mohammed Graves-Gilbert Clinic
MD
201 Park St
Provider ID: 608061
Bowling Green, KY 42101
Gender: Male
(270) 781-5111
Western Kentucky Heart 00 Yrs/99 Yrs
and Lung Assoc
The Medical Center
825 2nd Ave Ste B1
Bowling Green, KY 42101 M-F 8:00 AM - 5:00 PM
(270) 782-0151
Sleep Medicine
Fax: (270) 782-7528
Avula, Pravin MD
00 Yrs/99 Yrs
Provider ID: 1069621
The Medical Center
Gender: Male
Tristar Greenview
Regional Hospital
Graves Gilbert Clinic
MTHF 9:00 AM - 5:00 PM 350 Park St
TW 11:00 AM - 5:00 PM
Bowling Green, KY 42101
(270) 781-5111
Rheumatology
Fax: (270) 782-4253
18 Yrs/99 Yrs
Fraser, Asad MD
M-F 8:00 AM - 5:00 PM
Provider ID: 618759
Gender: Male
Zachek, Michael MD
Graves-Gilbert Clinic
350 Park St
Provider ID: 618757
Bowling Green, KY 42101 Gender: Male
(270) 781-5111
Graves Gilbert Clinic
Fax: (270) 782-4253
350 Park St
00 Yrs/99 Yrs
Bowling Green, KY 42101
The Medical Center
(270) 781-5111
M-F 9:00 AM - 5:00 PM
Fax: (270) 782-4253
00 Yrs/99 Yrs
Pansuria, Neha MD
The Medical Center
Provider ID: 618731
M-F 8:00 AM - 5:00 PM
Gender: Female
Graves Gilbert Clinic
Zachek, Michael MD
350 Park St
Bowling Green, KY 42101 Provider ID: 618757
(270) 781-5111
Gender: Male
Fax: (270) 782-4253
Graves-Gilbert Clinic
00 Yrs/99 Yrs
201 Park St
The Medical Center
Bowling Green, KY 42101
M-F 8:00 AM - 5:00 PM
(270) 781-5111
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Sports Medicine
Thoracic & Cardiovascular
Surgery
Khan, Umar MD
Carter, W MD
Provider ID: 811228
Provider ID: 604704
Gender: Male
Gender: Male
Regenerative
Orthopaedic and Sports Commonwealth Health
Corporation
440 High St
Bowling Green, KY 42101 350 Park St Ste 210
Bowling Green, KY 42101
(270) 901-1991
(270) 796-3330
Fax: (270) 282-7109
Fax: (270) 796-3338
00 Yrs/99 Yrs
18 Yrs/98 Yrs
M-F 8:00 AM - 5:00 PM
The Medical Center
Macy, Brian MD
M-F 8:00 AM - 5:00 PM
Provider ID: 1038951
Moore, Paul MD
Gender: Male
Provider ID: 604706
Graves Gilbert Clinic
Gender: Male
350 Park St
Bowling Green, KY 42101 Commonwealth Health
Corporation
(270) 781-5111
350 Park St Ste 210
Fax: (270) 782-4253
Bowling Green, KY 42101
00 Yrs/99 Yrs
(270) 796-3330
The Medical Center
Fax: (270) 796-3338
M-F 8:00 AM - 5:00 PM
18 Yrs/99 Yrs
Macy, Brian MD
The Medical Center
Provider ID: 599826
M-F 8:00 AM - 5:00 PM
Gender: Male
Urology
Graves-Gilbert Clinic
201 Park St
Bowling Green, KY 42101 Bergamini, David MD
(270) 781-5111
Provider ID: 604709
00 Yrs/99 Yrs
Gender: Male
The Medical Center
Graves-Gilbert Clinic
M-F 8:00 AM - 5:00 PM
1325 Andrea St
Macy, Brian MD
Provider ID: 994710
Gender: Male
Graves-Gilbert Clinic
1681 Normal Dr
Bowling Green, KY 42101
(270) 745-2273
Fax: (270) 745-2273
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 123
Bowling Green, KY 42104
(270) 781-5111
Fax: (270) 780-0498
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
05/28/2015
Specialty Physicians
Warren
Urology - cont.
Bergamini, David MD
Provider ID: 604709
Gender: Male
Graves-Gilbert Clinic
201 Park St
Bowling Green, KY 42101
(270) 781-5111
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Kalakish, Samer MD
Provider ID: 618734
Gender: Male
Graves-Gilbert Clinic
201 Park St
Bowling Green, KY 42101
(270) 781-5111
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Byrne, Michael MD
Provider ID: 600996
Gender: Male
Commonwealth Health
Corporation
350 Park St Ste 210
Bowling Green, KY 42101
(270) 796-3330
Fax: (270) 796-3338
16 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Rutter, Matthew MD
Provider ID: 618733
Bigler, Mark MD
Okeeffe, Shane MD
Gender: Male
Provider ID: 618760
Graves-Gilbert Clinic
Gender: Male
Provider ID: 615581
1325 Andrea St
Graves-Gilbert Clinic
Bowling Green, KY 42104 Gender: Male
1325 Andrea St
Commonwealth Health
(270) 781-5111
Bowling Green, KY 42104 Fax: (270) 780-0498
Corporation
(270) 781-5111
350 Park St Ste 210
00 Yrs/99 Yrs
Fax: (270) 780-0498
Bowling Green, KY 42101
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
(270) 796-3330
Rutter, Matthew MD
The Medical Center
Fax: (270) 796-3338
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Provider ID: 618733
M-F 8:00 AM - 4:30 PM
Bigler, Mark MD
Gender: Male
Provider ID: 618760
Graves-Gilbert Clinic
Gender: Male
201 Park St
Graves-Gilbert Clinic
Bowling Green, KY 42101
201 Park St
(270) 781-5111
Bowling Green, KY 42101 00 Yrs/99 Yrs
(270) 781-5111
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Vascular Surgery
The Medical Center
M-F 9:00 AM - 5:00 PM
Brown, Donald DO
Provider ID: 601348
Kalakish, Samer MD
Gender: Male
Provider ID: 618734
Commonwealth Health
Corporation
Gender: Male
350 Park St Ste 210
Graves-Gilbert Clinic
Bowling Green, KY 42101
1325 Andrea St
Bowling Green, KY 42104 (270) 796-3330
Fax: (270) 796-3338
(270) 781-5111
00 Yrs/99 Yrs
Fax: (270) 780-0498
The Medical Center
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
The Medical Center
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 124
05/28/2015
Specialty Physicians
Wayne
Allergy & Immunology
Feger, Timothy MD
Provider ID: 284233
Arora, Rajiv MD
Gender: Male
Provider ID: 618688
Family Allergy Asthma
Gender: Male
1 S Creek Dr Ste 102
Family Allergy & Asthma Monticello, KY 42633
1 S Creek Dr Ste 102
(606) 348-3365
Monticello, KY 42633
Fax: (502) 429-6157
(606) 348-3365
00 Yrs/99 Yrs
Fax: (502) 429-6157
Norton Hospital
00 Yrs/99 Yrs
M 8:30 AM - 4:00 PM
M 8:30 AM - 4:00 PM
Guin, Jason MD
Bozeman, Sarah DO
Provider ID: 719261
Provider ID: 671402
Gender: Male
Gender: Female
Family Allergy and
Family Allergy & Asthma Asthma
1 South Creek Dr Ste 102 1 S Creek Dr Ste 102
Monticello, KY 42633
Monticello, KY 42633
(606) 348-3365
(606) 348-3365
Fax: (502) 429-6157
Fax: (502) 429-6157
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M 8:30 AM - 4:00 PM
M-F 9:00 AM - 5:00 PM
Coyle, Damon MD
Lotz, Douglas MD
Provider ID: 714281
Provider ID: 604245
Gender: Male
Gender: Male
Family Allergy & Asthma Family Allergy and
1 South Creek Dr Ste 102 Asthma
Monticello, KY 42633
1 S Creek Dr Ste 102
(606) 348-3365
South Creekmedical
Fax: (502) 429-6157
Center
00 Yrs/99 Yrs
Monticello, KY 42633
Kosair Childrens Medical (606) 348-3365
Center Brownsb
Fax: (502) 429-6157
Norton Hospital
00 Yrs/99 Yrs
M 8:30 AM - 4:00 PM
Languages: Spanish
M-F 9:00 AM - 5:00 PM
Dyer, Brandi MD
Provider ID: 817951
Miller, Natalie MD
Gender: Female
Provider ID: 935270
Family Allergy & Asthma Gender: Female
1 S Creek Dr Ste 102
Family Allergy & Asthma
Monticello, KY 42633
1 S Creek Dr Ste 102
(606) 348-3365
Monticello, KY 42633
Fax: (606) 348-8496
(606) 348-3365
00 Yrs/99 Yrs
Fax: (502) 429-6157
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Otto, Hans MD
Provider ID: 671342
Gender: Male
Family Allergy and
Asthma
1 S Creek Dr Ste 102
South Creekmedical
Center
Monticello, KY 42633
(606) 348-3365
Fax: (502) 429-6157
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Pollard, Stephen MD
Provider ID: 618647
Gender: Male
Family Allergy Asthma
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
Jewish Hospital
Norton Hospital
M-F 9:00 AM - 5:00 PM
Rankin, Bradley MD
Provider ID: 618602
Gender: Male
Family Allergy and
Asthma
1 S Creek Dr Ste 102
South Creekmedical
Center
Monticello, KY 42633
(606) 348-3365
Fax: (502) 429-6157
00 Yrs/99 Yrs
Baptist Health Paducah
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 125
Richards, Nathan MD
Provider ID: 708707
Gender: Male
Family Allergy Asthma
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (502) 429-6157
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sublett, James MD
Provider ID: 670144
Gender: Male
Family Allergy & Asthma
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sublett, James MD
Provider ID: 672054
Gender: Male
Family Allergy & Asthma
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (502) 429-6157
00 Yrs/21 Yrs
M-F 8:00 AM - 5:00 PM
Turbyville, Joseph MD
Provider ID: 683774
Gender: Male
Family Allergy and
Asthma - Montic
1 South Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (502) 429-6157
00 Yrs/99 Yrs
M 8:30 AM - 4:00 PM
05/28/2015
Specialty Physicians
Wayne
Allergy & Immunology cont.
Warrier, Priya MD
Provider ID: 603959
Gender: Female
Family Allergy & Asthma
1 S Creek Dr Ste 102
South Creek Medical
Center
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
M 8:30 AM - 4:00 PM
Chiropractic
Catron, Kendra DC
Provider ID: 667402
Gender: Female
Kendra R Catron DC
470 N Main St
Monticello, KY 42633
(606) 340-1784
Fax: (888) 878-5670
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gastroenterology
Cook, Samir MD
Provider ID: 600739
Gender: Male
Cumberland
Gastroenterology PSC
One South Creek Dr
Monticello, KY 42633
(606) 677-2913
Fax: (606) 677-6983
02 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
MTTH 8:00 AM - 5:00
PM
W 8:00 AM - 12:00 PM
F 8:00 AM - 4:00 PM
General Dentistry
Breeding, William DMD
Provider ID: TPV6207-01
Gender: Male
1500 North Main St Ste
162
Monticello, KY 42633
(606) 348-6038
00 Yrs/99 Yrs
MWTHF 8:00 AM - 4:30
PM
T 9:00 AM - 5:00 PM
Smith, Jeffery DC
Provider ID: 619021
Gender: Male
Smith Chiropractic PSC
1104 N Main St
Brummett, Daniel DMD
Monticello, KY 42633
(606) 340-0340
Provider ID: TPV3248-02
Fax: (606) 340-0211
Gender: Male
00 Yrs/99 Yrs
M-TH 8:00 AM - 6:00 PM 1225 North Main St
Monticello, KY 42633
F 8:00 AM - 4:00 PM
(606) 340-0740
Fax: (606) 340-0742
00 Yrs/99 Yrs
M-W 8:00 AM - 5:00 PM
Brummett, Denny DMD
Optometry
Provider ID: TPV3250-02 Breeding, Robert OD
Provider ID: TPV2245-03
Gender: Male
Gender: Male
1225 North Main St
175 Walmart Plaza Dr
Monticello, KY 42633
Monticello, KY 42633
(606) 340-0740
(606) 348-8000
00 Yrs/99 Yrs
M-TH 9:00 AM - 5:00 PM Fax: (606) 340-9489
00 Yrs/99 Yrs
Hardin, Philip DMD
M-F 8:00 AM - 5:00 PM
Provider ID: TPV3194-01
Brown, Jennifer OD
Gender: Male
169 Cumberland Crossing
Provider ID: TPV2945-04
Monticello, KY 42633
Gender: Female
(606) 348-3384
211 Cumberland Crossing
Fax: (606) 348-3384
Monticello, KY 42633
00 Yrs/99 Yrs
M-TH 7:00 AM - 5:30 PM (606) 348-3355
Fax: (606) 348-5665
Hishmeh, Fahed DMD
00 Yrs/99 Yrs
Provider ID: TPV3226-01
M 8:00 AM - 6:00 PM
Gender: Male
TTH 8:00 AM - 5:00 PM
650 North Main St
W 8:00 AM - 8:00 PM
Monticello, KY 42633
F 9:00 AM - 1:00 PM
(606) 348-5100
Hesse, Matthew OD
Fax: (606) 348-4849
Provider ID: TPV3257-01
00 Yrs/99 Yrs
Gender: Male
M 9:00 AM - 4:00 PM
211 Cumberland Crossing
TW 8:00 AM - 4:00 PM
Monticello, KY 42633
TH 8:00 AM - 3:00 PM
(606) 348-3355
Tallent, Steven DMD
Fax: (606) 348-5665
Provider ID: TPV8742-02 00 Yrs/99 Yrs
Gender: Male
M 8:00 AM - 6:00 PM
1225 North Main St
TTH 8:00 AM - 5:00 PM
Monticello, KY 42633
W 8:00 AM - 8:00 PM
(606) 340-0740
F 9:00 AM - 1:00 PM
Fax: (606) 340-0742
00 Yrs/99 Yrs
Languages: Spanish
M-TH 8:30 AM - 5:00 PM
kentucky.wellcare.com | 126
05/28/2015
Specialty Physicians
Wayne
Optometry - cont.
Pediatrics
McGiffin, Ryan OD
Lotz, Douglas MD
Provider ID: TPV24371-01 Provider ID: 604245
Gender: Male
Gender: Male
211 Cumberland Crossing Family Allergy and
Asthma
Monticello, KY 42633
1 S Creek Dr Ste 102
(606) 348-3355
South Creekmedical
Fax: (606) 348-5665
Center
00 Yrs/99 Yrs
Monticello, KY 42633
emily@visioncarepsc.
(606) 348-3365
com
MTH 8:00 AM - 8:00 PM Fax: (502) 429-6157
00 Yrs/99 Yrs
T 8:00 AM - 6:00 PM
Languages: Spanish
WF 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Sawyer, James OD
Provider ID: TPV4708-01
Gender: Male
150 North Main St
Monticello, KY 42633
(606) 348-9392
Fax: (606) 348-4942
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pediatric Allergy &
Immunology
Pollard, Stephen MD
Provider ID: 618647
Gender: Male
Family Allergy Asthma
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
Jewish Hospital
Norton Hospital
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 127
05/28/2015
Hospitals
Adair
Hospital
Westlake Regional
Hospital
Provider ID: 241264
901 Westlake Dr
Columbia, KY 42728
(270) 384-4753
Fax: (270) 384-5826
00 Yrs/99 Yrs
kentucky.wellcare.com | 128
05/28/2015
Hospitals
Allen
Critical Access Hospital
The Medical Center At
Scottsville
Provider ID: 609168
456 Burnley Rd
Scottsville, KY 42164
(270) 622-2800
Fax: (270) 622-2996
kentucky.wellcare.com | 129
05/28/2015
Hospitals
Barren
Hospital
Tj Samson Community
Hospital
Provider ID: 215913
1301 N Race St
Glasgow, KY 42141
(270) 651-4129
Fax: (270) 651-4892
kentucky.wellcare.com | 130
05/28/2015
Hospitals
Casey
Critical Access Hospital
Casey County Hospital
Provider ID: 194549
187 Wolford Ave
Liberty, KY 42539
(606) 787-6275
Fax: (606) 787-9717
MTWTHFSatSun 1:00 AM
- 12:00 PM
kentucky.wellcare.com | 131
05/28/2015
Hospitals
Clinton
Hospital
Clinton County Hospital
Provider ID: 286240
723 Burkesville Rd
Albany, KY 42602
(606) 387-6421
Fax: (606) 387-5153
kentucky.wellcare.com | 132
05/28/2015
Hospitals
Green
Critical Access Hospital
Jane Todd Crawford
Memorial Hospital
Provider ID: 474199
202-206 Milby St
Greensburg, KY 42743
(270) 932-4211
Fax: (270) 932-3501
kentucky.wellcare.com | 133
05/28/2015
Hospitals
Hart
Critical Access Hospital
Caverna Memorial
Hospital
Provider ID: 140
1501 S Dixie St
Horse Cave, KY 42749
(270) 786-2191
kentucky.wellcare.com | 134
05/28/2015
Hospitals
Pulaski
Hospital
Lake Cumberland
Regional Hospital
Provider ID: 205264
305 Langdon St
Somerset, KY 42503
(606) 451-3846
Fax: (606) 451-0963
kentucky.wellcare.com | 135
05/28/2015
Hospitals
Russell
Critical Access Hospital
Russell County Hospital
Provider ID: 406072
153 Dowell Rd
Russell Springs, KY 42642
(270) 866-4141
kentucky.wellcare.com | 136
05/28/2015
Hospitals
Simpson
Critical Access Hospital
The Medical Center At
Franklin
Provider ID: 293987
1100 Brookhaven Rd
Franklin, KY 42134
(270) 598-4800
Fax: (270) 598-4898
kentucky.wellcare.com | 137
05/28/2015
Hospitals
Taylor
Hospital
Taylor County Hospital
Provider ID: 9074
1700 Old Lebanon Rd
Campbellsvlle, KY 42718
(270) 789-5785
Fax: (270) 789-7882
kentucky.wellcare.com | 138
05/28/2015
Hospitals
Warren
Hospital
Commonwealth Regional
Specialty Hospital
Provider ID: 626381
250 Park St
Bowling Green, KY 42101
(270) 796-6200
Fax: (270) 796-6275
The Medical Center
Provider ID: 177874
250 Park St
Bowling Green, KY 42101
(270) 745-1000
Fax: (270) 796-5165
00 Yrs/99 Yrs
Tristar Greenview
Regional Hospital
Provider ID: 219581
1801 Ashley Cir
Bowling Green, KY 42104
(270) 793-1000
Fax: (270) 793-5205
00 Yrs/99 Yrs
kentucky.wellcare.com | 139
05/28/2015
Hospitals
Wayne
Critical Access Hospital
Wayne County Hospital
Inc-Rad
Provider ID: 218127
166 Hospital St
Monticello, KY 42633
(606) 348-9343
Fax: (606) 348-0333
kentucky.wellcare.com | 140
05/28/2015
Behavioral Health
Adair
Behavioral Health
Counseling
Grey Counseling
Provider ID: 1005965
988 Russell Rd Ste 93
Columbia, KY 42728
(270) 384-1736
Fax: (270) 384-1734
M-F 9:00 AM - 5:00 PM
Licensed Professional
Counselor
Wilson, Kimberly LPC
Provider ID: 974989
Gender: Female
Grey Counseling
Services LLC
933 Russell Rd Ste 93
Columbia, KY 42728
(270) 384-1736
Fax: (270) 384-1734
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
Edrington, Christina LPC
Provider ID: 974987
Gender: Female
Grey Counseling
Services LLC
933 Russell Rd Ste 93
Columbia, KY 42728
(270) 384-1736
Fax: (270) 384-1734
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
Greer, Lois LPC
Provider ID: 978930
Gender: Female
Grey Counseling
Services LLC
933 Russell Rd Ste 93
Columbia, KY 42728
(270) 384-1736
Fax: (270) 384-1734
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
Kenyon, Angela LPC
Provider ID: 974993
Gender: Female
Grey Counseling
Services LLC
933 Russell Rd Ste 93
Columbia, KY 42728
(270) 384-1736
Fax: (270) 384-1734
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
kentucky.wellcare.com | 141
05/28/2015
Behavioral Health
Allen
Behavioral Health
Counseling
Williams, Ebonie LPC
Provider ID: 1054204
Gender: Female
Family Care Counseling
Center
1421 Old Gallatin Rd Ste E
Scottsville, KY 42164
(270) 253-3722
Fax: (270) 253-3768
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Community Mental
Health Center
Lifeskills Inc
Provider ID: 606913
720 N 4th St
Scottsville, KY 42164
(270) 237-4865
Fax: (270) 237-3559
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Licensed Professional
Counselor
Williams, Ebonie LPC
Provider ID: 1054204
Gender: Female
Family Care Counseling
Center
1421 Old Gallatin Rd Ste E
Scottsville, KY 42164
(270) 253-3722
Fax: (270) 253-3768
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 142
05/28/2015
Behavioral Health
Barren
Behavioral Health Facility Sharp-Byrn, Rebelee
Smith-Puckett, Peggy
LCSW
LMFT
Puckett Counseling
Provider ID: 671076
Provider ID: 953322
Services
Gender: Female
Gender: Female
Provider ID: 1030639
Rebelee Sharp-Byrn
Puckett Counseling
220 N Race St
Services LLC
220 W Washington St
Glasgow, KY 42141
220 N Race St
Glasgow, KY 42141
(270) 629-6373
Glasgow, KY 42141
(270) 659-2823
Fax: (270) 629-6373
(270) 629-6373
Fax: (270) 659-0534
00 Yrs/99 Yrs
Fax: (270) 629-6373
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-TH 8:00 AM - 5:00 PM 00 Yrs/99 Yrs
M-TH 9:00 AM - 7:00 PM
Licensed Clinical Social
Licensed Marriage and
F 10:00 AM - 5:00 PM
Worker
Family Therapist
Licensed Professional
Helm, Christie LCSW
Douglas, Sharon LMFT
Counselor
Provider ID: 978087
Provider ID: 1024704
Gender: Female
Collins, Katharine LPC
Gender: Female
Alliance Counseling
Provider ID: 972484
Alliance Counseling
Associates LLC
Associates LLC
Gender: Female
104 Reynolds Rd Ste 201
104 Reynolds Rd
Alliance Counseling
Glasgow, KY 42141
Associates LLC
Glasgow, KY 42141
(270) 678-4801
104 Reynolds Rd
(270) 678-4801
Fax: (270) 678-3866
Glasgow, KY 42141
Fax: (270) 678-3866
00 Yrs/99 Yrs
(270) 678-4801
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 678-3866
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Merriss, Autumn LCSW
Durkalski, Michele LMFT M-F 9:00 AM - 5:00 PM
Provider ID: 994207
Provider ID: 957880
Gender: Female
Douglas, Byron LPC
Gender: Female
Alliance Counseling
Provider ID: 948714
Alliance Counseling
Associates LLC
Associates LLC
Gender: Male
104 Reynolds Rd
104 Reynolds Rd
Puckett Counseling
Glasgow, KY 42141
Services LLC
Glasgow, KY 42141
(270) 678-4801
220 North Race St
(270) 678-4801
Fax: (270) 678-3866
Glasgow, KY 42141
Fax: (270) 678-3866
00 Yrs/99 Yrs
(270) 629-6373
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 629-6373
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Nunn, Peggy LCSW
Heck, Erin LMFT
M-TH 8:00 AM - 5:00 PM
Provider ID: 957881
Provider ID: 957879
Gender: Male
Gender: Female
Alliance Counseling
Alliance Counseling
Associates LLC
Associates LLC
104 Reynolds Rd
104 Reynolds Rd
Glasgow, KY 42141
Glasgow, KY 42141
(270) 678-4801
(270) 678-4801
Fax: (270) 678-3866
Fax: (270) 678-3866
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 143
Holmes, Anthony LPC
Provider ID: 957876
Gender: Male
Alliance Counseling
Associates LLC
104 Reynolds Rd
Glasgow, KY 42141
(270) 678-4801
Fax: (270) 678-3866
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Reed, Jeanie LPC
Provider ID: 972482
Gender: Female
Alliance Counseling
Associates LLC
104 Reynolds Rd
Glasgow, KY 42141
(270) 678-4801
Fax: (270) 678-3866
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Psychology
Schumacher, Elizabeth
PHD
Provider ID: 1066059
Gender: Female
Ulrf Neonatal Follow Up
301 Professional Park Dr
Glasgow, KY 42141
(502) 852-7049
Fax: (502) 852-0135
00 Yrs/99 Yrs
Kosair Childrens Medical
Center Brownsb
M-F 8:00 AM - 5:00 PM
05/28/2015
Behavioral Health
Butler
Community Mental
Health Center
Lifeskills Inc
Provider ID: 606913
222 Industrial Dr N
Morgantown, KY 42261
(270) 526-3877
Fax: (270) 526-2929
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Licensed Clinical Social
Worker
Jennings, John LCSW
Provider ID: 992765
Gender: Male
Family Options Inc
213 W Ohio St
Morgantown, KY 42261
(270) 526-2228
Fax: (270) 526-2218
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Licensed Professional
Counselor
West, Benjamin LPC
Provider ID: 986198
Gender: Male
296 Veterans Way
Morgantown, KY 42261
(270) 999-1683
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 144
05/28/2015
Behavioral Health
Casey
Clinical Social Work
Hunt, Lee CSW
Provider ID: 1062313
Gender: Female
Bluegrass Clinic
19 Abes Plz
Liberty, KY 42539
(606) 787-0014
Fax: (606) 787-0035
12 Yrs/99 Yrs
M-TH 8:30 AM - 5:30 PM
F 8:30 AM - 4:30 PM
kentucky.wellcare.com | 145
05/28/2015
Behavioral Health
Cumberland
Licensed Professional
Counselor
Bunch, Cecelia LPC
Provider ID: 1063444
Gender: Female
Serenity Counseling
Services
123 E Smith St
Burkesville, KY 42717
(270) 634-4564
Fax: (270) 904-0836
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sewell, Elliott LPC
Provider ID: 961500
Gender: Male
Elliott Sewell Lpcc
155 Volcano Rd
Burkesville, KY 42717
(270) 433-7900
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 146
05/28/2015
Behavioral Health
Edmonson
Community Mental
Health Center
Lifeskills Inc
Provider ID: 606913
205 Mohawk Rd
Brownsville, KY 42210
(270) 597-2713
Fax: (270) 597-9194
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 147
05/28/2015
Behavioral Health
Hart
Community Mental
Health Center
Lifeskills Inc
Provider ID: 606913
118 W Union St
Munfordville, KY 42765
(270) 524-9883
Fax: (270) 524-0437
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Lifeskills Inc
Provider ID: 606913
342 Old Main St
Munfordville, KY 42765
(270) 524-5937
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 148
05/28/2015
Behavioral Health
Logan
Community Mental
Health Center
Lifeskills Inc
Provider ID: 606913
105 Edgewood Dr
Russellville, KY 42276
(270) 726-3667
Fax: (270) 726-4151
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Lifeskills Inc
Provider ID: 606913
237 E 6th St
Russellville, KY 42276
(270) 726-3629
Fax: (270) 726-3115
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Lifeskills Inc
Provider ID: 606913
433 Shelton Ln
Russellville, KY 42276
(270) 726-7833
Fax: (270) 726-7863
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Licensed Professional
Counselor
Champion, Debbie LPC
Provider ID: 950079
Gender: Female
Agape Counseling
151 W 5th St
Russellville, KY 42276
(270) 725-8311
Fax: (270) 725-8113
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Johnson, Julie LPC
Provider ID: 952224
Gender: Female
Julie H Johnson Lpcc
151 W 5th St
Russellville, KY 42276
(270) 731-0000
Fax: (270) 731-0001
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Licensed Marriage and
Family Therapist
Goodman, Grant LMFT
Provider ID: 1049522
Gender: Male
156 S Summer St
Russellville, KY 42276
(270) 726-2211
Fax: (270) 726-2211
00 Yrs/99 Yrs
MTWTHFSatSun 9:00
AM - 8:00 PM
kentucky.wellcare.com | 149
05/28/2015
Behavioral Health
Metcalfe
Community Mental
Health Center
Lifeskills Inc
Provider ID: 606913
112 Sartin Dr
Edmonton, KY 42129
(270) 586-8826
Fax: (270) 586-8828
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 150
05/28/2015
Behavioral Health
Monroe
Community Mental
Health Center
Lifeskills Inc
Provider ID: 606913
201 E 2nd St Ste B
Tompkinsville, KY 42167
(270) 487-5655
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Lifeskills Inc
Provider ID: 606913
800 N Main St
Tompkinsville, KY 42167
(270) 487-5655
Fax: (270) 487-5948
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 151
05/28/2015
Behavioral Health
Pulaski
Behavioral Health
Counseling
Intrust Healthcare
Provider ID: 1006015
401 Bogel St Ste. 102
Somerset, KY 42503
(606) 676-0638
Fax: (606) 676-0789
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Phoenix Preferred Care
Provider ID: 1006344
100 E Somerset Church
Rd
Somerset, KY 42503
(606) 451-3979
Fax: (606) 451-8149
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Somerset Mental Health
Provider ID: 1006389
149 Enterprise Dr
Somerset, KY 42503
(606) 679-5995
Fax: (606) 451-9465
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Behavioral Health Facility
Catalyst Managment Inc
Provider ID: 1034917
321 Ringgold Rd
Somerset, KY 42503
(606) 679-9009
Fax: (606) 678-9983
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Safy of Kentucky Somer
Provider ID: 1032863
3540 S Hwy 27 Ste 4
Somerset, KY 42501
(606) 679-1815
Fax: (606) 451-1631
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Clinical Social Work
Rains, Dewey CSW
Provider ID: 983251
Gender: Male
401 Bogle St Ste 102
Somerset, KY 42503
(606) 676-0638
Fax: (606) 676-0789
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Webb, Thelma CSW
Provider ID: 983249
Gender: Female
401 Bogle St Ste 102
Somerset, KY 42503
(606) 676-0638
Fax: (606) 676-0789
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Community Mental
Health Center
The Adanta Group
Provider ID: 611907
259 Parkers Mill Rd
Somerset, KY 42501
(606) 679-4782
Fax: (606) 678-5296
M-F 8:00 AM - 5:00 PM
Licensed Clinical Social
Worker
Carnes, Reva LCSW
Provider ID: 973972
Gender: Female
Intrust Healthcare
401 Bogle St Ste 102
Somerset, KY 42503
(606) 676-0638
Fax: (606) 676-0789
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Johnson, Barbara LCSW
Provider ID: 991416
Gender: Female
Intrust Healthcare
401 Bogel St Ste 102
Somerset, KY 42503
(606) 676-0638
Fax: (606) 676-0789
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Nelson, Terry LCSW
Provider ID: 991420
Cowan-West, Gwendolyn Gender: Male
LCSW
Intrust Healthcare
Provider ID: 982372
401 Bogel St Ste 102
Gender: Female
Somerset, KY 42503
100 East Somerset
(606) 676-0638
Church Rd
Fax: (606) 676-0789
Somerset, KY 42503
00 Yrs/99 Yrs
(606) 451-9379
M-F 9:00 AM - 5:00 PM
Fax: (606) 451-8149
00 Yrs/99 Yrs
Palmer, Lisa LCSW
M-F 9:00 AM - 5:00 PM
Provider ID: 652244
Gender: Female
Ellison, Bill LCSW
Lisa R Palmer PLLC
Provider ID: 991411
110 Richie Ln Ste C
Gender: Male
Somerset, KY 42503
Intrust Healthcare
(606) 875-1130
401 Bogel St Ste 102
Fax: (606) 678-0604
Somerset, KY 42503
00 Yrs/99 Yrs
(606) 676-0638
M-F 9:00 AM - 6:00 PM
Fax: (606) 676-0789
00 Yrs/99 Yrs
Shrum, Lindsay LCSW
M-F 9:00 AM - 5:00 PM
Provider ID: 991548
Gender: Female
Hayford, Glenna LCSW
Intrust Healthcare
401 Bogel St Ste 102
Provider ID: 907603
Somerset, KY 42503
Gender: Female
(606) 676-0638
106 Southport Dr
Fax: (606) 676-0789
Somerset, KY 42501
00 Yrs/99 Yrs
(606) 677-0053
M-F 9:00 AM - 5:00 PM
Fax: (606) 677-0060
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
kentucky.wellcare.com | 152
05/28/2015
Behavioral Health
Pulaski
Licensed Clinical Social
Worker - cont.
Thayer, Jason LCSW
Provider ID: 970224
Gender: Male
149 Enterprise Dr
Somerset, KY 42501
(606) 679-6995
Fax: (606) 451-9465
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Thayer, Nancy LCSW
Provider ID: 970199
Gender: Female
149 Enterprise Dr
Somerset, KY 42501
(606) 679-6995
Fax: (606) 451-9465
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Thayer, Nancy LCSW
Provider ID: 976988
Gender: Female
149 Enterprise Dr
Somerset, KY 42501
(606) 679-6995
Fax: (606) 451-9465
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Tillery, Katherine LCSW
Provider ID: 1035531
Gender: Female
106 Southport Dr
Somerset, KY 42501
(606) 677-0053
Fax: (606) 677-0060
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Tucker, Angela LCSW
Provider ID: 975178
Gender: Female
Intrust Healthcare
401 Bogel St Ste 102
Somerset, KY 42503
(606) 676-0638
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Licensed Professional
Counselor
Broyle, Angie LPC
Provider ID: 991485
Gender: Female
149 Enterprise Dr
Somerset, KY 42501
(606) 679-6995
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Carpenter, Shanae LPC
Provider ID: 963608
Gender: Female
Intrust Healthcare
401 Bogle St Ste 102
Somerset, KY 42503
(606) 676-0638
Fax: (606) 679-1883
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Clark, Janice LPC
Provider ID: 1012204
Gender: Female
321 Ringgold Rd
Somerset, KY 42503
(606) 679-9009
Fax: (606) 678-9983
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Daugherty Meadows,
Staci LPC
Provider ID: 970238
Gender: Female
149 Enterprise Dr
Somerset, KY 42501
(606) 679-6995
Fax: (606) 451-9465
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Daugherty-Meadows,
Staci LPC
Provider ID: 985271
Gender: Female
149 Enterprise Dr
Somerset, KY 42501
(606) 679-6995
Fax: (606) 451-9465
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Egnew, Alex LPC
Provider ID: 970228
Gender: Male
149 Enterprise Dr
Somerset, KY 42501
(606) 679-6995
Fax: (606) 451-9465
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Gullett, Amanda LPC
Provider ID: 991426
Gender: Female
Intrust Healthcare
401 Bogel St Ste 102
Somerset, KY 42503
(606) 676-0638
Fax: (606) 676-0789
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 153
Larusch, John LPC
Provider ID: 1013970
Gender: Male
974 Parkers Mill Rd
Somerset, KY 42501
(606) 875-3788
Fax: (606) 280-9342
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
McClure-Hunley, Kesha
LPC
Provider ID: 968898
Gender: Female
Intrust Healthcare
401 Bogle St Ste 102
Somerset, KY 42503
(606) 676-0638
Fax: (606) 676-0789
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Sat 8:00 AM - 1:00 PM
Meriwether, Aaron LPC
Provider ID: 971801
Gender: Male
Intrust Healthcare
401 Bogle St Ste 102
Somerset, KY 42503
(606) 676-0638
Fax: (606) 676-0789
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Sat 10:00 AM - 3:00 PM
Mitchell, Kelly LPC
Provider ID: 1058795
Gender: Female
Safy
3540 S Hwy 27 Ste 4
Somerset, KY 42501
(606) 679-1815
Fax: (606) 451-1631
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
05/28/2015
Behavioral Health
Pulaski
Licensed Professional
Counselor - cont.
Moore, Rachel LPC
Provider ID: 977776
Gender: Female
Intrust Healthcare
401 Bogle St Ste 102
Somerset, KY 42503
(606) 676-0638
Fax: (606) 676-0789
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Noe, Christina LPC
Provider ID: 970232
Gender: Female
149 Enterprise Dr
Somerset, KY 42501
(606) 679-6995
Fax: (606) 451-9465
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Noe, Christina LPC
Provider ID: 978070
Gender: Female
149 Enterprise Dr
Somerset, KY 42501
(606) 679-6995
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Prewitt, Chasity LPC
Provider ID: 991432
Gender: Female
Intrust Healthcare
401 Bogel St Ste 102
Somerset, KY 42503
(606) 676-0638
Fax: (606) 676-0789
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Rainwater, Christy LPC
Psychiatry
Psychology
Bokhari, Robina MD
Baker, Vaunette CP
Provider ID: 600457
Provider ID: 990675
Gender: Female
Gender: Female
Mountainview
106 Southport Dr
Behavioral Neuroscienc
Somerset, KY 42501
110 Hardin Ln Ste 1
(606) 677-0053
Somerset, KY 42503
Fax: (606) 677-0060
(606) 451-9748
00 Yrs/99 Yrs
Fax: (606) 451-0519
M-F 9:00 AM - 5:00 PM
06 Yrs/99 Yrs
Martinez, George CP
Trotter, Samantha LPC
Lake Cumberland
Provider ID: 991357
Regional Hospital
Gender: Male
Provider ID: 970243
Languages: Urdu
Gender: Female
M-TH 9:00 AM - 6:00 PM Intrust Healthcare
401 Bogel St Ste 102
149 Enterprise Dr
F 9:00 AM - 1:00 PM
Somerset, KY 42503
Somerset, KY 42501
Umar, Syed MD
(606) 676-0638
(606) 679-6995
Provider
ID:
612601
Fax: (606) 676-0789
Fax: (606) 451-9465
Gender:
Male
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Mountainview
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Behavioral Neuroscienc
Watson, Dana LPC
110 Hardin Ln Ste 1
Provider ID: 1009447
Somerset, KY 42503
Gender: Female
(606) 451-9748
3540 South Hwy 27 Ste 4 Fax: (606) 451-0519
Somerset, KY 42501
06 Yrs/99 Yrs
(419) 695-8010
M-TH 9:00 AM - 6:00 PM
Fax: (419) 695-0004
F 9:00 AM - 1:00 PM
00 Yrs/99 Yrs
Zusman, Zev MD
M-F 8:30 AM - 5:30 PM
Provider ID: 631689
Neuropsychology
Gender: Male
Zev Zusman MD
Patel, Piyush MD
310 Langdon St Ste 5
Provider ID: 601227
Somerset, KY 42503
Gender: Male
(606) 678-7664
P D Patel MD PSC
Fax: (606) 677-6772
104 Hardin Ln Ste A
07 Yrs/65 Yrs
Somerset, KY 42503
MTHF 9:00 AM - 5:00 PM
(606) 678-8323
T 10:00 AM - 5:00 PM
Fax: (606) 451-0133
W 9:30 AM - 5:00 PM
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M 9:00 AM - 5:00 PM
TF 9:00 AM - 4:30 PM
W 9:00 AM - 3:00 PM
TH 9:00 AM - 5:30 PM
Provider ID: 962423
Gender: Female
Intrust Healthcare
401 Bogle St Ste 102
Somerset, KY 42503
(606) 676-0638
Fax: (606) 679-1889
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
kentucky.wellcare.com | 154
05/28/2015
Behavioral Health
Russell
Psychiatry
Umar, Syed MD
Provider ID: 612601
Gender: Male
Mountainview
Behavioral Neuroscienc
124 Dowell Rd
Jamestown, KY 42629
(606) 451-9748
Fax: (606) 451-0519
06 Yrs/99 Yrs
M 9:00 AM - 6:00 PM
kentucky.wellcare.com | 155
05/28/2015
Behavioral Health
Simpson
Behavioral Health
Counseling
Licensed Marriage and
Family Therapist
Lewis, Mickey LMFT
Provider ID: 956130
Gender: Male
Mickey L Lewis
215 Bluegrass Rd Unit C
Franklin, KY 42134
(270) 253-3722
Fax: (270) 253-3768
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Lewis, Mickey LMFT
Provider ID: 956130
Gender: Male
Mickey L Lewis
215 Bluegrass Rd Unit C
Franklin, KY 42134
(270) 253-3722
Fax: (270) 253-3768
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Williams, Ebonie LPC
Provider ID: 1054204
Gender: Female
Family Care Counsleing
Center
215 C Bluegrass Rd
Franklin, KY 42134
(270) 253-3722
Fax: (270) 253-3768
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
Licensed Professional
Counselor
Community Mental
Health Center
Lifeskills Inc
Provider ID: 606913
1031 Brookhaven Rd
Franklin, KY 42134
(270) 586-8826
Fax: (270) 586-8828
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Van-Blaricom, Melissa
LPC
Provider ID: 929173
Gender: Female
Peaceful Solutions
Counseling Servi
608 S Main St
Franklin, KY 42134
(270) 586-4645
Fax: (270) 586-4647
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Williams, Ebonie LPC
Provider ID: 929198
Gender: Female
Ebonie M Williams Lpcc
215 Bluegrass Rd Unit C
Franklin, KY 42134
(270) 253-3722
Fax: (270) 253-3768
00 Yrs/99 Yrs
M-W 9:00 AM - 5:00 PM
TH 9:00 AM - 6:00 PM
F 5:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
Psychology
Umlauf, Robert PHD
Provider ID: 604124
Gender: Male
Interventional Pain
Specialists of
1100 Brookhaven Dr
Franklin, KY 42134
(270) 598-4949
Fax: (270) 598-4984
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Williams, Ebonie LPC
Provider ID: 1054204
Gender: Female
Family Care Counsleing
Center
215 C Bluegrass Rd
Franklin, KY 42134
(270) 253-3722
Fax: (270) 253-3768
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM
kentucky.wellcare.com | 156
05/28/2015
Behavioral Health
Taylor
Psychiatry
Van Cleave, Vicki PsyD
Provider ID: 1027808
Hortillosa, Llewelyn MD
Gender: Female
Provider ID: 604744
Dr Vicki Inc
Gender: Male
132 Pearl Ave
Heartland Psychiatry
Campbellsville, KY 42718
PLLC
(270) 215-2373
1320 E Broadway St Ste A Fax: (540) 350-2902
Campbellsville, KY 42718 00 Yrs/99 Yrs
(270) 465-2023
M-TH 8:30 AM - 7:00 PM
Fax: (270) 789-3860
F 8:30 AM - 4:00 PM
00 Yrs/99 Yrs
Taylor County Hospital Van Cleave, Vicki PsyD
Westlake Regional
Hospital
Provider ID: 1050629
M-F 8:00 AM - 5:00 PM
Gender: Female
Dr Vicki Inc
Psychology
112 Roberts Rd Ste 1
Campbellsville, KY 42718
Conway, Abrielle PsyD
(270) 215-2373
Fax: (540) 350-2902
Provider ID: 1067100
00 Yrs/99 Yrs
Gender: Female
M-TH 8:30 AM - 7:00 PM
112 Roberts Rd Ste 1
Campbellsville, KY 42718 F 8:30 AM - 4:00 PM
(270) 215-2373
Fax: (540) 350-2902
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Conway, Abrielle PsyD
Provider ID: 1063980
Gender: Female
Dr Abby Conway PSC
112 Roberts Rd Ste 1
Campbellsville, KY 42718
(270) 215-2373
Fax: (540) 350-2902
00 Yrs/99 Yrs
MWTHF 9:00 AM - 7:00
PM
T 9:30 AM - 7:00 PM
kentucky.wellcare.com | 157
05/28/2015
Behavioral Health
Warren
Behavioral Health
Counseling
Huff, Marci LMFT
Vanmeter, Ginger LCSW
Provider ID: 1081117
Provider ID: 977760
Gender: Female
Champagne, Shelly
Gender: Female
Marci Huff LMFT
LCSW
1011 Lehman Ave Ste 103
1502 Westen St Ste 3
Provider ID: 1030328
Bowling Green, KY 42102 Bowling Green, KY 42013
Gender: Female
(270) 393-9833
(270) 846-2163
Dbt Center of Western
Fax: (270) 393-9835
Fax:
(270)
904-3302
Kentucky LLC
00 Yrs/99 Yrs
00 Yrs/99 Yrs
1300 Andrea St Ste 205
M-F 9:00 AM - 5:00 PM
Bowling Green, KY 42104 M-F 8:00 AM - 5:00 PM
(270) 904-2260
Behavioral Health Facility
Noffsinger, Phillip
Fax: (270) 781-9680
Provider ID: 1019860
McMichael, L Lee LCSW
00 Yrs/99 Yrs
Gender: Male
M-F 8:00 AM - 5:00 PM
Chestnut Park
Provider ID: 1015471
Professionals LLC
Child and Family Service 1215 High St
Gender: Female
Coordination LL
Bowling Green, KY 42101 9940 Alvaton Rd
Provider ID: 1005813
Alvaton, KY 42122
(270) 782-1116
855 E Broadway
(270) 746-6600
Bowling Green, KY 42101 Fax: (270) 782-9108
Fax: (270) 842-9008
00 Yrs/99 Yrs
(270) 303-1298
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Redd, Rebecca LCSW
Rivendell Behavioral
Familyworks Therapy and Provider ID: 1078848
Health Servs
Gender: Female
Consultation Ser
Provider ID: 593984
Medical Center
Provider ID: 1006036
Rivendell Behavioral
Psychiatry
9940 Alvaton Rd
Health Service
350 Park St Ste 204
Alvaton, KY 42122
Bowling Green, KY 42101 1035 Porter Pike Rd
(270) 746-6600
Bowling Green, KY 42103
(270) 843-5103
Fax: (270) 842-9008
(270) 843-1199
Fax: (270) 843-5104
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Wilson Counseling
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Provider ID: 1030182
Gateway Counseling
1011 Lehman Ave Ste 103
Robert Fane Agency
Service LLC
Bowling Green, KY 42103
Provider ID: 1005974
(270) 202-7506
Provider ID: 1006379
181 W Professional Park
Fax: (270) 393-9835
1011 Lehman Ave Ste 103
Ct Ste 1
00 Yrs/99 Yrs
Bowling Green, KY 42104 Bowling Green, KY 42103 M-F 9:00 AM - 5:00 PM
(270) 393-9833
(270) 843-5300
Fax: (270) 393-8935
Fax: (270) 843-5383
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 158
Clinical Social Work
Dausman, Heather CSW
Provider ID: 978941
Gender: Female
181 W. Professional Park
Court Ste 1
Bowling Green, KY 42104
(270) 843-5300
Fax: (270) 843-5383
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Community Mental
Health Center
Lifeskills Inc
Provider ID: 606913
1824 31 W Byp
Bowling Green, KY 42101
(270) 901-5000
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Lifeskills Inc
Provider ID: 606913
380 Suwannee Trail St
Bowling Green, KY 42103
(270) 901-5229
Fax: (270) 781-7495
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Lifeskills Inc
Provider ID: 606913
501 Chestnut St
Bowling Green, KY 42101
(270) 901-5000
Fax: (270) 781-8987
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Lifeskills Inc
Provider ID: 606913
822 Woodway St
Bowling Green, KY 42101
(270) 901-5000
Fax: (270) 781-6446
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Behavioral Health
Warren
Licensed Clinical Social
Worker
Cook, Dana LCSW
Jennings, John LCSW
Provider ID: 603895
Provider ID: 992765
Gender: Female
Gender: Male
Barnett, Susan LCSW
Dana S Cook LCSW
Family Options Inc
Provider ID: 1000027
3255 Spring Hollow Ave
1043 Pedigo Way Ste 14
Gender: Female
Bowling Green, KY 42104 Bowling Green, KY 42103
Angel Arms Counseling
(270) 782-3583
(270) 526-2228
and Outreach
Fax: (270) 782-9876
Fax: (270) 526-2218
1911 B Scottsville Rd
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Bowling Green, KY 42104 M-F 9:00 AM - 3:00 PM
M-F 8:00 AM - 5:00 PM
(270) 779-7509
Fax: (270) 746-9679
Dausman, Heather LCSW Katesglass, Carolyn
00 Yrs/99 Yrs
LCSW
M-F 8:00 AM - 5:00 PM
Provider ID: 1000392
Provider ID: 1026138
Gender: Female
Gender: Female
Barnett, Susan LCSW
Community Living In
1830 Destiny Ln Ste 112
Provider ID: 995194
Kentucky
Bowling Green, KY 42104
Gender: Female
181 W Professional Park
(270) 392-5531
1911 B Scottsville Rd
Ct Ste 1
Fax: (270) 393-9001
Bowling Green, KY 42104 Bowling Green, KY 42104 00 Yrs/99 Yrs
(270) 779-7509
(270) 843-5300
M-F 9:00 AM - 6:00 PM
Fax: (270) 746-9679
Fax: (270) 843-5383
Sat 9:00 AM - 12:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Kennedy, Mary LCSW
Provider ID: 1024900
Boamah, Daniel LCSW
Hanna, Edwin LCSW
Gender: Female
Provider ID: 1020135
Provider ID: 936167
Community Living In
Gender: Male
Gender: Male
Kentucky LLC
Ky Steps LLC
Chestnut Park
181 W Professional Park
1711 Ashley Cir Ste 2
Professionals LLC
Ct Ste 1
Bowling Green, KY 42104 1215 High St
Bowling Green, KY 42104
(270) 320-1101
Bowling Green, KY 42101 (270) 843-5300
Fax: (270) 846-4887
(270) 782-1116
Fax: (270) 843-5383
00 Yrs/99 Yrs
Fax: (270) 782-9108
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F
8:00
AM
5:00
PM
Boamah, Daniel LCSW
McMichael, Lucille LCSW
Provider ID: 1050608
Helm, Christie LCSW
Gender: Male
Provider ID: 978087
Provider ID: 603665
1711 Ashley Cir Ste 2
Gender: Female
Gender: Female
Bowling Green, KY 42104 Alliance Counseling
Lucille Lee McMichael
(270) 935-5125
Associates LLC
LCSW
Fax: (270) 846-4887
1048 Ashley St Ste 201
1830 Destiny Ln Ste 112
00 Yrs/99 Yrs
Bowling Green, KY 42103 Bowling Green, KY 42104
Languages: Tagalog, Twi
(270) 904-6567
(270) 746-9995
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Fax: (270) 393-9011
Sat 10:00 AM - 4:00 PM
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 7:00 PM
kentucky.wellcare.com | 159
Merriss, Autumn LCSW
Provider ID: 994207
Gender: Female
Alliance Counseling
Associates LLC
1048 Ashley St Ste 201
Bowling Green, KY 42103
(270) 904-6567
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Merriss, Autumn LCSW
Provider ID: 994207
Gender: Female
Dbt Center of Western
Kentucky LLC
1300 Andrea St Ste 205
Bowling Green, KY 42104
(270) 904-2260
Fax: (270) 781-9680
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Shelton, Gwendolyn
LCSW
Provider ID: 956325
Gender: Female
Chestnut Park
Professionals LLC
1215 High St
Bowling Green, KY 42101
(270) 782-1116
Fax: (270) 782-9108
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Smith, Anthony LCSW
Provider ID: 987716
Gender: Male
181 W Professional Park
Ct Ste 1
Bowling Green, KY 42104
(270) 843-5300
Fax: (270) 843-5383
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
05/28/2015
Behavioral Health
Warren
Licensed Clinical Social
Worker - cont.
Vanmeter, Ginger LCSW
Provider ID: 981274
Gender: Female
Van Meter Counseling
LLC
1011 Lehman Ave Ste 103
Bowling Green, KY 42103
(270) 393-9833
Fax: (270) 393-9835
00 Yrs/99 Yrs
M-TH 9:00 AM - 4:00 PM
F 9:00 AM - 3:00 PM
Wall, Jamie LCSW
Provider ID: 947935
Gender: Female
Life Abundant Center
1911 B Scottsville Rd
Bowling Green, KY 42104
(270) 792-9683
Fax: (270) 746-9679
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wilson, Kimberly LCSW
Provider ID: 961182
Gender: Female
Wilson Counseling LLC
996 Wilkinson Trace Ste
A-4
Bowling Green, KY 42103
(270) 767-6889
Fax: (270) 767-6905
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Licensed Marriage and
Family Therapist
Hanshaw, William LMFT
Pruitt, Vera LMFT
Provider ID: 936164
Provider ID: 935300
Gender: Female
Bettersworth, Jenny
Gender: Male
Chestnut Park
LMFT
William J Hanshaw MA
Professionals LLC
Provider ID: 952273
1209 Smallhouse Rd
1215 High St
Gender: Female
Bowling Green, KY 42104 Bowling Green, KY 42101
Chestnut Park
(270) 782-7156
(270) 782-1116
Professionals LLC
Fax: (270) 782-7156
Fax: (270) 782-9108
1215 High St
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Bowling Green, KY 42101 M-F 8:00 AM - 5:00 PM
M-TH 8:00 AM - 5:00 PM
(270) 782-1116
F 8:00 AM - 12:00 PM
Fax: (270) 782-9108
Hockman, Aimee LMFT
00 Yrs/99 Yrs
Rice, Lisa LMFT
M-F 8:00 AM - 5:00 PM
Provider ID: 973982
Provider ID: 935759
Gender: Female
Gender: Female
Bettersworth, Jenny
9940 Alvaton Rd
Lisa R Rice LMFT
LMFT
Alvaton, KY 42122
1830 Destiny Ln Ste 107
Provider ID: 957468
(270) 746-6600
Bowling Green, KY 42104
Gender: Female
Fax: (270) 842-9008
(270) 846-3222
Chestnut Park
00
Yrs/99
Yrs
Fax: (270) 846-3228
Professionals LLC
M-F
9:00
AM
5:00
PM
00 Yrs/99 Yrs
1215 High St
M-F 9:00 AM - 5:00 PM
Bowling Green, KY 42101 Huff, Marci LMFT
(270) 782-1116
Provider ID: 977815
Stepp, Elizabeth LMFT
Fax: (270) 782-9108
Gender: Female
00 Yrs/99 Yrs
Marci Huff LMFT
Provider ID: 956355
M-F 8:00 AM - 5:00 PM
1502 Western St Ste 3
Gender: Female
Bowling Green, KY 42101 Elizabeth Georganna
Douglas, Sharon LMFT
Stepp LMFT
(270) 791-6893
Provider ID: 1024704
1911 B Scottsville Rd
Fax:
(270)
904-3302
Gender: Female
Bowling Green, KY 42104
00
Yrs/99
Yrs
Alliance Counseling
(270) 746-0283
M-F 9:00 AM - 5:00 PM
Associates LLC
Fax: (270) 746-9679
1048 Ashley St Ste 201
Mason, Derrick LMFT
00 Yrs/99 Yrs
Bowling Green, KY 42103 Provider ID: 952187
M-F 8:00 AM - 5:00 PM
(270) 904-6567
Gender: Male
00 Yrs/99 Yrs
Trabue, Dwight LMFT
Chestnut Park
M-F 8:00 AM - 5:00 PM
Professionals LLC
Provider ID: 959276
1215
High
St
Gender: Male
Hall, Donna LMFT
Bowling
Green,
KY
42101
Family Works Therapy
Provider ID: 985383
LLC
(270)
782-1116
Gender: Female
9940 Alvaton Rd
Fax: (270) 782-9108
9940 Alvaton Rd
Alvaton, KY 42122
00 Yrs/99 Yrs
Alvaton, KY 42122
(270) 746-6600
M-F
8:00
AM
5:00
PM
(270) 746-6600
Fax: (270) 842-9008
Fax: (270) 842-9008
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Languages: Spanish
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 160
05/28/2015
Behavioral Health
Warren
Licensed Marriage and
Family Therapist - cont.
Licensed Professional
Counselor
Trabue, Dwight LMFT
Provider ID: 973570
Gender: Male
855 E Broadway
Bowling Green, KY 42101
(270) 303-1298
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Bertuleit, Nancy LPC
Provider ID: 973955
Gender: Female
9940 Alvaton Rd
Alvaton, KY 42122
(270) 746-6600
Fax: (270) 842-9008
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Trabue, Dwight LMFT
Provider ID: 974083
Gender: Male
9940 Alvaton Rd
Alvaton, KY 42122
(270) 746-6600
Fax: (270) 842-9008
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Wheeler, Jennifer LMFT
Bertuleit, Nancy LPC
Provider ID: 979261
Gender: Female
9400 Alvaton Rd
Alvaton, KY 42122
(270) 746-6600
Fax: (270) 842-9008
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
Carr, Karen LPC
Provider ID: 973971
Gender: Female
9940 Alvaton Rd
Alvaton, KY 42122
(270) 746-6600
Fax: (270) 842-9008
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Champion, Debbie LPC
Provider ID: 950079
Gender: Female
Agape Counseling
1711 Destiny Lane Ste 111
Bowling Green, KY 42104
(270) 846-3853
Fax: (270) 725-8113
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 9:00 AM - 1:30 PM
Freeman, Sarah LPC
Provider ID: 982303
Gender: Female
Alliance Counseling
Associates LLC
1048 Ashley St Ste 201
Bowling Green, KY 42103
(270) 904-6567
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gamm, Catherine LPC
Provider ID: 1071055
Gender: Female
More To Life Counseling
LLC
351 Pascoe Blvd 103D
Bowling Green, KY 42104
(989) 708-0264
Fax: (270) 495-5014
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Gibson, Georgeanna LPC
Collins, Katharine LPC
Provider ID: 1012168
Bledsoe, Monica LPC
Provider ID: 972484
Gender: Female
Provider ID: 980057
Provider ID: 973572
Gender: Female
Community Living In
Gender: Female
Gender: Female
Alliance Counseling
Kentucky
1011 Lehman Ave Ste 103
855 E Broadway
Associates LLC
181 W Professional Park
Bowling Green, KY 42103 1048 Ashley St Ste 201
Bowling Green, KY 42101
Ct Ste 1
(270) 393-9833
Bowling Green, KY 42103 (270) 746-6600
Bowling Green, KY 42104 Fax: (270) 393-9835
00 Yrs/99 Yrs
(270) 904-6567
(270) 843-5300
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Fax: (270) 843-5383
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Gibson, Georgeanna LPC
Carr,
Karen
LPC
M-F 9:00 AM - 5:00 PM
Cooper, Vivian LPC
Provider ID: 1024080
Provider ID: 973947
Provider ID: 966553
Young, Matthew LMFT
Gender: Female
Gender: Female
Gender: Female
Provider ID: 979618
855 Broadway Ave
9940 Alvaton Rd
Chestnut Park
Gender: Male
Bowling Green, KY 42101 Professionals LLC
Alvaton, KY 42122
9940 Alvaton Rd
(270) 746-6600
(270) 746-6600
1215 High St
Alvaton, KY 42122
Fax: (270) 842-9008
Bowling Green, KY 42101 Fax: (270) 842-9008
(270) 746-6600
00 Yrs/99 Yrs
00 Yrs/99 Yrs
(270) 782-1116
Fax: (270) 842-9008
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Fax: (270) 782-9108
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 | 161
05/28/2015
Behavioral Health
Warren
Licensed Professional
Counselor - cont.
Green, Lindsey LPC
Provider ID: 991468
Gender: Female
9400 Alvaton Rd
Alvaton, KY 42122
(270) 746-6600
Fax: (270) 842-9008
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Morrison, Dennie LPC
Provider ID: 973986
Gender: Male
9940 Alvaton Rd
Alvaton, KY 42122
(270) 746-6600
Fax: (270) 842-9008
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Morrison, Dennie LPC
Provider ID: 976893
Gender: Male
9940 Alvaton Rd
Alvaton, KY 42122
(270) 746-6600
Fax: (270) 842-9008
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Pursley, Philip LPC
Provider ID: 1045388
Gender: Male
9940 Alvaton Rd
Alvaton, KY 42122
(270) 746-6600
Fax: (270) 842-9008
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Reed, Jeanie LPC
Trabue, Jan LPC
Provider ID: 972482
Provider ID: 957455
Gender: Female
Gender: Female
Alliance Counseling
Family Works Therapy
Associates LLC
LLC
1048 Ashley St Ste 201
9940 Alvaton Rd
Bowling Green, KY 42103 Alvaton, KY 42122
(270) 904-6567
(270) 746-6600
00 Yrs/99 Yrs
Fax: (270) 842-9008
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Smith, Anthony LPC
Provider ID: 974031
Trabue, Jan LPC
Gender: Male
Provider ID: 973566
Community Living In
Gender: Female
Kentucky LLC
855 E Broadway
181 W Professional Park
Bowling Green, KY 42101
Ct Ste 1
(270) 303-1298
Bowling Green, KY 42104 00 Yrs/99 Yrs
(270) 843-5300
M-F 9:00 AM - 5:00 PM
Fax: (270) 843-5383
Trabue, Jan LPC
00 Yrs/99 Yrs
Provider ID: 973952
M-F 8:00 AM - 5:00 PM
Gender: Female
Stone, James LPC
9940 Alvaton Rd
Provider ID: 956299
Alvaton, KY 42122
Gender: Male
(270) 746-6600
Family Works Therapy
Fax: (270) 842-9008
LLC
00 Yrs/99 Yrs
9940 Alvaton Rd
M-F 9:00 AM - 5:00 PM
Alvaton, KY 42122
Watt, Kristina LPC
(270) 746-6600
Provider ID: 972426
Fax: (270) 842-9008
Gender: Female
00 Yrs/99 Yrs
Alliance Counseling
M-F 8:00 AM - 5:00 PM
Associates LLC
Stone, James LPC
1048 Ashley St Ste 201
Provider ID: 979747
Bowling Green, KY 42103
Gender: Male
(270) 904-6567
9940 Alvaton Rd
00 Yrs/99 Yrs
Alvaton, KY 42122
M-F 8:30 AM - 5:00 PM
(270) 746-6600
Fax: (270) 842-9008
00 Yrs/99 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 162
Williams, Cori LPC
Provider ID: 992118
Gender: Female
Alliance Counseling
Associates LLC
1048 Ashley St Ste 201
Bowling Green, KY 42103
(270) 904-6567
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Licensed Social Worker
McMichael, L Lee LCSW
Provider ID: 1015471
Gender: Female
9940 Alvaton Rd
Alvaton, KY 42122
(270) 746-6600
Fax: (270) 842-9008
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Pediatric Psychiatry
Barczak, Brian MD
Provider ID: 933706
Gender: Male
Rivendell Behavioral
Health Service
1035 Porter Pike
Bowling Green, KY 42103
(270) 843-1199
Fax: (270) 782-9996
05 Yrs/18 Yrs
M-TH 7:30 AM - 4:00 PM
Psychiatry
Barczak, Brian MD
Provider ID: 933706
Gender: Male
Rivendell Behavioral
Health Service
1035 Porter Pike
Bowling Green, KY 42103
(270) 843-1199
Fax: (270) 782-9996
05 Yrs/18 Yrs
M-TH 7:30 AM - 4:00 PM
05/28/2015
Behavioral Health
Warren
Psychiatry - cont.
Chani, Arvinder MD
Provider ID: 601179
Gender: Male
Commonwealth Health
Corporation
350 Park St Ste 204
Bowling Green, KY 42101
(270) 843-5103
Fax: (270) 843-5104
00 Yrs/99 Yrs
The Medical Center
M-F 9:00 AM - 5:00 PM
Chani, Arvinder MD
Provider ID: 601179
Gender: Male
Commonwealth Health
Corporation
825 2nd Ave Ste A2
Bowling Green, KY 42101
(270) 796-6559
Fax: (270) 796-6290
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 5:00 PM
Grau, Joseph MD
Provider ID: 600336
Gender: Male
Medical Center
Psychiatry
350 Park St Ste 204
Bowling Green, KY 42101
(270) 843-5103
Fax: (270) 843-5104
00 Yrs/99 Yrs
The Medical Center
M-F 8:00 AM - 4:30 PM
Kapley, David MD
Provider ID: 629568
Gender: Male
David Kapley MD PSC
611 Old Morgantown Rd
Bowling Green, KY 42101
(270) 793-0869
Fax: (270) 842-2693
03 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Leeper, Norman MD
Raghuvanshi, Charu MD
Provider ID: 667659
Gender: Female
Medical Center
Psychiatry
350 Park St Ste 204
Bowling Green, KY 42101
(270) 843-5103
Fax: (270) 843-5104
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Grieve, Frederick PHD
Provider ID: 936161
Gender: Male
Chestnut Park
Professionals LLC
1215 High St
Bowling Green, KY 42101
(270) 782-1116
Fax: (270) 782-9108
13 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Psychology
Linden, John PsyD
Provider ID: 609763
Provider ID: 665713
Gender: Male
Brausch,
Amy
PHD
Gender: Male
1035 Porter Pike
Commonwealth Health
Bowling Green, KY 42103 Provider ID: 961489
Gender: Female
Corporation DBA
(270) 783-4070
Chestnut
Park
350 Park St Ste 204
04 Yrs/18 Yrs
Professionals
LLC
Bowling Green, KY 42101
M-F 8:00 AM - 5:00 PM
1215 High St
(270) 843-5103
Bowling Green, KY 42101 Fax: (270) 843-5104
Mudd, Louis MD
(270) 782-1116
Provider ID: 604648
00 Yrs/99 Yrs
Fax: (270) 782-9108
Gender: Male
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Louis G Mudd MD
M-F 8:00 AM - 5:00 PM Schumacher, Elizabeth
720 2nd Ave Ste 300
PHD
Bowling Green, KY 42101
Clanton
Reeves,
Cathy
Provider ID: 1066059
(270) 843-5037
PHD
Gender: Female
Fax: (270) 796-2140
Provider ID: 976928
Ulrf Neonatal Follow Up
16 Yrs/99 Yrs
Gender: Female
720 2nd Ave Ste 102
The Medical Center
1212 Ashley Cir Ste 3
Bowling Green, KY 42101
M-F 8:00 AM - 4:00 PM
Bowling Green, KY 42104 (502) 852-7049
(270) 842-0029
Mullick, Mrinal MD
Fax: (502) 852-0135
Fax: (270) 782-8875
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Provider ID: 600288
Kosair Childrens Medical
M-F 9:00 AM - 5:00 PM
Gender: Male
Center Brownsb
Medical Center
M-F 8:00 AM - 5:00 PM
Fane, Robert CP
Psychiatry
Provider ID: 976089
Umlauf, Robert PHD
350 Park St Ste 204
Gender:
Male
Provider ID: 604124
Bowling Green, KY 42101
1011 Lehman Ave Ste 103
Gender: Male
(270) 843-5103
Bowling
Green,
KY
42103
Interventional Pain
Fax: (270) 843-5104
(270)
393-9833
Specialists of
18 Yrs/99 Yrs
Fax:
(270)
393-8935
165 Natchez Trace Ave
The Medical Center
00
Yrs/99
Yrs
Ste 205
M-F 8:00 AM - 4:30 PM
M-F 9:00 AM - 5:00 PM
Bowling Green, KY 42103
(270) 393-1912
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 163
05/28/2015
Behavioral Health
Warren
Psychology - cont.
Webb, Charles PsyD
Provider ID: 947381
Gender: Male
Webbs Psychological
Service
1215 High St
Bowling Green, KY 42101
(270) 782-1116
Fax: (270) 782-9108
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
F 12:30 AM - 5:30 PM
kentucky.wellcare.com | 164
05/28/2015
Behavioral Health
Wayne
Licensed Professional
Counselor
Stockton, Tim LPC
Provider ID: 965061
Gender: Male
Rays of Hope
Intervention Plc
936 S Main St
Monticello, KY 42633
(606) 307-6688
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 165
05/28/2015
Ancillary Providers
Adair
Community Health
Center
James Medical
Equipment, LTD
Provider ID: 610639
1545 Campbellsville Rd
Ste A
Columbia, KY 42728
(270) 384-1141
Fax: (270) 384-1143
00 Yrs/99 Yrs
M-F 10:00 AM - 6:30 PM
Home Health Care
Amedisys Home Health
Care
Provider ID: 643500
Amedisys Home Health
Care Columbia
937 Campbellsville Rd
Ste 903
Columbia, KY 42728
(270) 384-6411
James Medical Pharmacy Fax: (270) 384-3928
Durable Medical
00 Yrs/99 Yrs
Equipment
Provider ID: 1063627
M-F 9:00 AM - 5:00 PM
1545
Campbellsville
Rd
Certacare Inc
Intrepid USA Healthcare
Columbia, KY 42728
Provider ID: 608089
Services
(270) 385-9600
937 Campbellsville Rd
Provider ID: 648394
Fax: (270) 385-9631
Columbia, KY 42728
Fc of Kentucky Inc
00 Yrs/99 Yrs
(270) 385-9139
220 Office Park Dr
M-F 9:00 AM - 5:00 PM
Fax: (270) 385-9832
Columbia, KY 42728
00 Yrs/99 Yrs
Mls 1116 Inc DBA Mls
(270) 384-6413
M-F 9:00 AM - 5:00 PM Medical
Fax: (270) 384-6415
Provider
ID:
609819
00 Yrs/99 Yrs
Columbia Medical
375
Office
Park
Dr
M-F 8:00 AM - 5:00 PM
Equipment Inc Columbia
Columbia, KY 42728
Infusion Therapy
(270) 384-0076
Provider ID: 608066
Fax: (270) 384-7967
Columbia Medical
Certacare Inc
00 Yrs/99 Yrs
Equipment Inc
Provider ID: 608089
M-F 8:30 AM - 5:00 PM
2991 Campbellsville Rd
937 Campbellsville Rd
Columbia, KY 42728
Columbia, KY 42728
Family Planning
(270) 384-5143
(270) 385-9139
Fax: (270) 384-2003
Adair County Health
Fax: (270) 385-9832
00 Yrs/99 Yrs
Center
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Provider ID: 645232
M-F 9:00 AM - 5:00 PM
801 Westlake DR
Community Medical
Laboratory Pathology
Columbia, KY 42728
Services Inc
Testing
(270) 384-2286
Provider ID: 618674
Fax: (270) 384-4800
Nexus Lab Inc
801 Burkesville St
00 Yrs/99 Yrs
Provider ID: 625370
Columbia, KY 42728
M-F 8:00 AM - 4:30 PM
Nexus Labs Inc
(270) 384-0750
92 Joe T Petty Dr Ste
Fax: (270) 384-2213
400
00 Yrs/99 Yrs
Russell Springs, KY 42642
M-F 8:00 AM - 5:00 PM
(888) 596-3987
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Adair County Primary
Center
Provider ID: 903365
158 Col Casey Dr
Columbia, KY 42728
(270) 384-2476
Fax: (606) 676-9671
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 166
Rural Health Center
Family First Health Care,
PLLC
Provider ID: 946810
363 Office Park Dr
Columbia, KY 42728
(270) 384-3939
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Family Medical Center
Provider ID: 651005
1463 Campbellsville Rd
Columbia, KY 42728
(270) 384-9934
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Taylor Rural Health LLC
Provider ID: 650400
805 Burkesville St
Columbia, KY 42728
(270) 384-1110
Fax: (270) 384-4241
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
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 | 167
05/28/2015
Ancillary Providers
Allen
Durable Medical
Equipment
Carpenter Dent Drugs
Inc
Provider ID: 602018
117 E Public Sq
Scottsville, KY 42164
(270) 237-4446
Fax: (270) 237-7782
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Medequip
Provider ID: 635030
466 Burnley Rd
Scottsville, KY 42164
(270) 780-2655
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
T K Home Medical
Provider ID: 618576
1137 Old Glasgow Rd
Scottsville, KY 42164
(270) 237-9700
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Home Health Care
Lifeline Home Health of
Bowling Green LL
Provider ID: 657495
Lifeline Health Care of
Scottsville
115 E Public Sq
Scottsville, KY 42164
(270) 237-3352
Fax: (270) 237-3370
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
Rural Health Center
The Medical Center At
Scottsville Rural
Provider ID: 648148
The Medical Center At
Scottsville
466 Burnley Rd
Scottsville, KY 42164
(270) 745-1100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Epsdt Special Services
Medequip
Provider ID: 635030
466 Burnley Rd
Scottsville, KY 42164
(270) 780-2655
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 168
05/28/2015
Ancillary Providers
Barren
Ambulatory Surgery
Center
McPeak Surgery Center
LLC
Provider ID: 604538
108 Bravo Blvd
Glasgow, KY 42141
(270) 651-2181
Fax: (270) 651-2183
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Dialysis
Feresenius Medical Care
Glasgow
Provider ID: 1008073
205 Professional Park Dr
Glasgow, KY 42141
(270) 651-7776
Fax: (270) 651-3495
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Glasgow Kidney Center
Provider ID: 608337
Medical Services Inc
DBA Glasgow Ki
205 Professional Park Dr
Glasgow, KY 42141
(270) 651-7776
Fax: (270) 651-3495
00 Yrs/99 Yrs
MTWTHFSat 7:00 AM 5:00 PM
Tj Samson Community
Hospital Dialysis
Provider ID: 752574
Tj Samson Hospital
Dialysis Center
1301 N Race St
Glasgow, KY 42141
(270) 651-1443
Fax: (270) 651-4862
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Durable Medical
Equipment
Cave City Prescription
Center Inc
Provider ID: 613009
101 S Dixie Hwy
Cave City, KY 42127
(270) 773-2252
Fax: (270) 773-2236
00 Yrs/99 Yrs
M-F 8:30 AM - 6:00 PM
Sat 8:30 AM - 3:00 PM
Glasgow Orthotics and
Prosthetics
Provider ID: 608369
Glasgow Orthotics and
Prothetics
4288 N Jackson Hwy
Glasgow, KY 42141
(270) 678-7290
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Glasgow Prescription
Center
Provider ID: 618919
615 S L Roger Wells Blvd
Glasgow, KY 42141
(270) 651-8889
Fax: (270) 651-8873
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 8:00 PM
Sun 12:00 AM - 5:00 PM
Hatchett Home Medical
Equipment
Provider ID: 622901
131 Park Ave
Glasgow, KY 42141
(270) 651-9551
Fax: (270) 651-1096
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Lincare Inc
Provider ID: 918563
952 Happy Valley Rd
Glasgow, KY 42141
(270) 651-3753
Fax: (270) 065-1217
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Epsdt Special Services
Tj Samson Community
Hospital
Provider ID: 215913
Centercare
1301 N Race St
Glasgow, KY 42141
(270) 651-4129
Parmet Inc DBA Parkland Fax: (270) 651-4892
Drugs
Family Planning
Provider ID: 650428
209 N Dixie Hwy
Barren Co Health Center
Cave City, KY 42127
(270) 773-3152
Provider ID: 645726
Fax: (270) 773-3151
318 W. Washington St
00 Yrs/99 Yrs
Glasgow, KY 42141
M-F 8:30 AM - 6:00 PM
(270) 651-8321
Sat 8:30 AM - 1:00 PM
Fax: (270) 659-0062
00 Yrs/99 Yrs
Pharmay Express
M-F 8:00 AM - 4:30 PM
Provider ID: 617540
Flener Inc
Home Health Care
415 S L Rogers Wells Blvd
Glasgow, KY 42141
Amedisys Home Health
Care
(270) 651-7948
Provider ID: 643500
Fax: (270) 651-1183
Amedisys Home Health
00 Yrs/99 Yrs
Care Glasgow
M-F 9:00 AM - 5:00 PM
1216C N Race St
Vann Healthcare Services Glasgow, KY 42141
(270) 651-7640
Provider ID: 617322
Fax: (270) 651-9644
1220 N Race St
00 Yrs/99 Yrs
Glasgow, KY 42141
M-F 9:00 AM - 5:00 PM
(270) 651-7627
T J Samson Home Health
Fax: (270) 651-9261
00 Yrs/99 Yrs
Provider ID: 678274
M-F 8:00 AM - 5:00 PM
1301 N Race St
Vann Homecare Inc
Glasgow, KY 42141
Provider ID: 617751
(270) 651-4444
1004 Happy Valley Rd
Fax: (270) 651-4862
Glasgow, KY 42141
00 Yrs/99 Yrs
(270) 678-2350
M-F 9:00 AM - 5:00 PM
Fax: (270) 678-3350
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 9:00 AM - 1:00 PM
kentucky.wellcare.com | 169
05/28/2015
Ancillary Providers
Barren
Laboratory Pathology
Testing
Southern Medical
Laboratories
Provider ID: 618769
Southern Medical Lab
1407 N Race St Ste 3
Glasgow, KY 42141
(270) 651-2989
Fax: (270) 651-7690
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
Orthotics & Prosthetics
Ely Drugs
Provider ID: 601951
415 Happy Valley Rd
Glasgow, KY 42141
(270) 651-5159
Fax: (270) 651-5741
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 8:00 AM - 6:00 PM
Radiation Therapy Center
The Barren River
Regional Cancer Center
Provider ID: 647817
The Barren River
Regional Cancer Center
103 Trista Ln
Glasgow, KY 42141
(877) 573-0050
Fax: (270) 651-9254
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 170
05/28/2015
Ancillary Providers
Butler
Community Health
Center
Butler County High
School
Provider ID: 903229
1147 S Main St
Morgantown, KY 42261
(270) 526-2204
Fax: (270) 526-2262
09 Yrs/12 Yrs
M-F 7:00 AM - 3:30 PM
Family Planning
Butler County Health
Center
Provider ID: 645030
104 N Warren St
Morgantown, KY 42261
(270) 526-3221
Fax: (270) 526-6828
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 171
05/28/2015
Ancillary Providers
Casey
Durable Medical
Equipment
James Medical
Equipment, LTD
Provider ID: 610639
140 Liberty Sq
Liberty, KY 42539
(606) 787-5061
Fax: (606) 787-5063
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Medsource of Liberty
Provider ID: 759321
68 Hustonville St
Liberty, KY 42539
(606) 787-0468
M-F 8:00 AM - 5:00 PM
Family Planning
Casey County Health
Center
Provider ID: 645220
199 Adams St
Liberty, KY 42539
(606) 787-6911
Fax: (606) 787-2507
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Home Health Care
Rural Health Center
Casey County Family
Practice
Provider ID: 996433
112 Liberty Square
Liberty, KY 42539
(606) 787-8348
Fax: (606) 787-9717
MT 9:00 AM - 6:00 PM
WTHF 9:00 AM - 5:00
PM
Casey County Primary
Care
Provider ID: 996409
187 Wolford Ave
Liberty, KY 42539
(606) 787-8348
Fax: (606) 787-9717
MT 9:00 AM - 6:00 PM
WTHF 9:00 AM - 5:00
PM
Liberty Family Medical
Center
Provider ID: 1043265
511 Middleburg St
Liberty, KY 42539
(606) 787-5963
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Lifeline Home Health
Care of Somerset LL
Provider ID: 657361
Lifeline Health Care of
Casey
394 N Wallace Wilkinson
Blvd
Liberty, KY 42539
(606) 787-0007
Fax: (606) 787-0349
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
kentucky.wellcare.com | 172
05/28/2015
Ancillary Providers
Clinton
Durable Medical
Equipment
Central Ky Apothecary
DBA Dyer Drug Co
Provider ID: 623125
Central Kentucky
Apothecary/Dyer Dr
100 E Cumberland St
Albany, KY 42602
(606) 387-6444
Fax: (606) 387-9224
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 2:00 PM
Columbia Medical
Equipment Inctaylor Co
Provider ID: 962268
Columbia Medical
Equipment Inc
92 Joe T Petty Dr
Albany, KY 42602
(270) 866-6994
Fax: (270) 866-7011
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Lifeline Home Health
Care of Somerset LL
Provider ID: 657361
Lifeline Health Care of
Clinton
96 Foothills Ave
Albany, KY 42602
(606) 387-8131
Fax: (606) 387-9089
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
Family Planning
Clinton County Health
Dept
Columbia Medical
Provider ID: 645819
Equipment Inc Clinton C 131 Foothills Ave
Albany, KY 42602
Provider ID: 962252
(606) 387-5711
Columbia Medical
Fax: (606) 387-7212
Equipment Inc
00 Yrs/99 Yrs
258 Burkesville Rd
M-F 8:00 AM - 4:30 PM
Albany, KY 42602
Home Health Care
(606) 387-6994
Fax: (606) 387-2060
Amedisys Home Health
00 Yrs/99 Yrs
Care
M-F 9:00 AM - 5:00 PM
Provider ID: 643500
Columbia Medical
Equipment Inc Columbia
Provider ID: 608066
Columbia Medical
Equipment Inc
258 Burkesville Rd
Albany, KY 42602
(606) 387-6994
Fax: (606) 387-2060
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Amedisys Home Health
Care Albany
124 Foothills Ave
Albany, KY 42602
(606) 387-6661
Fax: (606) 387-6670
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Intrepid USA Healthcare
Services
Provider ID: 648394
723 Burkesville Rd
Albany, KY 42602
(606) 387-6954
Fax: (606) 387-8211
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 173
05/28/2015
Ancillary Providers
Cumberland
Durable Medical
Equipment
Burkesville Medical
Supply Inc
Provider ID: 600840
365 Keen St
Burkesville, KY 42717
(270) 864-2230
Fax: (270) 864-2691
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Family Planning
Cumberland Co Health
Center
Provider ID: 645320
Cumberland County
Health Center
226 Copper Ln
Burkesville, KY 42717
(270) 864-2206
Fax: (270) 864-1232
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Home Health Care
Lifeline Home Health
Care of Somerset LL
Provider ID: 657361
Lifeline Health Care of
Cumberland
349 Keen St
Burkesville, KY 42717
(270) 864-3348
Fax: (270) 864-3455
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
Rural Health Center
B F Taylor Medical Arts
Clinic
Provider ID: 623858
Cumberland County
Hospital
299A Glasgow Rd
Burkesville, KY 42717
(270) 864-2555
Fax: (270) 864-3777
M-F 8:00 AM - 4:30 PM
Sat 8:00 AM - 1:00 PM
Cumberland County
Hospital DBA B F Taylo
Provider ID: 803815
299A Glasgow Rd
Burkesville, KY 42717
(270) 864-2511
Fax: (270) 864-1307
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 1:00 PM
Flowers Rural Health
Clinic
Provider ID: 623896
Cumberland County
Hospital
333 Keen St
Burkesville, KY 42717
(270) 864-3371
Fax: (270) 864-5667
M-TH 8:00 AM - 5:00 PM
kentucky.wellcare.com | 174
05/28/2015
Ancillary Providers
Edmonson
Family Planning
Edmonson County
Health Center
Provider ID: 645087
221 Mammoth Cave Rd
Brownsville, KY 42210
(270) 597-2194
Fax: (270) 597-3326
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 175
05/28/2015
Ancillary Providers
Green
Durable Medical
Equipment
Hometown Medical
Supplies
Provider ID: 614863
204 Industrial Dr
Greensburg, KY 42743
(270) 299-2221
Fax: (270) 299-2018
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
Rural Health Center
Green County Primary
Care
Provider ID: 677108
706 Columbia Hwy
Greensburg, KY 42743
(270) 299-2286
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Family Planning
Green County Health
Center
Provider ID: 644803
220 Industrial Pk
Greensburg, KY 42743
(270) 932-4341
Fax: (270) 932-6016
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Home Health Care
Amedisys Home Health
Care
Provider ID: 643500
Amedisys Home Health
Care Greensbur
102 S Main St
Greensburg, KY 42743
(270) 932-7791
Fax: (270) 932-5229
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Lifeline Home Health
Care of Somerset LL
Provider ID: 657361
Lifeline Health Care of
Green
702 Columbia Hwy
Greensburg, KY 42743
(270) 932-7813
Fax: (270) 932-2583
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
kentucky.wellcare.com | 176
05/28/2015
Ancillary Providers
Hart
Durable Medical
Equipment
Clark Drugs Inc
Provider ID: 617824
232 Main St
Munfordville, KY 42765
(270) 524-3669
Fax: (270) 524-5891
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Rural Health Center
Caverna Memorial
Hospital
Provider ID: 647335
207 E Main St
Horse Cave, KY 42749
(270) 786-2372
M-F 9:00 AM - 5:00 PM
Family Medical Center of
Hart Co
Hart County Respiratory Provider ID: 721802
Care Inc
Family Medical Center of
Hart Count
Provider ID: 609826
Hart County Respiratory 117 W South St
Care
Munfordville, KY 42765
1370 S Dixie St
(270) 524-7231
Horse Cave, KY 42749
Fax: (270) 524-7415
(270) 786-2997
00 Yrs/99 Yrs
Fax: (270) 786-2997
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Family Planning
Hart County Health
Center
Provider ID: 644879
500 A A Whitman Ln
Munfordville, KY 42765
(270) 524-2511
Fax: (270) 524-5642
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Home Health Care
Lifeline Home Health of
Bowling Green LL
Provider ID: 657495
Lifeline Health Care of
Hart
200 Interstate Plaza Rd
Munfordville, KY 42765
(270) 524-0744
Fax: (270) 524-1183
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
kentucky.wellcare.com | 177
05/28/2015
Ancillary Providers
Logan
Durable Medical
Equipment
Gower Drug Store
Provider ID: 608076
328 N Main St
Lewisburg, KY 42256
(270) 755-4831
Fax: (270) 755-4850
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Resp Aire Inc
Provider ID: 618768
432B Hopkinsville Rd
Russellville, KY 42276
(270) 726-6188
Fax: (270) 726-1592
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Lifeline Home Health
Care of Russellvill
Provider ID: 792148
1527 Nashville St
Russellville, KY 42276
(270) 726-2408
Fax: (270) 726-7213
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Rural Health Center
Auburn Community
Health Clinic
Provider ID: 1014283
128 Sugar Maple Dr
Auburn, KY 42206
(270) 542-5500
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Riley White Drugs
Provider ID: 700311
153 NW Park Sq
Russellville, KY 42276
(270) 726-7626
Fax: (270) 726-7879
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Family Planning
Logan County Health
Center
Provider ID: 644892
151 S Franklin St
Russellville, KY 42276
(270) 726-8341
Fax: (270) 726-8345
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Home Health Care
Christian Care At Home
Provider ID: 601543
1405 Nashville Rd Ste B
Russellville, KY 42276
(270) 726-3487
Fax: (270) 726-3680
00 Yrs/99 Yrs
kentucky.wellcare.com | 178
05/28/2015
Ancillary Providers
McCreary
Durable Medical
Equipment
Bluegrass Oxygen Inc
Provider ID: 611354
Bluegrass Oxygen Inc
DBA Bluegrass
25 Medical Ln
Whitley City, KY 42653
(606) 376-2455
Fax: (606) 376-2047
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Daughertys Drugstore
Inc
Provider ID: 623641
4160 S Hwy 27
Pine Knot, KY 42635
(606) 354-2222
Fax: (606) 354-3830
00 Yrs/99 Yrs
MTWTHFSat 8:30 AM 6:00 PM
Rural Health Center
McCreary Primary Care
Center
Provider ID: 916021
65 Center Ave
Whitley City, KY 42653
(606) 376-2224
Fax: (606) 376-2205
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Winchester Patton &
Burgess PSC
Provider ID: 650945
Winchester Patton and
Burgess PSC
19 Medical Loop Ste 3
Whitley City, KY 42653
(606) 376-5391
Fax: (606) 376-3326
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Family Planning
McCreary County Health
Center
Provider ID: 645065
119 Medical Ln
Whitley City, KY 42653
(606) 376-2412
Fax: (606) 376-3815
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Home Health Care
Lifeline Home Health
Care of Somerset LL
Provider ID: 657361
Lifeline Health Care of
McCreary
56 Medical Ln
Whitley City, KY 42653
(606) 376-5400
Fax: (606) 376-5438
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
kentucky.wellcare.com | 179
05/28/2015
Ancillary Providers
Metcalfe
Community Health
Center
Epsdt Special Services
Nunn Drugs Inc
Provider ID: 624576
1704 W Stockton St
Edmonton, KY 42129
(270) 432-3111
Fax: (270) 432-4111
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
Edmonton Primary Care
Kentucky Medical Supply
Metcalfe County Primary Inc
Center
Provider ID: 601329
Provider ID: 903228
102 Castle Ridge Dr
103 Hornet Cir
Edmonton, KY 42129
Edmonton, KY 42129
(270) 432-0957
(270) 781-8039
Fax: (270) 432-0957
Fax: (270) 796-8946
00 Yrs/99 Yrs
04 Yrs/10 Yrs
M-F 9:00 AM - 5:00 PM
M-F 7:00 AM - 3:30 PM
Family Planning
Durable Medical
Metcalfe Co Health
Equipment
Center
Kentucky Medical Supply Provider ID: 645340
Inc
615 W. Stockton St
Provider ID: 601329
Edmonton, KY 42129
102 Castle Ridge Dr
(270) 432-3214
Edmonton, KY 42129
Fax: (270) 432-4000
(270) 432-0957
00 Yrs/99 Yrs
Fax: (270) 432-0957
M-F 8:00 AM - 4:30 PM
00 Yrs/99 Yrs
Rural Health Center
M-F 9:00 AM - 5:00 PM
Provider ID: 1059589
112 Sartin Dr Lot 1
Edmonton, KY 42129
(270) 432-2000
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Parmet Inc DBA
Metcalfe Drugs
Provider ID: 619096
115 E Stockton St
Edmonton, KY 42129
(270) 432-3051
Fax: (270) 432-2682
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 1:00 PM
kentucky.wellcare.com | 180
05/28/2015
Ancillary Providers
Monroe
Durable Medical
Equipment
Monroe Medical
Equipment Co LLC
Provider ID: 624652
801 N Main St
Tompkinsville, KY 42167
(270) 407-5060
Fax: (270) 407-5063
M-F 8:30 AM - 5:00 PM
Family Planning
Monroe County Health
Dept
Provider ID: 645772
452 East 4th St
Tompkinsville, KY 42167
(270) 487-6782
Fax: (270) 487-5457
00 Yrs/99 Yrs
M-F 7:00 AM - 4:30 PM
Laboratory Pathology
Testing
Monroe County Medical
Center Reference Lab
Provider ID: 628396
Monroe County Medical
Center
529 Capp Harlan Rd
Tompkinsville, KY 42167
(270) 487-9231
Fax: (270) 487-5784
00 Yrs/99 Yrs
Rural Health Center
Teresa Sheffield APRN
LLC
Provider ID: 927445
805 N Main St
Tompkinsville, KY 42167
(270) 487-0720
Fax: (270) 487-0712
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
kentucky.wellcare.com | 181
05/28/2015
Ancillary Providers
Pulaski
Ambulatory Surgery
Center
Lake Cumberland
Surgery Center
Provider ID: 621609
301 Langdon St
Somerset, KY 42503
(606) 678-9688
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Diagnostic Imaging
Lifescan Imaging
Provider ID: 600561
607 Clifty Rd
Somerset, KY 42503
(606) 677-6664
Fax: (606) 677-6560
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Dialysis
BMA Somerset
Provider ID: 633484
BMA Applications of
Kentucky Inc
119 Tradepark Dr
Somerset, KY 42503
(606) 678-9811
Fax: (606) 678-2716
00 Yrs/99 Yrs
MTWTHFSat 5:30 AM 8:30 PM
Durable Medical
Equipment
Bluegrass Oxygen Inc
Provider ID: 611354
Bluegrass Oxygen Inc
DBA Bluegrass
112 Hardin Ln
Somerset, KY 42503
(606) 679-2454
Fax: (606) 679-0525
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Columbia Medical
Lincare Inc
Equipment Inc Columbia Provider ID: 918563
30 Jackson Cove
Provider ID: 608066
Somerset, KY 42503
Columbia Medical
(606) 679-0171
Equipment Inc
Fax: (859) 372-3582
216 Poplar Ave Ste 100
00 Yrs/99 Yrs
Somerset, KY 42503
M-F 8:00 AM - 5:00 PM
(606) 676-0505
Lincare Inc
00 Yrs/99 Yrs
Provider ID: 937741
M-F 9:00 AM - 5:00 PM
2835 S Hwy 27 Ste 360
Cumberland Foot And
Somerset, KY 42501
Ankle Center
(606) 451-1101
Provider ID: 1061641
Fax: (606) 451-0131
117 Trade Park Dr
00 Yrs/99 Yrs
Somerset, KY 42503
M-F 8:00 AM - 5:00 PM
(606) 679-2773
Lincare Inc NY
Fax: (606) 679-4626
Provider ID: 276198
00 Yrs/99 Yrs
30 Jaxsons Cove
M-F 8:00 AM - 5:00 PM
Somerset, KY 42503
Home Medical
(606) 679-0171
Equipment LLC DBA
00 Yrs/99 Yrs
Homecare
M-F 8:00 AM - 5:00 PM
Provider ID: 708747
Home Medical
Lovejoy Medical
Equipment LLC DBA
Provider ID: 731603
Home
311 Langdon St
286 Bogle St Ste 4
Somerset, KY 42503
Somerset, KY 42503
(606) 677-9797
(606) 679-4141
Fax: (606) 451-0900
Fax: (606) 679-4173
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Professional Medical
Lincare Inc
Supply
Provider ID: 918563
Provider ID: 621678
2835 S Hwy 27 Ste 360
342 Bogle St Ste 1
Somerset, KY 42501
Somerset, KY 42503
(606) 451-1101
(606) 451-0216
Fax: (606) 451-0131
Fax: (606) 451-1959
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 182
Xtreme Prosthetics and
Orthotics LLC
Provider ID: 637236
Xtreme Prosthetics and
Orthotics LL
310 Langdon St Ste 2
Somerset, KY 42503
(606) 451-0668
Fax: (606) 451-0078
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Epsdt Special Services
Home Medical
Equipment LLC DBA
Homecare
Provider ID: 708747
Home Medical
Equipment LLC DBA
Home
286 Bogle St Ste 4
Somerset, KY 42503
(606) 679-4141
Fax: (606) 679-4173
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Family Planning
Pulaski County Health
Center
Provider ID: 645555
45 Roberts St
Somerset, KY 42501
(606) 679-4416
Fax: (606) 679-4419
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
05/28/2015
Ancillary Providers
Pulaski
Home Health Care
Infusion Therapy
Amedisys Home Health
Care
Provider ID: 643500
Amedisys Home Health
Care Somerset
40 Turpen Ct Ste A
Somerset, KY 42503
(606) 679-8555
Fax: (270) 678-4548
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Walgreens Infusion
Services
Provider ID: 671915
Walgreens Infusion
Services Somerse
83 Bogle Office Park Dr
Ste 400
Somerset, KY 42503
(888) 568-1316
Fax: (877) 305-6744
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Intrepid USA Healthcare
Services
Provider ID: 648394
Fc of Kentucky Inc
1406 S Hwy 27 Ste B
Somerset, KY 42501
(606) 679-7439
Fax: (606) 387-8211
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Lifeline Home Health
Care of Somerset LL
Provider ID: 657361
Lifeline Home Health
Care of Somers
600 1/2 Clifty St Ste 2 &
3
Somerset, KY 42503
(606) 679-9245
Fax: (606) 678-9273
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 5:00 PM
Hospice
Laboratory Pathology
Testing
Cumberland Medical
Laboratories Inc
Provider ID: 608069
401 Bogle St Ste 205
Somerset, KY 42503
(606) 678-8800
Fax: (606) 679-5238
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Orthotics & Prosthetics
Hanger Pros and Orth
East Inc
Provider ID: 134894
143 Bogle Office Park Dr
Ste B
Somerset, KY 42503
(606) 451-8678
Fax: (606) 679-3181
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Hospice of Lake
Cumberland
Provider ID: 613294
100 Pkwy Dr
Somerset, KY 42503
(606) 679-4389
Fax: (606) 679-4389
M-F 8:30 AM - 5:00 PM
kentucky.wellcare.com | 183
05/28/2015
Ancillary Providers
Russell
Clinic
Lake Cumberland
Childrens Advocacy
Center
Provider ID: 621147
Jamestown Kentucky
472 S Main St
Jamestown, KY 42629
(270) 343-6922
Fax: (270) 343-6006
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Durable Medical
Equipment
Jamestown Valu Rite
Pharmacy Inc
Provider ID: 614202
Jamestown Pharmacy
1417 N Main St Ste A
Jamestown, KY 42629
(270) 343-4443
Fax: (270) 343-4481
00 Yrs/99 Yrs
M-F 8:00 AM - 5:30 PM
Sat 8:00 AM - 12:00 PM
Family Planning
Russell County Health
Center
Provider ID: 645504
Columbia Medical
251 Fruit of Loom DR
Equipment Inc Columbia Jamestown, KY 42629
(270) 343-2181
Provider ID: 608066
Fax: (270) 343-2183
Columbia Medical
00 Yrs/99 Yrs
Equipment Inc
M-F 8:00 AM - 4:30 PM
92 Joe T Petty Dr
Russell Springs, KY 42642
Home Health Care
(270) 866-6994
Lifeline Home Health
Fax: (270) 866-7011
Care of Somerset LL
00 Yrs/99 Yrs
Provider ID: 657361
M-F 9:00 AM - 5:00 PM
Lifeline Health Care of
Columbia Medical
Russell
Equipment Inc Russell C
124 Dowell Rd Ste 105,
Medical Arts Bldg
Provider ID: 962257
Russell Springs, KY 42642
Columbia Medical
(270) 866-4100
Equipment Inc
Fax: (270) 866-4104
92 Joe T Petty Dr
00 Yrs/99 Yrs
Russell Springs, KY 42642 MTWTHFSat 8:00 AM (270) 866-6994
5:00 PM
Fax: (270) 866-7011
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Laboratory Pathology
Testing
Premier Integrity
Solutions Inc
Provider ID: 798351
660 Lakeway Dr Ste B
Russell Springs, KY 42642
(270) 866-3762
Fax: (270) 866-3793
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Premiertox 2.0
Provider ID: 624063
Premiertox
2431 Lakeway Dr Ste 17A
Russell Springs, KY 42642
(859) 368-9504
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 184
05/28/2015
Ancillary Providers
Simpson
Durable Medical
Equipment
Home Health Care
Lifeline Home Health of
Commonwealth Foot
Bowling Green LL
and Ankle Care LLC DME Provider ID: 657495
Provider ID: 973994
Lifeline Health Care of
Commonwealth Foot
Simpson
and Ankle Care LL
1004 Brookhaven Dr
1030 Brookhaven Rd
Franklin, KY 42134
Franklin, KY 42134
(270) 586-0141
(270) 598-4910
Fax: (270) 586-6526
Fax: (270) 598-4930
00 Yrs/99 Yrs
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM M-F 8:00 AM - 5:00 PM
5:00 PM
Houchens Express
Pharmacy LLC DBA
Sheldo
Provider ID: 687004
Sheldon's Express
Pharmacy
212 S Main St
Franklin, KY 42134
(270) 586-4471
Fax: (270) 586-8595
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 1:00 PM
Family Planning
Simpson County Health
Center
Provider ID: 645069
1131 S College
Franklin, KY 42134
(270) 586-8261
Fax: (270) 586-8261
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 185
05/28/2015
Ancillary Providers
Taylor
Dialysis
Hospice
James Medical
Equipment, LTD
Taylor County Dialysis
Hosparus Inc
Provider ID: 610639
Center
Provider ID: 620423
950 Campbellsville Byp
Provider ID: 716456
Campbellsville, KY 42718 Green River Plaza Ste 5
101 Kingswood Dr
295 Campbellsville
(270) 465-8220
Bypass
Campbellsville, KY 42718 Fax: (270) 789-1994
Campbellsville, KY 42718
(270) 789-4100
00 Yrs/99 Yrs
(270) 789-4247
Fax: (270) 789-2421
M-F 8:00 AM - 5:00 PM
Fax: (270) 789-4248
18 Yrs/99 Yrs
Epsdt
Special
Services
MTWTHFSat 4:45 AM Infusion Therapy
4:45 PM
The Kid Spot Center LLC
Amerimed Inc
Durable Medical
Provider ID: 786611
Equipment
Provider ID: 960374
VNA Nazareth Home
121A Casey St
Amerimed Inc
Campbellsville, KY 42718 Care
Provider ID: 786611
236 Greenbriar Dr
(270) 465-7768
VNA Nazareth Home
Campbellsville, KY 42718
Fax: (270) 465-0068
Care
(270) 465-9624
00 Yrs/21 Yrs
236 Greenbriar Dr
Fax: (270) 789-5883
M-F 8:00 AM - 6:00 PM
Campbellsville, KY 42718
00 Yrs/99 Yrs
(270) 465-9624
Home Health Care
M-F 9:00 AM - 5:00 PM
Fax: (270) 789-5883
Rehabilitation Facility
Amedisys Home Health
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM Care
The Kid Spot Center LLC
Provider ID: 643500
Columbia Medical
Amedisys Home Health
Provider ID: 960374
Equipment Inc Columbia Care Campbells
121A Casey St
175 W Beartrack Rd
Provider ID: 608066
Campbellsville, KY 42718 Campbellsville, KY 42718
(270) 465-7768
Columbia Medical
(270) 465-4978
Fax: (270) 465-0068
Equipment Inc
Fax: (270) 465-5330
00 Yrs/21 Yrs
111 Wildflower Ln Ste B
00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM
Campbellsville, KY 42718 M-F 9:00 AM - 5:00 PM
(270) 465-0695
Lifeline Home Health
Fax: (270) 465-0697
Care of Somerset LL
00 Yrs/99 Yrs
Provider ID: 657361
M-F 9:00 AM - 5:00 PM
Lifeline Health Care of
Diabetic DME Supplies
Taylor
LLC
200 Nancy Cox Dr
Provider ID: 642725
Campbellsville, KY 42718
610 W Main St Ste C
(270) 465-2266
Campbellsville, KY 42718 Fax: (270) 789-0455
(270) 789-9869
00 Yrs/99 Yrs
Fax: (270) 849-3427
MTWTHFSat 8:00 AM 00 Yrs/99 Yrs
5:00 PM
Languages: Spanish,
Tagalog
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 186
05/28/2015
Ancillary Providers
Warren
Clinic
Durable Medical
Equipment
First Choice Home
Houchens Express
Medical
Pharmacy LLC DBA
Community Living In
Sheldo
Provider ID: 627065
Kentucky
Bowling Green Orthotics 1945 Scottsville Rd Ste
Provider ID: 687004
Prosthetics
Provider ID: 929652
A3
Sheldon's Express
Provider ID: 608333
996 Wilkinson Trce Ste
Bowling Green, KY 42104 Pharmacy #1
B3
Bowling Green Orthotics (270) 393-9393
843 Fairview Ave
Bowling Green, KY 42103 and Prosthe
Bowling Green, KY 42101
Fax: (270) 393-9383
1711 Ashley Cir Ste 8
(270) 843-5300
(270) 842-4515
00 Yrs/99 Yrs
Bowling Green, KY 42104 M-F 9:00 AM - 5:00 PM
Fax: (270) 843-5383
Fax: (270) 783-7484
(270) 780-0073
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
First Step Prosthetics
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 6:00 PM
M-F 8:00 AM - 5:00 PM LLC
Sat 9:00 AM - 1:00 PM
Diagnostic Imaging
Provider ID: 666357
Cds #10 Pharmacy LLC
1136 US 31 W By Pass
Lincare Inc
Western Kentucky
Provider ID: 686211
Bowling
Green,
KY
42101
Provider ID: 918563
Diagnostic Imaging
1308 Ashley Circle
(270) 904-6130
111 Vanderbilt Ct Unit A
Provider ID: 651018
Bowling Green, KY 42104 Fax: (270) 904-6132
Bowling Green, KY 42103
1635 Scottsville Rd
(270) 781-5661
00
Yrs/99
Yrs
(270) 793-9611
Bowling Green, KY 42104 Fax: (270) 781-5652
M-F
8:00
AM
5:00
PM
Fax: (270) 793-9503
(270) 746-9500
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 746-9113
M-F 9:00 AM - 5:00 PM Home Oxygen Medical
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Equipment
M-F 8:00 AM - 6:00 PM Cpap Innovations
Provider ID: 641372
Medequip
Provider ID: 899784
Sat 8:00 AM - 12:00 PM
901 Lehman Ave Ste 12B
Provider ID: 635030
830 Fairview Ave Ste B 7 Bowling Green, KY 42101 825 2nd Ave Ste A2
Dialysis
Bowling Green, KY 42101 (270) 843-4901
Bowling Green, KY 42101
(270) 282-4482
Fax: (888) 851-9470
(270) 780-2655
Bowling Green Dialysis
Fax: (270) 282-4471
00 Yrs/99 Yrs
Center Inc
00 Yrs/99 Yrs
00
Yrs/99
Yrs
Languages:
Spanish
Provider ID: 608336
M-F 9:00 AM - 5:00 PM
M-F 8:30 AM - 4:30 PM
M-F 9:00 AM - 5:00 PM
Bowling Green Dialysis
Medicine Arts Pharmacy
Center
Ely Drugs of Bowling
Houchens
Express
1834 Lyda Ave
Green
Pharmacy LLC DBA
Provider ID: 619856
Bowling Green, KY 42104 Provider ID: 608091
Sheldo
818 US 31W Byp
(502) 458-6359
4863A Scottsville Rd
Provider ID: 687004
Bowling Green, KY 42101
Fax: (502) 459-8626
Bowling Green, KY 42104 Sheldon's Express
(270) 843-3202
00 Yrs/99 Yrs
(270) 467-5220
Pharmacy
Fax: (270) 785-8181
MTWTHFSat 7:00 AM Fax: (270) 467-0542
760 Campbell Ln Ste 121
00 Yrs/99 Yrs
5:00 PM
00 Yrs/99 Yrs
Bowling Green, KY 42104 M-F 9:00 AM - 6:00 PM
M-F 9:00 AM - 5:00 PM
(270) 842-4515
Sat 9:00 AM - 1:00 PM
Fax: (270) 783-7484
00 Yrs/99 Yrs
M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 1:00 PM
kentucky.wellcare.com | 187
05/28/2015
Ancillary Providers
Warren
Durable Medical
Equipment - cont.
Riley White Drugs
Provider ID: 700311
Riley White Inc DBA
Clinic Pharmacy
201 Park St
Bowling Green, KY 42101
(270) 781-3095
Fax: (270) 782-5223
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Tomorrows Woman
Provider ID: 708686
Tomorrows Woman Inc
2362 Russellville Rd
Bowling Green, KY 42101
(270) 781-5171
Fax: (270) 846-7968
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Epsdt Special Services
Medequip
Provider ID: 635030
825 2nd Ave Ste A2
Bowling Green, KY 42101
(270) 780-2655
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Family Planning
Warren Co Health
Center
Provider ID: 645076
1109 State St
Bowling Green, KY 42101
(270) 781-2490
Fax: (270) 781-2520
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Home Health Care
Hospice
Primary Care Center
Amedisys Home Health Hosparus Inc
Trevor, Devin MD
Care
Provider ID: 620423
Provider ID: 617008
Provider ID: 643500
101 Riverwood Ave Ste B Gender: Male
Amedisys Home Health
Bowling Green, KY 42103 Fairview Community
Care Bowling G
Health Center
(270) 782-7258
1724 Rockingham Ave Ste Fax: (270) 901-0843
825 4th Ave
300
Bowling Green, KY 42101
Bowling Green, KY 42104 Hospice of Southern
(270) 783-3573
Kentucky Inc
(270) 842-4500
Fax: (270) 783-4081
Provider ID: 607577
Fax: (270) 842-0900
12 Yrs/99 Yrs
Ky Hospice Network
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Group
M-F 9:00 AM - 5:00 PM
5872 Scottsville Rd
Rehabilitation Facility
Ely Drugs of Bowling
Bowling Green, KY 42104
Southern Kentucky
Green
(270) 782-3402
Rehab Hospital
Provider ID: 608091
Fax: (270) 782-3496
Provider ID: 629019
4863A Scottsville Rd
Orthotics
&
Prosthetics
1300 Campbell Ln
Bowling Green, KY 42104
Bowling Green, KY 42104
(270) 467-5220
Cooks Orthopedics Inc
(270) 782-6900
Fax: (270) 467-0542
Provider ID: 654601
Fax: (270) 782-7228
00 Yrs/99 Yrs
1711 Destiny Ln Ste 121
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Bowling Green, KY 42104
Rural Health Center
(270) 745-9004
Lifeline Home Health of
Fax: (270) 745-9005
Bowling Green LL
Associates In Physician
00 Yrs/99 Yrs
Provider ID: 657495
M-F 9:00 AM - 5:00 PM Services
Lifeline Health Care of
Provider ID: 650375
Warren
Hanger
Pros
and
Orth
1325 Andrea St Ste 107
165 Natchez Trace Ave
East
Inc
Bowling Green, KY 42104
Ste 206
Provider
ID:
134894
(270) 796-8881
Bowling Green, KY 42103
1810
Destiny
Ln
Fax: (270) 796-8558
(270) 781-0702
Bowling
Green,
KY
42104
00 Yrs/99 Yrs
Fax: (270) 781-8489
(270)
781-7418
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Fax:
(270)
781-2370
MTWTHFSat 8:00 AM 00 Yrs/99 Yrs
5:00 PM
M-F 9:00 AM - 5:00 PM
The Medical Center
Home Care Epsdt
Provider ID: 657837
1953 Scottsville Rd Ste
200
Bowling Green, KY 42104
(270) 745-1006
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 188
05/28/2015
Ancillary Providers
Wayne
Community Health
Center
Home Health Care
Durable Medical
Equipment
Laboratory Pathology
Testing
Lifeline Home Health
Wayne Countychildhood Care of Somerset LL
Center
Provider ID: 657361
Provider ID: 751913
Lifeline Health Care of
Wayne County Early
Wayne
Childhood Center
1 S Creek Dr Ste 118
99 Lloyd Cir
Monticello, KY 42633
Monticello, KY 42633
(606) 348-6000
(606) 348-6358
Fax: (606) 348-7270
Fax: (606) 676-9671
00 Yrs/99 Yrs
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM M-F 8:00 AM - 4:30 PM
5:00 PM
James Medical
Equipment, LTD
Provider ID: 610639
1215 N Main St Ste 1
Monticello, KY 42633
(606) 340-8138
Fax: (606) 340-8139
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Family Planning
Wayne County Health
Dept
Provider ID: 645710
39 Jim Hill Service Rd
Monticello, KY 42633
(606) 348-9349
Fax: (606) 348-7464
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Monticello Medical
Associates Laboratory
Provider ID: 751914
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rural Health Center
Wayne County Hospital
Rural Health Clini
Provider ID: 712917
Wayne County Hospital
Rhc
166 Hospital St
Monticello, KY 42633
(606) 340-3251
Fax: (606) 348-3266
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 189
05/28/2015
Allied Providers
Adair
Family Practice
Brendel, Jacquelyn APRN Gaskins, Brian ARNP
Provider ID: 974065
Brock, Kathy APRN
Provider ID: 597039
Gender: Male
Provider ID: 903159
Gender: Female
Westlake Family Practice
Gender: Female
Lake Cumberland
902 Westlake Dr Ste 101
Westlake Primary Care
District Health Dep
Columbia, KY 42728
810 Jamestown St
801 Westlake Dr
(270) 384-0451
Columbia, KY 42728
Columbia, KY 42728
Fax: (270) 384-0451
(270) 384-4764
(270) 384-2286
00 Yrs/99 Yrs
Fax: (270) 384-2828
Fax: (270) 384-4800
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Gaskins, Julie APRN
M-F 8:00 AM - 5:00 PM
Languages: Spanish
Provider ID: 633646
M-F 8:00 AM - 4:30 PM
Nurse Practitioner
Gender: Female
Brock, Kathy APRN
Family First Health Care
Atwood, Tamra APRN
Provider ID: 913013
363 Office Park Dr
Provider ID: 804110
Gender: Female
Columbia, KY 42728
Gender: Female
Westlake Primary Care
(270) 384-3939
Westlake Primary Care
901 Westlake Dr
Fax: (270) 384-3940
810 Jamestown St
Columbia, KY 42728
00 Yrs/99 Yrs
Columbia, KY 42728
(270) 384-4753
MTWF 8:00 AM - 5:00
(270) 384-4764
Fax: (270) 384-6228
PM
Fax: (270) 384-5826
00 Yrs/99 Yrs
TH 8:00 AM - 8:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
MTWTHFSatSun 8:00
Irvin, Sandra APRN
AM - 5:00 PM
England, Russell APRN
Provider ID: 667087
Provider
ID:
952232
Gender: Female
Atwood, Tamra APRN
Gender:
Male
Adair Family Medical
Provider ID: 804113
Westlake
Primary
Care
Center
Gender: Female
810
Jamestown
St
937 Campbellsville Rd
Westlake Family Practice
Columbia,
KY
42728
Columbia, KY 42728
902 Westlake Dr Ste 101
(270)
384-4764
(270) 384-2777
Columbia, KY 42728
Fax: (270) 384-2828
Fax: (270) 384-2770
(270) 384-0451
00
Yrs/99
Yrs
00 Yrs/99 Yrs
Fax: (270) 384-0454
M-F
8:00
AM
5:00
PM
M-F 7:30 AM - 6:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Gaskins, Brian ARNP
Martin, Debbie APRN
Provider ID: 596280
Bowman, Kimberly APRN Provider ID: 974063
Gender:
Male
Gender: Female
Provider ID: 936729
Westlake
Primary
Care
Westlake Primary Care
Gender: Female
810
Jamestown
St
810 Jamestown St
Westlake Family Practice
Columbia, KY 42728
Columbia, KY 42728
902 Westlake Dr Ste 101
(270)
384-4764
(270) 384-4764
Columbia, KY 42728
Fax:
(270)
384-2828
Fax: (270) 384-5826
(270) 384-0451
00
Yrs/99
Yrs
00 Yrs/99 Yrs
Fax: (270) 384-0454
M-F 8:00 AM - 5:00 PM
Casey County Hospital
00 Yrs/99 Yrs
Westlake Regional
M-F 8:00 AM - 5:00 PM
Hospital
M-F 8:00 AM - 6:00 PM
kentucky.wellcare.com | 190
Martin, Debbie APRN
Provider ID: 672630
Gender: Female
Westlake Family Practice
902 Westlake Dr Ste 101
Columbia, KY 42728
(270) 384-0451
Fax: (270) 384-0454
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McMinoway, Tiffany
APRN
Provider ID: 997663
Gender: Female
Westlake Primary Care
810 Jamestown St
Columbia, KY 42728
(270) 384-4764
Fax: (270) 384-6228
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
O'Dell, Bentley APRN
Provider ID: 614309
Gender: Male
Westlake Family Practice
902 Wlake Dr Ste 101
Columbia, KY 42728
(270) 384-0451
Fax: (270) 384-0454
00 Yrs/99 Yrs
Casey County Hospital
M-F 9:00 AM - 5:00 PM
O'Dell, Bentley APRN
Provider ID: 614310
Gender: Male
Westlake Primary Care
810 Jamestown St
Columbia, KY 42728
(270) 384-4764
Fax: (270) 384-5826
00 Yrs/99 Yrs
Casey County Hospital
M-F 9:00 AM - 5:00 PM
05/28/2015
Allied Providers
Adair
Nurse Practitioner - cont. Partin, John APRN
Provider ID: 602451
Partin, Elizabeth APRN
Gender: Male
Provider ID: 633857
Westlake Regional
Gender: Female
Hospital
Family First Health Care
901 Westlake Dr
363 Office Park Dr
Columbia, KY 42728
Columbia, KY 42728
(270) 384-4753
(270) 384-3939
Fax: (270) 384-5826
Fax: (270) 384-3940
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Languages: French,
MTWF 8:00 AM - 5:00
Italian, Hebrew
PM
M-F 9:00 AM - 5:00 PM
TH 8:00 AM - 8:00 PM
Ping, Debbie APRN
Partin, John APRN
Provider ID: 667091
Provider ID: 602451
Gender: Female
Gender: Male
Adair Family Medical
Westlake Primary Care
Center
810 Jamestown St
937 Campbellsville Rd
Columbia, KY 42728
Columbia, KY 42728
(270) 384-4764
(270) 384-2777
Fax: (273) 384-5826
Fax: (270) 384-2770
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Languages: French,
M-F 7:30 AM - 6:00 PM
Italian, Hebrew
M-F 9:00 AM - 5:00 PM Stotts, Patricia APRN
Provider ID: 915249
Partin, John APRN
Gender: Female
Provider ID: 602451
Genesis Enterprises Inc
Gender: Male
DBA Family
Westlake Primary Care
1463 Campbellsville Rd
902 Westlake Dr Ste 101
Columbia, KY 42728
Columbia, KY 42728
(270) 384-9934
(270) 384-0451
Fax: (270) 384-2823
Fax: (270) 384-0454
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Languages: French,
Thiery, Diane APRN
Italian, Hebrew
Provider ID: 608060
M-F 9:00 AM - 5:00 PM
Gender: Female
Taylor Rural Health LLC
805 Burkesville St
Columbia, KY 42728
(270) 384-1110
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 6:00 PM
Wooley, Dennis APRN
Provider ID: 608175
Gender: Male
Taylor Rural Health LLC
805 Burkesville St
Columbia, KY 42728
(270) 384-1110
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 6:00 PM
Wright, Jason APRN
Provider ID: 991890
Gender: Male
Taylor Regional ENT
805 Burkesville St
Columbia, KY 42728
(270) 384-1110
Fax: (270) 789-6119
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physician Assistant
Bright, Amanda PA
Provider ID: 667453
Gender: Female
Taylor Regional ENT
805 Burkesville St
Columbia, KY 42728
(270) 384-1110
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 191
05/28/2015
Allied Providers
Allen
Nurse Practitioner
Alexander, Betty APRN
Provider ID: 603566
Gender: Female
Interventional Pain
Specialists of
466 Burnley Rd
Scottsville, KY 42164
(270) 618-3980
Fax: (270) 266-0292
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Devore, Paula APRN
Provider ID: 762243
Gender: Female
Interventional Pain
Specialists of
466 Burnley Rd
Scottsville, KY 42164
(270) 618-3980
Fax: (270) 266-0292
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Landers, Lindsey APRN
Provider ID: 982311
Gender: Female
Commonwealth Health
Corporation
217 W Main St
Scottsville, KY 42164
(270) 239-9355
Fax: (270) 239-9356
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Landers, Lindsey APRN
Provider ID: 982623
Gender: Female
The Medical Center At
Scottsville R
466 Burnley Rd
Scottsville, KY 42164
(270) 618-3700
Fax: (270) 618-3772
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pardue, Jacqueline APRN West, Paula APRN
Provider ID: 815316
Provider ID: 721810
Gender: Female
Gender: Female
Interventional Pain
Interventional Pain
Specialists of
Specialists of
466 Burnley Rd
466 Burnley Rd
Scottsville, KY 42164
Scottsville, KY 42164
(270) 618-3980
(270) 618-3980
Fax: (270) 266-0292
Fax: (270) 266-0292
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Hancock, Elizabeth PT
Provider ID: 1019852
Gender: Female
Orthopedics Plus
Physical Therapy
102 W Maple St
Scottsville, KY 42164
(270) 239-6640
Fax: (270) 239-6674
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Parrott, Jennifer APRN
Provider ID: 749541
Gender: Female
Commonwealth Health
Corporation
466 Burnley Rd
Scottsville, KY 42164
(270) 618-3700
Fax: (270) 618-3772
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
White, Brandi APRN
Provider ID: 712957
Gender: Female
The Medical Center At
Scottsville R
466 Burnley Rd
Scottsville, KY 42164
(270) 618-3700
Fax: (270) 618-3772
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Holman, Kelly PT
Provider ID: 999946
Gender: Male
Orthopedics Plus
Physical Therapy
102 W Maple St
Scottsville, KY 42164
(270) 239-6640
Fax: (270) 239-6674
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Settle, Deborah ARNP
Provider ID: 953120
Gender: Female
Interventional Pain
Specialists of
466 Burnley Rd
Scottsville, KY 42164
(270) 618-3980
Fax: (270) 266-0292
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wilson, Rita APRN
Provider ID: 1057000
Gender: Female
Interventional Pain
Specialists of
466 Burnley Rd
Scottsville, KY 42164
(270) 618-3980
Fax: (270) 266-0292
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Johnson, Ashley PT
Provider ID: 1074182
Gender: Female
Orthopedics Plus
Physical Therapy
102 W Maple St
Scottsville, KY 42164
(270) 239-6640
Fax: (270) 239-6674
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Stovall, Linda APRN
Provider ID: 627667
Gender: Female
Commonwealth Health
Corporation
217 W Main St
Scottsville, KY 42164
(270) 239-9355
Fax: (270) 239-9356
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Physical Therapy
McAlister, John PT
Provider ID: 1000964
Gender: Male
Orthopedics Plus
Physical Therapy
102 W Maple St
Scottsville, KY 42164
(270) 239-6640
Fax: (270) 239-6674
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Cool, Haley PT
Provider ID: 1000898
Gender: Female
Orthopedics Plus
Physical Therapy
102 W Maple St
Scottsville, KY 42164
(270) 239-6640
Fax: (270) 239-6674
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 192
05/28/2015
Allied Providers
Allen
Physical Therapy - cont.
Moore, Marina PT
Provider ID: 1019642
Gender: Female
Orthopedics Plus
Physical Therapy
102 W Maple St
Scottsville, KY 42164
(270) 239-6640
Fax: (270) 239-6674
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Perry, Carrie PT
Provider ID: 1019840
Gender: Female
Orthopedics Plus
Physical Therapy
102 W Maple St
Scottsville, KY 42164
(270) 239-6640
Fax: (270) 239-6674
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Webster, Krista PT
Provider ID: 1019617
Gender: Female
Orthopedics Plus
Physical Therapy
102 W Maple St
Scottsville, KY 42164
(270) 239-6640
Fax: (270) 239-6674
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physician Assistant
King, Seth PA
Provider ID: 958495
Gender: Male
Western Kentucky
Orthopaedic and NE
456 Burnley Rd
Scottsville, KY 42164
(270) 622-3288
Fax: (270) 782-3276
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pinerola, Jase PT
Provider ID: 908810
Gender: Male
Orthopedics Plus
Physical Therapy
102 W Maple St
Scottsville, KY 42164
(270) 239-6640
Fax: (270) 239-6674
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Richardson, Daniel PT
Provider ID: 1000869
Gender: Male
Orthopedics Plus
Physical Therapy
102 W Maple St
Scottsville, KY 42164
(270) 239-6640
Fax: (270) 239-6674
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 193
05/28/2015
Allied Providers
Barren
Family Practice
Jennings, Tammy APRN
Provider ID: 617379
Gender: Female
Glasgow Pediatric
Associates
301 Professional Park Dr
Glasgow, KY 42141
(270) 651-9696
Fax: (270) 651-0385
00 Yrs/99 Yrs
M-F 7:30 AM - 5:00 PM
Nurse Midwife
Bell, Nellie CNM
Provider ID: 671139
Gender: Female
T J Samson Women and
Childrens Clin
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Bell, Nellie CNM
Provider ID: 671139
Gender: Female
Tj Health Partners LLC
DBA Women An
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Stanley, Margaret CNM
Provider ID: 758616
Gender: Female
T J Samson Women and
Childrens Clin
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Baker, Melissa APRN
Provider ID: 800560
Gender: Female
T J Samson Community
Hospital DBA T
1301 N Race St
Glasgow, KY 42141
(270) 651-4560
Fax: (270) 651-1805
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Browning, Amanda APRN
Provider ID: 947166
Gender: Female
T J Samson Community
Hospital
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Bowman, Kimberly APRN
Browning, Amanda APRN
Provider ID: 781641
Provider ID: 947166
Gender: Female
Gender: Female
T J Samson Community
Hospital
Tj Health Partners
1301 N Race St
507 S L Rogers Wells
Blvd Ste E
Glasgow, KY 42141
Glasgow, KY 42141
(270) 651-4444
(270) 651-1305
Fax: (270) 651-4892
Fax: (270) 651-1335
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Branstetter, Mary APRN
Cobb, Anaclare APRN
Nurse Practitioner
Provider ID: 912859
Provider ID: 793483
Gender: Female
Gender: Female
Anderson, Mary APRN
301 Professional Park Dr
T J Samson Community
Provider ID: 893469
Hospital
Glasgow, KY 42141
Gender: Female
2345 Happy Valley Rd
(270) 651-9696
T J Samson Community
Glasgow, KY 42141
Fax: (270) 651-0385
Hospital DBA T
(270) 678-3278
00 Yrs/99 Yrs
310 N L Roger Wells Blvd M-F 9:00 AM - 5:00 PM
Fax: (270) 678-7952
Glasgow, KY 42141
00 Yrs/99 Yrs
(270) 651-1111
Brown, Tricia ARNP
M-F 8:00 AM - 5:00 PM
Fax: (270) 651-4892
Provider ID: 1027655
00 Yrs/99 Yrs
Combs, Kyle APRN
Gender: Female
M-F 8:00 AM - 5:00 PM
Ulrf Pediatric Cardiology Provider ID: 972256
Gender: Female
301 Professional Park Dr
Ulrf Pediatric Cardiology
Glasgow, KY 42141
301 Professional Park
(502) 585-4802
Glasgow, KY 42141
Fax: (502) 589-1256
(502) 585-4802
00 Yrs/99 Yrs
Fax: (502) 589-1256
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Stanley, Margaret CNM
Provider ID: 758616
Gender: Female
Tj Health Partners LLC
DBA Women An
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 194
05/28/2015
Allied Providers
Barren
Nurse Practitioner - cont. Finley, Cynthia APRN
Provider ID: 985670
Davis, Shelly APRN
Gender: Female
Provider ID: 893474
T J Samson Community
Gender: Female
Hospital DBA T
T J Urgent Care
310 N L Rogers Wells
310 N L Rogers Wells
Blvd
Blvd
Glasgow, KY 42141
Glasgow, KY 42141
(270) 651-1111
(270) 651-1111
Fax: (270) 651-4862
Fax: (270) 651-4862
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Franklin, Vivian APRN
Doolin, Christopher
Provider ID: 899650
APRN
Gender: Female
Provider ID: 813435
T J Samson Community
Gender: Male
Hospital
T J Samson Community
1301 N Race St
Hospital DBA T
Glasgow, KY 42141
310 N L Roger Wells Blvd (270) 651-4444
Glasgow, KY 42141
Fax: (270) 651-4892
(270) 651-1111
00 Yrs/99 Yrs
Fax: (270) 651-4892
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Groves, Tasha APRN
Provider ID: 952161
Ducoff, Lisa APRN
Gender: Female
Provider ID: 755373
Tj Health Partners
Gender: Female
312 N L Rogers Wells
Tj Health Partners
Blvd
310 N L Rogers Wells
Glasgow, KY 42141
Blvd
(270) 651-1111
Glasgow, KY 42141
Fax: (270) 659-5853
(270) 651-1111
00 Yrs/99 Yrs
Fax: (270) 629-3317
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM Hatton, Torie APRN
Provider ID: 1056907
Ducoff, Lisa APRN
Gender: Female
Provider ID: 755373
Tj Health Partners
Gender: Female
312 N L Rogers Wells
Tj Health Partners
Blvd
312 N L Rogers Wells
Glasgow, KY 42141
Blvd
(270) 651-1111
Glasgow, KY 42141
Fax: (270) 659-5850
(270) 659-3316
00 Yrs/99 Yrs
Fax: (276) 029-3317
M-F 8:00 AM - 4:30 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hatton, Torie APRN
Provider ID: 1056908
Gender: Female
T J Samson Community
Hospital
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 659-5850
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Hiser, Stacey APRN
Provider ID: 1061861
Gender: Female
T J Samson Family
Medicine Center
1325 N Race St
Glasgow, KY 42141
(270) 651-4797
Fax: (270) 651-4818
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hogan, Tony APRN
Provider ID: 618399
Gender: Male
Tony Hogan APRN
Health Clinic
511 N Race St
Glasgow, KY 42141
(270) 651-6707
Fax: (270) 651-1751
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Isbell, Melanie APRN
Provider ID: 1022459
Gender: Female
T J Samson Primary Care
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 195
Isbell, Melanie APRN
Provider ID: 596423
Gender: Female
Tj Health Partners
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 629-3317
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Johnson, Angela APRN
Provider ID: 961527
Gender: Female
T J Samson Community
Hospital DBA T
310 N L Roger Wells Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 651-4892
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McGehee, Lindsay APRN
Provider ID: 992531
Gender: Female
Gravesgilbert Clinic
1330 N Race St
Glasgow, KY 42141
(270) 629-5111
Fax: (270) 629-5115
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McGehee, Lindsay APRN
Provider ID: 992585
Gender: Female
Gravesgilbert Clinic
201 Professional Park Dr
Glasgow, KY 42141
(270) 651-2236
Fax: (270) 651-2229
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Allied Providers
Barren
Nurse Practitioner - cont. Partin, Karen APRN
Provider ID: 618376
McWhorter, Annette
Gender: Female
APRN
Glasgow Pediatric
Provider ID: 1024747
Associates
Gender: Female
301 Professional Park Dr
T J Urgent Care
Glasgow, KY 42141
310 N L Rogers Wells
(270) 651-9696
Blvd
Fax: (270) 651-0385
Glasgow, KY 42141
00 Yrs/99 Yrs
(270) 651-1111
M-F 7:30 AM - 5:30 PM
Fax: (270) 651-4892
00 Yrs/99 Yrs
Reed, Laura APRN
M-F 6:00 AM - 8:00 PM
Provider ID: 669065
Sat 8:00 AM - 8:00 PM
Gender: Female
Sun 8:00 AM - 6:00 PM
Tj Health Partners
2345 Happy Valley Rd
Middleton, Joe APRN
Glasgow, KY 42141
Provider ID: 999522
(270) 678-3278
Gender: Male
00 Yrs/99 Yrs
T J Urgent Care
M-F 8:00 AM - 5:00 PM
310 N L Rogers Wells
Blvd
Rutledge, Amy APRN
Glasgow, KY 42141
Provider ID: 596863
(270) 651-1111
Gender: Female
Fax: (270) 651-4862
Tj Health Partners
00 Yrs/99 Yrs
312 N L Rogers Wells
M-F 8:00 AM - 5:00 PM
Blvd
Glasgow, KY 42141
Mortimer, Beverly APRN (270) 651-1111
Provider ID: 935470
Fax: (270) 659-5609
Gender: Female
00 Yrs/99 Yrs
Graves Gilbert Clinic
M-F 8:00 AM - 5:00 PM
1330 N Race St
Glasgow, KY 42141
Rutledge, Amy APRN
(270) 629-5111
Provider ID: 804330
Fax: (270) 629-5115
Gender: Female
00 Yrs/99 Yrs
T J Samson Community
Hospital
M-F 8:00 AM - 5:00 PM
400 N Dixie Hwy
Cave City, KY 42127
(270) 773-3737
Fax: (270) 773-3738
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rutledge, Amy APRN
Provider ID: 804333
Gender: Female
Tj Health Partners
2345 Happy Valley Rd
Glasgow, KY 42141
(270) 678-3278
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Rutledge, Amy APRN
Provider ID: 893430
Gender: Female
T J Samson Community
Hospital DBA T
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 651-4862
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sacia, Casey APRN
Provider ID: 1050021
Gender: Female
T J Samson Community
Hospital
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Sacia, Casey APRN
Provider ID: 1050021
Gender: Female
Tj Health Partners
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
kentucky.wellcare.com | 196
Simmons, Leslie APRN
Provider ID: 936168
Gender: Female
Graves Gilbert Clinic
201 Professional Park Dr
Glasgow, KY 42141
(270) 651-2236
Fax: (270) 651-2229
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Spears, Patricia APRN
Provider ID: 594936
Gender: Female
Tj Health Partners
312 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 629-3317
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Spears, Patricia APRN
Provider ID: 655506
Gender: Female
T J Samson Primary Care
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 659-5865
Fax: (270) 659-5854
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Staten, Tequila APRN
Provider ID: 919788
Gender: Female
Graves-Gilbert Clinic
1330 N Race St
Glasgow, KY 42141
(270) 629-5111
Fax: (270) 629-5115
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Allied Providers
Barren
Nurse Practitioner - cont. Whitlock, Stephanie
APRN
Stinson, Jessica APRN
Provider ID: 893432
Provider ID: 720466
Gender: Female
Gender: Female
T J Samson Community
Tj Health Partners
Hospital DBA T
2345 Happy Valley Rd
310 N L Rogers Wells
Glasgow, KY 42141
Blvd
(270) 678-3278
Glasgow, KY 42141
00 Yrs/99 Yrs
(270) 651-1111
M-F 8:00 AM - 5:00 PM
Fax: (270) 651-4862
00 Yrs/99 Yrs
Thornbury, Amy APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 1010913
Gender: Female
Occupational Therapy
T J Samson Sleep Clinic
Woods, Tracy OT
1301 N Race St
Provider ID: 795874
Glasgow, KY 42141
Gender: Female
(270) 651-4444
Ulrf Neonatal Follow Up
Fax: (270) 651-4892
301 Professional Park Dr
00 Yrs/99 Yrs
Glasgow, KY 42141
M-F 8:00 AM - 4:30 PM
(502) 852-7049
Tracy, Micah APRN
Fax: (502) 852-0135
Provider ID: 1010917
00 Yrs/99 Yrs
Gender: Female
M-F 8:00 AM - 5:00 PM
T J Samson Sleep Clinic
Physical Therapy
1301 N Race St
Glasgow, KY 42141
Alm, Ashley PT
(270) 651-4444
Provider ID: 935394
Fax: (270) 651-4892
Gender: Female
00 Yrs/99 Yrs
Western Kentucky
M-F 8:00 AM - 4:30 PM
Orthopedic and Neu
405 S L Rogers Wells
Tracy, Micah APRN
Blvd Ste 200
Provider ID: 956231
Glasgow, KY 42141
Gender: Female
(270) 629-2780
Tj Health Partners
00 Yrs/99 Yrs
312 N L Rogers Wells
M-F 8:00 AM - 5:00 PM
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 659-5853
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Brooks, Whitney PT
Provider ID: 994658
Gender: Female
South Central Kentucky
Orthopaedics
106 Columns Plaza Dr
Glasgow, KY 42141
(270) 651-9390
Fax: (270) 651-8698
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Miller, J PT
Provider ID: 994693
Gender: Male
Miller Physical Therapy
and Rehab
1410 N Race St
Glasgow, KY 42141
(270) 651-7882
Fax: (270) 651-7883
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pitcock, Louie PT
Provider ID: 935827
Gender: Male
Western Kentucky
Orthopaedic and NE
405 S L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 629-2780
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Tolbert, Melissa PT
Provider ID: 935399
Gender: Female
Western Kentucky
Orthopaedic and NE
405 S L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 629-2780
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 197
Physician Assistant
Boone, Christie PA
Provider ID: 603171
Gender: Female
Glasgow Urgent Clinic
411 S L Rogers Wells Blvd
Glasgow, KY 42141
(270) 651-7796
Fax: (270) 651-7074
00 Yrs/99 Yrs
MTWTHFSatSun 8:00
AM - 8:00 PM
Hale, Carla PA
Provider ID: 600305
Gender: Female
Glasgow Urgent Clinic
411 S L Rogers Wells Blvd
Glasgow, KY 42141
(270) 651-7796
Fax: (270) 651-7074
00 Yrs/99 Yrs
MTWTHFSat 8:00 AM 8:00 PM
King, Seth PA
Provider ID: 958495
Gender: Male
Western Kentucky
Orthopaedic and NE
1330 N Race St
Glasgow, KY 42141
(270) 629-2780
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Roper, Laura PA
Provider ID: 1057152
Gender: Female
T J Urgent Care
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 659-3318
00 Yrs/99 Yrs
MTWTHFSat 6:00 AM 8:00 PM
Sun 10:00 AM - 6:00 PM
05/28/2015
Allied Providers
Barren
Physician Assistant - cont.
Stanley, Michael PA
Provider ID: 1000084
Gender: Male
T J Urgent Care
310 N L Rogers Wells
Blvd
Glasgow, KY 42141
(270) 651-1111
Fax: (270) 651-4862
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 198
05/28/2015
Allied Providers
Butler
Nurse Practitioner
Physical Therapy
Embry, Donna APRN
Provider ID: 935452
Gender: Female
Graves Gilbert Clinic
101 W Roberts St
Morgantown, KY 42261
(270) 526-3841
Fax: (270) 526-3846
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Alm, Ashley PT
Provider ID: 935394
Gender: Female
Western Kentucky
Orthopaedic and NE
234 W Porter St
Morgantown, KY 42261
(270) 526-0808
Fax: (270) 629-2781
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McGehee, Lindsay APRN
Provider ID: 763597
Gender: Female
Gravesgilbert Clinic
101 W Roberts St
Morgantown, KY 42261
(270) 526-3841
Fax: (270) 526-2651
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Mouser, Tameron APRN
Provider ID: 935460
Gender: Female
Graves Gilbert Clinic
101 Roberts St
Morgantown, KY 42261
(270) 526-3841
Fax: (270) 526-2651
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Occupational Therapy
Mosby, Carol OT
Provider ID: 935397
Gender: Female
Western Kentucky
Orthopaedic and NE
234 W Porter St
Morgantown, KY 42261
(270) 526-0808
Fax: (270) 629-2781
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hancock, Elizabeth PT
Provider ID: 1019852
Gender: Female
Orthopedics Plus
Physical Therapy
725 S Main St Ste 2
Morgantown, KY 42261
(270) 526-2094
Fax: (270) 526-2095
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Johnson, Ashley PT
Provider ID: 1074182
Gender: Female
Orthopedics Plus
Physical Therapy
725 S Main St Ste 2
Morgantown, KY 42261
(270) 526-2094
Fax: (270) 526-2095
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Harris, Joseph PT
Provider ID: 608072
Gender: Male
Physical Therapy
Solutions PSC
112 Ashley Plaza Cir
Morgantown, KY 42261
(270) 526-9400
Fax: (270) 597-9402
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McAlister, John PT
Provider ID: 1000964
Gender: Male
Orthopedic Plus Physical
Therapy
725 S Main St Ste 2
Morgantown, KY 42261
(270) 526-2094
Fax: (270) 526-2095
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Holman, Kelly PT
Provider ID: 999946
Gender: Male
Orthopedics Plus
Physical Therapy
725 S Main St Ste 2
Morgantown, KY 42261
(270) 526-2094
Fax: (270) 526-2095
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Moore, Marina PT
Provider ID: 1019642
Gender: Female
Orthopedics Plus
Physical Therapy
725 S Main St Ste 2
Morgantown, KY 42261
(270) 526-2094
Fax: (270) 526-2095
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hudson, Cynthia PT
Provider ID: 935398
Cool, Haley PT
Gender: Female
Provider ID: 1000898
Western Kentucky
Gender: Female
Orthopaedic and NE
Orthopedic Plus Physical 234 W Porter St
Therapy
Morgantown, KY 42261
725 S Main St Ste 2
(270) 526-0808
Morgantown, KY 42261
Fax: (270) 629-2781
(270) 526-2094
00 Yrs/99 Yrs
Fax: (270) 526-2095
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Perry, Carrie PT
Provider ID: 1019840
Gender: Female
Orthopedics Plus
Physical Therapy
725 S Main St Ste 2
Morgantown, KY 42261
(270) 526-2094
Fax: (270) 526-2095
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Brooks, Karen PT
Provider ID: 601136
Gender: Female
Elite Physical Therapy
Fitness PSC
112 Ashley Plaza Cir
Morgantown, KY 42261
(270) 526-9400
Fax: (270) 597-9402
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Collins, John PT
Provider ID: 1020143
Gender: Male
Physical Therapy
Solutions PSC
112 Ashley Plaza Cir
Morgantown, KY 42261
(270) 526-9400
Fax: (270) 526-9402
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 199
05/28/2015
Allied Providers
Butler
Physical Therapy - cont.
Pierson, Kyle PT
Provider ID: 908575
Gender: Male
Western Kentucky
Orthopaedic and NE
234 W Porter St
Morgantown, KY 42261
(270) 526-0808
Fax: (272) 629-2781
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pinerola, Jase PT
Provider ID: 908810
Gender: Male
Orthopedics Plus
Physical Therapy
725 S Main St Ste 2
Morgantown, KY 42261
(270) 526-2094
Fax: (270) 526-2095
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pitcock, Louie PT
Provider ID: 935827
Gender: Male
Western Kentucky
Orthopaedic and NE
234 W Porter St
Morgantown, KY 42261
(270) 526-0808
Fax: (270) 629-2781
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Richardson, Daniel PT
Provider ID: 1000869
Gender: Male
Orthopedics Plus
Physical Therapy
725 S Main St Ste 2
Morgantown, KY 42261
(270) 526-2094
Fax: (270) 526-2095
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Richerson, Bethany PT
Provider ID: 935396
Gender: Female
Western Kentucky
Orthopaedic and NE
234 W Porter St
Morgantown, KY 42261
(270) 526-0808
Fax: (270) 629-2781
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Tolbert, Melissa PT
Provider ID: 935399
Gender: Female
Western Kentucky
Orthopaedic and NE
234 W Porter St
Morgantown, KY 42261
(270) 526-0808
Fax: (270) 629-2781
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Webster, Krista PT
Provider ID: 1019617
Gender: Female
Orthopedics Plus
Physical Therapy
725 S Main St STE2
Morgantown, KY 42261
(270) 526-2094
Fax: (270) 526-2095
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physician Assistant
Crowe, Stephanie PA
Provider ID: 667322
Gender: Female
Western Kentucky
Orthopaedic and NE
234 W Porter St
Morgantown, KY 42261
(270) 526-0808
Fax: (270) 629-2781
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 200
05/28/2015
Allied Providers
Casey
Family Practice
Day, Melissa PA
Provider ID: 913169
Gender: Female
Bluegrass Clinic Liberty
PLLC
19 Abes Plaza
Liberty, KY 42539
(606) 787-0014
Fax: (606) 787-0035
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Brown, Leann APRN
Provider ID: 1048329
Gender: Female
Liberty Family Medical
Center
511 Middleburg St
Liberty, KY 42539
(606) 787-5963
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Leavell, Alana APRN
Provider ID: 1036852
Gender: Female
Liberty Family Medical
Center
511 Middleburg St
Liberty, KY 42539
(606) 787-5963
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Chapman, Vicki APRN
Provider ID: 1053234
Gender: Female
Liberty Family Medical
Center
511 Middleburg St
Liberty, KY 42539
(606) 787-5963
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Marple, Vickie APRN
Physician Assistant
Provider ID: 594825
Gender: Female
Price, Ashley PA
Liberty Medical Clinic
Provider ID: 1061625
108 Taylor St
Gender: Female
Liberty, KY 42539
Bluegrass Clinic
(606) 706-4265
19 Abes Plaza
Fax: (606) 706-4275
Liberty, KY 42539
00 Yrs/99 Yrs
(606) 787-0014
Ephraim McDowell Reg
Fax: (606) 787-0035
Med Center
M-TH 9:00 AM - 6:00 PM 00 Yrs/99 Yrs
M-TH 8:30 AM - 5:30 PM
FSat 9:00 AM - 1:00 PM
F 8:30 AM - 4:30 PM
O'Dell, Bentley APRN
Provider ID: 812453
Gender: Male
Casey Co Primary Care
187 Wolford Ave
Liberty, KY 42539
(606) 787-8348
Fax: (606) 787-9717
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Miles, Jillian PA
Provider ID: 766108
Gender: Female
Bluegrass Clinic Liberty
19 Abes Plz
Liberty, KY 42539
(606) 787-0014
Fax: (606) 787-0035
Chase, Jeanne APRN
00 Yrs/99 Yrs
M-TH 8:30 AM - 6:00 PM Provider ID: 925685
Gender: Female
F 8:30 AM - 4:00 PM
Bluegrass Clinic Liberty
Nurse Practitioner
19 Abes Plaza
Liberty, KY 42539
Brown, Crystal APRN
(606) 787-0014
Provider ID: 594725
Fax: (606) 787-0035
Gender: Female
00 Yrs/99 Yrs
Bluegrass Clinic Liberty
Languages: Spanish,
PLLC
Portuguese
19 Abes Plz
M-F 8:00 AM - 8:00 PM
Liberty, KY 42539
Sat 9:00 AM - 3:00 PM
(606) 787-0035
Fax: (606) 787-0014
Elmore, Luann APRN
00 Yrs/99 Yrs
Provider ID: 602937
Languages: Spanish
Gender: Female
MT 8:00 AM - 6:00 PM
Liberty Family Medicine
WTH 8:00 AM - 5:00 PM Center Emhr
F 8:00 AM - 4:00 PM
511 Middleburg St
Liberty, KY 42539
(606) 787-5963
Fax: (606) 787-5545
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Overstreet, Jennifer
APRN
Provider ID: 627569
Gender: Female
Liberty Family Medical
Center Locat
511 Middleburg St
Liberty, KY 42539
(606) 787-5963
Fax: (606) 787-5545
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 201
Simpson, Cynthia APRN
Provider ID: 1048320
Gender: Female
Liberty Family Medical
Center
511 Middleburg St
Liberty, KY 42539
(606) 787-5963
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Allied Providers
Clinton
Behavior Health
Simmons, Samantha LPC
Provider ID: 989775
Gender: Female
104 N Washington St
Albany, KY 42602
(606) 343-0203
Fax: (606) 343-0301
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Nurse Practitioner
Denney, Carol APRN
Provider ID: 667095
Gender: Female
Clinton Family Medical
Center
606 Burkesville Rd
Albany, KY 42602
(606) 387-4251
Fax: (606) 387-5785
00 Yrs/99 Yrs
Clinton County Hospital
M-F 7:30 AM - 4:00 PM
Sat 8:00 AM - 4:00 PM
Moore, Rebecca CNP
Provider ID: 718811
Gender: Female
Ballard Wright MD PSC
256 Burkesville Rd
Albany, KY 42602
(859) 278-1316
Fax: (859) 276-3847
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 202
05/28/2015
Allied Providers
Cumberland
Family Practice
Kingrey, Victoria APRN
Provider ID: 596860
Gender: Female
B F Taylor Medical Arts
Clinic
299A Glasgow Rd
Burkesville, KY 42717
(270) 864-2555
Fax: (270) 864-3777
00 Yrs/99 Yrs
Cumberland County
Hospital
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 1:00 PM
Murphy, Chastity ARNP
Provider ID: 616310
Gender: Female
Cumberland Family
Medical Center
360 Keen St
Burkesville, KY 42717
(270) 864-2889
Fax: (270) 864-2229
00 Yrs/99 Yrs
Cumberland County
Hospital
M-F 7:30 AM - 5:00 PM
Federally Qualified
Health Center
Morgan, Kelly APRN
Provider ID: 616309
Gender: Female
Cumberland Family
Medical Center
360 Keen St
Burkesville, KY 42717
(270) 864-2889
Fax: (270) 864-1693
12 Yrs/99 Yrs
Cumberland County
Hospital
M-F 7:30 AM - 5:00 PM
Nurse Practitioner
Williams, Douglas APRN
McWhorter- Hill, Erica
APRN
Provider ID: 536361
Gender: Female
Flowers Rural Health
Clinic
333 Keen St
Burkesville, KY 42717
(270) 864-3371
Fax: (270) 864-5667
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 800239
Gender: Male
B F Taylor Medical Arts
Clinic
299A Glasgow Rd
Burkesville, KY 42717
(270) 864-2555
Fax: (270) 864-3777
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 3:00 PM
Partin, John APRN
Provider ID: 973124
Gender: Male
360 Keen St
Burkesville, KY 42717
(270) 864-2889
Fax: (270) 864-1693
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Todd, Lisa APRN
Provider ID: 700844
Gender: Female
B F Taylor Medical Arts
Clinic
299A Glasgow Rd
Burkesville, KY 42717
(270) 864-2555
Fax: (270) 864-3777
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Obstetrics/Gynecology
Morgan, Kelly APRN
Provider ID: 616309
Gender: Female
Cumberland Family
Medical Center
360 Keen St
Burkesville, KY 42717
(270) 864-2889
Fax: (270) 864-1693
12 Yrs/99 Yrs
Cumberland County
Hospital
M-F 7:30 AM - 5:00 PM
Todd, Lisa APRN
Provider ID: 912152
Gender: Female
Bf Taylor Medical Arts
Clinic
299 A Glasgow Rd
Burkesville, KY 42717
(270) 864-2555
Fax: (270) 864-3777
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 203
05/28/2015
Allied Providers
Edmonson
Nurse Practitioner
Jessie, Angela APRN
Provider ID: 1057102
Gender: Female
Glk Enterprises
104 Mohawk St
Brownsville, KY 42210
(270) 597-2155
Fax: (270) 597-3811
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wardlow Meredith, Lorie
APRN
Provider ID: 597615
Gender: Female
Associates In Physician
Services
1573 Hwy 259 N
Brownsville, KY 42210
(270) 597-2168
Fax: (270) 597-2033
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physical Therapy
Schafer, Jeremy PT
Provider ID: 600725
Gender: Male
Schafer Physical Therapy
LLC
520 S Main St
Brownsville, KY 42210
(270) 597-3757
Fax: (270) 597-1020
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 204
05/28/2015
Allied Providers
Green
Nurse Practitioner
Bagby, Glenda APRN
Provider ID: 595070
Gender: Female
Green County Primary
Care
706 Columbia Hwy
Greensburg, KY 42743
(270) 299-2247
Fax: (270) 299-2157
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Bills, Pamela APRN
Provider ID: 596081
Gender: Female
Central Kentucky
Primary Care Assoc
1911 Campbellsville Rd
Greensburg, KY 42743
(270) 932-2424
Fax: (270) 932-2522
01 Yrs/99 Yrs
Taylor County Hospital
M-F 8:00 AM - 5:00 PM
Blakeman, Jamie APRN
Provider ID: 596080
Gender: Female
Central Kentucky
Primary Care Assoc
1911 Campbellsville Rd
Greensburg, KY 42743
(270) 932-2424
Fax: (270) 932-2522
00 Yrs/99 Yrs
Cumberland County
Hospital
Languages: Arabic
M-F 8:00 AM - 5:00 PM
Hill, Tammy APRN
Provider ID: 667130
Gender: Female
Green County Primary
Care
706 Columbia Hwy
Greensburg, KY 42743
(270) 299-2247
Fax: (270) 299-2157
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
O'Dell, Bentley APRN
Provider ID: 904924
Gender: Male
Green County Primary
Care
706 Columbia Hwy
Greensburg, KY 42743
(270) 299-2247
Fax: (270) 299-2157
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Jennings, Tammy APRN
Partin, Karen APRN
Provider ID: 597194
Gender: Female
Greensburg Healthcare
2680 Campbellsville Rd
Greensburg, KY 42743
(270) 299-2222
Fax: (270) 299-2211
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
Provider ID: 785850
Gender: Female
Greensburg Healthcare
2680 Campbellsville Rd
Greensburg, KY 42743
(270) 299-2222
Fax: (270) 299-2211
00 Yrs/99 Yrs
M-F 7:30 AM - 5:00 PM
Jewell, Robbyn APRN
Provider ID: 667102
Gender: Female
Best Care Family Practice
LLC
112 S Public Sq
Greensburg, KY 42743
(270) 932-4284
Fax: (270) 932-4285
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Wells, Mary APRN
Provider ID: 642589
Gender: Female
Greensburg Healthcare
2680 Campbellsville Rd
Greensburg, KY 42743
(270) 299-2222
Fax: (270) 299-2211
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
Lobb, Sheila APRN
Provider ID: 614387
Gender: Female
Lake Cumberland
District Health Dep
220 Industrial Park Rd
Greensburg, KY 42743
(270) 932-4341
Fax: (270) 932-6016
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 205
05/28/2015
Allied Providers
Hart
Nurse Practitioner
Gray, Margo APRN
Middleton, Joe APRN
Provider ID: 626129
Provider ID: 1034128
Briggs, Jennifer APRN
Gender: Female
Gender: Male
Provider ID: 594591
Family Medical Center of Cmh Munfordville
Gender: Female
Hart
Physician Office
Family Medical Center of 117 W South St
1495 S Dixie St
Hart Count
Munfordville, KY 42765
Horse Cave, KY 42749
117 W South St
(570) 524-7231
(270) 786-2372
Munfordville, KY 42765
Fax: (270) 524-7415
Fax: (270) 786-2472
(270) 524-7231
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 524-7415
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Harp, Melissa APRN
Parsley, Heather APRN
MT 8:00 AM - 8:00 PM
Provider
ID:
889881
Provider ID: 595640
WTH 8:00 AM - 6:00 PM
Gender: Female
Gender: Female
F 8:00 AM - 5:30 PM
Caverna Memorial
Caverna Memorial
Sat 8:00 AM - 1:00 PM
Hospital Physician
Hospital Physician
Button, Emiley APRN
207 E Main St
207 E Main St
Provider ID: 667512
Horse Cave, KY 42749
Horse Cave, KY 42749
Gender: Female
(270) 786-2372
(270) 786-2372
Cmh Munfordville
Fax: (270) 786-2472
Fax: (270) 786-2472
Physicians
00 Yrs/99 Yrs
00 Yrs/99 Yrs
1134 Main St
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Munfordville, KY 42765
Harp, Melissa APRN
Parsley, Heather APRN
(270) 524-3641
Provider ID: 889995
Fax: (270) 524-7595
Provider ID: 595646
Gender: Female
00 Yrs/99 Yrs
Gender: Female
Cmh
Munfordville
M-F 8:00 AM - 4:00 PM
Physician Office
Cmh Munfordville
Button, Emiley APRN
Physicians
1134 Main St
Provider ID: 667513
1134 Main St
Munfordville, KY 42765
Gender: Female
Munfordville, KY 42765
(270) 524-3641
Cmh Physicians Office
(270) 524-3641
00 Yrs/99 Yrs
207 E Main St
Fax: (270) 524-7595
M-F 8:00 AM - 5:00 PM
Horse Cave, KY 42749
00 Yrs/99 Yrs
Middleton, Joe APRN
(270) 786-2372
M-F 8:00 AM - 4:00 PM
Provider ID: 1031235
Fax: (270) 786-2472
Pierce, Brandy APRN
Gender: Male
00 Yrs/99 Yrs
Provider ID: 669015
Cmh Munfordville
M-F 8:00 AM - 4:00 PM
Physician Office
Gender: Female
1134 Main St
Family Medical Center of
Hart Count
Munfordville, KY 42765
117 W South St
(270) 524-3641
Munfordville, KY 42765
Fax: (270) 524-7595
(270) 524-7231
00 Yrs/99 Yrs
Fax: (270) 524-7415
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 206
Strickland, Nicole APRN
Provider ID: 1022591
Gender: Female
Virag Pandeya MD PLLC
950 Main St
Munfordville, KY 42765
(270) 524-1202
Fax: (270) 524-1202
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Thacker, Thomas PA
Provider ID: 666435
Gender: Male
Cmh Munfordville
Physicians Clinic
1134 Main St
Munfordville, KY 42765
(270) 524-3641
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
Wright, Jackie APRN
Provider ID: 614331
Gender: Female
Virag Pandeya MD PLLC
950 Main St
Munfordville, KY 42765
(270) 524-1202
Fax: (270) 524-1202
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physical Therapy
Goulbourne, Shaun PT
Provider ID: 671262
Gender: Male
Family Medical Center of
Hart Count
117 W South St
Munfordville, KY 42765
(270) 524-7231
Fax: (270) 524-7415
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
05/28/2015
Allied Providers
Hart
Physical Therapy - cont.
Miller, J PT
Provider ID: 994693
Gender: Male
Hart County Physical
Therapy-Horse
1485 S Dixie St
Horse Cave, KY 42749
(270) 786-4551
Fax: (270) 786-4551
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physician Assistant
Thacker, Thomas PA
Provider ID: 599829
Gender: Male
Cmh Physicians Office
207 E Main St
Horse Cave, KY 42749
(270) 786-2372
Fax: (270) 786-2472
00 Yrs/99 Yrs
M-F 8:00 AM - 4:00 PM
kentucky.wellcare.com | 207
05/28/2015
Allied Providers
Logan
Nurse Practitioner
Barker, Tracey APRN
Provider ID: 1057472
Gender: Female
Community Health
Centers of Western
975 Hopkinsville Rd
Russellville, KY 42276
(270) 726-9568
Fax: (270) 726-9570
00 Yrs/18 Yrs
M-TH 8:00 AM - 5:00 PM
F 8:00 AM - 4:30 PM
Barrineau, Rhonda APRN
Provider ID: 1060561
Gender: Female
Community Health
Centers of Western
975 Hopkinsville Rd
Russellville, KY 42276
(270) 726-9568
Fax: (270) 726-9570
02 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM
F 8:00 AM - 4:30 PM
Campbell, Trisha APRN
Provider ID: 754613
Gender: Female
Logan Physician Practice
LLC
128 Sugar Maple Dr
Auburn, KY 42206
(270) 542-5055
Fax: (270) 542-5502
00 Yrs/99 Yrs
M-F 8:30 AM - 4:30 PM
Physical Therapy
Gravil, Deborah APRN
Napier, Katherine APRN
Provider ID: 667399
Provider ID: 761174
Cool, Haley PT
Gender: Female
Gender: Female
Provider ID: 1000898
Western Kentucky Heart Graves Gilbert Clinic
Gender: Female
and Lung Assoc
1405 Nashville St
Orthopedics Plus
1623 Nashville St Ste 204 Russellville, KY 42276
Physical Therapy
Russellville, KY 42276
(270) 725-9700
105 Robins Way Ste 201
(270) 726-1728
Fax: (270) 725-9992
Russellville, KY 42276
Fax: (270) 726-2278
00 Yrs/99 Yrs
(270) 726-6640
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 726-6674
M-F 9:00 AM - 5:00 PM
Nash, Melody APRN
00 Yrs/99 Yrs
Holloway, Amy APRN
Provider ID: 607231
M-F 8:00 AM - 5:00 PM
Provider ID: 1024792
Gender: Female
Cool, Haley PT
Gender: Female
Graves Gilbert Clinic
Provider ID: 991609
Graves Gilbert Clinic
1405 Nashville St
Gender: Female
1405 Nashville St
Russellville, KY 42276
105 Robins Way Ste 201B
Russellville, KY 42276
(270) 725-9700
Russellville, KY 42276
(270) 725-9700
Fax: (270) 725-9992
(270) 726-6640
Fax: (270) 725-9992
00 Yrs/99 Yrs
Fax: (270) 726-6674
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Staples Washer, Stacia
M-F 9:00 AM - 5:00 PM
McGehee, Lindsay APRN APRN
Hancock, Elizabeth PT
Provider ID: 751404
Provider ID: 1019852
Provider ID: 992565
Gender: Female
Gender: Female
Logan Physician Practice Gender: Female
Orthopedics Plus
Gravesgilbert Clinic
LLC
Physical Therapy
1405 Nashville St
128 Sugar Maple Dr
105 Robins Way Ste 201 B
Russellville, KY 42276
Auburn, KY 42206
Russellville, KY 42276
(270) 725-9700
(270) 542-5055
(270) 726-6640
Fax: (270) 725-9992
Fax: (270) 542-5502
Fax: (270) 726-6674
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
McGehee, Lindsay APRN Vogler, Thomas APRN
Holman, Kelly PT
Provider ID: 764758
Provider ID: 999946
Provider ID: 992632
Gender: Male
Gender: Male
Gender: Female
Logan Family Practice
Orthopedics Plus
Gravesgilbert Clinic
1719 Nashville St
Physical Therapy
285 Stacker St
Russellville, KY 42276
105 Robins Way Ste B
Lewisburg, KY 42256
(270) 726-7664
Russellville, KY 42276
(270) 755-4838
Fax: (270) 726-9997
(270) 726-6640
Fax: (270) 755-2536
00 Yrs/99 Yrs
Fax: (270) 726-6674
00 Yrs/18 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 208
05/28/2015
Allied Providers
Logan
Physical Therapy - cont.
Pinerola, Jase PT
Provider ID: 908810
Johnson, Ashley PT
Gender: Male
Provider ID: 1074182
Orthopedics Plus
Gender: Female
Physical Therapy
Orthopedics Plus
105 Robins Way Ste 201 B
Physical Therapy
Russellville, KY 42276
105 Robins Way Ste 201 B (270) 726-6640
Russellville, KY 42276
Fax: (270) 726-6674
(270) 726-6640
00 Yrs/99 Yrs
Fax: (270) 726-6674
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Richardson, Daniel PT
Provider ID: 1000869
McAlister, John PT
Gender: Male
Provider ID: 1000964
Orthopedics Plus
Gender: Male
Physical Therapy
Orthopedics Plus
105 Robins Way Ste 201
Physical Therapy
Russellville, KY 42276
105 Robins Way Ste 201 B (270) 726-6640
Russellville, KY 42276
Fax: (270) 726-6674
(270) 726-6640
00 Yrs/99 Yrs
Fax: (270) 726-6674
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Webster, Krista PT
Provider ID: 1019617
Moore, Marina PT
Gender: Female
Provider ID: 1019642
Orthopedics Plus
Gender: Female
Physical Therapy
Orthopedics Plus
105 Robins Way Ste 201 B
Physical Therapy
Russellville, KY 42276
105 Robins Way Ste 201 B (270) 726-6640
Russellville, KY 42276
Fax: (270) 726-6674
(270) 726-6640
00 Yrs/99 Yrs
Fax: (270) 726-6674
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Physician Assistant
M-F 8:00 AM - 5:00 PM
Perry, Carrie PT
King, Seth PA
Provider ID: 1019840
Provider ID: 958495
Gender: Female
Gender: Male
Orthopedics Plus
Western Kentucky
Physical Therapy
Orthopaedic and NE
105 Robins Way Ste 201 B 101 W 2nd St
Russellville, KY 42276
Russellville, KY 42276
(270) 726-6640
(270) 725-8200
Fax: (270) 726-6674
Fax: (270) 782-3276
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 209
05/28/2015
Allied Providers
McCreary
Family Practice
Clark, Daphne APRN
Provider ID: 612669
Gender: Female
South Fork Medical
Clinic
71 Medical Ln
Whitley City, KY 42653
(606) 376-7212
Fax: (606) 678-3151
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Gibson, Corena APRN
Provider ID: 616948
Gender: Female
McCreary Family Medical
Center
69 S Main St
Whitley City, KY 42653
(606) 376-7399
Fax: (606) 373-7396
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Lawson, Terry APRN
Provider ID: 595905
Gender: Male
South Fork Medical
Clinic
71 Medical Ln
Whitley City, KY 42653
(606) 376-7212
Fax: (606) 678-3151
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Nurse Practitioner
Cash, Thuresa APRN
Provider ID: 1075217
Gender: Female
Cumberland Family
Medical Center In
19 Medical Loop Plaza
Ste 3
Whitley City, KY 42653
(606) 376-5391
Fax: (606) 376-3326
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Cash, Thuresa APRN
Provider ID: 595809
Gender: Female
Winchester Patton
Burgess PSC
19 Medical Loop Ste 3
Whitley City, KY 42653
(606) 376-5391
Fax: (606) 376-3326
00 Yrs/99 Yrs
Wayne County Hospital
Inc-Rad
Languages: Spanish
M-F 8:00 AM - 8:00 PM
Sat 9:00 AM - 3:00 PM
Chase, Jeanne CNP
Provider ID: 595644
Gender: Female
Winchester Patton
Burgess PSC
19 Medical Loop Ste 3
Whitley City, KY 42653
(606) 376-5391
Fax: (606) 376-3326
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 9:00 AM - 3:00 PM
Cheng, Melissa APRN
Provider ID: 708841
Gender: Female
South Fork Medical
Clinic
71 Medical Ln
Whitley City, KY 42653
(606) 376-7212
Fax: (606) 376-7216
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Cheng, Melissa APRN
Provider ID: 779254
Gender: Female
Cumberland Family
Clinic PLLC
57 Hogue Rd
Pine Knot, KY 42635
(606) 354-9444
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Coffey, Carl APRN
Provider ID: 991841
Gender: Male
South Fork Medical
Clinic
71 Medical Ln
Whitley City, KY 42653
(606) 376-7212
Fax: (606) 376-7216
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Cundiff, Misty APRN
Provider ID: 1011308
Gender: Female
Winchester Patton &
Burgess PSC
19 Medical Loop Ste 3
Whitley City, KY 42653
(606) 376-5391
Fax: (606) 376-3326
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 210
Duncan, Ruby APRN
Provider ID: 1075218
Gender: Female
Cumberland Family
Medical Center In
19 Medical Loop Plaza
Ste 3
Whitley City, KY 42653
(606) 376-5391
Fax: (606) 376-3326
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Duncan, Ruby APRN
Provider ID: 597047
Gender: Female
Winchester Patton
Burgess PSC
19 Medical Loop Ste 3
Whitley City, KY 42653
(606) 376-5391
Fax: (606) 376-3326
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 8:00 AM - 3:00 PM
Emerson Johnson,
Tammie APRN
Provider ID: 706150
Gender: Female
Cumberland Family
Clinic PLLC
57 Hogue Rd
Pine Knot, KY 42635
(606) 354-9444
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gray, Adrian APRN
Provider ID: 614322
Gender: Female
McCreary Primary Care
Center
65 Center Ave Ste 2
Whitley City, KY 42653
(606) 376-2224
Fax: (606) 376-2205
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
05/28/2015
Allied Providers
McCreary
Nurse Practitioner - cont. Jasper, Kathryn APRN
Provider ID: 1075221
Hamlin, Dustin APRN
Gender: Female
Provider ID: 1012381
Cumberland Family
Gender: Male
Medical Center In
Industrial Wellness
19 Medical Loop Plaza
Services of Ky
Ste 3
1590 N US 27
Whitley City, KY 42653
Whitley City, KY 42653
(606) 376-5391
(606) 376-9355
Fax: (606) 376-3326
Fax: (606) 376-9356
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Jasper, Kathryn APRN
Hamlin, Dustin APRN
Provider ID: 595643
Provider ID: 1024627
Gender: Female
Gender: Male
Winchester Patton
Industrial Wellness
Burgess PSC
Services of Kyp
19 Medical Loop Ste 3
55 W Cal Hill Spur
Whitley City, KY 42653
Pine Knot, KY 42635
(606) 376-5391
(606) 376-9355
Fax: (606) 376-3326
Fax: (606) 376-9356
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Lake Cumberland
M-F 8:00 AM - 5:00 PM
Regional Hospital
M-F 8:00 AM - 8:00 PM
Hawk, Carrie APRN
Sat 9:00 AM - 3:00 PM
Provider ID: 1057567
Gender: Female
Cumberland Family
Clinic PLLC
57 Hogue Rd
Pine Knot, KY 42635
(606) 354-9444
Fax: (855) 388-3039
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hawk, Carrie APRN
Provider ID: 1057570
Gender: Female
South Fork Medical
Clinic PLLC
71 Medical Ln
Whitley City, KY 42653
(606) 376-7212
Fax: (855) 388-3039
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Perry, Amy APRN
Provider ID: 721514
Gender: Female
South Fork Medical
Clinic
71 Medical Ln
Whitley City, KY 42653
(606) 376-7212
Fax: (606) 376-7216
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Roark, Mark APRN
Provider ID: 985038
Gender: Male
South Fork Medical
Clinic
71 Medical Ln
Whitley City, KY 42653
(606) 376-7212
Fax: (606) 376-7216
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
West, Jennifer APRN
Provider ID: 597258
Gender: Female
McCreary Primary Care
Center
65 Center Ave Ste 2
Whitley City, KY 42653
(606) 376-2224
Fax: (606) 376-2205
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Physical Therapy
Loze, George PT
Provider ID: 601933
Gender: Male
Lighthouse Physical
Therapy Inc
1835 N Hwy Ste 27A
Whitley City, KY 42653
(606) 376-8020
Fax: (606) 376-8055
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 211
05/28/2015
Allied Providers
Metcalfe
Nurse Practitioner
England, Russell APRN
Provider ID: 1022327
Gender: Male
Edmonton Primary Care
112 Sartin Dr Lot 1
Edmonton, KY 42129
(270) 432-5782
Fax: (270) 432-0001
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
O'Dell, Bentley APRN
Provider ID: 614308
Gender: Male
Edmonton Primary Care
901 W Stockton St
Edmonton, KY 42129
(270) 432-5782
Fax: (270) 432-0001
00 Yrs/99 Yrs
Casey County Hospital
M-F 9:00 AM - 5:00 PM
Partin, John ARNP
Provider ID: 709803
Gender: Male
Edmonton Primary Care
112 Sartin Dr Lot 1
Edmonton, KY 42129
(270) 432-5782
Fax: (270) 432-0001
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Prostko, Constance
ARNP
Provider ID: 667122
Gender: Female
Edmonton Primary Care
112 Sartin Dr Lot 1
Edmonton, KY 42129
(270) 432-5782
Fax: (270) 432-0001
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 212
05/28/2015
Allied Providers
Monroe
Nurse Practitioner
Hart, Deanna APRN
Provider ID: 668406
Gender: Female
Living Well Heallthcare
200 N Crawford St
Tompkinsville, KY 42167
(270) 407-5052
Fax: (270) 407-5053
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Landers, Lindsey APRN
Provider ID: 982627
Gender: Female
Fountain Run Rural
Health Clinic
47 Akersville Rd
Fountain Run, KY 42133
(270) 745-1100
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Stovall, Linda APRN
Provider ID: 900349
Gender: Female
Fountain Run Rural
Health Clinic
47 Akersville Rd
Fountain Run, KY 42133
(270) 434-4857
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
White, Brandi APRN
Provider ID: 712958
Gender: Female
Fountain Run Rural
Health Clinic
47 Akersville Rd
Fountain Run, KY 42133
(270) 434-4857
Fax: (270) 434-4957
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Proffitt, Jennifer APRN
Provider ID: 607887
Gender: Female
Timothy D Hume MD
710 N Main St
Tompkinsville, KY 42167
(270) 487-8667
Fax: (270) 487-9505
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:30 PM
F 9:00 AM - 5:00 PM
Sanders, Deidra APRN
Provider ID: 618635
Gender: Female
Family Allergy & Asthma
529 Capp Harlan Rd
Tompkinsville, KY 42167
(800) 999-1249
Fax: (502) 429-6157
00 Yrs/99 Yrs
Norton Hospital
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 213
05/28/2015
Allied Providers
Pulaski
Audiology
Lukat, Roy AUD
Provider ID: 721936
Gender: Male
Clear Choice Hearing
Aids & Audiolo
445 S Hwy 27 Ste 100
Somerset, KY 42501
(606) 679-3866
Fax: (606) 679-4755
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Children With Special
Health Care Needs
Commission For Children
With Special
Provider ID: 616818
Somerset Regional
Ccshcn
401 Bogle St Ste 104
Somerset, KY 42503
(606) 678-4454
Fax: (606) 679-5599
00 Yrs/21 Yrs
M-F 8:00 AM - 4:30 PM
Family Practice
Nurse Practitioner
Adams, Sharon APRN
Provider ID: 595802
Gender: Female
Kentucky Family Care
298 Bogle St Ste B
Somerset, KY 42503
(606) 679-9213
Fax: (606) 677-9963
00 Yrs/99 Yrs
MTTHF 7:00 AM - 8:00
PM
W 7:00 AM - 5:00 PM
Sat 7:00 AM - 3:00 PM
Adams, Sharon APRN
Provider ID: 595821
Gender: Female
Kentucky Family Care
5775 N Hwy 27
Science Hill, KY 42553
(606) 423-9629
Fax: (606) 426-9729
00 Yrs/99 Yrs
MTTHF 8:00 AM - 5:00
PM
W 8:00 AM - 4:00 PM
Sat 8:00 AM - 12:00 PM
Adams, Sharon APRN
Bryant, Jill APRN
Provider ID: 992834
Provider ID: 622721
Gender: Female
Gender: Female
Somerset Pediatric
Family Health Care
Specialists PLLC
Associates of So
350 Langdon St
224 Langdon St Ste B
Somerset, KY 42503
Somerset, KY 42501
(606) 678-8155
(606) 677-2747
Fax: (606) 678-7548
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM 00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Adelmann, Lori APRN
Provider ID: 700604
Gender: Female
Baptist Health Medical
Group
177 Washington Dr
Somerset, KY 42503
(606) 678-2880
Fax: (606) 627-2886
00 Yrs/99 Yrs
M-F 8:30 AM - 7:30 PM
Sat 8:30 AM - 6:30 PM
Sun 11:30 AM - 5:30 PM
Bastin-Muse, Allison
APRN
Provider ID: 594597
Gender: Female
Lake Cumberland
Regional Hospital L
350 Hospital Way Ste 100
Somerset, KY 42503
(606) 451-2600
Fax: (606) 451-2641
00 Yrs/21 Yrs
Lake Cumberland
Regional Hospital
Languages: Spanish
M-F 8:00 AM - 8:00 PM
Sat 9:00 AM - 8:00 PM
Sun 1:00 AM - 6:00 PM
Allen, Valerie APRN
Provider ID: 814018
Gender: Female
Lake Cumberland
Bell, Monica APRN
Medical Associates
350 Hospital Way Ste 100 Provider ID: 618652
Gender: Female
Somerset, KY 42503
Family Allergy and
(606) 451-2600
Asthma
Fax: (606) 451-2641
971 S Hwy 27
00 Yrs/99 Yrs
Somerset, KY 42501
M-F 8:00 AM - 8:00 PM
(877) 879-2632
Sat 9:00 AM - 8:00 PM
Fax: (502) 429-6157
Sun 1:00 AM - 6:00 PM
00 Yrs/99 Yrs
Baker, Jennifer APRN
Lake Cumberland
Provider ID: 603686
Regional Hospital
Gender: Female
M-F 9:00 AM - 5:00 PM
Dermatology of
Beshear-Tarter, Amber
Southern Kentucky Pl
APRN
85 Tower Cir
Provider ID: 653584
Somerset, KY 42503
Gender: Female
(606) 772-3376
Lake Cumberland GI Im
Fax: (606) 677-0335
Associates I
00 Yrs/99 Yrs
110 Hardin Lane Ste 9
M-F 9:00 AM - 5:00 PM
Somerset, KY 42503
(606) 679-7316
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
kentucky.wellcare.com | 214
05/28/2015
Allied Providers
Pulaski
Nurse Practitioner - cont. Braswell, Sandra APRN
Bess, Melinda APRN
Provider ID: 1037593
Gender: Female
Eastern Pulaski Rural
Health Clinic
31 Mark Shopville Rd
Somerset, KY 42503
(606) 636-4214
Fax: (606) 636-4215
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Bess, Melinda APRN
Provider ID: 948286
Gender: Female
Eastern Pulaski Rural
Health Clinic
31 Mark Shopville Rd
Somerset, KY 42503
(606) 485-4553
Fax: (606) 485-4550
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Bess, Melinda APRN
Provider ID: 959337
Gender: Female
Nancy Family Practice
PLLC
9919 W Hwy 80
Nancy, KY 42544
(606) 636-4214
Fax: (606) 636-4215
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Boley, Veronica APRN
Provider ID: 899822
Gender: Female
Endocrinology Center of
Lake Cumber
349 Bogle St Ste A
Somerset, KY 42503
(606) 451-6060
Fax: (606) 678-4528
14 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Byers, Richard APRN
Provider ID: 762074
Provider ID: 667017
Gender: Male
Gender: Female
Baptist Health Medical
Lake Cumberland Family Group
Care
177 Washington Dr
30 Tower Cir
Somerset, KY 42503
Somerset, KY 42503
(606) 678-2880
(606) 451-8644
Fax: (606) 678-2886
Fax: (606) 451-9644
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 7:00 PM
MWF 8:00 AM - 5:30 PM Sat 8:00 AM - 6:00 PM
T 8:00 AM - 7:00 PM
Sun 11:00 AM - 5:00 PM
TH 8:00 AM - 4:30 PM
Cecil, Sarah ARNP
Brendel, Jacquelyn APRN Provider ID: 667304
Gender: Female
Provider ID: 597039
Baptist Health Medical
Gender: Female
Group
Lake Cumberland
177 Washington Dr
District Health Dep
Somerset, KY 42503
45 Roberts St
(606) 678-2880
Somerset, KY 42501
Fax: (606) 627-2886
(606) 679-4416
00 Yrs/99 Yrs
Fax: (606) 679-4419
Languages: Spanish
00 Yrs/99 Yrs
M-F 8:30 AM - 7:30 PM
Languages: Spanish
Sat 8:30 AM - 6:30 PM
M-F 8:00 AM - 4:30 PM
Sun 11:30 AM - 5:30 PM
Bryant, Jill APRN
Provider ID: 791934
Gender: Female
Family Health Care
Associates of Ke
224 Langdon St Ste B
Somerset, KY 42501
(606) 677-2747
Fax: (606) 678-2748
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Cheng, Melissa APRN
Provider ID: 986577
Gender: Female
Lake Cumberland Family
Care
30 Tower Cir
Somerset, KY 42503
(606) 451-8644
Fax: (606) 451-9644
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Cobb, Anaclare APRN
Provider ID: 594988
Gender: Female
Somerset Medical Group
PLLC
10 Tower Cir
Somerset, KY 42503
(606) 425-4895
Fax: (606) 678-2230
00 Yrs/99 Yrs
MTTHF 8:00 AM - 5:00
PM
W 9:00 AM - 5:00 PM
Collinsmccullum, Anita
APRN
Provider ID: 1042982
Gender: Female
Cheng, Melissa APRN
Physician Services PSC
Provider ID: 655563
607 Clifty St
Gender: Female
Lake Cumberland Family Somerset, KY 42503
(606) 676-0088
Care
Fax: (606) 676-0065
30 Twr Cir
00 Yrs/99 Yrs
Somerset, KY 42503
M-F 9:00 AM - 5:00 PM
(606) 451-8644
Fax: (606) 451-9644
Cooley, Alisha APRN
00 Yrs/99 Yrs
Provider ID: 652744
M-F 8:00 AM - 5:00 PM
Gender: Female
Cumberland
Gastroenterology PSC
56 Tower Cir
Somerset, KY 42503
(606) 677-2913
Fax: (606) 677-6983
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 215
05/28/2015
Allied Providers
Pulaski
Nurse Practitioner - cont. East, Kimberly APRN
Provider ID: 600609
Cooper, Patricia APRN
Gender: Female
The Ladies Clinic Plc
Provider ID: 601813
347 Bogle St
Gender: Female
Somerset, KY 42503
Lake Cumberland
(606) 679-7353
Medical Associates
Fax: (606) 678-2755
350 Hospital Way Ste 100 00 Yrs/99 Yrs
Somerset, KY 42503
Languages: Korean
(606) 678-3315
M-F 9:00 AM - 5:00 PM
Fax: (606) 678-9919
00 Yrs/99 Yrs
Erby, Carla ARNP
Lake Cumberland
Provider ID: 914314
Regional Hospital
Gender: Female
M-F 9:00 AM - 5:00 PM
Commonwealth
Hematology Oncology
Cundiff, Misty APRN
Ps
Provider ID: 1067084
95 Bogle Office Park Dr
Gender: Female
Somerset, KY 42503
Eadens Grimball Internal (606) 677-1451
Medicine
Fax: (606) 678-0814
402 Bogle St Ste 3
00 Yrs/99 Yrs
Somerset, KY 42503
M-F 8:00 AM - 5:00 PM
(606) 451-9953
Fax: (606) 451-1533
Fee, Barbara APRN
00 Yrs/99 Yrs
Provider ID: 816233
M-F 8:00 AM - 5:00 PM
Gender: Female
Baptist Health Medical
Dixon, Jason APRN
Group
Provider ID: 999496
177 Washington Dr
Gender: Male
Somerset, KY 42503
Cumberland
(606) 678-2880
Gastroenterology PSC
Fax: (606) 627-2886
56 Tower Cir
00 Yrs/99 Yrs
Somerset, KY 42503
M-F 8:00 AM - 5:00 PM
(606) 677-2913
Fax: (606) 677-6983
Fitzgerald, Ginger APRN
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 719642
Gender: Female
Baptist Health Medical
Group
55 Thannoli Dr
Somerset, KY 42503
(606) 677-0854
Fax: (606) 677-9311
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fitzgerald, Michael ARNP Kelley, Venda APRN
Provider ID: 594827
Provider ID: 1030033
Gender: Female
Gender: Male
Lake Cumberland
Physician Services PSC
Medical Associates
607 Clifty St
350 Hospital Way Ste 100
Somerset, KY 42503
Somerset, KY 42503
(606) 676-0088
(606) 451-2601
Fax: (606) 676-0065
Fax: (606) 451-2641
18 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Languages: Spanish,
Japanese
Gilpatrick, Latasha APRN MTH 8:00 AM - 5:00 PM
TF 9:00 AM - 5:00 PM
Provider ID: 596822
WSat 9:00 AM - 9:00 PM
Gender: Female
Lake Cumberland Family King, Kimberly APRN
Care
30 Tower Cir
Provider ID: 594628
Somerset, KY 42503
Gender: Female
(606) 451-8644
Somerset Pediatric
Specialists PLLC
Fax: (606) 451-9644
350 Langdon St
00 Yrs/99 Yrs
Somerset, KY 42503
M-F 9:00 AM - 5:00 PM
(606) 678-8155
Good, Gina APRN
Fax: (606) 678-7548
Provider ID: 851163
00 Yrs/21 Yrs
Gender: Female
Languages: Spanish
Family Health Care
M-F 8:00 AM - 4:30 PM
Associates of Ke
Sat 8:00 AM - 11:00 PM
224 Langdon St Ste B
Somerset, KY 42501
Lang, Angela APRN
(606) 677-2747
Provider ID: 752118
Fax: (606) 678-2748
Gender: Female
00 Yrs/99 Yrs
Baptist Health Medical
Group
M-F 8:00 AM - 5:00 PM
177 Washington Dr
House, Juanita APRN
Somerset, KY 42501
Provider ID: 929479
(606) 678-2880
Gender: Female
Fax: (606) 678-2886
Lake Cumberland
00 Yrs/99 Yrs
Womens Health Spec
M-F 8:00 AM - 7:00 PM
333 Bogle St
Sat 8:00 AM - 6:00 PM
Somerset, KY 42503
Sun 11:00 AM - 5:00 PM
(606) 678-0212
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 216
05/28/2015
Allied Providers
Pulaski
Nurse Practitioner - cont. McElroy, Laura CNP
Provider ID: 618636
Marcum, Lisa APRN
Gender: Female
Provider ID: 784465
Family Allergy Asthma
Gender: Female
971 S Hwy 27
Ear Nose and Throat
Somerset, KY 42501
Specialist of S
(606) 451-0239
143A Bogle Office Park
Fax: (606) 451-9640
Dr
00 Yrs/99 Yrs
Somerset, KY 42503
Norton Audubon
(606) 451-3890
Hospital
Fax: (606) 451-3896
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM Merrick, Brian APRN
F 8:00 AM - 12:00 PM
Provider ID: 1061395
Gender: Male
Martin, Amanda APRN
Kentucky Family Care
298 Bogle St Ste B
Provider ID: 979473
Somerset, KY 42503
Gender: Female
(606) 679-9213
Physician Services, PSC
Fax: (606) 677-9963
607 Clifty St
00 Yrs/99 Yrs
Somerset, KY 42503
M-F 8:00 AM - 5:00 PM
(606) 676-0088
Fax: (606) 676-0065
Merrick, Brian APRN
00 Yrs/99 Yrs
Provider ID: 1066806
M-F 9:00 AM - 5:00 PM
Gender: Male
Kentucky Family Care
McDonald, Denita APRN 3810 S Hwy 27
Provider ID: 702229
Somerset, KY 42503
Gender: Female
(606) 679-9213
Cumberland Foot &
Fax: (606) 677-9963
Ankle Center
00 Yrs/99 Yrs
117 Trade Park Dr
M-F 8:00 AM - 5:00 PM
Somerset, KY 42503
(606) 679-2773
Fax: (606) 679-4626
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Merrick, Brian APRN
Provider ID: 1066809
Gender: Male
Kentucky Family Care
5775 N Hwy 27
Science Hill, KY 42553
(606) 679-9213
Fax: (606) 677-9963
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Miller, Michael APRN
Provider ID: 1003246
Gender: Male
Physician Services PSC
607 Clifty St
Somerset, KY 42503
(606) 676-0088
Fax: (606) 676-0065
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Moore, Rebecca CNP
Provider ID: 718811
Gender: Female
Ballard Wright MD PSC
110 Hardin Dr Ste 4
Somerset, KY 42503
(859) 278-1316
Fax: (859) 276-3847
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Perry, Mary APRN
Provider ID: 618280
Gender: Female
Baptist Health Medical
Group
177 Washington Dr
Somerset, KY 42503
(606) 678-2880
Fax: (606) 627-2886
00 Yrs/99 Yrs
Ephraim McDowell Reg
Med Center
M-F 8:00 AM - 7:00 PM
Sat 8:00 AM - 6:00 PM
Sun 11:00 AM - 5:00 PM
Napier, Danita APRN
Provider ID: 622892
Gender: Female
402 Bogle St Ste 2
Somerset, KY 42503
(606) 451-3145
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Richardson, Autumn
APRN
Provider ID: 807690
Gender: Female
Lake Cumberland
Medical Associates
350 Hospital Way Ste 100
Somerset, KY 42503
(606) 451-2600
Fax: (606) 451-2641
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
Sat 9:00 AM - 8:00 PM
Sun 1:00 AM - 6:00 PM
Partin, Sheryl APRN
Provider ID: 880357
Gender: Female
Family Health Care
Associates of Ke
224 Langdon St Ste B
Somerset, KY 42501
(606) 677-2747
Fax: (606) 678-2748
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Saleh, Jocelyn APRN
Provider ID: 966469
Gender: Female
Lake Cumberland
Neurosurgical Clini
75 Hail Knob Rd
Somerset, KY 42503
(606) 678-9617
Fax: (606) 678-9619
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 217
05/28/2015
Allied Providers
Pulaski
Nurse Practitioner - cont. Taft, Debra APRN
Provider ID: 904757
Sanders, Deidra APRN
Gender: Female
Provider ID: 618635
Commonwealth
Gender: Female
Hematology Oncology
Family Allergy and
Ps
Asthma
95 Bogle Office Park Dr
971 S Hwy 27
Somerset, KY 42503
Somerset, KY 42501
(606) 677-1451
(877) 879-2632
Fax: (606) 678-0814
Fax: (502) 429-6157
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Norton Hospital
M-F 9:00 AM - 5:00 PM Thomas, Della APRN
Provider ID: 700534
Stevens, Merrille ARNP
Gender: Female
Provider ID: 667316
Baptist Health Medical
Gender: Female
Group
Baptist Health Medical
177 Washington Dr
Group
Somerset, KY 42503
177 Washington Dr
(606) 678-2880
Somerset, KY 42503
Fax: (606) 627-2886
(606) 678-2880
00 Yrs/99 Yrs
Fax: (606) 627-2886
M-F 8:30 AM - 7:30 PM
00 Yrs/99 Yrs
Sat 8:30 AM - 6:30 PM
M-F 8:00 AM - 7:00 PM
Sun 11:30 AM - 5:30 PM
Sat 8:00 AM - 6:00 PM
Sun 11:00 AM - 5:00 PM Trueblood, Violet CNP
Provider ID: 596913
Stinson, Angela APRN
Gender: Female
Provider ID: 601291
Kentucky Family Care
Gender: Female
298 Bogle St Ste B
Cumberland
Somerset, KY 42503
Gastroenterology PSC
(606) 679-9213
56 Tower Cir
Fax: (606) 677-9963
Somerset, KY 42503
00 Yrs/99 Yrs
(606) 677-2913
Lake Cumberland
Fax: (606) 677-6983
Regional Hospital
02 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
MTTH 8:00 AM - 5:00
PM
W 8:00 AM - 12:00 PM
F 8:00 AM - 4:00 PM
Trueblood, Violet CNP
Vito, Gloria APRN
Provider ID: 909806
Provider ID: 596915
Gender: Female
Gender: Female
Baptist Health Medical
Kentucky Family Care
Group
3810 S Hwy 27 Ste 4
177 Washington Dr
Somerset, KY 42503
Somerset, KY 42503
(606) 677-0772
(606) 678-2880
Fax: (606) 677-0969
Fax: (606) 678-2886
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Lake Cumberland
M-F 8:00 AM - 7:00 PM
Regional Hospital
Sat 8:00 AM - 6:00 PM
M-W 8:00 AM - 5:00 PM Sun 11:00 AM - 5:00 PM
THF 8:00 AM - 4:00 PM
Vito, Gloria APRN
Vito, Gloria APRN
Provider ID: 913154
Provider ID: 1044887
Gender: Female
Gender: Female
Eastern Pulaski Rural
Eastern Pulaski Rural
Health Clinic
Health Clinic
31 Mark Shopville Rd
31 Mark Shopville Rd
Somerset, KY 42503
Somerset, KY 42503
(606) 485-4553
(606) 636-4214
Fax: (606) 485-4550
Fax: (606) 636-4215
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Vito, Gloria APRN
Vito, Gloria APRN
Provider ID: 913156
Provider ID: 852275
Gender: Female
Gender: Female
Nancy Family Practice
Eastern Pulaski Rural
PLLC
Health Clinic
9919 W Hwy 80
31 Mark Shopville Rd
Nancy, KY 42544
Somerset, KY 42503
(606) 636-4214
(606) 636-4214
Fax: (606) 636-4215
Fax: (606) 636-4215
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Sat 11:00 AM - 4:00 PM
kentucky.wellcare.com | 218
Weddle, Brandi APRN
Provider ID: 629509
Gender: Female
Baptist Health Medical
Group
55 Thannoli Dr
Somerset, KY 42503
(606) 677-0854
Fax: (606) 677-9311
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
05/28/2015
Allied Providers
Pulaski
Nurse Practitioner - cont. Williamson, Diana ARNP
Weiner, Joy APRN
Provider ID: 800577
Gender: Female
Baptist Health Medical
Group
177 Washington Dr
Somerset, KY 42503
(606) 678-2880
Fax: (606) 627-2886
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
White, Lesley APRN
Provider ID: 602338
Gender: Female
Family Allergy & Asthma
971 S Hwy 27
Somerset, KY 42501
(877) 879-2632
Fax: (502) 429-6157
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 731123
Gender: Female
Eastern Pulaski Rural
Health Clinic
31 Mark Shopville Rd
Somerset, KY 42503
(606) 636-4214
Fax: (606) 679-9308
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Withers, Miranda APRN
Provider ID: 604411
Gender: Female
The Lung and Sleep
Disorder Institu
46 Turpen Ct Ste B
Somerset, KY 42503
(606) 679-0179
Fax: (606) 679-0546
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Williamson, Diana APRN Yates, Christy APRN
Provider ID: 619518
Provider ID: 1044997
Gender: Female
Gender: Female
Family Allergy and
Eastern Pulaski Rural
Asthma
Health Clinic
971 S Hwy 27
31 Mark Shopville Rd
Somerset, KY 42501
Somerset, KY 42503
(877) 879-2632
(606) 636-4214
Fax: (502) 429-6157
Fax: (606) 636-4215
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Obstetrics/Gynecology
Williamson, Diana ARNP
Trimble, Sarah APRN
Provider ID: 604067
Provider ID: 627234
Gender: Female
Gender: Female
Nancy Family Practice
Lake Cumberland
PLLC
Womens Health
9919 W Hwy 80
333 Bogle St
Nancy, KY 42544
Somerset, KY 42503
(606) 636-4214
(606) 678-0212
Fax: (606) 636-4215
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Pain Management
Humphries, Kimberly PA
Provider ID: 904123
Gender: Female
Physician Services PSC
607 Clifty St
Somerset, KY 42503
(859) 252-6500
Fax: (859) 252-3073
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Physical Therapy
Arthur, Dustin PT
Provider ID: 972942
Gender: Male
Total Rehab Center PSC
175 Medpark Dr
Somerset, KY 42503
(606) 679-1761
Fax: (606) 678-0971
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Escobar, David PT
Provider ID: 600738
Gender: Male
Cumberland Foot Ankle
Center
117 Tradepark Dr
Somerset, KY 42503
(606) 679-2773
Fax: (606) 679-4626
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Morgan, Allyson PT
Provider ID: 691140
Gender: Female
Total Rehab Center PSC
175 Medpark Dr
Somerset, KY 42503
(606) 679-1761
Fax: (606) 678-0961
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 219
Parmelee, Jeff PT
Provider ID: 712863
Gender: Male
Total Rehab Center PSC
175 Medpark Dr
Somerset, KY 42503
(606) 679-1761
Fax: (606) 678-0971
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Randall, Terry PT
Provider ID: 604922
Gender: Male
Total Rehab Center PSC
175 Medpark Dr
Somerset, KY 42503
(606) 679-1761
Fax: (606) 678-0971
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physician Assistant
Austin, Richard PA
Provider ID: 600295
Gender: Male
Lake Cumberland
Physician Practices
350 Hospital Way Ste
220
Somerset, KY 42503
(606) 451-0300
Fax: (606) 451-0595
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 9:00 AM - 5:00 PM
05/28/2015
Allied Providers
Pulaski
Physician Assistant - cont. Hatmaker, Charles PA
Provider ID: 1070654
Bennett, Nathan PA
Gender: Male
Provider ID: 901258
Lake Cumberland
Gender: Male
Surgery Specialists
Baptist Health Medical
350 Hospital Way Ste
Group Inc
270
349 Bogle St Ste B
Somerset, KY 42503
Somerset, KY 42503
(606) 425-4298
(606) 451-9448
Fax: (606) 425-4299
Fax: (606) 451-9450
05 Yrs/99 Yrs
12 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-TH 8:00 AM - 5:00 PM
Helm, Michael PA
F 8:00 AM - 12:00 PM
Provider ID: 629056
Blackburn, Michael PA
Gender: Male
Provider ID: 751408
Apogee Medical Group
Gender: Male
Kentucky PSC
Somerset Internal
305 Langdon St
Medicine
Somerset, KY 42503
10 Tower Cir
(606) 451-2994
Somerset, KY 42503
Fax: (606) 451-2975
(606) 425-4895
00 Yrs/99 Yrs
Fax: (606) 451-0954
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-TH 8:00 AM - 5:00 PM Helm, Michael PA
Provider ID: 791941
F 8:00 AM - 2:00 PM
Gender: Male
Hatmaker, Charles PA
Donald E Brown MD
Provider ID: 1070654
PLLC
Gender: Male
26 Oxford Way Ste A
Lake Cumberland
Somerset, KY 42503
Surgery Specialist
(606) 679-5161
76 Oxford Way Ste B
Fax: (606) 679-9308
Somerset, KY 42503
00 Yrs/99 Yrs
(606) 425-4298
M-F 8:00 AM - 5:00 PM
Fax: (606) 425-4299
Kelly, Louise PA
05 Yrs/99 Yrs
Provider ID: 816872
M-F 9:00 AM - 5:00 PM
Gender: Female
Physician Services PSC
607 Clifty St
Somerset, KY 42503
(606) 676-0088
Fax: (606) 676-0065
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Pell, Susan PA
Ritchey, Rebecca PA
Provider ID: 599442
Provider ID: 999459
Gender: Female
Gender: Female
Lake Cumberland
Lake Cumberland
Medical Associates
Surgical Consultant
350 Hospital Way Ste 100 350 Hospital Way Ste
270
Somerset, KY 42503
Somerset, KY 42503
(606) 451-2628
(606) 425-4298
Fax: (606) 451-2641
Fax: (606) 425-4299
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 8:00 PM
M-F 8:00 AM - 5:00 PM
Sat 9:00 AM - 9:00 PM
Perkins, Katelyn PA
Provider ID: 928717
Gender: Female
Mohammad Afzal MD
Internal Medicine
110 Hardin Ln Ste 2B
Somerset, KY 42503
(606) 451-0312
Fax: (606) 451-0312
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
Simpson, Agatha PA
Provider ID: 604234
Gender: Female
Lake Cumberland
Neurosurgical Clini
305 Langdon St
Somerset, KY 42503
(606) 679-7441
18 Yrs/99 Yrs
Languages: Arabic
M-F 9:00 AM - 5:00 PM
Picard, Robert PA
Provider ID: 607017
Gender: Male
P D Patel MD PSC
104 Hardin Ln Ste A
Somerset, KY 42503
(606) 678-8323
Fax: (606) 451-0133
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
MTHF 8:00 AM - 5:00
PM
T 8:00 AM - 4:00 PM
W 8:00 AM - 12:00 PM
Simpson, Agatha PA
Provider ID: 604234
Gender: Female
Lake Cumberland
Neurosurgical Clini
75 Hail Knob Rd
Somerset, KY 42503
(606) 678-9617
Fax: (606) 678-9619
18 Yrs/99 Yrs
Languages: Arabic
M-W 8:00 AM - 4:30 PM
TH 8:30 AM - 4:30 PM
F 8:00 AM - 4:00 PM
kentucky.wellcare.com | 220
05/28/2015
Allied Providers
Pulaski
Physician Assistant - cont.
Snowdy, Paul PA
Provider ID: 935430
Gender: Male
Somerset Internal
Medicine
10 Tower Cir
Somerset, KY 42503
(606) 425-5895
Fax: (606) 451-0954
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Tarter, Alisha PA
Provider ID: 633520
Gender: Female
Lake Cumb
Neurosurgical Clini
75 Hail Knob Rd
Somerset, KY 42503
(606) 678-9617
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Todd, Sarah PA
Provider ID: 928786
Gender: Female
Lake Cumberland
Neurosurgical Clini
75 Hail Knob Rd
Somerset, KY 42503
(606) 678-9617
Fax: (606) 678-9619
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 221
05/28/2015
Allied Providers
Russell
Family Practice
Brock, Kathy APRN
Gaskins, Julie APRN
Provider ID: 958205
Provider ID: 633644
Benson, Sharon ARNP
Gender: Female
Gender: Female
Provider ID: 616946
Russell County Hospital
Westlake Primary Care
Gender: Female
of Russell Co
124 Dowell Rd
Cumberland Family
Russell Springs, KY 42642 2465 Lakeway Dr
Medical
Russell Springs, KY 42642
(270) 866-4141
124 Dowell Rd
(270) 858-3636
Fax: (270) 866-2442
Russell Springs, KY 42642 00 Yrs/99 Yrs
Fax: (270) 858-3660
(270) 866-3161
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 866-3163
MTWF 8:00 AM - 5:00
00 Yrs/99 Yrs
England, Russell APRN
PM
M-TH 7:00 AM - 4:00 PM Provider ID: 1022319
TH 8:00 AM - 8:00 PM
Gender: Male
Internal Medicine
Gilpatrick, Latasha APRN
Westlake Primary Care
Robertson, Terani APRN of Russell Co
Provider ID: 596822
2465 Lakeway Dr
Gender: Female
Russell
Springs,
KY
42642
Provider ID: 896730
72 Joe T Petty Dr
(270) 858-3636
Gender: Female
Russell Springs, KY 42642
Fax: (270) 858-3660
92 Joe T Petty Dr
(270) 866-7771
Russell Springs, KY 42642 00 Yrs/99 Yrs
Fax: (270) 866-7774
M-F
8:00
AM
5:00
PM
(270) 866-8881
00 Yrs/99 Yrs
Fax: (270) 866-8849
Erby, Carla ARNP
M-F 9:00 AM - 5:00 PM
12 Yrs/99 Yrs
Provider ID: 914314
M-F 9:00 AM - 5:00 PM
Hart, Jennifer APRN
Gender: Female
Provider ID: 688327
Commonwealth
Nurse Practitioner
Gender: Female
Hematology Oncology
Ps
Jamestown Family
Atwood, Tamra APRN
Medical
169 J T Pettey Dr
Provider ID: 795010
Russell Springs, KY 42642 1417 N Main St
Gender: Female
Jamestown, KY 42629
(270) 866-7900
Westlake Primary Care
(270) 343-2597
Fax:
(270)
866-7935
of Russell Co
Fax: (270) 343-2598
00 Yrs/99 Yrs
2465 Lakeway Dr
00 Yrs/99 Yrs
Russell Springs, KY 42642 MTTHF 8:00 AM - 4:30
PM
Russell County Hospital
(270) 858-3636
W
8:00
AM
5:00
PM
M-TH 7:30 AM - 5:00 PM
Fax: (270) 858-3660
00 Yrs/99 Yrs
Gaskins, Brian ARNP
Hill, Tammy APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 932304
Provider ID: 594667
Atwood, Tamra APRN
Provider ID: 804116
Gender: Female
1417 N Main St
Jamestown, KY 42629
(270) 343-2597
Fax: (270) 343-2598
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Gender: Male
Westlake Primary Care
2465 Lakeway Dr
Russell Springs, KY 42642
(270) 858-3636
Fax: (270) 858-3660
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gender: Female
Russell County Hospital
Physician G
124 Dowell Rd
Russell Springs, KY 42642
(270) 866-2440
Fax: (502) 866-2442
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 222
Lobb, Sheila APRN
Provider ID: 614387
Gender: Female
Lake Cumberland
District Health Dep
69 Herrifords Cir
Jamestown, KY 42629
(270) 343-2181
Fax: (270) 343-2183
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Martin, Debbie APRN
Provider ID: 672561
Gender: Female
West Lake Primary Care
Russell Co
2465 Lakeway Dr
Russell Springs, KY 42642
(270) 858-3636
Fax: (270) 858-3660
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McMinoway, Tiffany
APRN
Provider ID: 999566
Gender: Female
Westlake Primary Care
of Russell Co
2465 Lakeway Dr
Russell Springs, KY 42642
(270) 858-3636
Fax: (270) 858-3660
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Meyer, Kimberly ARNP
Provider ID: 752113
Gender: Female
Lily Creek Medical
Group PSC
92 Joe T Pettey Dr
Russell Springs, KY 42642
(270) 866-8881
Fax: (270) 866-8849
00 Yrs/99 Yrs
M-F 8:00 AM - 3:30 PM
05/28/2015
Allied Providers
Russell
Nurse Practitioner - cont.
O'Dell, Bentley APRN
Provider ID: 614311
Gender: Male
Westlake Primary Care
of Russell Co
2465 Lakeway Dr
Russell Springs, KY 42642
(270) 858-3636
00 Yrs/99 Yrs
Casey County Hospital
MWTHF 9:00 AM - 5:00
PM
T 8:00 AM - 6:00 PM
Partin, John APRN
Provider ID: 602451
Gender: Male
Westlake Primary Care
of Russell Co
2465 Lakeway Dr
Russell Springs, KY 42642
(270) 858-3636
00 Yrs/99 Yrs
Languages: French,
Italian, Hebrew
M-F 9:00 AM - 5:00 PM
Young, Shannon APRN
Provider ID: 803820
Gender: Female
1417 N Main St
Jamestown, KY 42629
(270) 343-2597
Fax: (270) 343-2598
00 Yrs/99 Yrs
M-F 7:45 AM - 5:00 PM
kentucky.wellcare.com | 223
05/28/2015
Allied Providers
Simpson
Nurse Practitioner
Alexander, Betty APRN
Provider ID: 603566
Gender: Female
Interventional Pain
Specialists of
1100 Brookhaven Dr
Franklin, KY 42134
(270) 598-4949
Fax: (270) 598-4984
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Carter, Darby APRN
Provider ID: 627535
Gender: Female
Wesley Family Medical
PSC
1100 Brookhaven Rd Ste
101
Franklin, KY 42134
(270) 586-1969
Fax: (270) 586-1914
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Devore, Paula APRN
Provider ID: 762243
Gender: Female
Interventional Pain
Specialists of
1100 Brookhaven Dr
Franklin, KY 42134
(270) 598-4949
Fax: (270) 598-4984
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pardue, Jacqueline APRN
Provider ID: 815316
Gender: Female
Interventional Pain
Specialists of
1100 Brookhaven Dr
Franklin, KY 42134
(270) 598-4949
Fax: (270) 598-4984
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Perdue, Tara APRN
King, Seth PA
Provider ID: 607847
Provider ID: 958495
Gender: Female
Gender: Male
Adams Medical Clinic
Western Kentucky
Orthopaedic and NE
119 Memorial Dr
1100 Brookhaven Rd
Franklin, KY 42134
Franklin, KY 42134
(270) 586-9533
(270) 586-0286
Fax: (270) 586-0123
Fax: (270) 782-3276
00 Yrs/99 Yrs
M-TH 8:30 AM - 5:00 PM 00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
F 8:30 AM - 12:00 PM
Walkup, Elizabeth APRN
Provider ID: 595979
Gender: Female
Adams Medical Clinic
119 Memorial Dr
Franklin, KY 42135
(270) 586-9533
Fax: (270) 586-0123
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Wilson, Rita APRN
Provider ID: 1057000
Gender: Female
Interventional Pain
Specialists of
1100 Brookhaven Dr
Franklin, KY 42134
(270) 598-4949
Fax: (270) 598-4984
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physician Assistant
Crowe, Stephanie PA
Provider ID: 667322
Gender: Female
Western Kentucky
Orthopaedic and NE
1030 Brookhaven Rd
Franklin, KY 42134
(270) 586-0286
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 224
05/28/2015
Allied Providers
Taylor
Hearing Aid Supplier
Bell, Monica APRN
Bowman, Kimberly APRN
Provider ID: 618652
Provider ID: 720782
Lawless, Kim AUD
Gender: Female
Gender: Female
Provider ID:
Family Allergy and
Taylor Reg Pulmonary &
TPV1841279908-A
Asthma
Sleep Medici
Gender: Female
111 Wildflower Dr Ste A
67 Kingswood Dr
105 Greenbriar Dr Ste A
Campbellsville, KY 42718 Campbellsville, KY 42718
Campbellsville, KY 42718 (270) 469-3408
(270) 465-2116
(270) 465-3595
Fax: (502) 429-6157
Fax: (270) 465-2126
Fax: (270) 789-2044
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Lake Cumberland
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Regional Hospital
M-F 8:30 AM - 5:00 PM Brendel, Jacquelyn APRN
Lawless, Kim AUD
Provider ID:
Blakeman, Jamie APRN
Provider ID: 597039
TPV1841279908-H
Gender: Female
Gender: Female
Provider ID: 753960
Lake Cumberland
105 Greenbriar Dr Ste A
Gender: Female
District Health Dep
Campbellsville, KY 42718 Bobby J Brooks MD
1880 N Bypass Rd
(270) 465-3595
127 Kingswood Dr
Campbellsville, KY 42718
Fax: (270) 789-2044
Campbellsville, KY 42718 (270) 465-4191
00 Yrs/99 Yrs
(270) 789-3410
Fax: (270) 789-3873
M-F 9:00 AM - 5:00 PM
Fax: (270) 465-2449
00 Yrs/99 Yrs
00
Yrs/99
Yrs
Languages: Spanish
Hearing Aid Therapy &
MTWTHFSat 8:00 AM M-F 8:00 AM - 4:30 PM
Specialist
4:30 PM
Brown, Tricia ARNP
Lawless, Kim AUD
Bowman,
Kimberly
APRN
Provider ID: 1027655
Provider ID:
Provider
ID:
713672
Gender: Female
TPV1841279908-0
Gender:
Female
Ulrf Pediatric Cardiology
Gender: Female
Taylor
Reg
Medical
Grp
70 Uber Monkey Ln
105 Greenbriar Dr Ste A
DBA
Taylor
R
Campbellsville, KY 42718
Campbellsville, KY 42718
67
Kingswood
Dr
(502) 585-4802
(270) 465-3595
Campbellsville,
KY
42718
Fax: (502) 589-1256
Fax: (270) 789-2044
(270)
932-2221
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax:
(270)
932-2201
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Nurse Practitioner
M-F 8:00 AM - 5:00 PM Campbell, Sharon APRN
Bowman, Kimberly APRN
Beard, Amy APRN
Provider ID: 720782
Provider ID: 250991
Gender: Female
Gender: Female
Taylor Reg Pulmonary &
Taylor Regional Urology
1698 Old Lebanon Rd Ste Sleep Medici
125 Kingswood Dr
3B
Campbellsville, KY 42718 Campbellsville, KY 42718
(270) 465-2116
(270) 789-2471
Fax: (270) 465-2126
Fax: (270) 465-4669
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Provider ID: 626114
Gender: Female
Bobby J Brooks MD
127 Kingswood Dr
Campbellsville, KY 42718
(270) 789-3410
00 Yrs/99 Yrs
M 8:00 AM - 4:30 PM
TWTHF 8:00 AM - 5:00
PM
kentucky.wellcare.com | 225
Combs, Kyle APRN
Provider ID: 972256
Gender: Female
Ulrf Pediatric Cardiology
70 Ubermonkey Ln
Campbellsville, KY 42718
(502) 585-4802
Fax: (502) 589-1256
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Dotson, Wenona APRN
Provider ID: 607073
Gender: Female
Taylor Regional Medical
Grp DBA Tay
1700 Old Lebanon Rd
Campbellsville, KY 42718
(270) 789-6116
Fax: (270) 789-6119
00 Yrs/99 Yrs
Taylor County Hospital
M-F 9:00 AM - 5:00 PM
Dudley, Dorothy APRN
Provider ID: 669093
Gender: Female
Taylor Regional Medical
Grp DBA Tay
1700 Old Lebanon Rd
Campbellsville, KY 42718
(270) 789-6116
Fax: (270) 789-6119
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Dudley, Dorothy APRN
Provider ID: 910660
Gender: Female
95 Kingswood Dr
Campbellsville, KY 42718
(270) 789-2788
Fax: (502) 368-9820
00 Yrs/99 Yrs
Taylor County Hospital
M-F 8:00 AM - 5:00 PM
05/28/2015
Allied Providers
Taylor
Nurse Practitioner - cont. McKenna, Kimberly
APRN
Lang, Angela APRN
Provider ID: 1076029
Provider ID: 811951
Gender: Female
Gender: Female
One Cross Health Clinic
Taylor Reg Medical Grp
101 Winston Way Ste E
DBA Taylor R
Campbellsville, KY 42718
67 Kingswood Dr
(270) 789-0034
Campbellsville, KY 42718 Fax: (270) 789-0097
(270) 849-2379
00 Yrs/99 Yrs
Fax: (270) 465-2126
MTWF 8:00 AM - 4:30
00 Yrs/99 Yrs
PM
M-F 8:00 AM - 5:00 PM
TH 8:0 AM - 4:30 PM
Lobb, Sheila APRN
McKenna, Kimberly
Provider ID: 614387
ARNP
Gender: Female
Provider ID: 594781
Lake Cumberland
Gender: Female
District Health Dep
Jerome A Dixon DO PSC
1880 N Bypass Rd
150 W Bear Track Rd
Campbellsville, KY 42718 Campbellsville, KY 42718
(270) 465-4191
(270) 465-8133
Fax: (270) 789-3873
Fax: (270) 789-1543
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Maxim, Dawn APRN
Meiman, Shawn APRN
Provider ID: 603280
Gender: Female
Provider ID: 924262
Bluegrass Cardiology
Gender: Female
Associates PLL
Ulrf General Pediatrics
95 Kingswood Dr
73 Kingswood Dr
Campbellsville, KY 42718 Campbellsville, KY 42718
(270) 789-2788
(270) 789-1112
Fax: (502) 368-9820
Fax: (270) 789-3157
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
McElroy, Laura CNP
Rhinehart, Ashley APRN
Provider ID: 618636
Provider ID: 1053148
Gender: Female
Gender: Female
Family Allergy Asthma
Ulrf Pediatric Cardiology
111 Wildflower Dr Ste A
70 Uber Monkey Ln Ste
Campbellsville, KY 42718 602
(270) 469-3408
Campbellsville, KY 42718
Fax: (270) 469-9033
(502) 585-4802
00 Yrs/99 Yrs
Fax: (502) 589-1256
Norton Audubon
00 Yrs/99 Yrs
Hospital
M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Russell, Katosha N APRN Wallace, Stephanie APRN
Provider ID: 817534
Provider ID: 801831
Gender: Female
Gender: Female
Ulrf General Pediatrics
Family Allergy & Asthma
73 Kingswood Dr
111 Wildflower Dr Ste A
Campbellsville, KY 42718 Campbellsville, KY 42718
(270) 789-1112
(270) 469-3408
Fax: (270) 789-3157
Fax: (502) 429-6157
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
MTTHF 8:30 AM - 5:00
PM
Sanders, Deidra APRN
W 8:30 AM - 6:00 PM
Provider ID: 618635
White, Lesley APRN
Gender: Female
Provider ID: 602338
Family Allergy and
Asthma
Gender: Female
111 Wildflower Dr Ste A
Family Allergy & Asthma
Campbellsville, KY 42718 111 Wildflower Ln Ste A
(270) 469-3408
Campbellsville, KY 42718
Fax: (502) 429-6157
(270) 469-3408
00 Yrs/99 Yrs
Fax: (502) 429-6157
Norton Hospital
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Shively, Susan APRN
Wooley, Dennis APRN
Provider ID: 602902
Provider ID: 712928
Gender: Female
Gender: Male
Central Kentucky
Taylor Regional Hospital
Surgical Services
Care Center
1700 Old Lebanon Rd
67 Kingswood Dr
Campbellsville, KY 42718 Campbellsville, KY 42718
(270) 789-0359
(270) 932-2221
Fax: (270) 789-0374
Fax: (270) 932-2201
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Taylor County Hospital
Languages: Spanish
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Thiery, Diane APRN
Wright, Jason APRN
Provider ID: 709120
Provider ID: 991890
Gender: Female
Gender: Male
Taylor Regional Hospital Taylor Regional ENT
Care Center
105 Greenbriar Dr Ste A
67 Kingswood Dr
Campbellsville, KY 42718
Campbellsville, KY 42718 (270) 465-3595
(270) 932-2221
Fax: (270) 789-6119
Fax: (270) 932-2201
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 226
05/28/2015
Allied Providers
Taylor
Nurse Practitioner - cont.
Physician Assistant
Wright, Jason APRN
Bright, Amanda PA
Provider ID: 991890
Provider ID: 667453
Gender: Male
Gender: Female
Taylor Regional Hospital Southeastern Emerg
Care Center
Services PC
67 Kingswood Dr
1700 Old Lebanon Rd
Campbellsville, KY 42718 Campbellsville, KY 42718
(270) 849-2379
(270) 465-3561
Fax: (270) 465-2126
Fax: (270) 465-3465
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Bright, Amanda PA
Yates, Christy APRN
Provider ID: 667453
Provider ID: 619518
Gender: Female
Gender: Female
Taylor Regional ENT
Family Allergy and
105 A Greenbriar Dr
Asthma
Campbellsville, KY 42718
111 Wildflower Dr Ste A
(270) 465-3595
Campbellsville, KY 42718 Fax: (270) 789-2044
(270) 469-3408
00 Yrs/99 Yrs
Fax: (502) 429-6157
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:30 AM - 5:00 PM Pack, Nan PA
Provider ID: 712830
Physical Therapy
Gender: Female
Taylor Regional Hospital
Salsbury, Kyle PT
Care Center
Provider ID: 1063629
67 Kingswood Dr
Gender: Male
Campbellsville, KY 42718
Orthodyne
(270) 849-2379
190 W. First St
Fax: (270) 465-2126
Campbellsville, KY 42718 00 Yrs/99 Yrs
(270) 789-6629
MTWTHFSatSun 11:00
Fax: (270) 789-0424
AM - 8:00 PM
02 Yrs/99 Yrs
Speech Therapy
M-F 9:00 AM - 5:00 PM
Gabbert, Deborah SLP
Provider ID: 1063625
Gender: Female
190 W. Broadway Ste 103
Campbellsville, KY 42718
(270) 789-6629
Fax: (270) 799-0424
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 227
05/28/2015
Allied Providers
Warren
Children With Special
Health Care Needs
Tyler, Jennifer APRN
Provider ID: 756777
Gender: Female
Commission For Children Fairview Community
With Special
Health Center
Provider ID: 616818
825 4th Ave
495 Three Springs Rd
Bowling Green, KY 42101
Bowling Green, KY 42104 (270) 783-3573
(270) 746-7816
Fax: (207) 783-4081
Fax: (270) 746-7877
00 Yrs/99 Yrs
00 Yrs/21 Yrs
Languages: Spanish
M-F 8:00 AM - 4:30 PM
M-F 8:00 AM - 5:00 PM
Family Practice
Nurse Midwife
Phelps, Audrey APRN
Provider ID: 616358
Gender: Female
Fairview Community
Health Center
615 7th Ave
Bowling Green, KY 42101
(270) 526-2145
Fax: (270) 783-4081
00 Yrs/99 Yrs
MF 8:00 AM - 5:00 PM
TWTH 8:00 AM - 7:00
PM
Tyler, Jennifer APRN
Provider ID: 616359
Gender: Female
Fairview Community
Health Center
615 7th Ave
Bowling Green, KY 42101
(270) 526-2145
Fax: (270) 783-4081
00 Yrs/99 Yrs
MF 8:00 AM - 5:00 PM
TWTH 8:00 AM - 7:00
PM
Danhausen, Kathleen
CNM
Provider ID: 1024904
Gender: Female
Commonwealth Health
Corporation
350 Park St Ste 203
Bowling Green, KY 42101
(270) 781-0075
Fax: (270) 781-0143
00 Yrs/99 Yrs
M-F 8:00 AM - 4:30 PM
Maxfield, Courtney CNM Alexander, Betty APRN
Provider ID: 1027303
Provider ID: 603566
Gender: Female
Gender: Female
Commonwealth Health
Corporation
Interventional Pain
Specialists of
350 Park St Ste 203
Bowling Green, KY 42101 165 Natchez Trace Ste
205 B
(270) 781-0075
Bowling Green, KY 42103
Fax: (270) 781-0143
(270) 282-2072
00 Yrs/99 Yrs
Fax: (270) 282-2073
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Maxfield, Courtney CNM M-F 8:00 AM - 5:00 PM
Provider ID: 712862
Alford, Stephanie APRN
Gender: Female
Hewitt Davis Fee Lyons
Provider ID: 614370
1805 Scottsville Rd
Bowling Green, KY 42104 Gender: Female
Ohp Walk In Clinics LLC
(270) 781-3415
5796 Nashville Rd Ste A
Fax: (270) 781-2091
Bowling Green, KY 42101
00 Yrs/99 Yrs
M-TH 8:30 AM - 4:30 PM (270) 781-6477
Fax: (270) 781-6479
F 8:30 AM - 12:00 PM
00 Yrs/99 Yrs
Nurse Practitioner
M-F 8:00 AM - 5:00 PM
Agee, Karen APRN
Alford, Stephanie APRN
Provider ID: 1081074
Lindsey, Leigh CNM
Gender: Female
Provider ID: 999003
Provider ID: 647816
Commonwealth Health
Gender: Female
Gender: Female
Corporation
Ohp Walk In Clinics LLC
Commonwealth Health
2435 Nashville Rd Ste 109 6807 Louisville Rd Ste 1
Corporation
Bowling Green, KY 42101 Bowling Green, KY 42101
350 Park St Ste 203
(270) 781-6164
(270) 781-6477
Bowling Green, KY 42101 Fax: (270) 781-2984
00 Yrs/99 Yrs
(270) 781-0075
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 781-0143
M-F 8:00 AM - 5:00 PM
Atkinson, Shannon APRN
00 Yrs/99 Yrs
Agee,
Karen
APRN
M-TH 8:00 AM - 5:00 PM
Provider ID: 1081074
Provider ID: 607234
F 8:00 AM - 5:30 PM
Gender: Female
Gender: Female
Park Street Partners LLP
Graves Gilbert Clinic
DBA Urgent
201 Park St
1225 Fairway St
Bowling Green, KY 42101
Bowling Green, KY 42103 (270) 781-5111
(270) 781-3910
00 Yrs/99 Yrs
Fax: (270) 842-7177
The Medical Center
00 Yrs/99 Yrs
Tristar Greenview
Regional Hospital
MTWTHFSatSun 8:00
AM - 8:00 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 228
05/28/2015
Allied Providers
Warren
Nurse Practitioner - cont. Barko, Valeriya APRN
Provider ID: 793562
Atkinson, Shannon APRN Gender: Female
Park Street Partners LLP
Provider ID: 607234
DBA Urgent
Gender: Female
1225 Fairway St Ste 100
Graves-Gilbert Clinic
Bowling Green, KY 42103
350 Park St
(270) 781-3910
Bowling Green, KY 42101 Fax: (270) 842-7177
(270) 781-5111
00 Yrs/99 Yrs
Fax: (270) 782-4253
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Bennett, Mary APRN
The Medical Center
Tristar Greenview
Provider ID: 627002
Regional Hospital
Gender: Female
M-F 8:00 AM - 5:00 PM
Commonwealth Health
Corporation
Babcock, Glenda APRN
2435 Nashville Rd Ste 109
Provider ID: 897110
Bowling Green, KY 42101
Gender: Female
(270) 781-6164
The Perinatal Group
Fax: (270) 781-2984
720 Second Ave Ste 305 00 Yrs/99 Yrs
Bowling Green, KY 42101 M-F 7:30 AM - 7:00 PM
(931) 572-0036
Sat 8:00 AM - 5:00 PM
Fax: (931) 572-1078
00 Yrs/99 Yrs
Bishop, Angela APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 603207
Gender: Female
Barko, Valeriya APRN
Ulrf Pediatric Neurology
Provider ID: 793562
720 2nd Ave Ste 102
Gender: Female
Bowling Green, KY 42101
Commonwealth Health
(502) 589-8022
Corporation
Fax: (502) 589-8233
2435 Nashville Rd Ste 109 00 Yrs/99 Yrs
Bowling Green, KY 42101 M-F 8:00 AM - 5:00 PM
(270) 781-6164
Fax: (270) 781-2984
Black, Michelle APRN
00 Yrs/99 Yrs
Provider ID: 670888
M-F 8:00 AM - 5:00 PM
Gender: Female
Sahetya Medical Group
427 31W By Pass
Bowling Green, KY 42104
(270) 796-8800
Fax: (270) 796-9328
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Blankenship, Maire APRN Brown, Tricia ARNP
Provider ID: 784293
Provider ID: 1027655
Gender: Female
Gender: Female
Graves Gilbert Clinic
Ulrf Pediatric Cardiology
201 Park St
720 2nd Ave Ste 102
Bowling Green, KY 42101 Bowling Green, KY 42101
(270) 781-5111
(502) 585-4802
00 Yrs/99 Yrs
Fax: (502) 589-1256
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Britt, Kimberly APRN
Provider ID: 607218
Bryant, Natalie APRN
Gender: Female
Provider ID: 793356
Graves Gilbert Clinic
Gender: Female
201 Park St
Graves Gilbert Clinic
Bowling Green, KY 42101 201 Park St
(270) 781-5111
Bowling Green, KY 42101
00 Yrs/99 Yrs
(270) 781-5111
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Britt, Kimberly APRN
Provider ID: 607218
Burton, Lisa APRN
Gender: Female
Provider ID: 966154
Graves-Gilbert Clinic
Gender: Female
350 Park St
Commonwealth Health
Bowling Green, KY 42101 Corporation
825 2nd Ave Ste C1
(270) 781-5111
Bowling Green, KY 42101
Fax: (270) 782-4253
(270) 780-2760
00 Yrs/99 Yrs
Fax: (270) 780-2761
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Broughton, Andrea
M-F 8:00 AM - 5:00 PM
APRN
Provider ID: 919787
Cary, Jennifer APRN
Gender: Female
Provider ID: 669108
Kalidas G Sahetya MD
Gender: Female
427 US 31W Byp
Graves Gilbert Clinic
Bowling Green, KY 42101 1681 Normal Dr
(270) 796-8000
Bowling Green, KY 42101
Fax: (270) 796-9328
(270) 745-2273
00 Yrs/99 Yrs
Fax: (270) 783-3763
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 229
05/28/2015
Allied Providers
Warren
Nurse Practitioner - cont. Combs, Kyle APRN
Provider ID: 972256
Cary, Jennifer APRN
Gender: Female
Provider ID: 669108
Ulrf Pediatric Cardiology
Gender: Female
720 2nd Ave Ste 102
Graves Gilbert Clinic
Bowling Green, KY 42101
350 Park St
(502) 585-4802
Bowling Green, KY 42101 Fax: (502) 589-1256
(270) 781-5111
00 Yrs/99 Yrs
Fax: (270) 782-4253
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Cope, Emily APRN
Provider ID: 596769
Cary, Jennifer APRN
Gender: Female
Provider ID: 669108
Park Street Partners LLP
Gender: Female
DBA Urgent
Graves-Gilbert Clinic
1225 Fairway St Ste 100
201 Park St
Bowling Green, KY 42103
Bowling Green, KY 42101 (270) 781-3910
(270) 781-5111
Fax: (270) 842-7177
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
MTWTHFSatSun 8:00
AM - 8:00 PM
Cary, Jennifer APRN
Provider ID: 996971
Cope, Emily APRN
Gender: Female
Provider ID: 627545
Park Street Partners LLP
Gender: Female
DBA Urgent
Bowling Green Internal
1225 Fairway St Ste 100
Medicine and
Bowling Green, KY 42103 1701 Ashley Cir Ste 200
(270) 781-3910
Bowling Green, KY 42104
Fax: (270) 842-7177
(270) 846-4800
00 Yrs/99 Yrs
Fax: (270) 846-4828
MTWTHFSatSun 8:00
00 Yrs/99 Yrs
AM - 8:00 PM
M-F 9:00 AM - 5:00 PM
Catlett, Sheila APRN
Cornelius, Joy APRN
Provider ID: 597298
Provider ID: 606131
Gender: Female
Gender: Female
Ohp Walk In Clinics LLC
Dbt Center of Western
5796 Nashville Rd Ste A
Kentucky LLC
Bowling Green, KY 42101 1300 Andrea St Ste 205
(270) 781-6477
Bowling Green, KY 42104
Fax: (270) 781-6479
(270) 904-2260
00 Yrs/99 Yrs
Fax: (270) 781-9680
Languages: Spanish,
00 Yrs/99 Yrs
Serbo-Croation, Croatian Languages: Spanish, DO
M-F 8:00 AM - 5:00 PM
Not Use
M-F 8:00 AM - 5:00 PM
Cummings, Erica APRN
Provider ID: 655378
Gender: Female
Ohp Walk In Clinics LLC
6807 Louisville Rd Ste 1
Bowling Green, KY 42101
(270) 781-6477
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Cummings, Erica APRN
Provider ID: 978248
Gender: Female
Ohp Walk In Clinics LLC
5796 Nashville Rd Ste A
Bowling Green, KY 42101
(270) 781-6477
Fax: (270) 781-6479
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Dickson, Connie APRN
Provider ID: 667379
Gender: Female
Park Street Partners LLP
DBA Urgent
1225 Fairway St Ste 100
Bowling Green, KY 42103
(270) 781-3910
Fax: (270) 842-7177
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Dilday, Susan APRN
Provider ID: 779996
Gender: Female
Ulrf Pediatric
Gastroenterology
720 2nd St Ste 102
Bowling Green, KY 42101
(502) 852-7670
Fax: (502) 852-7743
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Devore, Paula APRN
Provider ID: 762243
Embry, Donna APRN
Gender: Female
Provider ID: 935453
Interventional Pain
Specialists of
Gender: Female
165 Natchez Trace Ste
Graves Gilbert Clinic
205
201 Park St
Bowling Green, KY 42103 Bowling Green, KY 42101
(270) 393-1912
(270) 781-5111
Fax: (270) 282-2027
Fax: (270) 783-3750
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Dickson, Connie APRN
Falls, Candice APRN
Provider ID: 667379
Provider ID: 607239
Gender: Female
Gender: Female
Commonwealth Health
Graves Gilbert Clinic
Corporation
201 Park St
2435 Nashville Rd Ste 109 Bowling Green, KY 42101
Bowling Green, KY 42101 (270) 781-5111
(270) 781-6164
00 Yrs/99 Yrs
Fax: (270) 781-2984
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 230
05/28/2015
Allied Providers
Warren
Nurse Practitioner - cont. Goodrich, Demara APRN
Provider ID: 947985
Gipson, Angela APRN
Gender: Female
Provider ID: 1000026
Commonwealth Health
Gender: Female
Corporation
Interventional Pain
2435 Nashville Rd Ste 109
Specialists of
Bowling Green, KY 42101
165 Natchez Trace Ave
(270) 781-6164
Ste 205
Fax: (270) 781-2984
Bowling Green, KY 42103 00 Yrs/99 Yrs
(270) 282-2024
M-F 8:00 AM - 5:00 PM
Fax: (270) 282-2027
00 Yrs/99 Yrs
Goodrich, Demara APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 947985
Gender: Female
Gokey, Lena APRN
Park Street Partners LLP
Provider ID: 793558
DBA Urgent
Gender: Female
1225 Fairway St Ste 100
Commonwealth Health
Bowling Green, KY 42103
Corporation
(270) 781-3910
2435 Nashville Rd Ste 109 Fax: (270) 842-7177
Bowling Green, KY 42101 00 Yrs/99 Yrs
(270) 781-6164
MTWTHFSatSun 8:00
Fax: (270) 781-2984
AM - 8:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Gravil, Deborah APRN
Provider ID: 667399
Gokey, Lena APRN
Gender: Female
Provider ID: 793558
Western Kentucky Heart
Gender: Female
and Lung Assoc
Park Street Partners LLP
825 2nd St Ste B1
DBA Urgent
Bowling Green, KY 42101
1225 Fairway St Ste 100
(270) 782-0151
Bowling Green, KY 42103 Fax: (270) 782-7528
(270) 781-3910
00 Yrs/99 Yrs
Fax: (270) 842-7177
M-TH 7:00 AM - 5:30 PM
00 Yrs/99 Yrs
F 7:00 AM - 4:00 PM
MTWTHFSatSun 8:00
AM - 8:00 PM
Guess, Dawn APRN
Provider ID: 765540
Gender: Female
Fairview Community
Health Center
615 Seventh Ave
Bowling Green, KY 42101
(270) 783-3573
Fax: (270) 467-0225
00 Yrs/99 Yrs
Languages: Spanish
MF 8:00 AM - 5:00 PM
TWTH 8:00 AM - 7:00
PM
Hogue, Allison APRN
Provider ID: 974055
Gender: Female
Ohp Walk In Clinics LLC
5796 Nashville Rd Ste A
Bowling Green, KY 42101
(270) 781-6477
Fax: (270) 781-6479
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 1:00 PM
Holloway, Amy APRN
Provider ID: 1024792
Gender: Female
Harmon, Laura APRN
Graves Gilbert Clinic
Provider ID: 595739
201 Park St
Gender: Female
Bowling Green, KY 42101
Commonwealth Health
(270) 780-0490
Corp DBA Quick Ca
Fax: (270) 783-3750
2435 Nashville Rd Ste 109 00 Yrs/99 Yrs
Bowling Green, KY 42101 M-F 8:00 AM - 5:00 PM
(270) 781-6164
Hoormann, Laura ARNP
Fax: (270) 781-2984
00 Yrs/99 Yrs
Provider ID: 911117
M-F 9:00 AM - 5:00 PM
Gender: Female
Harris, Teresa APRN
Comprehensive Pain
Provider ID: 1057012
Specialists
Gender: Female
1048 Ashley St Ste 103A
Graves Gilbert Clinic
Bowling Green, KY 42103
1065 Ashley St
(615) 824-3737
Bowling Green, KY 42103 Fax: (888) 687-6133
(270) 843-3376
00 Yrs/99 Yrs
Fax: (270) 783-3750
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM Houchens, Nancy APRN
Provider ID: 603261
Harris, Teresa APRN
Gender: Female
Provider ID: 1057012
James R Curtiss MD
Gender: Female
291 New Towne Dr
Graves Gilbert Clinic
Bowling Green, KY 42103
201 Park St
(270) 393-4223
Bowling Green, KY 42101 Fax: (270) 393-4225
(270) 781-5111
00 Yrs/99 Yrs
Fax: (270) 783-3750
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 231
05/28/2015
Allied Providers
Warren
Nurse Practitioner - cont. Jackson, Britney APRN
Jackson, Britney APRN
Provider ID: 947974
Provider ID: 986705
Howard, Kathy APRN
Gender: Female
Gender: Female
Provider ID: 780587
Commonwealth Health
Graves Gilbert Clinic
Gender: Female
Corporation
350 Park St
Graves Gilbert Clinic
2435 Nashville Rd Ste 109 Bowling Green, KY 42101
201 Park St
Bowling Green, KY 42101 (270) 781-5111
Bowling Green, KY 42101 (270) 781-6164
Fax: (270) 782-4253
(270) 781-5111
Fax: (270) 781-2984
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Jepson, Terry APRN
Huckaby, Katie APRN
Jackson, Britney APRN
Provider ID: 627196
Provider ID: 1032332
Provider ID: 947974
Gender: Female
Gender: Female
Gender: Female
Park Street Partners LLP
Ohp Walk In Clinics LLC
Park Street Partners LLP
DBA Urgent
5796 Nashville Rd Ste A
DBA Urgent
1225 Fairway St Ste 100
Bowling Green, KY 42101 1225 Fairway St Ste 100
Bowling Green, KY 42103
(270) 781-6477
Bowling Green, KY 42103 (270) 781-3910
Fax: (270) 781-6479
(270) 781-3910
Fax: (270) 842-7177
00 Yrs/99 Yrs
Fax: (270) 842-7177
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
Isenberg, Stacy APRN
Jessie, Angela APRN
Provider ID: 607229
Jackson, Britney APRN
Provider ID: 1057106
Gender: Female
Provider ID: 986691
Gender: Female
Graves Gilbert Clinic
Gender: Female
Glk Enterprises
201 Park St
Graves Gilbert Clinic
440 High St
Bowling Green, KY 42101 1681 Normal Dr
Bowling Green, KY 42101
(270) 781-5111
Bowling Green, KY 42101 (270) 282-7105
00 Yrs/99 Yrs
(270) 745-2273
Fax: (270) 282-7109
M-F 8:00 AM - 5:00 PM
Fax: (270) 783-3763
00 Yrs/99 Yrs
00
Yrs/99
Yrs
M-F 8:00 AM - 5:00 PM
Isenberg, Stacy APRN
M-F 8:00 AM - 5:00 PM
Johnson, Paula APRN
Provider ID: 607229
Jackson, Britney APRN
Provider ID: 631759
Gender: Female
Provider ID: 986700
Gender: Female
Graves-Gilbert Clinic
Gender: Female
Ulrf Pediatric Neurology
350 Park St
Graves Gilbert Clinic
720 2nd Ave Ste 102
Bowling Green, KY 42101 201 Park St
Bowling Green, KY 42101
(270) 781-5111
Bowling Green, KY 42101 (502) 589-8022
Fax: (270) 782-4253
(270) 781-5111
Fax: (502) 589-8233
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Norton Hospital
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 232
Johnston, Matthew
APRN
Provider ID: 709218
Gender: Male
All About You Urgent
Care LLC
2508 Scottsville Rd Ste
104
Bowling Green, KY 42104
(270) 746-6330
Fax: (270) 904-6337
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Kepley, Megan APRN
Provider ID: 1081006
Gender: Female
Interventional Pain
Specialists of
165 Natchez Trace Ste
205
Bowling Green, KY 42103
(270) 282-2024
Fax: (270) 282-2027
00 Yrs/99 Yrs
MTWTHFSat 7:30 AM 4:30 PM
Sun 7:00 AM - 4:30 PM
Kovar, Mary APRN
Provider ID: 1067195
Gender: Female
Graves Gilbert Clinic
1681 Normal Dr
Bowling Green, KY 42101
(270) 783-3750
Fax: (270) 783-3750
00 Yrs/99 Yrs
Languages: Spanish, DO
Not Use
M-F 8:00 AM - 5:00 PM
05/28/2015
Allied Providers
Warren
Nurse Practitioner - cont. Lemon, Cindy APRN
Provider ID: 603313
Kovar, Mary APRN
Gender: Female
Provider ID: 595803
Dbt Center of Western
Gender: Female
Kentucky LLC
Graves Gilbert Clinic
1300 Andrea St Ste 205
201 Park St
Bowling Green, KY 42104
Bowling Green, KY 42101 (270) 904-2260
(270) 781-5111
Fax: (270) 781-9680
Fax: (270) 783-3750
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Languages: Spanish,
Lemon, Cindy APRN
Serbo-Croation
Provider ID: 603313
M-F 8:00 AM - 5:00 PM
Gender: Female
Kovar, Mary APRN
Rivendell Behavioral
Provider ID: 595814
Health Service
Gender: Female
1035 Porter Pike
Graves Gilbert Clinic
Bowling Green, KY 42103
250 Park St
(270) 843-1199
Bowling Green, KY 42101 Fax: (270) 782-9996
(270) 781-5111
00 Yrs/99 Yrs
Fax: (270) 783-3750
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Link, Kimberly APRN
Languages: Spanish,
Provider ID: 992150
Serbo-Croation
Gender: Female
M-F 9:00 AM - 5:00 PM
Dbt Center of Western
Labron, Amy APRN
Kentucky LLC
Provider ID: 949293
1300 Andrea St Ste 205
Gender: Female
Bowling Green, KY 42104
Comprehensive Pain
(270) 904-2260
Specialists
Fax: (270) 781-9680
1048 Ashley St
00 Yrs/99 Yrs
Bowling Green, KY 42103 M-F 9:00 AM - 5:00 PM
(615) 824-3737
Logsdon, Stacy APRN
Fax: (888) 687-6133
Provider ID: 667383
00 Yrs/99 Yrs
Gender: Female
M-F 8:00 AM - 5:00 PM
The Heart Center of
Bowling Green
191 W Professional Park
Ct
Bowling Green, KY 42104
(270) 782-7464
Fax: (270) 782-8025
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Marrero, Lori APRN
Provider ID: 1057168
Gender: Female
Kalidas G Sahetya MD
427 US 31 W Bypass
Bowling Green, KY 42101
(270) 796-8000
Fax: (270) 796-9328
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McCauley, Stacy APRN
Provider ID: 632004
Gender: Female
University Pediatric
Endocrinology
720 2nd Ave Ste 102
Bowling Green, KY 42101
(502) 629-8821
Fax: (502) 629-8824
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Marrero, Lori APRN
McGehee, Lindsay APRN
Provider ID: 1057170
Gender: Female
Associates In Pulmonary Provider ID: 992508
Gender: Female
and Critica
Gravesgilbert Clinic
427 US 31 W Bypass
Bowling Green, KY 42101 1065 Ashley St Ste 200
Bowling Green, KY 42103
(270) 796-8000
(270) 843-3376
Fax: (270) 796-9328
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Marrero, Lori APRN
Provider ID: 1057175
Gender: Female
Associates In Physician
Services
427 US 31 W Bypass
Bowling Green, KY 42101
(270) 796-8800
Fax: (270) 796-9328
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McGehee, Lindsay APRN
McCauley, Stacy APRN
Provider ID: 632004
Gender: Female
Ulrf Pediatric
Endocrinology
720 2nd St Ste 102
Bowling Green, KY 42101
(502) 629-8821
Fax: (502) 629-8824
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McGehee, Lindsay APRN
kentucky.wellcare.com | 233
Provider ID: 992515
Gender: Female
Gravesgilbert Clinic
121 College St
Smiths Grove, KY 42171
(270) 563-3000
Fax: (193) 241-7151
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Provider ID: 992553
Gender: Female
Gravesgilbert Clinic
1402 Andrea St
Bowling Green, KY 42104
(270) 781-0167
Fax: (270) 781-0167
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Allied Providers
Warren
Nurse Practitioner - cont. Mouser, Tameron APRN Nash, Melody APRN
Provider ID: 935461
Provider ID: 607231
McGehee, Lindsay APRN Gender: Female
Gender: Female
Graves Gilbert Clinic
Graves-Gilbert Clinic
Provider ID: 992568
201 Park St
201 Park St
Gender: Female
Bowling Green, KY 42101 Bowling Green, KY 42101
Gravesgilbert Clinic
(270) 780-0490
(270) 781-5111
1681 Normal Dr
Fax: (270) 783-3750
00 Yrs/99 Yrs
Bowling Green, KY 42101 00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
(270) 745-2273
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Newman, Sherri APRN
M-F 8:00 AM - 5:00 PM Myrick, Lauren APRN
Provider ID: 671940
Provider ID: 815848
Gender: Female
McGehee, Lindsay APRN Gender: Female
Commonwealth Health
Corporation
Graves Gilbert Clinic
Provider ID: 992573
2435 Nashville Rd Ste 109
1325 Andrea St
Gender: Female
Bowling Green, KY 42104 Bowling Green, KY 42101
Graves Gilbert Clinic
(270) 781-6164
(270) 781-5111
201 Park St
Fax: (270) 781-2984
Fax: (270) 783-3750
Bowling Green, KY 42101 00 Yrs/99 Yrs
00 Yrs/99 Yrs
(270) 781-5111
M-F 7:30 AM - 7:00 PM
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Sat 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Myrick, Lauren APRN
Newman, Sherri APRN
Provider ID: 815848
McGehee, Lindsay APRN Gender: Female
Provider ID: 671940
Graves Gilbert Clinic
Provider ID: 992636
Gender: Female
201 Park St
Gender: Female
Bowling Green, KY 42101 Park St Partners LLP DBA
Gravesgilbert Clinic
Urgent Car
(270) 781-5111
350 Park St
1225 Fairway St Ste 100
Bowling Green, KY 42101 00 Yrs/99 Yrs
Bowling Green, KY 42103
M-F 8:00 AM - 5:00 PM
(270) 781-5111
(270) 781-3910
Fax: (270) 393-2737
Napier, Katherine APRN
Fax: (270) 842-7177
00 Yrs/99 Yrs
Provider ID: 761174
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gender: Female
MTWTHFSatSun 8:00
Graves
Gilbert
Clinic
AM - 8:00 PM
Mortimer, Beverly APRN
201
Park
St
Provider ID: 935471
Bowling Green, KY 42101 Pardue, Jacqueline APRN
Gender: Female
Provider ID: 815316
(270) 781-5111
Graves Gilbert Clinic
Gender: Female
00 Yrs/99 Yrs
201 Park St
Interventional Pain
Bowling Green, KY 42101 M-F 8:00 AM - 5:00 PM
Specialists of
(270) 781-5111
165 Natchez Trace Ste
00 Yrs/99 Yrs
205
M-F 8:00 AM - 5:00 PM
Bowling Green, KY 42103
(270) 282-2024
Fax: (270) 282-2027
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 234
Parnell, Heather APRN
Provider ID: 1037804
Gender: Female
Graves Gilbert Clinic
201 Park St
Bowling Green, KY 42101
(270) 781-5111
Fax: (270) 783-3750
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Parrigin, Ashley APRN
Provider ID: 596749
Gender: Female
Bowling Green Internal
Medicine and
1701 Ashley Cir Ste 200
Bowling Green, KY 42104
(270) 846-4800
Fax: (270) 846-4828
00 Yrs/99 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM
Parrott, Jennifer APRN
Provider ID: 712932
Gender: Female
Interventional Pain
Specialists of
165 Natchez Trace Ave
Ste 205
Bowling Green, KY 42103
(270) 282-2024
Fax: (270) 282-2027
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Parsley, Heather APRN
Provider ID: 595627
Gender: Female
Commonwealth Health
Corporation DBA
2435 Nashville Rd Ste 109
Bowling Green, KY 42101
(270) 781-6164
Fax: (270) 781-2984
00 Yrs/99 Yrs
M-F 7:30 AM - 7:00 PM
Sat 8:00 AM - 5:00 PM
05/28/2015
Allied Providers
Warren
Nurse Practitioner - cont. Pierce, Rebekah APRN
Rhinehart, Ashley APRN Settle, Deborah ARNP
Provider ID: 1053148
Parsley, Heather APRN
Provider ID: 758645
Provider ID: 953120
Gender: Female
Provider ID: 595627
Gender: Female
Ulrf Pediatric Cardiology Gender: Female
Gender: Female
Comprehensive Pain
Interventional Pain
720 2nd Ave Ste 102
Park St Partners LLP DBA Specialists
Bowling Green, KY 42101 Specialists of
Urgent Car
1048 Ashley St Ste 103A
165 Natchez Trace Ave
(502) 585-4802
1225 Fairway St Ste 100
Ste 205B
Bowling Green, KY 42103 Fax: (502) 589-1256
Bowling Green, KY 42103 (615) 824-3737
Bowling Green, KY 42103
00 Yrs/99 Yrs
(270) 781-3910
(270) 282-2072
Fax: (888) 687-6133
M-F 8:00 AM - 5:00 PM
Fax: (270) 842-7177
Fax: (270) 282-2073
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Robinson,
Tori
APRN
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Provider ID: 627580
M-F 8:00 AM - 5:00 PM
Reid, Yolanda ARNP
Gender: Female
Perring, Sarah APRN
Provider ID: 1005161
Sahetya Medical Group Simmons, Leslie APRN
Provider ID: 922855
Provider ID: 936168
Gender: Female
427 31-W By Pass
Gender: Female
Fairview Community
Bowling Green, KY 42101 Gender: Female
All About You Urgent
Health Center
Graves Gilbert Clinic
(270) 796-8800
Care LLC
811 Fairview Ave
201 Park St
Fax: (270) 796-9328
651 US 31W Byp Ste 106
Bowling Green, KY 42101 00 Yrs/99 Yrs
Bowling Green, KY 42101
Bowling Green, KY 42101 (270) 783-3573
(270) 651-2236
M-F 9:00 AM - 5:00 PM
(270) 495-0440
Fax: (270) 783-4081
Fax: (270) 651-2229
Fax: (270) 904-6337
Rone, Kellye APRN
00 Yrs/99 Yrs
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Provider ID: 656800
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Gender: Female
Remaly, Meredith APRN
Commonwealth Health Sims, Stephanie APRN
Perring, Sarah APRN
Provider ID: 947989
Provider ID: 780468
Corporation Inc
Provider ID: 1084425
Gender: Female
Gender: Female
340 New Towne Dr
Gender: Female
Commonwealth Health
Bowling Green, KY 42103 Ulrf Pediatric Neurology
All About You Urgent
Corporation
720 2nd Ave Ste 102
(270) 782-7768
Care LLC
2435 Nashville Rd Ste 109 Fax: (270) 781-9480
Bowling Green, KY 42101
2508 Scottsville Rd Ste
Bowling Green, KY 42101 00 Yrs/99 Yrs
(502) 589-8022
104
(270) 781-6164
Fax: (502) 589-8233
M-F 8:00 AM - 4:00 PM
Bowling Green, KY 42104 Fax: (270) 781-2984
00 Yrs/99 Yrs
(270) 746-6330
Rush, Heather APRN
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 904-6337
Provider ID: 912856
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Smith, Abbie APRN
Gender: Female
M-F 8:00 AM - 5:00 PM Remaly, Meredith APRN
Provider ID: 939097
Ulrf Pediatric
Provider ID: 947989
Gender: Female
Endocrinology
Gender: Female
The Perinatal Group
720 2nd Ave Ste 102
Park St Partners LLP DBA Bowling Green, KY 42101 720 Second Ave Ste 305
Urgent Car
Bowling Green, KY 42101
(502) 629-8821
1225 Fairway St Ste 100
(931) 572-0036
Fax: (502) 629-8824
Bowling Green, KY 42103 00 Yrs/99 Yrs
Fax: (931) 572-1078
(270) 781-3910
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Fax: (270) 842-7177
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 235
05/28/2015
Allied Providers
Warren
Nurse Practitioner - cont. Waddell, Judith APRN
West, Paula APRN
Provider ID: 681666
Provider ID: 721810
Staten, Tequila APRN
Gender: Female
Gender: Female
Provider ID: 953127
Southern Kentucky
Interventional Pain
Gender: Female
Medicine Associat
Specialists of
Gravesgilbert Clinic
990 Wilkinson Trce
165 Natchez Trace Ave
201 Park St
Bowling Green, KY 42103 Ste 205
Bowling Green, KY 42101 (270) 781-4043
Bowling Green, KY 42103
(270) 781-5111
(270) 282-2024
Fax: (270) 781-4196
00 Yrs/99 Yrs
Fax: (270) 282-2027
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 7:30 AM - 4:00 PM
Sat
8:00
AM
1:00
PM
Stidham, Cova APRN
Provider ID: 667023
Wardlow Meredith, Lorie Wilson, Rita APRN
Gender: Female
APRN
Provider ID: 1057000
Commonwealth Health
Provider ID: 1067210
Gender: Female
Corporation
Gender: Female
Interventional Pain
2435 Nashville Rd Ste 109 Associates In Physician
Specialists of
Bowling Green, KY 42101 Services
165 Natchez Trace
(270) 781-6164
427 US 31 W Byp
Bowling Green, KY 42103
Fax: (270) 781-2984
Bowling Green, KY 42101 (270) 282-2024
00 Yrs/99 Yrs
(270) 796-8800
Fax: (270) 282-2027
M-F 8:00 AM - 5:00 PM
Fax: (270) 796-9328
00 Yrs/99 Yrs
00
Yrs/99
Yrs
M-F 7:30 AM - 4:00 PM
Stidham, Cova APRN
M-F 8:00 AM - 5:00 PM
Provider ID: 667023
Wise, Jacqueline APRN
Gender: Female
Warise, Lita APRN
Park St Partners LLP DBA Provider ID: 1065964
Provider ID: 783461
Urgent Car
Gender: Female
Gender: Female
1225 Fairway St Ste 100
Fairview Community
Commonwealth Health
Bowling Green, KY 42103 Corporation
Health Center
(270) 781-3910
2435 Nashville Rd Ste 109 615 7th Ave
Fax: (270) 842-7177
Bowling Green, KY 42101 Bowling Green, KY 42101
00 Yrs/99 Yrs
(270) 783-3573
(270) 781-6164
M-F 8:00 AM - 5:00 PM
Fax: (270) 467-0225
Fax: (270) 781-2984
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Stidham, Cova APRN
MW 8:00 AM - 8:00 PM
M-F
7:30
AM
7:00
PM
Provider ID: 707771
T 8:00 AM - 5:00 PM
Sat
8:00
AM
5:00
PM
Gender: Female
The Med Center-Surgical Webb, Louise APRN
Woodruff, Kellie APRN
Weight Loss Pr
Provider ID: 631314
Provider ID: 712827
825 Second Ave Ste A4
Gender: Female
Gender: Female
Bowling Green, KY 42101 Associates In Pulmonary Ulrf Pediatric
(270) 796-6564
Endocrinology
and Critica
Fax: (270) 901-1858
720 2nd Ave Ste 102
427 US 31 W Byp
00 Yrs/99 Yrs
Bowling Green, KY 42101 Bowling Green, KY 42101
M-F 8:00 AM - 5:00 PM
(502) 629-8821
(270) 796-8000
Fax: (502) 629-8824
Fax: (270) 796-9328
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 236
Occupational Therapy
Lupardus, Amy OT
Provider ID: 1006456
Gender: Female
181 W Professional Park
Ct Ste 1
Bowling Green, KY 42104
(270) 843-5300
Fax: (270) 843-5383
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Mosby, Carol OT
Provider ID: 935397
Gender: Female
Western Kentucky
Orthopaedic and NE
165 Natchez Trace Ave
Ste 200
Bowling Green, KY 42103
(270) 782-7800
Fax: (270) 782-3274
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Woods, Tracy OT
Provider ID: 795874
Gender: Female
Ulrf Neonatal Follow Up
720 2nd Ave Ste 102
Bowling Green, KY 42101
(502) 852-7049
Fax: (502) 852-0135
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pediatrics
Baker, Kathy APRN
Provider ID: 616350
Gender: Female
Fairview Community
Health Center
615 7th Ave
Bowling Green, KY 42101
(270) 526-2145
Fax: (270) 783-4081
00 Yrs/18 Yrs
M-W 8:00 AM - 12:00 PM
05/28/2015
Allied Providers
Warren
Physical Therapy
Cool, Haley PT
Provider ID: 1000898
Alm, Ashley PT
Gender: Female
Provider ID: 935394
Orthopedics Plus
Gender: Female
Physical Therapy
Western Kentucky
5796 Nashville Rd
Orthopaedic and NE
Bowling Green, KY 42101
165 Natchez Trace Ave
(270) 745-0987
Ste 200
Fax: (270) 745-0986
Bowling Green, KY 42103 00 Yrs/99 Yrs
(270) 796-4698
M-F 8:00 AM - 5:00 PM
Fax: (270) 782-3274
00 Yrs/99 Yrs
Embry, Keishia PT
M-F 8:00 AM - 5:00 PM
Provider ID: 1022442
Gender: Female
Alm, Ashley PT
Community Living In
Provider ID: 935394
Kentucky
Gender: Female
181 W Professional Park
Western Kentucky
Ct Ste 1
Orthopedic and Neu
Bowling Green, KY 42104
165 Natchez Trace Ste
(270) 843-5300
200
Fax: (270) 843-5383
Bowling Green, KY 42103 00 Yrs/99 Yrs
(270) 796-4698
M-F 9:00 AM - 5:00 PM
Fax: (270) 782-3274
00 Yrs/99 Yrs
Embry, Keishia PT
M-F 8:00 AM - 5:00 PM
Provider ID: 987081
Gender: Female
Clark, Charles PT
Community Living In
Provider ID: 985957
Kentucky LLC
Gender: Male
181 W Professional Park
1725 Scottsville Rd Ste 30 Ct Ste 1
Bowling Green, KY 42104 Bowling Green, KY 42104
(270) 467-9969
(270) 843-5300
Fax: (270) 467-9970
Fax: (270) 843-5383
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Cool, Haley PT
Grayson, Rebecca PT
Provider ID: 1000898
Provider ID: 1065695
Gender: Female
Gender: Female
Orthopedics Plus
Western Kentucky
Physical Therapy
Orthopaedic and NE
1048 Ashley St Ste 101
165 Natchez Trace Ste
Bowling Green, KY 42103 100
(270) 745-0987
Bowling Green, KY 42103
Fax: (270) 745-0986
(270) 782-7800
00 Yrs/99 Yrs
Fax: (270) 782-3276
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Gregory, Ryan PT
Holman, Kelly PT
Provider ID: 985776
Provider ID: 999946
Gender: Female
Gender: Male
1725 Scottsville Rd Ste 30 Orthopedics Plus
Bowling Green, KY 42104 Physical Therapy
5796 Nashville Rd
(270) 467-9969
Bowling Green, KY 42101
Fax: (270) 467-9970
(270) 745-0987
00 Yrs/99 Yrs
Fax: (270) 745-0986
M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
Hancock, Elizabeth PT
M-F 8:00 AM - 5:00 PM
Provider ID: 1019852
Hudson, Cynthia PT
Gender: Female
Provider ID: 935398
Orthopedics Plus
Physical Therapy
Gender: Female
1048 Ashley St Ste 101
Western Kentucky
Bowling Green, KY 42103 Orthopaedic and NE
165 Natchez Trace Ave
(270) 745-0987
Ste 200
Fax: (270) 745-0986
Bowling Green, KY 42103
00 Yrs/99 Yrs
(270) 782-7800
M-F 8:00 AM - 5:00 PM
Fax: (270) 782-3276
Hancock, Elizabeth PT
00 Yrs/99 Yrs
Provider ID: 1019852
M-F 8:00 AM - 5:00 PM
Gender: Female
Johnson, Ashley PT
Orthopedics Plus
Provider ID: 1074182
Physical Therapy
Gender: Female
5796 Nashville Rd
Bowling Green, KY 42101 Orthopedics Plus
Physical Therapy
(270) 745-0987
1048 Ashley St Ste 101
Fax: (270) 745-0986
Bowling Green, KY 42103
00 Yrs/99 Yrs
(270) 745-0987
M-F 8:00 AM - 5:00 PM
Fax: (270) 745-0986
Holman, Kelly PT
00 Yrs/99 Yrs
Provider ID: 999946
M-F 8:00 AM - 5:00 PM
Gender: Male
Johnson, Ashley PT
Orthopedics Plus
Provider ID: 1074182
Physical Therapy
Gender: Female
1048 Ashley St Ste 101
Bowling Green, KY 42103 Orthopedics Plus
Physical Therapy
(270) 745-0987
5796 Nashville Rd
Fax: (270) 745-0986
Bowling Green, KY 42101
00 Yrs/99 Yrs
(270) 745-0987
M-F 8:00 AM - 5:00 PM
Fax: (270) 745-0986
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 237
05/28/2015
Allied Providers
Warren
Physical Therapy - cont.
Johnson, Ashley PT
Provider ID: 1074182
Gender: Female
Orthopedics Plus
Physical Therapy
6807 Louisville Rd
Bowling Green, KY 42101
(270) 745-0987
Fax: (270) 745-0986
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Kendall, Kyle PT
Provider ID: 991319
Gender: Male
1725 Scottsville Rd Ste 30
Bowling Green, KY 42104
(270) 467-9969
Fax: (270) 467-9970
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Kennedy, Michael PT
Provider ID: 1016033
Gender: Male
181 W Professional Park
Ct Ste 1
Bowling Green, KY 42104
(270) 843-5300
Fax: (270) 843-5383
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Lemmons, Brett PT
Provider ID: 1027529
Gender: Male
1725 Scottsville Rd
Bowling Green, KY 42104
(270) 467-9969
Fax: (270) 467-9970
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
McAlister, John PT
Paszkiewicz, John PT
Provider ID: 1000964
Provider ID: 1022978
Gender: Male
Gender: Male
Orthopedics Plus
1725 Scottsville Rd
Physical Therapy
Bowling Green, KY 42104
1048 Ashley St Ste 101
(270) 467-9969
Bowling Green, KY 42103 Fax: (270) 467-9970
(270) 745-0987
00 Yrs/99 Yrs
Fax: (270) 745-0986
M-TH 7:30 AM - 6:30 PM
00 Yrs/99 Yrs
F 7:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Perry, Carrie PT
McAlister, John PT
Provider ID: 1019840
Provider ID: 1000964
Gender: Female
Gender: Male
Orthopedics Plus
Orthopedics Plus
Physical Therapy
Physical Therapy
1048 Ashley St Ste 101
5796 Nashville Rd
Bowling Green, KY 42103
Bowling Green, KY 42101 (270) 745-0987
(270) 745-0987
Fax: (270) 745-0986
Fax: (270) 745-0986
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Perry, Carrie PT
Moore, Marina PT
Provider ID: 1019840
Provider ID: 1019642
Gender: Female
Gender: Female
Orthopedics Plus
Orthopedics Plus
Physical Therapy
Physical Therapy
5796 Nashville Rd
1048 Ashley St Ste 101
Bowling Green, KY 42101
Bowling Green, KY 42103 (270) 745-0987
(270) 745-0987
Fax: (270) 745-0986
Fax: (270) 745-0986
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
Pierson, Kyle PT
Moore, Marina PT
Provider ID: 908575
Provider ID: 1019642
Gender: Male
Gender: Female
Western Kentucky
Orthopedics Plus
Orthopaedic and NE
Physical Therapy
165 Natchez Trace Ave
5796 Nashville Rd
Ste 200
Bowling Green, KY 42101 Bowling Green, KY 42103
(270) 745-0987
(270) 782-7800
Fax: (270) 745-0986
Fax: (270) 782-3276
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 238
Pinerola, Jase PT
Provider ID: 908810
Gender: Male
Orthopedics Plus
Physical Therapy
1048 Ashley St Ste 101
Bowling Green, KY 42103
(270) 745-0987
Fax: (270) 745-0986
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pinerola, Jase PT
Provider ID: 908810
Gender: Male
Orthopedics Plus
Physical Therapy
5796 Nashville Rd
Bowling Green, KY 42101
(270) 745-0987
Fax: (270) 745-0986
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pitcock, Louie PT
Provider ID: 935827
Gender: Male
Western Kentucky
Orthopaedic and NE
165 Natchez Trace Ave
Ste 100
Bowling Green, KY 42103
(270) 782-7800
Fax: (270) 782-3276
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Pitcock, Louie PT
Provider ID: 935827
Gender: Male
Western Kentucky
Orthopaedic and NE
2235 Russellville Rd
Bowling Green, KY 42101
(270) 781-1151
Fax: (270) 781-5990
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Allied Providers
Warren
Physical Therapy - cont.
Physician Assistant
Schafer, Jeremy PT
Provider ID: 600725
Richardson, Daniel PT
Adkins, Brooke PA
Gender: Male
Provider ID: 1000869
Schafer Physical Therapy Provider ID: 784029
Gender: Male
Gender: Female
DBA Smiths
Orthopedics Plus
Southeastern Emergency
111 College St
Physical Therapy
Services
Smiths Grove, KY 42171
5796 Nashville Rd
250 Park St
(270) 563-2084
Bowling Green, KY 42101 Fax: (270) 563-2085
Bowling Green, KY 42101
(270) 745-0987
(270) 745-1000
00 Yrs/99 Yrs
Fax: (270) 745-0986
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM Tolbert, Melissa PT
Crowe, Stephanie PA
Provider ID: 935399
Richerson, Bethany PT
Provider ID: 667322
Gender: Female
Provider ID: 935396
Gender: Female
Western Kentucky
Gender: Female
Western Kentucky
Orthopaedic and NE
Orthopaedic and NE
Western Kentucky
165 Natchez Trace Ave
Orthopaedic and NE
165 Natchez Trace Ste
Ste 200
165 Natchez Trace Ave
Bowling Green, KY 42103 100
Ste 100
Bowling Green, KY 42103
(270) 796-4698
Bowling Green, KY 42103 Fax: (270) 782-3274
(270) 782-7800
(270) 782-7800
Fax: (270) 783-5228
00 Yrs/99 Yrs
Fax: (270) 782-3276
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 Webster, Krista PT
Donelly, Carly PA
Provider ID: 1019617
Richerson, Bethany PT
Provider ID: 784079
Gender: Female
Provider ID: 935396
Gender: Female
Orthopedics Plus
Gender: Female
Southeastern Emergency
Physical Therapy
Services
Western Kentucky
1048 Ashley St Ste 101
Orthopaedic and NE
Bowling Green, KY 42103 250 Park St
405 S L Rogers Wells
Bowling Green, KY 42101
(270) 745-0987
Blvd
(270) 745-1000
Fax: (270) 745-0986
Bowling Green, KY 42103 00 Yrs/99 Yrs
00 Yrs/99 Yrs
(270) 629-2780
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs
Herald, Kyle PA
M-F 8:00 AM - 5:00 PM Webster, Krista PT
Provider ID: 758678
Provider ID: 1019617
Schafer, Jeremy PT
Gender: Male
Gender: Female
Provider ID: 600725
Graves Gilbert Clinic
Orthopedics Plus
Gender: Male
201 Park St
Physical Therapy
Graves Gilbert Clinic
Bowling Green, KY 42101
5796 Nashville Rd
201 Park St
Bowling Green, KY 42101 (270) 781-5111
Bowling Green, KY 42101 (270) 745-0987
00 Yrs/99 Yrs
(270) 781-5111
M-F 8:00 AM - 5:00 PM
Fax: (270) 745-0986
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 | 239
Herald, Kyle PA
Provider ID: 758678
Gender: Male
Graves-Gilbert Clinic
1065 Ashley St Ste 2
Bowling Green, KY 42103
(270) 781-5111
Fax: (270) 782-4253
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
King, Seth PA
Provider ID: 958495
Gender: Male
Western Kentucky
Orthopaedic and NE
165 Natchez Trace Ste
100
Bowling Green, KY 42103
(270) 782-7800
Fax: (270) 782-3276
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Myatt, Ashley PA
Provider ID: 1009544
Gender: Female
Pinnacle Surgical
Partners
1048 Ashley St Ste 101
Bowling Green, KY 42103
(270) 282-7116
Fax: (270) 781-2212
18 Yrs/99 Yrs
M 8:00 AM - 12:00 PM
T 1:00 AM - 5:00 PM
Primary Care Center
Baker, Kathy APRN
Provider ID: 616350
Gender: Female
Fairview Community
Health Center
615 7th Ave
Bowling Green, KY 42101
(270) 526-2145
Fax: (270) 783-4081
00 Yrs/18 Yrs
M-W 8:00 AM - 12:00 PM
05/28/2015
Allied Providers
Warren
Primary Care Center cont.
Phelps, Audrey APRN
Provider ID: 616358
Gender: Female
Fairview Community
Health Center
615 7th Ave
Bowling Green, KY 42101
(270) 526-2145
Fax: (270) 783-4081
00 Yrs/99 Yrs
MF 8:00 AM - 5:00 PM
TWTH 8:00 AM - 7:00
PM
Young, Sarrah SLP
Provider ID: 974036
Gender: Female
Community Living In
Kentucky LLC
181 W Professional Park
Ct Ste 1
Bowling Green, KY 42104
(270) 843-5300
Fax: (270) 843-5383
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Tyler, Jennifer APRN
Provider ID: 616359
Gender: Female
Fairview Community
Health Center
615 7th Ave
Bowling Green, KY 42101
(270) 526-2145
Fax: (270) 783-4081
00 Yrs/99 Yrs
MF 8:00 AM - 5:00 PM
TWTH 8:00 AM - 7:00
PM
Speech Therapy
Higdon, Kristie SLP
Provider ID: 974034
Gender: Female
Community Living In
Kentucky LLC
181 W Professional Park
Ct Ste 1
Bowling Green, KY 42104
(270) 843-5300
Fax: (270) 843-5383
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 240
05/28/2015
Allied Providers
Wayne
Nurse Practitioner
Bell, Monica APRN
Provider ID: 618652
Gender: Female
Jefferson County Family
Allergy and
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (502) 429-6157
00 Yrs/99 Yrs
Lake Cumberland
Regional Hospital
M-F 9:00 AM - 5:00 PM
Crytzer, Jessica APRN
Provider ID: 600393
Gender: Female
Kentucky Cardiology
PLLC
166 Hospital St
Monticello, KY 42633
(859) 514-0239
00 Yrs/99 Yrs
Saint Joseph East
M-F 9:00 AM - 5:00 PM
Debord, Sarah APRN
Provider ID: 616617
Gender: Female
Monticello Medical
Brendel, Jacquelyn APRN Associates
1 S Creek Dr Ste 102
Provider ID: 597039
Monticello, KY 42633
Gender: Female
(606) 348-3365
Lake Cumberland
Fax: (606) 348-8496
District Health Dep
00 Yrs/99 Yrs
39 Jim Hill Service Rd
M-F 8:00 AM - 5:00 PM
Monticello, KY 42633
(606) 348-9349
Dixon, Jason APRN
Fax: (606) 348-7464
Provider ID: 999496
00 Yrs/99 Yrs
Gender: Male
Languages: Spanish
Cumberland
M-F 8:00 AM - 4:30 PM
Gastroenterology PSC
1 S Creek Dr
Cooley, Alisha APRN
Monticello, KY 42633
Provider ID: 652744
(606) 677-2913
Gender: Female
Fax: (606) 677-6983
Cumberland
00 Yrs/99 Yrs
Gastroenterology PSC
M-F 8:00 AM - 5:00 PM
1 Southcreek Dr
Monticello, KY 42633
Duncan, Robin ARNP
(606) 677-2913
Provider ID: 712939
Fax: (606) 677-6983
Gender: Female
00 Yrs/99 Yrs
Wayne County Hospital
M-F 8:00 AM - 5:00 PM
Rhc
166 Hospital St
Monticello, KY 42633
(606) 340-3251
Fax: (606) 348-3266
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Hicks, Jason APRN
Provider ID: 1044912
Gender: Male
Monticello Medical
Associates
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McWhorter-Hill, Erica
APRN
Provider ID: 712982
Gender: Female
Wayne County Hospital
Rhc
166 Hospital St
Monticello, KY 42633
(606) 340-3251
Fax: (606) 348-3266
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
McDonald, Denita APRN
Meyers, Shanna APRN
Provider ID: 702229
Provider ID: 603695
Gender: Female
Gender: Female
Cumberland Foot And
Ankle Center
Kentucky Cardiology
PLLC
49 Gregory St
166 Hospital St
Monticello, KY 42633
Monticello, KY 42633
(606) 343-0289
(859) 514-0239
Fax: (606) 343-0269
00 Yrs/99 Yrs
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
MT 8:00 AM - 5:00 PM
McElroy, Laura CNP
Provider ID: 618636
Gender: Female
Family Allergy Asthma
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
Norton Audubon
Hospital
M-F 9:00 AM - 5:00 PM
McWhorter-Hill, Erica
APRN
Provider ID: 708752
Gender: Female
Wayne County Hospital
Rhc
166 Hospital St
Monticello, KY 42633
(606) 340-3251
Fax: (606) 348-3266
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 241
Polk, Sheryl APRN
Provider ID: 1002742
Gender: Female
Monticello Medical
Associates
1 S Creek Dr Ste 101
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM
Polk, Sheryl APRN
Provider ID: 616620
Gender: Female
Monticello Medical
Associates
1 S Creek Dr Ste 102
Monticello, KY 42633
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
05/28/2015
Allied Providers
Wayne
Nurse Practitioner - cont. Trueblood Dobbs, Violet
CNP
Sanders, Deidra APRN
Provider ID: 712964
Provider ID: 618635
Gender: Female
Gender: Female
Wayne County Hospital
Family Allergy and
Rhc
Asthma
166 Hospital St
1 S Creek Dr Ste 102
Monticello, KY 42633
South Creekmedical
(606) 340-3251
Center
Fax: (606) 348-3266
Monticello, KY 42633
00 Yrs/99 Yrs
(606) 348-3365
M-F 8:00 AM - 5:00 PM
Fax: (502) 429-6157
00 Yrs/99 Yrs
White, Lesley APRN
Norton Hospital
Provider ID: 602338
M-F 9:00 AM - 5:00 PM
Gender: Female
Family Allergy & Asthma
Stinson, Angela APRN
1 S Creek Dr Ste 102
Provider ID: 601291
Monticello, KY 42633
Gender: Female
(606) 348-3365
Cumberland
Fax: (502) 429-6157
Gastroenterology PSC
00 Yrs/99 Yrs
One South Creek Dr
M-F 8:00 AM - 5:00 PM
Monticello, KY 42633
(606) 677-2913
Yates, Christy APRN
Fax: (606) 677-6983
Provider ID: 619518
02 Yrs/99 Yrs
Gender: Female
M-F 9:00 AM - 5:00 PM
Family Allergy and
Asthma
Stockton, Bonnie APRN
1 S Creek Dr Ste 102
South Creekmedical
Provider ID: 616627
Center
Gender: Female
Monticello, KY 42633
Monticello Medical
(606) 348-3365
Associates
Fax: (502) 429-6157
1 S Creek Dr Ste 102
00 Yrs/99 Yrs
Monticello, KY 42633
M-F 9:00 AM - 5:00 PM
(606) 348-3365
Fax: (606) 348-8496
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Physical Therapy
Brown, Linda PT
Provider ID: 948357
Gender: Female
Monticello Physical
Therapy
1 S Creek Dr Ste 116
Monticello, KY 42633
(606) 348-3314
Fax: (606) 348-3315
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Brown, Linda PT
Provider ID: 956116
Gender: Female
Monticello Physical
Therapy Service
1 S Creek Dr Ste 116
Monticello, KY 42633
(606) 348-3314
Fax: (606) 348-3315
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Brown, Samuel PT
Provider ID: 949071
Gender: Male
1 S Creek Dr Ste 116
Monticello, KY 42633
(606) 348-3314
Fax: (606) 348-3315
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
Brown, Samuel PT
Provider ID: 957721
Gender: Male
Monticello Physical
Therapy Service
1 S Creek Dr Ste 116
Monticello, KY 42633
(606) 348-3314
Fax: (606) 348-3315
00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
kentucky.wellcare.com | 242
05/28/2015
Pharmacy
Adair
Infusion
Certacare Inc
Provider ID:
TPV1829526-00
937 Campbellsville Rd
Columbia, KY 42728
(270) 385-9139
Fax: (270) 385-9083
00 Yrs/99 Yrs
www.walgreens.com
Retail
Adair Drug
Provider ID:
TPV1833462-00
510 Burkesville St
Columbia, KY 42728
(270) 384-9999
Fax: (270) 384-2133
00 Yrs/99 Yrs
Century Medicines 2
Provider ID:
TPV1822217-00
706 Jamestown St
Columbia, KY 42728
(270) 384-5874
Fax: (270) 384-7937
00 Yrs/99 Yrs
www.kroger.com
Certacare Inc
Provider ID:
TPV1829526-00
937 Campbellsville Rd
Columbia, KY 42728
(270) 385-9139
Fax: (270) 385-9083
00 Yrs/99 Yrs
www.walgreens.com
James Medical Pharmacy
Provider ID:
TPV1824893-00
1545 Campbellsville Rd
Columbia, KY 42728
(270) 385-9600
Fax: (270) 385-9631
00 Yrs/99 Yrs
www.myleader.com
North Century Pharmacy
Provider ID:
TPV1834490-00
3058 Campbellsville Rd
Columbia, KY 42728
(270) 380-1230
Fax: (270) 380-1232
00 Yrs/99 Yrs
Quality Care Medical
Equipment Scrubs
Provider ID:
TPV1834503-00
132 Grand Vue Plaza
Hazard, KY 41701
(606) 436-9900
Fax: (606) 436-9903
00 Yrs/99 Yrs
Walmart
Provider ID:
TPV1823776-00
Wal-Mart Pharmacy
100569 100569
2988 Burkesville Rd
Columbia, KY 42728
(270) 384-3913
00 Yrs/99 Yrs
CVS
Provider ID:
TPV1833311-00
CVS Pharmacy 10049
803 Jamestown St
Columbia, KY 42728
(270) 384-0539
00 Yrs/99 Yrs
kentucky.wellcare.com | 243
05/28/2015
Pharmacy
Allen
Retail
Carpenter Dent Drugs
Provider ID:
TPV1808344-00
1088 Veterans Memorial
Hwy
Scottsville, KY 42164
(270) 237-4446
Fax: (270) 237-7782
00 Yrs/99 Yrs
Stovalls Prescription
Shop
Provider ID:
TPV1808356-00
202 S Court St
Scottsville, KY 42164
(270) 237-5402
Fax: (270) 237-4305
00 Yrs/99 Yrs
Medical Center At
Scottsville
Provider ID:
TPV1813307-00
456 Burnley Rd
Scottsville, KY 42164
(270) 622-2846
Fax: (270) 622-2811
00 Yrs/99 Yrs
Pharmacy Arts
Provider ID:
TPV1825237-00
31 Burnley Rd
Scottsville, KY 42164
(270) 618-4444
Fax: (270) 622-3996
00 Yrs/99 Yrs
www.kroger.com
RITE AID
Provider ID:
TPV1813078-00
Rite Aid Pharmacy 01060
01060
385 Old Gallatin Rd
Scottsville, KY 42164
(270) 237-3738
Fax: (270) 237-5188
00 Yrs/99 Yrs
www.apcinet.com
kentucky.wellcare.com | 244
05/28/2015
Pharmacy
Barren
Infusion
Glasgow Prescription
Medical Arts Pharmacy
Center
Vann Healthcare Services Provider ID:
Provider ID:
TPV1801566-00
TPV1815882-00
Provider ID:
615 S L Rogers Wells Blvd 1220 N Race St
TPV1820934-00
Glasgow, KY 42141
Glasgow, KY 42141
1220 N Race St
(270) 651-8889
(270) 651-7030
Glasgow, KY 42141
Fax: (270) 651-8873
Fax: (270) 651-9948
(270) 651-7627
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fax: (270) 651-9261
Highland Pharmacy
Park Avenue Pharmacy
00 Yrs/99 Yrs
Provider ID:
Provider ID:
www.ppok.com
TPV1832802-00
TPV1804865-00
Retail
301 Rogers Rd
131 Park Ave
Glasgow,
KY
42141
Glasgow, KY 42141
Cave City Prescription
(270)
629-4300
(270) 651-5156
Center Inc
Fax: (270) 629-4303
Fax: (270) 651-1096
Provider ID:
00
Yrs/99
Yrs
00 Yrs/99 Yrs
TPV1814828-00
www.epicrx.com
101 South Dixie Hwy
Parkland Drugs
Cave City, KY 42127
KMART
Provider ID:
(270) 773-2252
TPV1804029-00
Provider ID:
Fax: (270) 773-2236
TPV1821657-00
209 N Dixie Hwy
00 Yrs/99 Yrs
Kmart Pharmacy3822
Cave City, KY 42127
www.kroger.com
3822
(270) 773-3152
230
L
Roger
Wells
Rd
Fax: (270) 773-3151
Ely Drugs 2
Glasgow,
KY
42141
00 Yrs/99 Yrs
Provider ID:
(270)
651-7693
TPV1804853-00
Pharmacy Express
Fax: (270) 651-2440
415 Happy Valley Rd
Provider ID:
00 Yrs/99 Yrs
Glasgow, KY 42141
TPV1825732-00
www.myleader.com
(270) 651-8359
415 South L Rogers Wells
Fax: (270) 651-5741
Med Care Pharmacy LLC Blvd
00 Yrs/99 Yrs
Glasgow
Glasgow, KY 42141
Provider
ID:
(270) 651-7948
Freds Pharmacy 1964
TPV1828031-00
Fax: (270) 651-1183
Provider ID:
110
Physicians
Blvd
00 Yrs/99 Yrs
TPV1831723-00
Glasgow,
KY
42141
502 E Happy Valley St
Pharmerica 7059
(270) 651-2796
Cave City, KY 42127
Provider ID:
Fax: (270) 651-1672
(270) 773-2101
TPV1823651-00
00 Yrs/99 Yrs
Fax: (270) 773-2104
301 Industrial DR
00 Yrs/99 Yrs
Glasgow, KY 42141
www.uniteddrugs.com
(270) 659-0424
Fax: (270) 659-0417
00 Yrs/99 Yrs
www.kroger.com
kentucky.wellcare.com | 245
RITE AID
Provider ID:
TPV1830492-00
Rite Aid Pharmacy
04006 04006
704 Happy Valley Rd
Glasgow, KY 42141
(270) 629-6337
00 Yrs/99 Yrs
www.kroger.com
Vann Healthcare Services
Provider ID:
TPV1820934-00
1220 N Race St
Glasgow, KY 42141
(270) 651-7627
Fax: (270) 651-9261
00 Yrs/99 Yrs
www.ppok.com
Walgreens
Provider ID:
TPV1828409-00
Walgreens 7712 7712
1001 W Main St
Glasgow, KY 42141
(270) 659-0146
Fax: (270) 659-0147
00 Yrs/99 Yrs
Walmart
Provider ID:
TPV1818989-00
Wal-Mart Pharmacy
10-0711 100711
2345 Happy Valley Rd
Glasgow, KY 42141
(270) 678-7350
00 Yrs/99 Yrs
www.walmart.com
05/28/2015
Pharmacy
Butler
Retail
Freds Pharmacy 3726
3726
Provider ID:
TPV1834553-00
211 S Main St
Morgantown, KY 42261
(270) 526-3332
Fax: (270) 526-3996
00 Yrs/99 Yrs
www.epicrx.com
King Drug and Home
Care Mt
Provider ID:
TPV1829944-00
255 W Gl Smith St
Morgantown, KY 42261
(270) 526-6980
Fax: (270) 526-6981
00 Yrs/99 Yrs
RITE AID
Provider ID:
TPV1821506-00
Rite Aid Pharmacy 03208
03208
205 W. G L Smith St
Morgantown, KY 42261
(270) 526-5615
Fax: (270) 526-6317
00 Yrs/99 Yrs
www.riteaid.com
kentucky.wellcare.com | 246
05/28/2015
Pharmacy
Casey
Retail
CVS
Provider ID:
TPV1833753-00
CVS Pharmacy 10278
397 N. Wallace
Wilkerson Blvd
Liberty, KY 42539
(606) 787-1976
00 Yrs/99 Yrs
www.mhainc.com
Green River Pharmacy
Provider ID:
TPV1833323-00
120 Liberty Sq
Liberty, KY 42539
(606) 787-2100
Fax: (606) 787-1874
00 Yrs/99 Yrs
www.cvs.com
RITE AID
Provider ID:
TPV1821203-00
Rite Aid Pharmacy 02762
02762
343 North Wallace
Wilkinson Blvd
Liberty, KY 42539
(606) 787-5574
Fax: (606) 787-5604
00 Yrs/99 Yrs
www.kroger.com
kentucky.wellcare.com | 247
05/28/2015
Pharmacy
Clinton
Retail
Dyer Drug
Provider ID:
TPV1803370-00
100 E. Cumberland St
Albany, KY 42602
(606) 387-6444
Fax: (606) 387-8484
00 Yrs/99 Yrs
www.cvs.com
Freds Pharmacy 1664
Provider ID:
TPV1831610-00
800 North Cross St
Albany, KY 42602
(606) 387-0320
Fax: (606) 387-0005
00 Yrs/99 Yrs
www.kroger.com
Roberts Pharmacy LLC
Provider ID:
TPV1833587-00
190 Westview Shopping
Center
Albany, KY 42602
(606) 557-1199
00 Yrs/99 Yrs
www.uniteddrugs.com
Shearer Drug
Provider ID:
TPV1814599-00
127 Foothills Ave
Albany, KY 42602
(606) 387-6616
Fax: (606) 387-8498
00 Yrs/99 Yrs
kentucky.wellcare.com | 248
05/28/2015
Pharmacy
Cumberland
Retail
Cumberland County
Pharmacy
Provider ID:
TPV1824881-00
331 Keen St
Burkesville, KY 42717
(270) 864-1606
Fax: (270) 864-1608
00 Yrs/99 Yrs
www.walgreens.com
Morgans Medicine, PLLC
Provider ID:
TPV1829300-00
360 Keen St Ste 100
Burkesville, KY 42717
(270) 864-2222
Fax: (270) 864-2228
00 Yrs/99 Yrs
www.kroger.com
kentucky.wellcare.com | 249
05/28/2015
Pharmacy
Edmonson
Retail
Alfords Pharmacy
Provider ID:
TPV1831216-00
210 S Main St
Brownsville, KY 42210
(270) 597-1044
Fax: (270) 597-1045
00 Yrs/99 Yrs
Edmonson Drugs
Provider ID:
TPV1802936-00
432 S Main St
Brownsville, KY 42210
(270) 597-2386
Fax: (270) 597-2712
00 Yrs/99 Yrs
Prescription Shop
Provider ID:
TPV1803104-00
1571 Hwy 259 N
Brownsville, KY 42210
(270) 597-2181
Fax: (270) 597-3232
00 Yrs/99 Yrs
kentucky.wellcare.com | 250
05/28/2015
Pharmacy
Green
Retail
Eastridge-Phelps
Pharmacy Greensburg
Provider ID:
TPV1832232-00
1915 Campbellsville Rd
Greensburg, KY 42743
(270) 299-2333
Fax: (270) 299-2334
00 Yrs/99 Yrs
www.walgreens.com
RITE AID
Provider ID:
TPV1820023-00
Rite Aid Pharmacy 02457
02457
603 Columbia Hwy
Greensburg, KY 42743
(270) 932-4518
Fax: (270) 932-2388
00 Yrs/99 Yrs
www.walgreens.com
Freds Pharmacy 2019
Provider ID:
TPV1831898-00
265 Industrial Park Rd
Greensburg, KY 42743
(270) 932-3100
Fax: (270) 932-3104
00 Yrs/99 Yrs
Health First Pharmacy
Provider ID:
TPV1828916-00
111 S Main St
Greensburg, KY 42743
(270) 299-2467
Fax: (270) 299-2163
00 Yrs/99 Yrs
Jane Todd Pharmacy LLC
Provider ID:
TPV1834654-00
101 Industrial Park Rd
Greensburg, KY 42743
(270) 932-2239
Fax: (270) 932-2102
00 Yrs/99 Yrs
www.kroger.com
kentucky.wellcare.com | 251
05/28/2015
Pharmacy
Hart
Retail
Branstetter Pharmacy
Provider ID:
TPV1805413-00
141 E Main St
Horse Cave, KY 42749
(270) 786-2466
Fax: (270) 786-1349
00 Yrs/99 Yrs
Clark Drugs
Provider ID:
TPV1802998-00
232 Main St
Munfordville, KY 42765
(270) 524-3669
Fax: (270) 524-5891
00 Yrs/99 Yrs
RITE AID
Provider ID:
TPV1822192-00
Rite Aid Pharmacy 03350
03350
600 North Main St
Munfordville, KY 42765
(270) 524-3081
Fax: (270) 524-1050
00 Yrs/99 Yrs
www.riteaid.com
Freds Pharmacy 1966
Provider ID:
TPV1831812-00
1181 Main St
Munfordville, KY 42765
(270) 524-0020
Fax: (270) 524-0023
00 Yrs/99 Yrs
www.cvs.com
RITE AID
Provider ID:
TPV1820770-00
Rite Aid Pharmacy 02679
02679
394 North Dixie St
Horse Cave, KY 42749
(270) 786-1147
Fax: (270) 786-5215
00 Yrs/99 Yrs
www.riteaid.com
kentucky.wellcare.com | 252
05/28/2015
Pharmacy
Logan
Retail
Gower Drug Store
Provider ID:
TPV1805716-00
328 N Main St
Lewisburg, KY 42256
(270) 755-4831
Fax: (270) 755-4850
00 Yrs/99 Yrs
Walmart
Provider ID:
TPV1819056-00
Wal-Mart Pharmacy
10-0736 100736
120 Sam Walton DR
Russellville, KY 42276
(270) 726-2966
00 Yrs/99 Yrs
www.walmart.com
Heartland Family
Whitleys Pharmacy 0770
Pharmacy
Provider ID:
Provider ID:
TPV1834591-00
TPV1815072-00
134 Sugar Maple Dr Ste A 501 N Main
Auburn, KY 42206
Russellville, KY 42276
(270) 847-4004
(270) 726-9592
Fax: (270) 847-4005
Fax: (270) 726-9881
00 Yrs/99 Yrs
00 Yrs/99 Yrs
King Drug and Home
Yates Pharmacy LLC
Care Rv
Provider ID:
Provider ID:
TPV1834034-00
TPV1829956-00
432 Hopkinsville Rd
1405 Nashville St
Russellville, KY 42276
Russellville, KY 42276
(270) 726-8451
(270) 725-9027
Fax: (270) 726-8696
Fax: (270) 725-5154
00 Yrs/99 Yrs
00 Yrs/99 Yrs
www.ppok.com
Riley White Drugs
Provider ID:
TPV1808293-00
153 NW Park Sq
Russellville, KY 42276
(270) 726-7626
Fax: (270) 726-7879
00 Yrs/99 Yrs
Walgreens
Provider ID:
TPV1830632-00
Walgreens 11168 11168
485 W 4th St
Russellville, KY 42276
(270) 726-1881
00 Yrs/99 Yrs
kentucky.wellcare.com | 253
05/28/2015
Pharmacy
McCreary
Retail
Burgess Drug Store 2
Provider ID:
TPV1809764-00
19 Medical Loop
Whitley City, KY 42653
(606) 376-5043
Fax: (606) 376-5466
00 Yrs/99 Yrs
www.myleader.com
Daughertys Drug Store
Inc
Provider ID:
TPV1809788-00
4160 S Hwy 27
Pine Knot, KY 42635
(606) 354-2222
Fax: (606) 354-3830
00 Yrs/99 Yrs
Hometown Pharmacy
Provider ID:
TPV1832763-00
66 Center Ave
Whitley City, KY 42653
(606) 376-3300
Fax: (606) 376-3330
00 Yrs/99 Yrs
RITE AID
Provider ID:
TPV1819967-00
Rite Aid Pharmacy 02420
02420
500 North Hwy 27
Whitley City, KY 42653
(606) 376-3307
Fax: (606) 376-9269
00 Yrs/99 Yrs
www.infusionpartners.
com
Wynn Express Pharmacy
Provider ID:
TPV1832179-00
43 Medical Ln
Whitley City, KY 42653
(606) 376-1535
Fax: (606) 376-1537
00 Yrs/99 Yrs
Kroger
Provider ID:
TPV1834313-00
Kroger Pharmacy L-916
24916
1187 N Hwy 27
Whitley City, KY 42653
(606) 376-2911
Fax: (606) 376-2913
00 Yrs/99 Yrs
kentucky.wellcare.com | 254
05/28/2015
Pharmacy
Metcalfe
Retail
Metcalfe Drug
Provider ID:
TPV1804459-00
115 E Stockton St
Edmonton, KY 42129
(270) 432-3051
Fax: (270) 432-2682
00 Yrs/99 Yrs
Nunn Drugs Inc
Provider ID:
TPV1804461-00
1704 W Stockton St
Edmonton, KY 42129
(270) 432-3111
Fax: (270) 432-4111
00 Yrs/99 Yrs
RITE AID
Provider ID:
TPV1822178-00
Rite Aid Pharmacy 03272
03272
612 W. Stockton St
Edmonton, KY 42129
(270) 432-2725
Fax: (270) 432-7750
00 Yrs/99 Yrs
www.walmart.com
kentucky.wellcare.com | 255
05/28/2015
Pharmacy
Monroe
Retail
Gamaliel Drug LLC
Provider ID:
TPV1833955-00
405 W Main St
Gamaliel, KY 42140
(270) 457-4100
00 Yrs/99 Yrs
Getwell Drug Dollar
6028
Provider ID:
TPV1833258-00
509 N Main St
Tompkinsville, KY 42167
(270) 487-5468
Fax: (270) 487-0158
00 Yrs/99 Yrs
Harrison Pharmacy
Provider ID:
TPV1822849-00
606 N Main St
Tompkinsville, KY 42167
(270) 487-6408
Fax: (270) 487-6409
00 Yrs/99 Yrs
Tompkinsville Drug Co
Provider ID:
TPV1808611-00
200 N Crawford St
Tompkinsville, KY 42167
(270) 487-6155
Fax: (270) 487-6157
00 Yrs/99 Yrs
Walmart
Provider ID:
TPV1825441-00
Wal-Mart Pharmacy
10-2654 102654
1650 Edmonton Rd
Tompkinsville, KY 42167
(270) 487-0791
00 Yrs/99 Yrs
www.walmart.com
King Home Care
Tompkinsville
Provider ID:
TPV1829920-00
1104 N Main St
Tompkinsville, KY 42167
(270) 487-5127
Fax: (270) 487-9611
00 Yrs/99 Yrs
Monroe County Medical
Center Pharmacy
Provider ID:
TPV1813509-00
529 Capp Harlan Rd
Tompkinsville, KY 42167
(270) 487-9231
Fax: (270) 487-6800
00 Yrs/99 Yrs
www.ppok.com
kentucky.wellcare.com | 256
05/28/2015
Pharmacy
Pulaski
Infusion
Lincare Inc
Provider ID:
TPV1828954-00
30 Jaxson Cove
Somerset, KY 42503
(606) 679-0171
Fax: (606) 679-0172
00 Yrs/99 Yrs
www.walgreens.com
Walgreens
Provider ID:
TPV1832991-00
Walgreens Infusion
Services 12991
83 Bogle Office Park Dr
Ste 400
Somerset, KY 42503
(606) 676-9916
Fax: (606) 676-9917
00 Yrs/99 Yrs
www.optioncare.com
Retail
CVS
Provider ID:
TPV1812329-00
CVS Pharmacy 06339
144 North Hwy 27
Somerset, KY 42503
(606) 679-7395
00 Yrs/99 Yrs
www.uniteddrugs.com
KMART
Provider ID:
TPV1812759-00
Kmart Pharmacy7255
7255
420 East Hwy 80
Somerset, KY 42501
(606) 679-1121
Fax: (606) 451-1506
00 Yrs/99 Yrs
www.riteaid.com
Kroger
Provider ID:
TPV1818054-00
Kroger Pharmacy 24345
2835 S Hwy 27 Ste 92
Somerset, KY 42501
(606) 678-4012
Fax: (606) 678-0215
00 Yrs/99 Yrs
www.walmart.com
Medicine Shoppe Long
Term Care
Provider ID:
TPV1832408-00
900 E Mount Vernon St
Unit B
Somerset, KY 42501
(606) 679-9227
Fax: (606) 679-1358
00 Yrs/99 Yrs
Kroger
Provider ID:
TPV1830466-00
Kroger Pharmacy 24757
181 South Hwy 27
Somerset, KY 42501
(606) 451-4341
Fax: (606) 451-4343
00 Yrs/99 Yrs
www.walgreens.com
Medicine Shoppe
Pharmacy 0534
Provider ID:
TPV1815298-00
900 E Mount Vernon St
Somerset, KY 42501
(606) 679-9227
Fax: (606) 679-1358
00 Yrs/99 Yrs
Lakeshore Pharmacy
Provider ID:
TPV1826962-00
51 W Lakeshore Dr
Burnside, KY 42519
(606) 561-7104
Fax: (606) 561-9205
00 Yrs/99 Yrs
www.walgreens.com
Lincare Inc
Provider ID:
TPV1828954-00
30 Jaxson Cove
Somerset, KY 42503
(606) 679-0171
Fax: (606) 679-0172
00 Yrs/99 Yrs
www.walgreens.com
Nations Medicines
Provider ID:
TPV1824689-00
875 S Hwy 27
Somerset, KY 42501
(606) 677-0073
Fax: (606) 678-9231
00 Yrs/99 Yrs
www.medicaprx.com
Oakwood Pharmacy
Provider ID:
TPV1810541-00
2441 S Hwy 27
Somerset, KY 42501
(606) 677-4068
Fax: (606) 677-4219
00 Yrs/99 Yrs
Professional Pharmacy
Of Somerset
Provider ID:
TPV1830593-00
342 Bogle St
Somerset, KY 42503
(606) 679-1169
Fax: (606) 679-1049
00 Yrs/99 Yrs
kentucky.wellcare.com | 257
RITE AID
Provider ID:
TPV1818624-00
Rite Aid Pharmacy 03915
03915
1250 South Hwy 27
Somerset, KY 42501
(606) 676-0485
Fax: (606) 676-9625
00 Yrs/99 Yrs
www.riteaid.com
Science Hill Drug
Provider ID:
TPV1825984-00
5775 N Hwy 27
Science Hill, KY 42553
(606) 423-9959
Fax: (606) 423-5459
00 Yrs/99 Yrs
www.epicrx.com
Somerset Pharmacy
Provider ID:
TPV1808495-00
101 S Main St
Somerset, KY 42501
(606) 679-1571
Fax: (606) 677-6845
00 Yrs/99 Yrs
Walgreens
Provider ID:
TPV1828079-00
Walgreens 7664 7664
600 S Hwy 27
Somerset, KY 42501
(606) 677-0594
Fax: (606) 677-0297
00 Yrs/99 Yrs
05/28/2015
Pharmacy
Pulaski
Retail - cont.
Walgreens
Provider ID:
TPV1832991-00
Walgreens Infusion
Services 12991
83 Bogle Office Park Dr
Ste 400
Somerset, KY 42503
(606) 676-9916
Fax: (606) 676-9917
00 Yrs/99 Yrs
www.optioncare.com
Walmart
Provider ID:
TPV1817367-00
Wal-Mart Pharmacy
10-0689 100689
177 Washington DR
Somerset, KY 42503
(606) 679-8466
00 Yrs/99 Yrs
www.medicaprx.com
West Somerset
Pharmacy Inc
Provider ID:
TPV1827267-00
647 W Hwy 80
Somerset, KY 42503
(606) 677-1922
Fax: (606) 677-0382
00 Yrs/99 Yrs
www.cvs.com
kentucky.wellcare.com | 258
05/28/2015
Pharmacy
Russell
Retail
Jamestown Pharmacy
Provider ID:
TPV1814575-00
1417 N Main St Ste A
Jamestown, KY 42629
(270) 343-4443
Fax: (270) 343-4481
00 Yrs/99 Yrs
Lake Cumberland
Pharmacy 2
Provider ID:
TPV1832256-00
124 Dowell Rd
Russell Springs, KY 42642
(270) 866-2686
Fax: (270) 866-6566
00 Yrs/99 Yrs
www.myleader.com
KMART
RITE AID
Provider ID:
Provider ID:
TPV1821126-00
TPV1815426-00
Kmart Pharmacy3941
Rite Aid Pharmacy 01387
3941
01387
301 S Hwy 127
183 South Hwy 127
Russell Springs, KY 42642 Russell Springs, KY 42642
(270) 866-7166
(270) 866-2226
Fax: (270) 866-9332
Fax: (270) 866-6634
00 Yrs/99 Yrs
00 Yrs/99 Yrs
www.riteaid.com
Kroger
Provider ID:
Russell Springs Pharmacy
TPV1824730-00
Kroger Pharmacy 24900
Provider ID:
181 South Hwy 127
TPV1829881-00
Russell Springs, KY 42642 92 Joe T Pettey DR
(270) 866-3223
Russell Springs, KY 42642
Fax: (270) 866-3124
(270) 866-2778
00 Yrs/99 Yrs
Fax: (270) 866-2779
www.kroger.com
00 Yrs/99 Yrs
www.walgreens.com
Lake Cumberland
Pharmacy
Provider ID:
TPV1832078-00
2431 C Lakeway DR
Russell Springs, KY 42642
(270) 858-6400
00 Yrs/99 Yrs
kentucky.wellcare.com | 259
05/28/2015
Pharmacy
Simpson
Retail
CVS
Provider ID:
TPV1831305-00
CVS Pharmacy 08905
925 S. Main St.
Franklin, KY 42134
(270) 586-0787
Fax: (401) 770-7108
00 Yrs/99 Yrs
Walmart
Provider ID:
TPV1822572-00
Wal-Mart Pharmacy
10-0282 100282
1550 Nashville Rd
Franklin, KY 42134
(270) 586-0022
00 Yrs/99 Yrs
www.walmart.com
Freds Pharmacy 3960
3960
Provider ID:
TPV1833931-00
420 N Main St
Franklin, KY 42134
(270) 586-9591
Fax: (270) 586-7999
00 Yrs/99 Yrs
www.cvs.com
RITE AID
Provider ID:
TPV1822419-00
Rite Aid Pharmacy 03565
03565
224 South Main St
Franklin, KY 42134
(270) 586-7131
Fax: (270) 586-9183
00 Yrs/99 Yrs
www.riteaid.com
Sheldons Express
Pharmacy
Provider ID:
TPV1804726-00
212 South Main St
Franklin, KY 42134
(270) 586-4471
Fax: (270) 586-8595
00 Yrs/99 Yrs
kentucky.wellcare.com | 260
05/28/2015
Pharmacy
Taylor
Retail
Kroger
Provider ID:
Century Medicines
TPV1825124-00
Provider ID:
Kroger Pharmacy 24403
TPV1822077-00
1509 East Broadway
1608 Old Lebanon Rd
Campbellsville, KY 42718
Campbellsville, KY 42718 (502) 465-0501
(270) 789-4734
Fax: (270) 789-2948
Fax: (270) 789-3694
00 Yrs/99 Yrs
00 Yrs/99 Yrs
www.riteaid.com
www.walgreens.com
The Medicine Centre
CVS
Pharmacy
Provider ID:
Provider ID:
TPV1800588-00
TPV1817216-00
CVS Pharmacy 06338
325 E Broadway St
101 East Broadway
Campbellsville, KY 42718
Campbellsville, KY 42718 (270) 465-3784
(270) 465-6661
Fax: (270) 789-3784
00 Yrs/99 Yrs
00 Yrs/99 Yrs
www.cvs.com
Walmart
Eastridge-Phelps
Provider ID:
Pharmacy
TPV1819537-00
Provider ID:
Wal-Mart Pharmacy
TPV1831038-00
10-0665 100665
101 Winston Way
725 Campbellsville
Campbellsville, KY 42718 Bypass
(270) 789-0577
Campbellsville, KY 42718
Fax: (270) 789-0578
(270) 789-0734
00 Yrs/99 Yrs
00 Yrs/99 Yrs
www.epicrx.com
www.walmart.com
Kroger
Provider ID:
TPV1819715-00
Kroger Pharmacy 24369
399 Campbellsville Byp
Ste 100
Campbellsville, KY 42718
(270) 465-5782
Fax: (270) 789-1463
00 Yrs/99 Yrs
www.cvs.com
kentucky.wellcare.com | 261
05/28/2015
Pharmacy
Warren
Retail
Hines Pharmacy
Provider ID:
Cds 10 Pharmacy 1
TPV1823310-00
Provider ID:
1340 Kentucky Hwy 185
TPV1810046-00
Bowling Green, KY 42101
1308 Ashley Cir
(270) 842-4341
Bowling Green, KY 42104 Fax: (270) 842-7893
(270) 781-5661
00 Yrs/99 Yrs
Fax: (270) 781-5652
Hines Pharmacy
00 Yrs/99 Yrs
Provider ID:
Clinic Pharmacy
TPV1830581-00
Provider ID:
165 Natchez Trace Ave
TPV1821568-00
Bowling Green, KY 42104
201 Park St
(270) 796-1818
Bowling Green, KY 42101 Fax: (270) 796-1988
(270) 781-3095
00 Yrs/99 Yrs
Fax: (270) 782-5223
www.myleader.com
00 Yrs/99 Yrs
King Home Care Bowling
www.kroger.com
Green
CVS
Provider ID:
Provider ID:
TPV1829968-00
TPV1800499-00
1203 Ashley Circle
CVS Pharmacy 06422
Bowling Green, KY 42101
704 US Hwy 31 W Bypass (270) 843-8111
Bowling Green, KY 42101 Fax: (270) 843-0801
(270) 842-8111
00 Yrs/99 Yrs
00 Yrs/99 Yrs
KMART
www.cvs.com
Provider ID:
CVS
TPV1818333-00
Provider ID:
Kmart Pharmacy3646
TPV1814448-00
3646
CVS Pharmacy 06423
2945 Scottsville Rd
1122 Lovers Lane
Bowling Green, KY 42101
Bowling Green, KY 42103 (270) 782-1461
(270) 842-4844
Fax: (270) 782-1497
00 Yrs/99 Yrs
00 Yrs/99 Yrs
www.cvs.com
www.riteaid.com
Ely Drug of Bowling
Green
Provider ID:
TPV1833234-00
4863 Scottsville Rd
Bowling Green, KY 42104
(270) 467-5225
Fax: (270) 467-0542
00 Yrs/99 Yrs
Kroger
Meijer Pharmacy 272 272
Provider ID:
Provider ID:
TPV1821188-00
TPV1834337-00
Kroger Pharmacy 26509
1676 Westpark Dr
711 Campbell Lane
Bowling Green, KY 42104
Bowling Green, KY 42104 (270) 495-6710
(270) 843-2383
Fax: (270) 495-6765
Fax: (270) 783-8687
00 Yrs/99 Yrs
00 Yrs/99 Yrs
www.myleader.com
www.cvs.com
Northgate Pharmacy
Kroger
Provider ID:
TPV1813218-00
Provider ID:
TPV1823891-00
3158 Louisville Rd
Kroger Pharmacy 26535
Bowling Green, KY 42101
350 W 31W Bypass
(270) 842-6161
Bowling Green, KY 42101 Fax: (270) 782-7466
(270) 796-6067
00 Yrs/99 Yrs
Fax: (270) 796-4972
www.myleader.com
00 Yrs/99 Yrs
RITE AID
www.cvs.com
Provider ID:
TPV1820631-00
Kroger
Rite Aid Pharmacy 02656
Provider ID:
02656
TPV1826520-00
2380 Nashville Rd
Kroger Pharmacy 26585
Bowling Green, KY 42101
2945 Scottsville Rd
Bowling Green, KY 42104 (270) 842-6301
Fax: (270) 842-6110
(270) 780-9328
00 Yrs/99 Yrs
Fax: (270) 780-0386
www.riteaid.com
00 Yrs/99 Yrs
www.walmart.com
Riverside Pharmacy
Medicine Arts Pharmacy Provider ID:
TPV1829627-00
825 Second Ave East
Provider ID:
TPV1830973-00
Bowling Green, KY 42101
818 US 31W Byp
(270) 780-2650
Bowling Green, KY 42101 Fax: (270) 780-2651
(270) 843-3202
00 Yrs/99 Yrs
Fax: (270) 782-8181
www.walgreens.com
00 Yrs/99 Yrs
kentucky.wellcare.com | 262
05/28/2015
Pharmacy
Warren
Retail - cont.
Smiths Grove RX Shop
Walgreens
Provider ID:
Provider ID:
Sams Pharmacy
TPV1830656-00
TPV1832547-00
Provider ID:
124 N Main St
Walgreens 13815
TPV1829259-00
Smiths Grove, KY 42171
2824 Scottsville Rd
Sams Pharmacy 10-4876
(270) 563-2180
Bowling Green, KY 42104
104876
Fax: (270) 563-2184
(270) 393-2115
3200 Ken Bale Blvd
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Bowling Green, KY 42103 www.kroger.com
(270) 781-7727
Walmart
00 Yrs/99 Yrs
Springhill Pharmacy
Provider ID:
TPV1816353-00
www.myleader.com
Provider ID:
TPV1821289-00
Wal-Mart Pharmacy
Sheldons Express
10-0299 100299
2305 Russellville Rd
Pharmacy 1
Bowling Green, KY 42101 150 Walton Ave
Provider ID:
Bowling Green, KY 42104
(270) 796-3909
TPV1819121-00
(270) 782-9785
Fax: (270) 796-4111
843 Fairview Ave
00 Yrs/99 Yrs
00 Yrs/99 Yrs
Bowling Green, KY 42101 www.walmart.com
(270) 842-4515
Walmart
Fax: (270) 783-7484
Provider ID:
The Medical Center TPV1828613-00
00 Yrs/99 Yrs
Bowlng Green Pharma
Wal-Mart Pharmacy
www.kroger.com
Provider ID:
10-5236 105236
TPV1810058-00
Sheldons Express
1201 Morgantown Rd
250 Park St
Pharmacy 2
Bowling Green, KY 42102 Bowling Green, KY 42101
Provider ID:
(270) 780-9331
(270) 745-1641
TPV1830579-00
00 Yrs/99 Yrs
00 Yrs/99 Yrs
760 Campbell Lane
Bowling Green, KY 42104 Walgreens
(270) 782-6337
Provider ID:
Fax: (270) 783-4272
TPV1825388-00
00 Yrs/99 Yrs
Walgreens 4448 4448
www.myleader.com
1145 US 31 W Bypass
Bowling Green, KY 42104
Sheldons Express
(270) 842-3933
Pharmacy 5
Fax: (270) 842-4139
Provider ID:
00 Yrs/99 Yrs
TPV1834692-00
www.cvs.com
5575 Scottsville Rd
Bowling Green, KY 42104 Walgreens
(270) 715-0650
Provider ID:
Fax: (270) 715-0655
TPV1828156-00
00 Yrs/99 Yrs
Walgreens 7685 7685
www.ppok.com
2385 Nashville Rd
Bowling Green, KY 42101
(270) 393-0268
Fax: (270) 393-9859
00 Yrs/99 Yrs
kentucky.wellcare.com | 263
05/28/2015
Pharmacy
Wayne
Retail
F and H Drugs
Provider ID:
TPV1807215-00
70 N. Main St
Monticello, KY 42633
(606) 348-9263
Fax: (606) 348-3045
00 Yrs/99 Yrs
www.apcinet.com
Kroger
Provider ID:
TPV1824728-00
Kroger Pharmacy 24901
255 Cumberland
Crossing
Monticello, KY 42633
(606) 348-8773
Fax: (606) 348-3477
00 Yrs/99 Yrs
South Creek Drug
Provider ID:
TPV1824564-00
1 South Creek DR
Monticello, KY 42633
(606) 348-1800
Fax: (606) 348-1708
00 Yrs/99 Yrs
www.kroger.com
Walmart
Provider ID:
TPV1819208-00
Wal-Mart Pharmacy
10-1234 101234
175 Walmart Plaza Dr
Monticello, KY 42633
(606) 348-3333
00 Yrs/99 Yrs
www.myleader.com
RITE AID
Provider ID:
TPV1824540-00
Rite Aid Pharmacy 04780
04780
978 North Main St
Monticello, KY 42633
(606) 348-8478
Fax: (606) 348-6609
00 Yrs/99 Yrs
www.kroger.com
Silvers Hometown
Pharmacy
Provider ID:
TPV1834565-00
1251 W Columbia Ave
Monticello, KY 42633
(606) 343-0101
Fax: (606) 343-0041
00 Yrs/99 Yrs
kentucky.wellcare.com | 264
Alternate Languages Index
You can find a provider who speaks a different language in this index. First look for the language you need.
Then check the specialty and provider name.
Afrikaans
Bulgarian
Neurosurgery
Nathoo, Narendra MD
Hematology & Oncology
Lissanu, Zewdu MD
Amharic
Chinese
Internal Medicine
Yemane, Mengistu MD
General Surgery
Shively, Eugene MD
Pediatrics
Mahmoud, Sanaa MD
Sowell, Debra MD
Arabic
Hematology & Oncology
Lissanu, Zewdu MD
Plastic & Reconstructive Surgery
Atalla, Fouad MD
Allergy & Immunology
Mahmoud, Sanaa MD
Cardiology
Saleh, Khaled MD
General Surgery
Shively, Eugene MD
Hematology & Oncology
Lissanu, Zewdu MD
Internal Medicine
Hsieh, Anson MD
Neurology
Zhu, Jianhua MD
Orthopaedic Surgery
Weiss, Galen MD
Croatian
Infectious Disease
Veligandla, Shailaja MD
Nurse Practitioner
Catlett, Sheila APRN
Internal Medicine
Haddad, Imad MD
DO Not Use
Neurosurgery
El-Kalliny, Magdy MD
El-Naggar, Amr MD
Nurse Practitioner
Blakeman, Jamie APRN
Orthopaedic Surgery
Nadim, Yasser MD
Pediatrics
Mahmoud, Sanaa MD
Physician Assistant
Simpson, Agatha PA
Plastic & Reconstructive Surgery
Atalla, Fouad MD
Nurse Practitioner
Cornelius, Joy APRN
Kovar, Mary APRN
French
Allergy & Immunology
Mahmoud, Sanaa MD
Family Practice
Jones, Stephanie MD
Orthopaedic Surgery
Nadim, Yasser MD
Weiss, Galen MD
German
Orthopaedic Surgery
Weiss, Galen MD
Vascular Surgery
Unruh, Thomas MD
Hebrew
Nurse Practitioner
Partin, John APRN
Hindi
Internal Medicine
Chani, Swaranjit MD
Pandeya, Virag MD
Italian
Cardiovascular Surgery
Emanuele, Tullio MD
Nurse Practitioner
Partin, John APRN
Japanese
General Surgery
Shively, Eugene MD
Nurse Practitioner
Kelley, Venda APRN
Neurosurgery
El-Kalliny, Magdy MD
Korean
Nurse Practitioner
Partin, John APRN
kentucky.wellcare.com | 265
Nurse Practitioner
East, Kimberly APRN
Alternate Languages Index
Portuguese
Family Practice
Burgess, Jerald MD
Nurse Practitioner
Chase, Jeanne APRN
Punjabi
Obstetrics/Gynecology
Sandhu, Manmeet MD
Serbo-Croation
Nurse Practitioner
Catlett, Sheila APRN
Kovar, Mary APRN
Spanish
Allergy & Immunology
Lotz, Douglas MD
Chiropractic
Folk, Chad DC
Poe, David DC
Durable Medical Equipment
Diabetic DME Supplies LLC
Home Oxygen Medical Equipment
Family Practice
Burgess, Jerald MD
Dixon, Jonathan MD
Flannery, Anthony MD
Gray, Jennifer MD
Jenkins, Patrick MD
Jones, Stephanie MD
Kiser, Amelia MD
Petrenko, Peter MD
Rice, Samuel MD
Tyler, Jennifer APRN
General Dentistry
Ballou, Sheldon DMD
Burress, Shanna DMD
Howell, Michael DMD
Kissinger, Phillip DMD
Tallent, Steven DMD
Whiteside, William DMD
General Surgery
Thomas, Steven MD
Geriatric Medicine
Sheth, Nirav MD
Internal Medicine
Hinton, Stephen MD
Padilla, Rosalie MD
Licensed Marriage and Family
Therapist
Hall, Donna LMFT
Pediatrics
Garrett, Caroline MD
Kniery, Paul MD
Lotz, Douglas MD
Patterson, Cherice MD
Weyman, Christine MD
Podiatry
Miller, Christopher DPM
Licensed Professional Counselor
Bertuleit, Nancy LPC
Stone, James LPC
Thoracic Surgery
Heuer, Richard MD
Medical Oncology
Smith, Steven MD
Durable Medical Equipment
Diabetic DME Supplies LLC
Nephrology
Bhatti, Khalid MD
Licensed Clinical Social Worker
Boamah, Daniel LCSW
Neurosurgery
Schwank, William MD
Neurology
Angeles, Victor MD
Nurse Practitioner
Bastin-Muse, Allison APRN
Brendel, Jacquelyn APRN
Brown, Crystal APRN
Cash, Thuresa APRN
Catlett, Sheila APRN
Cecil, Sarah ARNP
Chase, Jeanne APRN
Cornelius, Joy APRN
Guess, Dawn APRN
Kelley, Venda APRN
King, Kimberly APRN
Kovar, Mary APRN
Parrigin, Ashley APRN
Thiery, Diane APRN
Wooley, Dennis APRN
Tamil
Optometry
Jackson, Kevin OD
Steffen, Laura OD
Orthopaedic Surgery
Beard, Craig MD
Gonzalez, Nestor MD
Pain Management
Miller, Rodney MD
Watson, Robert MD
kentucky.wellcare.com | 266
Tagalog
Hematology
Mullai, N MD
Medical Oncology
Mullai, N MD
Twi
Licensed Clinical Social Worker
Boamah, Daniel LCSW
Urdu
Internal Medicine
Siady, J MD
Siady, Jesus MD
Neurology
Zia, Amir MD
Psychiatry
Bokhari, Robina MD
Vietnamese
Allergy & Immunology
Le, Ha MD
Specialty Provider At-A-Glance
You can find a specific kind of provider in this index. First look for the type of care you need. Then check the
county and page number. You can go to that page to get the provider's information.
A
Allergy & Immunology
Barren
Monroe
Pulaski
Taylor
Warren
Wayne
Ambulatory Surgery Center
Barren
Pulaski
Audiology
Pulaski
B
Warren
Cardiology
Adair
Allen
Barren
Butler
Cumberland
Edmonson
Green
169 Logan
182 Monroe
Pulaski
Russell
214 Simpson
Taylor
Warren
39
67
70, 71
88
96
125, 126
Behavior Health
Clinton
202 Cardiovascular Surgery
Barren
Behavioral Health Counseling
Edmonson
Adair
141 Hart
Allen
142 Logan
Pulaski
152 Monroe
Simpson
156 Pulaski
Warren
158 Russell
Taylor
Behavioral Health Facility
Barren
143 Warren
96 Clinton
Cumberland
Green
33
Hart
36
Logan
39, 40
McCreary
50
Metcalfe
55
Monroe
56
Pulaski
57
Russell
60
Simpson
67
Taylor
71
Warren
82
Wayne
85
89 Clinic
96, 97, 98 Russell
Warren
40
56
58
60
67
71
82
89
98
Pulaski
Warren
152 Child Neurology
158 Warren
C
Children With Special Health Care
Needs
Pulaski
214
33 Warren
228
39
55 Chiropractic
33
57 Adair
36
60 Allen
40, 41
67 Barren
50
71 Butler
52
82 Casey
Cardiac Electrophysiology
Adair
Barren
Cumberland
Green
Logan
Monroe
Pulaski
Russell
kentucky.wellcare.com | 267
98
53
55
57
58
60
64
66
67
71, 72
82
85
89
98
126
184
187
Clinical Social Work
Casey
Pulaski
Warren
145
152
158
Community Health Center
Adair
Butler
Metcalfe
Wayne
166
171
180
189
Community Mental Health Center
Allen
142
Butler
144
Edmonson
147
Hart
148
Logan
149
Metcalfe
150
Monroe
151
Pulaski
152
Simpson
156
Warren
158
Specialty Provider At-A-Glance
C - cont.
Critical Access Hospital
Allen
Casey
Green
Hart
Russell
Simpson
Wayne
D
Dermatology
Barren
Pulaski
Warren
E
129
131
133
134
136
137
140
Ear, Nose & Throat
Adair
Barren
Pulaski
Taylor
Warren
Endocrinology, Diabetes,
Metabolism
Pulaski
Warren
41 Epsdt Special Services
72 Allen
99 Barren
Metcalfe
Dermatopathology
Pulaski
Warren
99 Taylor
Warren
Diagnostic Imaging
Pulaski
182 F
Warren
187
Family Planning
Dialysis
Adair
Barren
169 Barren
Pulaski
182 Butler
Taylor
186 Casey
Warren
187 Clinton
Cumberland
Durable Medical Equipment
Adair
166 Edmonson
Allen
168 Green
Barren
169 Hart
Casey
172 Logan
Clinton
173 McCreary
Cumberland
174 Metcalfe
Green
176 Monroe
Hart
177 Pulaski
Logan
178 Russell
McCreary
179 Simpson
Metcalfe
180 Warren
Monroe
181 Wayne
Pulaski
182 Family Practice
Russell
184 Adair
Simpson
185 Allen
Taylor
186 Barren
Warren
187, 188 Casey
Wayne
189 Clinton
33
41
72
89
99
72
99, 100
168
169
180
182
186
188
166
169
171
172
173
174
175
176
177
178
179
180
181
182
184
185
188
189
1, 190
2
3, 4, 5, 194
8, 201
10
kentucky.wellcare.com | 268
Cumberland
Green
Hart
McCreary
Metcalfe
Monroe
Pulaski
Russell
Simpson
Taylor
Warren
Wayne
11, 203
13
14
16, 210
17
18
19, 214
22, 222
23
24
26, 228
31
Federally Qualified Health Center
Adair
1
Clinton
10
Cumberland
11, 203
McCreary
16
Russell
22
G
Gastroenterology
Barren
Pulaski
Russell
Warren
Wayne
41
72, 73
82
100
126
General Dentistry
Adair
Barren
Butler
Casey
Clinton
Cumberland
Green
Hart
Logan
McCreary
Metcalfe
Monroe
Pulaski
Russell
Simpson
Taylor
Warren
Wayne
33
41
50
52
53
55
57
58
60
64
66
68
73, 74
82, 83
85
89
100, 101, 102
126
Specialty Provider At-A-Glance
G - cont.
General Practice
Adair
Casey
Green
Logan
McCreary
Pulaski
Russell
Simpson
Taylor
Warren
Wayne
General Surgery
Adair
Allen
Barren
Clinton
Cumberland
Edmonson
Logan
Monroe
Pulaski
Russell
Simpson
Taylor
Warren
Geriatric Medicine
Butler
Monroe
Warren
Gynecology
Barren
Clinton
Hart
Warren
Head & Neck Surgery
Pulaski
1
8
13
15
16
19
22
23
24
26
31
Hand Surgery
Allen
Barren
Logan
Simpson
Warren
75 Infectious Disease
Pulaski
Hearing Aid Supplier
Warren
Taylor
225
Infusion
Hearing Aid Therapy & Specialist Adair
Taylor
225 Barren
Pulaski
Hematology
Pulaski
75 Infusion Therapy
Hematology & Oncology
Barren
Pulaski
Russell
33, 34 Taylor
36 Warren
41, 42 Home Health Care
53 Adair
55 Allen
56 Barren
60 Casey
68 Clinton
74 Cumberland
83 Green
85 Hart
89, 90 Logan
103 McCreary
Pulaski
50 Russell
68 Simpson
103 Taylor
Warren
Wayne
42
53 Hospice
58 Pulaski
103, 104 Taylor
Warren
H
36
42
60
85
104
I
Hospital
Adair
Barren
Clinton
Pulaski
Taylor
Warren
Adair
42 Pulaski
75 Taylor
83 Internal Medicine
90 Adair
104 Allen
Barren
Butler
Casey
Clinton
Edmonson
Green
Hart
Logan
Metcalfe
Monroe
Pulaski
Russell
Simpson
Taylor
Warren
Wayne
166
168
169
172
173
174
176
177
178
179
183
184
185
186
188
189 L
243
245
257
166
183
186
1
2
5
7
8
10
12
13
14
15
17
18
20
22, 222
23
24
26, 27, 28
31
Laboratory Pathology Testing
183 Adair
166
186 All
167
188 Barren
170
Monroe
181
Pulaski
183
128
184
130 Russell
Wayne
189
132
135 Licensed Clinical Social Worker
138 Barren
143
139 Butler
144
Pulaski
kentucky.wellcare.com | 269
75
104
152, 153
Specialty Provider At-A-Glance
L - cont.
Taylor
Warren
Licensed Clinical Social Worker cont.
Neuropsychology
Warren
159, 160 Pulaski
Licensed Marriage and Family
Neuroradiology
Therapist
Pulaski
Barren
143
Logan
149 Neurosurgery
Simpson
156 Allen
Warren
160, 161 Barren
Butler
Licensed Professional Counselor
Logan
Adair
141 Pulaski
Allen
142 Simpson
Barren
143 Warren
Butler
144
Cumberland
146 Nuclear Cardiology
Logan
149 Taylor
Pulaski
153, 154 Nuclear Medicine
Simpson
156 Green
Warren
161, 162 Taylor
Wayne
165
Nurse Midwife
Licensed Social Worker
Barren
Warren
162 Warren
M
Nurse Practitioner
Maternal Fetal Medicine
Warren
Medical Oncology
Barren
Pulaski
Warren
104
42
75, 76
104
N
Neonatal Perinatal Medicine
Barren
42
Warren
104, 105
Nephrology
Barren
Pulaski
Warren
43
76
105
Neurology
Clinton
Green
Monroe
53
57
68
90 Wayne
105, 106
O
154
76
Obstetrics/Gynecology
Adair
34
Barren
43
Casey
9
Cumberland
55, 203
Pulaski
20, 21, 76, 219
Simpson
85
Taylor
90
Warren
28, 106, 107, 108
36
43
50
61
76 Occupational Therapy
85 Barren
106 Butler
Warren
90 Ophthalmology
Adair
Allen
57
Barren
90
Hart
Logan
194 McCreary
228 Monroe
Pulaski
Taylor
Adair
190, 191
Warren
Allen
192
Barren
194, 195, 196, 197 Optician
Butler
199 Barren
Casey
201 Warren
Clinton
202
Optometry
Cumberland
203
Adair
Edmonson
204
Allen
Green
205
Barren
Hart
206
Butler
Logan
208
Casey
McCreary
210, 211
Clinton
Metcalfe
212
Edmonson
Monroe
213
Hart
Pulaski
214, 215, 216, 217, 218, 219
Logan
Russell
222, 223
McCreary
Simpson
224
Metcalfe
Taylor
225, 226, 227
Monroe
Warren
Pulaski
228, 229, 230, 231, 232, 233, 234, 235,
Russell
236
kentucky.wellcare.com | 270
241, 242
197
199
236
34
36
43, 44
58, 59
61
64
68
76, 77
91
108, 109
44
109
34
36
44, 45
50
52
53, 54
56
59
61
64, 65
66
68, 69
77, 78
84
Specialty Provider At-A-Glance
O - cont.
Pediatric Cardiology
Optometry - cont.
Barren
46, 47
Simpson
85 Taylor
92, 93
Taylor
91, 92 Warren
118, 119
Warren
109, 110, 111, 112, 113, 114
Wayne
126, 127 Pediatric Endocrinology
Warren
119
Oral & Maxillofacial Surgery
Adair
34 Pediatric Gastroenterology
119
Barren
45 Warren
Logan
61 Pediatric Psychiatry
Pulaski
78 Warren
162
Simpson
86
Taylor
92 Pediatrics
34
Warren
114, 115 Adair
Barren
5, 6, 47, 48
Orthodontics
Casey
52
Pulaski
78 Cumberland
55
Taylor
92 Green
13, 57
Hart
14
Orthopaedic Surgery
15
Allen
37 Logan
McCreary
65
Barren
46
21, 79
Butler
50, 51 Pulaski
Russell
84
Clinton
54
24, 25, 93, 94
Logan
61, 62 Taylor
Warren
28,
29,
30,
119, 120, 236
Pulaski
78, 79
32, 127
Simpson
86 Wayne
Taylor
Warren
Orthotics & Prosthetics
Barren
Pulaski
Warren
92 Pedodontics
115, 116 Barren
Pulaski
170 Taylor
183 Warren
188
P
Pain Management
Allen
Barren
Clinton
Pulaski
Simpson
Warren
37, 38
46
54
79, 219
86, 87
116, 117, 118
Pediatric Allergy & Immunology
Pulaski
79
Taylor
92
Wayne
127
Wayne
Physician Assistant
Adair
Allen
Barren
Butler
Casey
Hart
Logan
Pulaski
Simpson
Taylor
Warren
242
191
193
197, 198
200
201
207
209
219, 220, 221
224
227
239
Plastic & Reconstructive Surgery
Pulaski
80
Warren
121
Podiatry
Barren
Casey
Logan
McCreary
Pulaski
Russell
Simpson
Taylor
Warren
48
52
62
65
80
84
87
94
121
48 Preventive Medicine
79 Simpson
87
94
Primary Care Center
120, 121
Barren
6
Physical Medicine & Rehabilitation Cumberland
11
Pulaski
79, 80 Warren
30, 188, 239, 240
Warren
121
Psychiatry
Physical Therapy
Pulaski
154
Allen
192, 193 Russell
155
Barren
197 Taylor
157
Butler
199, 200 Warren
162, 163
Edmonson
204
Psychology
Hart
206, 207
Barren
143
Logan
208, 209
Pulaski
154
McCreary
211
Simpson
156
Pulaski
219
Taylor
157
Taylor
227
Warren
163, 164
Warren
237, 238, 239
kentucky.wellcare.com | 271
Specialty Provider At-A-Glance
P - cont.
Pulmonary Disease
Adair
Barren
Butler
Edmonson
Hart
Logan
Metcalfe
Monroe
Pulaski
Simpson
Taylor
Warren
R
Radiation Oncology
Pulaski
Taylor
Warren
Radiation Therapy Center
Barren
34, 35
48, 49
51
56
59
62
66
69
80, 81
87
94
121, 122
Retail
Adair
Allen
Barren
Butler
Casey
Clinton
Cumberland
Edmonson
Green
Hart
Logan
McCreary
Metcalfe
Monroe
Rheumatology
Warren
Rural Health Center
Adair
Allen
Casey
Cumberland
Green
Hart
Logan
81 McCreary
94, 95 Metcalfe
122 Monroe
Warren
Wayne
170
S
Radiology - Interventional &
Vascular
Allen
38
Logan
62
Warren
122, 123
Rehabilitation Facility
Taylor
Warren
Pulaski
Russell
Simpson
Taylor
Warren
Wayne
257, 258
259
260
261
262, 263
264
49
59
69
123
186 Speech Therapy
188 Taylor
Warren
227
240
Sports Medicine
Adair
Warren
35
123
T
Thoracic & Cardiovascular Surgery
Warren
123
Thoracic Surgery
Pulaski
81
U
Urology
Barren
Monroe
kentucky.wellcare.com | 272
49
69
87
95
123, 124
V
Vascular Surgery
Barren
Casey
123
Green
Logan
166 Warren
168
172
174
13, 176
177
178
179
180
181
188
32, 189
Sleep Medicine
Barren
Hart
Monroe
Warren
243
244
245
246
247
248
249
250
251
252
253
254
255
256
Simpson
Taylor
Warren
49
52
57
62, 63
124
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.
Adair
Allen
General Surgery
Critical Access Hospital
Bush, George MD
33 The Medical Center At Scottsville
129 Hospital
Durable Medical Equipment
Tj Samson Community Hospital
James Medical Equipment, LTD 166 Durable Medical Equipment
Carpenter Dent Drugs Inc
168
Family Practice
Laboratory Pathology Testing
Aaron, Phillip MD
1 Home Health Care
Southern Medical Laboratories
Jones, Sherry MD
1 Lifeline Home Health of Bowling
Marriage and Family
Green LL
168 Licensed
Therapist
Federally Qualified Health Center
Smith-Puckett, Peggy LMFT
Jones, Sherry MD
1 Optometry
Ross, Mark OD
36 Neonatal Perinatal Medicine
General Practice
Sanders, Lynda MD
Seeley, Martha MD
1 Barren
Chiropractic
Rogers, Ronald DC
Nephrology
39 Isaac, Julie MD
Sims, Scott MD
Hospital
Westlake Regional Hospital
Allergy & Immunology
128 Sternberg, Thomas MD
Internal Medicine
Siady, Jesus MD
Weidler, Donald MD
Chiropractic
1 Miles, Robert DC
40
1 Oldenkamp, Derek DC
40
Pelham, Robert DC
40
Starnes, Nicholas DC
40
190
Tank, Thomas DC
41
190
190 Dialysis
190 Glasgow Kidney Center
169
191
Durable Medical Equipment
191
Cave City Prescription Center Inc
191
169
191
Glasgow Prescription Center
169
Parmet Inc DBA Parkland Drugs 169
34 Vann Homecare Inc
169
Nurse Practitioner
Atwood, Tamra APRN
Gaskins, Julie APRN
Irvin, Sandra APRN
Martin, Debbie APRN
Partin, Elizabeth APRN
Ping, Debbie APRN
Thiery, Diane APRN
Wooley, Dennis APRN
Ophthalmology
Huffman, Mark MD
Optometry
Kerr, Allison OD
Silvers, Bob OD
Pediatrics
Styer, Thomas MD
130
170
143
42
43
43
Nurse Practitioner
McWhorter, Annette APRN
196
Optician
McCandless, Donneta Ldo
44
Optometry
Coomer, Darcy OD
Durham, Terry OD
Heffron, Jamison OD
44
44
44
Oral & Maxillofacial Surgery
Clark, Jeffrey DDS
Sutton, James DMD
Thompson, Thomas DMD
45
45
45
Orthotics & Prosthetics
Epsdt Special Services
Ely Drugs
34 Tj Samson Community Hospital
34
169 Pediatrics
Brooks, Hazel MD
Family Practice
Dennison, Melissa MD
34 Crews, James MD
3 Sanders, Lynda MD
Manion, Kenny MD
4
kentucky.wellcare.com | 273
41
170
5
6
47
Extended Hours Index
Barren - cont.
Physician Assistant
Boone, Christie PA
Hale, Carla PA
Roper, Laura PA
Primary Care Center
Brooks, Hazel MD
Dennison, Melissa MD
Family Practice
Brown, Tammy MD
10
197 Cummings, Michael MD
10
197
197 Federally Qualified Health Center
Brown, Tammy MD
10
6 Home Health Care
6 Lifeline Home Health Care of
Somerset LL
Butler
General Dentistry
Burt, Andrew DMD
Campbell, Leslie DMD
Hospital
Clinton County Hospital
50
50 Internal Medicine
Catron, Shirley MD
Casey
Chiropractic
Montgomery-Turner, Erica DC
Turner, Michael DC
Critical Access Hospital
Casey County Hospital
Family Practice
Miles, Jillian PA
Home Health Care
Lifeline Home Health Care of
Somerset LL
Internal Medicine
Haddad, Housam MD
Haddad, Imad MD
Nurse Practitioner
Brown, Crystal APRN
Chase, Jeanne APRN
Marple, Vickie APRN
Obstetrics/Gynecology
Glover, Michael MD
Rural Health Center
Casey County Family Practice
Casey County Primary Care
Nurse Practitioner
Denney, Carol APRN
52
52 Optometry
Brown, Jennifer OD
Hesse, Matthew OD
131 McGiffin, Ryan OD
McKinley, Lindsay OD
201 McKinley, Stephen OD
Upchurch, Gary OD
8 Home Health Care
8 Lifeline Home Health Care of
Somerset LL
Clinton
Durable Medical Equipment
Central Ky Apothecary DBA Dyer
Drug Co
173
Internal Medicine
Kaul, Sanjay MD
57
Critical Access Hospital
Jane Todd Crawford Memorial
Hospital
133
176
132 Hart
Chiropractic
10 Pillars, Kevin DC
58
Critical Access Hospital
202 Caverna Memorial Hospital
134
Family Practice
Middleton, James MD
Shah, Amit MD
14
14
General Dentistry
Smith, Jason DMD
58
53
53
53
54
54
54
Home Health Care
Lifeline Home Health of Bowling
Green LL
177
Nurse Practitioner
203 Briggs, Jennifer APRN
206
Ophthalmology
Schmitt, Timothy MD
59
Pediatrics
Hemmer, Ann-Marie MD
Salisbury, Evelyn MD
14
14
174
201 Nurse Practitioner
201 Williams, Douglas APRN
203
201
Rural Health Center
B F Taylor Medical Arts Clinic 174
9 Cumberland County Hospital DBA
B F Taylo
174
Flowers
Rural
Health
Clinic
174
172
172 Edmonson
Chiropractic
Slinker, Jason DC
Home Health Care
173 Lifeline Home Health Care of
Somerset LL
Cumberland
172 Family Practice
Kingrey, Victoria APRN
Green
Physical Therapy
Goulbourne, Shaun PT
206
Logan
Chiropractic
Poe, David DC
General Dentistry
12 Koller, Michael DMD
60
60
Licensed Marriage and Family
Therapist
Goodman, Grant LMFT
149
kentucky.wellcare.com | 274
Extended Hours Index
Logan - cont.
Nurse Practitioner
Vogler, Thomas APRN
Optometry
Webb, Bill OD
Wells, Thad OD
Vascular Surgery
Unruh, Thomas MD
Metcalfe
Millay, Robert DMD
Stewart, Kyle DMD
Durable Medical Equipment
208 Nunn Drugs Inc
180 Tohill, Thomas DMD
Parmet Inc DBA Metcalfe Drugs
General Surgery
180 Ritchey, Dasen MD
61
61 Optometry
Home Health Care
Whitlow, Cheryl OD
66 Lifeline Home Health Care of
Whitlow, Robert OD
66 Somerset LL
62, 63
Monroe
McCreary
Durable Medical Equipment
Daughertys Drugstore Inc
Family Practice
Burgess, Jerald MD
Patton, John MD
179
Family Practice
Bean, Jerry MD
General Dentistry
Greer, Rebecca DMD
General Dentistry
64 Bates, Gwenna DMD
64 Coffey, Henry DMD
64 Hamm, Corey DMD
Hamm, Jessica DMD
Lose, Kenneth DMD
Maynard, Harold DMD
kentucky.wellcare.com | 275
74
183
Hospital
Lake Cumberland Regional Hospital
135
18
Internal Medicine
20
68 Gallo, Daniel MD
16
16 General Surgery
Nowell, Mark MD
68
Federally Qualified Health Center
McCreary Family Medical
16 Laboratory Pathology Testing
Monroe County Medical Center
General Dentistry
Reference Lab
181
Bates, Gwenna DMD
64
Hamm, Corey DMD
64 Optometry
Hamm, Jessica DMD
64 Birge, Steven OD
68
Lose, Kenneth DMD
64 Ross, Willie OD
69
Maynard, Harold DMD
64 Stephens, Heather OD
69
Millay, Robert DMD
64
Pulaski
Stewart, Kyle DMD
64
Chiropractic
General Practice
Casada, Rodney DC
72
Perry, Hoover MD
16
Wilson, Angie DC
72
Home Health Care
Dialysis
Lifeline Home Health Care of
BMA Somerset
182
Somerset LL
179
Family Practice
Nurse Practitioner
Oteham, Larry DO
19
Cash, Thuresa APRN
210
Ruby, Jonathan MD
19
Chase, Jeanne CNP
210
Duncan, Ruby APRN
210 Gastroenterology
Jasper, Kathryn APRN
211 Jobson, Brenda DO
73
Optometry
Martin, Frederick OD
McKinley, Lindsay OD
McKinley, Stephen OD
74
74
74
Licensed Clinical Social Worker
Palmer, Lisa LCSW
152
Licensed Professional Counselor
McClure-Hunley, Kesha LPC
153
Meriwether, Aaron LPC
153
Nurse Practitioner
Adams, Sharon APRN
Adelmann, Lori APRN
Allen, Valerie APRN
Bastin-Muse, Allison APRN
Braswell, Sandra APRN
Byers, Richard APRN
Cecil, Sarah ARNP
Kelley, Venda APRN
King, Kimberly APRN
Lang, Angela APRN
Perry, Mary APRN
Richardson, Autumn APRN
Stevens, Merrille ARNP
Thomas, Della APRN
Vito, Gloria APRN
214
214
214
214
215
215
215
216
216
216
217
217
218
218
218
Optometry
Brown-Murray, Tamela OD
Jacobs, Mark OD
Martin, Frederick OD
McKinley, Stephen OD
Nichols, Joshua OD
Richardson, Donald OD
77
77
77
77
77
78
73
73
73
73
74
74 Orthotics & Prosthetics
Hanger Pros and Orth East Inc 183
Extended Hours Index
Pulaski - cont.
Pediatrics
Gallo, Daniel MD
Gibson, Dana MD
Grubbs, Deanna MD
Patterson, Cherice MD
Psychiatry
Umar, Syed MD
Hospice
155 Hosparus Inc
186
21
Hospital
21 Simpson
Taylor County Hospital
138
21 Behavioral Health Counseling
21 Williams, Ebonie LPC
156 Nuclear Medicine
Harris, Carolyn DO
90
Physician Assistant
Chiropractic
Pell, Susan PA
220 Heinze, Dane DC
85 Nurse Practitioner
Blakeman, Jamie APRN
225
Podiatry
Durable Medical Equipment
Wallace, Stephanie APRN
226
Miller, Christopher DPM
80 Houchens Express Pharmacy LLC
DBA Sheldo
185 Optometry
Psychiatry
Haley, Arthur OD
92
Bokhari, Robina MD
154 General Dentistry
Segree, Joseph OD
92
Umar, Syed MD
154 Knecht, Tim DMD
85
Physician Assistant
Pulmonary Disease
Home Health Care
Pack, Nan PA
227
Ahmed, Mateen MD
80 Lifeline Home Health of Bowling
Green LL
185 Psychology
Russell
Conway, Abrielle PsyD
157
Licensed
Professional
Counselor
Chiropractic
Van Cleave, Vicki PsyD
157
156
Cooper, Bethany DC
82 Williams, Ebonie LPC
Rehabilitation Facility
Optometry
Critical Access Hospital
The Kid Spot Center LLC
186
85
Russell County Hospital
136 Compton, Steven OD
Warren
Orthopaedic Surgery
Durable Medical Equipment
86 Allergy & Immunology
Jamestown Valu Rite Pharmacy Inc Fee, Kirk MD
Baldwin, Jonathon MD
96
184 Podiatry
Mercer, Patricia MD
96
Benge, Jennifer DPM
87
Family Practice
Sternberg, Thomas MD
96
Grentz, Liesel MD
22 Taylor
Behavioral Health Facility
Wilson, Jared MD
22
Chiropractic
Rivendell Behavioral Health Servs
General Dentistry
Gresham, Janna DC
89
158
Bates, Gwenna DMD
82 Roberts, Raymond DC
89
Chiropractic
Hamm, Corey DMD
82
Baity, Leon DC
98
Hamm, Jessica DMD
82 Dialysis
Taylor
County
Dialysis
Center
186
Brumlow,
Amy
DC
98
Lose, Kenneth DMD
82
Crnkic, Sanda DC
98
Maynard, Harold DMD
83 Epsdt Special Services
Hawley,
Bryan
DC
98
Millay, Robert DMD
83 The Kid Spot Center LLC
186
Stewart, Kyle DMD
83
Diagnostic Imaging
Family Practice
Western Kentucky Diagnostic
Home Health Care
Feltner, William MD
24
Imaging
187
Lifeline Home Health Care of
Harris, Carolyn DO
24
Somerset LL
184
Dialysis
Home Health Care
Bowling Green Dialysis Center Inc
Nurse Practitioner
Lifeline Home Health Care of
187
Gaskins, Julie APRN
222 Somerset LL
186
O'Dell, Bentley APRN
223
kentucky.wellcare.com | 276
Extended Hours Index
Warren - cont.
Durable Medical Equipment
Houchens Express Pharmacy LLC
DBA Sheldo
187
Medicine Arts Pharmacy
187
Family Practice
Gray, Jennifer MD
Phelps, Audrey APRN
Tapp, John MD
Tyler, Jennifer APRN
26
228
26
228
General Dentistry
Burt, Andrew DMD
Kissinger, Phillip DMD
Pitcock, Christopher DMD
101
102
102
Nurse Practitioner
Agee, Karen APRN
Bennett, Mary APRN
Cary, Jennifer APRN
Cope, Emily APRN
Gokey, Lena APRN
Goodrich, Demara APRN
Guess, Dawn APRN
Hogue, Allison APRN
Kepley, Megan APRN
Newman, Sherri APRN
Parsley, Heather APRN
Waddell, Judith APRN
Warise, Lita APRN
Wise, Jacqueline APRN
Home Health Care
Ophthalmology
Lifeline Home Health of Bowling
Wentworth, Jennifer MD
Green LL
188
Optician
Hospice
McCandless, Donneta Ldo
Hosparus Inc
188
Hospice of Southern Kentucky Inc Optometry
188 Adkins, Tiffany OD
Ahmad, Bilal OD
Hospital
Avery, Ozzie OD
Commonwealth Regional Specialty Beauchamp, Johnathan OD
Hospital
139 Bowling, Aja OD
The Medical Center
139 Breiwa, John OD
Tristar Greenview Regional Hospital Brumit, Michael OD
139 Buckner, James OD
Burt, Kevin OD
Internal Medicine
Gover, John MD
27 Busey, Lannie OD
Case, Michael OD
Licensed Clinical Social Worker
Chatham, Kaley OD
Boamah, Daniel LCSW
159 Coats, Adam OD
Katesglass, Carolyn LCSW
159 Coleman, Justin OD
McMichael, Lucille LCSW
159 Cora, Eduardo OD
Crockett, Jason OD
Licensed Professional Counselor
Champion, Debbie LPC
161 Daniel, Joshua OD
Duvall, Robert OD
Nephrology
Edling, Marie OD
Isaac, Julie MD
105 Eger, Michael OD
Sims, Scott MD
105 Ficarra, Anthony OD
Fleshman, Todd OD
Neurosurgery
Dixit, Sanat MD
106 Gainous, Brian OD
Gersh, Richard OD
Glenn, Jason OD
kentucky.wellcare.com | 277
228
229
230
230
231
231
231
231
232
234
234
236
236
236
108
109
109
109
109
109
109
109
109
109
109
109
110
110
110
110
110
110
110
110
110
110
110
110
110
110
110
Green, Rebecca OD
Henderson, Richard OD
Jackson, Kevin OD
Jeskie, John OD
Johnson, Douglas OD
Jones, John OD
Klutts, Fred OD
Lawrence, Stephen OD
Love, Marcus OD
Love, Tammy OD
Luckett, James OD
Lynn, Mark OD
Meyer, Victor OD
Montalvo, Noemi OD
Nagatoshi, Raymond OD
Nolan-Rose, Laura OD
Oliver, Heather OD
Omar, Rashid OD
Partain, Jeffrey OD
Price, Martin OD
Pulliam, Mark OD
Raley, James OD
Robertson, Paul OD
Rogers, Brian OD
Rubesh, Grant OD
Salee, Sarah OD
Smith, Stephen OD
Snead, Kevin OD
Spear, Steven OD
Stanis, Carl OD
Tabassi, Bita OD
Tade, Darrell OD
Taylor, Terri OD
Tucker, Joseph OD
Warden, Trina OD
Ware, Lowell OD
Wilkins, Justin OD
Wolf, Nicholas OD
111
111
111
111
111
111
111
111
111
111
111
111
112
112
112
112
112
112
112
112
112
112
112
112
113
113
113
113
113
113
113
113
113
113
113
113
114
114
Orthopaedic Surgery
Hansbrough, Eugene MD
115
Pediatrics
Blackerby, Jeffries MD
Faulkner-Simmons, Patricia MD
Fraser, Zahid MD
Harrell, William MD
Lowry, Mark MD
29
29
29
29
29
Extended Hours Index
Warren - cont.
Pediatrics - cont.
Smith, John MD
Sowell, Debra MD
Sternberg, Elizabeth DO
Voakes, John MD
Witcher, Lori MD
30
30
120
30
30
Pedodontics
Ashley, Amanda DMD
120
Physical Therapy
Paszkiewicz, John PT
238
Primary Care Center
Gray, Jennifer MD
Harrell, William MD
Phelps, Audrey APRN
Tyler, Jennifer APRN
Witcher, Lori MD
30
30
240
240
30
Wayne
Chiropractic
Smith, Jeffery DC
Family Practice
Southard, Stephanie DO
126
31
Home Health Care
Lifeline Home Health Care of
Somerset LL
189
Optometry
Brown, Jennifer OD
Hesse, Matthew OD
McGiffin, Ryan OD
126
126
127
kentucky.wellcare.com | 278
Provider Index
A
Aaron, Phillip MD
1
Abdul-Waheed, Mohammad MD
36, 39, 96
Abell, Thomas MD
91
Abney, Larry OD
56, 59
Adair County Health Center
166
Adair County Primary Center 166
Adair Drug
243
Adams, John MD
23
Adams, Sharon APRN
214
Adelmann, Lori APRN
214
Adkins, Brooke PA
239
Adkins, Robert DDS
85, 100
Adkins, Tiffany OD
109
Agee, Karen APRN
228
Ahmad, Bilal OD
109
Ahmed, Mateen MD
80
Akbar, Muhammad MD
96
Akridge, Matt DMD
92
Alderdice, Ben DMD
78
Alderdice, Bennie DMD
78
Alexander, Betty APRN
192, 224, 228
Alford, Stephanie APRN
228
Alfords Pharmacy
250
Ali, Reza MD
105
Allen, Dawn DMD
53
Allen, Mark DMD
45, 114
Allen, Valerie APRN
214
Alm, Ashley PT
197, 199, 237
Amedisys Home Health Care
166, 169, 173, 176, 183, 186, 188
Amerimed Inc
186
Anderson, Jack DO
18
Anderson, Mary APRN
194
Andrews, Billy OD
59
Angel, James MD
95
Angeles, Victor MD
57
Arekapudi, Aruna MD
75, 83
Arora, Rajiv MD
70, 88, 125
Arshad, Abrar MD
100
Arthur, Dustin PT
219
Ashley, Amanda DMD
120
Associates In Physician Services
188
Atalla, Fouad MD
121
Atkinson, Shannon APRN 228, 229
Atwood, Tamra APRN
190, 222
Auburn Community Health Clinic
178
Austin, Richard PA
219
Avery, Dwight OD
109
Avery, Ozzie OD
109
Avula, Pravin MD
26, 27, 123
B
B F Taylor Medical Arts Clinic 174
Babcock, Glenda APRN
229
Baeker, Thomas MD
75
Bagby, Glenda APRN
205
Baity, Leon DC
98
Baker, Brent MD
28
Baker, Brian MD
72, 74
Baker, Jennifer APRN
214
Baker, Kathy APRN
236, 239
Baker, Melissa APRN
194
Baker, Vaunette CP
154
Baldwin, Jonathon MD
96
Bale, Phillip MD
3, 26
Ballou, Sheldon DMD
41, 100
Barbee, Jeffrey DMD
120
Barczak, Brian MD
162
Barker, Tracey APRN
208
Barko, Valeriya APRN
229
Barnett, Susan LCSW
159
Barren Co Health Center
169
Barrineau, Rhonda APRN
208
Barrow, Darla OD
61
Bartley, Darrell DMD
73
Bastin-Muse, Allison APRN
214
Bates, Gwenna DMD
64, 73, 82
Bean, Jerry MD
18
Beard, Amy APRN
225
Beard, Craig MD
37, 46, 50, 61, 115
Beauchamp, Johnathan OD
109
Beeler, Michele DMD
52
Belcher, Jonathan DC
71
Bell, Monica APRN
214, 225, 241
Bell, Nellie CNM
194
Benac, Christopher DPM
52, 80
Benge, Jennifer DPM
62, 87, 121
Bennett, Donald MD
43
Bennett, Mary APRN
229
Bennett, Nathan PA
220
kentucky.wellcare.com | 279
Benson, Charles DMD
101
Benson, Mary DMD
101
Benson, Sharon ARNP
222
Bentley, David MD
89
Bergamini, David MD
87, 123, 124
Bernard, Clark MD
106
Bertram, Robert DO
22
Bertuleit, Nancy LPC
161
Beshear-Tarter, Amber APRN
214
Bess, Melinda APRN
215
Bettersworth, Jenny LMFT
160
Bharadia, Mohamed OD
109
Bhatti, Khalid MD
105
Bibb, Karen MD
42, 47, 104, 119
Bigler, Mark MD
69, 124
Bills, Pamela APRN
205
Binder, Gregory DMD
73
Birge, Steven OD
68
Birkenhauer, Meghan DMD 50, 101
Birkenhauer, Thomas DMD 50, 101
Bishop, Angela APRN
229
Bitterling, Jeffery MD
28
Black, Michelle APRN
229
Blackburn, Michael PA
220
Blackerby, Jeffries MD
29
Blakeman, Jamie APRN
205, 225
Blandford, Jill DO
90
Blankenship, Maire APRN
229
Bledsoe, Monica LPC
161
Bloom, Steven MD
43
Bluegrass Oxygen Inc
179, 182
BMA Somerset
182
Boamah, Daniel LCSW
159
Bobrowski, Garth DMD
57
Bokhari, Robina MD
154
Boley, Veronica APRN
215
Boone, Christie PA
197
Borrowdale-Cox, Peter MD 31, 32
Bowling Green Dialysis Center Inc
187
Bowling Green Orthotics
Prosthetics
187
Bowling, Aja OD
109
Bowman, Kimberly APRN
190, 194, 225
Bozeman, Sarah DO
70, 88, 125
Bramble, Todd DC
72
Provider Index
B - cont.
Branscum, Rebekah DMD
73
Branstetter Pharmacy
252
Branstetter, Mary APRN
194
Braswell, Sandra APRN
215
Brausch, Amy PHD
163
Bray, Rhonda OD
85
Breeding, Robert OD
126
Breeding, William DMD
126
Breiwa, John OD
36, 109
Brendel, Jacquelyn APRN
190, 215, 225, 241
Bricker, Sarah OD
59
Briggs, Jennifer APRN
206
Bright, Amanda PA
191, 227
Britt, Kimberly APRN
229
Brock, Kathy APRN
190, 222
Brockman, Edward MD
43, 58, 91, 108
Brooks, Andrea MD
106
Brooks, Bobby MD
24
Brooks, Hazel MD
5, 6, 13
Brooks, Karen PT
199
Brooks, Whitney PT
197
Broughton, Andrea APRN
229
Brown, Crystal APRN
201
Brown, Donald DO
124
Brown, Donald MD
74
Brown, Janella DMD
33
Brown, Jennifer OD
53, 126
Brown, Joseph MD
31
Brown, Leann APRN
201
Brown, Linda PT
242
Brown, Martin MD
105
Brown, Samuel PT
242
Brown, Tammy MD
10
Brown, Tricia ARNP
194, 225, 229
Browning, Amanda APRN
194
Brown-Murray, Tamela OD
77
Broyle, Angie LPC
153
Brumfield, Jeffrey MD
96
Brumit, Michael OD
109
Brumlow, Amy DC
98
Brummett, Daniel DMD
53, 126
Brummett, David DMD
73
Brummett, Denny DMD 53, 73, 126
Bruner, John MD
20
Bryant, Beth MD
97
Bryant, Jill APRN
214, 215
Bryant, Natalie APRN
229
Buchanan, David DMD
101
Buchanan, John DMD
101
Buchanan, Mark MD
115
Buckner, James OD
56, 109
Bullock, Smitha MD 46, 47, 92, 93
Bunch, Cecelia LPC
146
Burch, John MD 37, 46, 51, 62, 86, 115
Burgess Drug Store 2
254
Burgess, Jerald MD
16
Burkesville Medical Supply Inc 174
Burress, Shanna DMD
101
Burress, Susan MD
90
Burroughs, Cynthia DMD
68
Burt, Andrew DMD
50, 101
Burt, Kevin OD
109
Burton, Jacob OD
34
Burton, Lisa APRN
229
Burton, Martha MD
22
Busey, Lannie OD
109
Bush, George MD
36, 41, 103
Butler County Health Center
171
Butler County High School
171
Button, Emiley APRN
206
Byers, Richard APRN
215
Byrd, Robert MD
121
Byrne, Michael MD
124
C
Cameron, Robert MD
71
Campbell, Alison MD
5, 6
Campbell, Jason MD
3
Campbell, Leslie DMD
50, 101
Campbell, Sharon APRN
225
Campbell, Trisha APRN
208
Carnes, Reva LCSW
152
Carpenter Dent Drugs
244
Carpenter Dent Drugs Inc
168
Carpenter, Shanae LPC
153
Carr, Karen LPC
161
Carter, Anthony MD
18, 68
Carter, Daniel DMD
101
Carter, Darby APRN
224
Carter, W MD
123
Carter, William MD
18
Cary, Jennifer APRN
229, 230
kentucky.wellcare.com | 280
Casada, Rodney DC
72
Case, Michael OD
110
Casey County Family Practice 172
Casey County Health Center
172
Casey County Hospital
131
Casey County Primary Care
172
Cash, Thuresa APRN
210
Castelli, Christopher MD
29
Catalyst Managment Inc
152
Catlett, Sheila APRN
230
Catron, Kendra DC
126
Catron, Shirley MD
10
Cavanah, Diana MD
39, 67, 96
Cave City Prescription Center Inc
169, 245
Caverna Memorial Hospital 134, 177
Cds #10 Pharmacy LLC
187
Cds 10 Pharmacy 1
262
Cecil, Sarah ARNP
215
Central Ky Apothecary DBA Dyer
Drug Co
173
Century Medicines
261
Century Medicines 2
243
Certacare Inc
166, 243
Chalhoub, Anis MD
39, 67, 71
Challappa, Krishnan MD
89
Champagne, Shelly LCSW
158
Champion, Debbie LPC
149, 161
Chani, Arvinder MD
163
Chani, Swaranjit MD
14
Chapman, Vicki APRN
201
Chase, Jeanne APRN
201
Chase, Jeanne CNP
210
Chatham, Kaley OD
110
Chaudhari, Ronak MD
99
Cheema, Farooq MD
121
Cheng, Melissa APRN
210, 215
Cherry, Allison MD
20
Cherry, Donald MD
20
Chhabra, Sandeep MD
50, 60, 97
Chhabra, Shalini MD 7, 27, 50, 103
Child and Family Service
Coordination LL
158
Chou, Wesley MD
68, 105
Christian Care At Home
178
Clanton Reeves, Cathy PHD
163
Clark Drugs
252
Provider Index
C - cont.
Clark Drugs Inc
177
Clark, Amie DC
98
Clark, Charles PT
237
Clark, Dale DMD
60
Clark, Daphne APRN
210
Clark, Janice LPC
153
Clark, Jeffrey DDS
45, 61, 86, 114
Clark, Jonathan MD
8
Clinic Pharmacy
262
Clinton County Health Dept
173
Clinton County Hospital
132
Clouse, Richard MD
3
Coats, Adam OD
56, 110
Cobb, Anaclare APRN
194, 215
Coffey, Carl APRN
210
Coffey, Henry DMD
73
Cofoid, Paul MD
99, 100
Cohron, Jerry DMD
114
Cohron, Wallace OD
50
Cole, Matthew MD
76, 91
Cole, Stanton MD
20
Coleman, Justin OD
110
Collins, John PT
199
Collins, Katharine LPC
143, 161
Collinsmccullum, Anita APRN 215
Columbia Medical Equipment Inc
Clinton C
173
Columbia Medical Equipment Inc
Columbia
166, 173, 182, 184, 186
Columbia Medical Equipment Inc
Russell C
184
Columbia Medical Equipment
Inctaylor Co
173
Combs Royse, Elizabeth DO
3
Combs, Kyle APRN
194, 225, 230
Commission For Children With
Special
214, 228
Commonwealth Foot and Ankle
Care LLC DME
185
Commonwealth Regional Specialty
Hospital
139
Community Living In Kentucky 187
Community Medical Services Inc
166
Compton, Steven OD
85
Conway, Abrielle PsyD
157
Cook, Dana LCSW
159
Cook, Samir MD
72, 126
Cooks Orthopedics Inc
188
Cool, Haley PT
192, 199, 208, 237
Cooley, Alisha APRN
215, 241
Coomer, Darcy OD
44
Coomer, Jason DMD
41, 101
Cooper, Bethany DC
82
Cooper, Patricia APRN
216
Cooper, Victor DC
33, 82
Cooper, Vivian LPC
161
Cooper-Henson, Jaclyn DC 33, 82
Cope, Emily APRN
230
Cora, Eduardo OD
110
Cornelius, Joy APRN
230
Cowan-West, Gwendolyn LCSW
152
Coyle, Damon MD
70, 88, 125
Cpap Innovations
187
Crabtree, Gregory DMD
68
Craddock, John MD
43
Crase, Charles MD
8
Craycroft, James DMD
102
Crews, James MD
3
Crnkic, Sanda DC
85, 98
Crockett, Jason OD
91, 110
Cross, Tracy MD
53
Crosslin, Kevin MD
20
Crowe, Stephanie PA 200, 224, 239
Crytzer, Jessica APRN
241
Cumberland Co Health Center 174
Cumberland County Hospital DBA
B F Taylo
174
Cumberland County Pharmacy 249
Cumberland Family Clinic PLLC 16
Cumberland Family Medical
11
Cumberland Foot And Ankle
Center
182
Cumberland Medical Laboratories
Inc
183
Cummings, Erica APRN
230
Cummings, Michael MD
10
Cundiff, Kerry DC
52
Cundiff, Misty APRN
210, 216
Cunningham, Robert MD
20
Curtiss, James MD
100
CVS
243, 247, 257, 260, 261, 262
kentucky.wellcare.com | 281
D
Dalton, Randall MD
72, 75
Dangaria, Harsh MD
79
Danhausen, Kathleen CNM
228
Daniel, Joshua OD
110
Daniel, William MD
85
Daugherty Meadows, Staci LPC 153
Daugherty-Meadows, Staci LPC 153
Daughertys Drug Store Inc
254
Daughertys Drugstore Inc
179
Dausman, Heather CSW
158
Dausman, Heather LCSW
159
Davis, Gina DMD
102
Davis, Shelly APRN
195
Davis, Wade DC
72
Day, Melissa PA
201
De Los Reyes, Eduardo MD 37, 116
Debord, Sarah APRN
241
Demunbrun, Steven MD
80
Dene, Mary MD
1
Denney, Carol APRN
202
Dennison, Melissa MD
6, 13
Devore, Paula APRN 192, 224, 230
Diabetic DME Supplies LLC
186
Dickerson, Steven MD
116
Dickson, Connie APRN
230
Dilday, Susan APRN
230
Dils, Grover MD
2, 18, 27
Dirig, Kelly MD
43
Dixit, Sanat MD
106
Dixon, Jason APRN
216, 241
Dixon, Jerome DO
24
Dixon, Jonathan MD
19
Dixson, Susan DC
53
DO, An MD
80
Dobson, Carl MD
107
Dodson, James MD
15
Doerr, Molly OD
91
Donelly, Carly PA
239
Donovan, James MD
33, 82
Doolin, Christopher APRN
195
Dorroh, Audra DMD
85, 102
Dotson, Wenona APRN
225
Douglas, Byron LPC
143
Douglas, Sharon LMFT
143, 160
Downey, Max OD
34
Downing, John MD
68, 108
Provider Index
D - cont.
Drexel, Todd DO
43, 107
Drury, John MD
17
Ducoff, Lisa APRN
195
Dudley, Dorothy APRN
225
Duncan, Robin ARNP
241
Duncan, Ruby APRN
210
Dunn, Paul MD
17
Durham, Terry OD
44
Durkalski, Michele LMFT
143
Duvall, Robert OD
110
Dyer Drug
248
Dyer, Brandi MD
70, 88, 125
Dykhuizen, Matthew MD
76, 91
E
Eadens, Debra MD
20
East, Kimberly APRN
216
Eastridge-Phelps Pharmacy
261
Eastridge-Phelps Pharmacy
Greensburg
251
Edling, Marie OD
110
Edmonson County Health Center
175
Edmonson Drugs
250
Edmonton Primary Care
180
Edrington, Christina LPC
141
Eger, Michael OD
110
Egnew, Alex LPC
153
Ehret, Anna MD
105
El-Atfy, Asser MD
94
Elder, Ronald MD
15
El-Kalliny, Magdy MD
76
Elliott, Erin DMD
48, 121
Elliott, Randall DMD
48, 121
Ellis, Adam MD
60
Ellison, Bill LCSW
152
Elmlinger, Brian MD
46
Elmore, Luann APRN
201
El-Naggar, Amr MD
76
Ely Drug of Bowling Green
262
Ely Drugs
170
Ely Drugs 2
245
Ely Drugs of Bowling Green 187, 188
Emanuele, Tullio MD
56, 60, 98
Embry, Donna APRN
199, 230
Embry, Keishia PT
237
Emerson Johnson, Tammie APRN
210
England, Russell APRN 190, 212, 222
England-Wright, Lori MD
26, 30
Enguland, Graham MD
33
Enlow, Anthony MD
8
Erby, Carla ARNP
216, 222
Escobar, David PT
219
Ewing, James MD
33, 89
Ewing, Vanessa OD
44
Foster, Michael MD
119
Franklin, Vivian APRN
195
Fraser, Asad MD
123
Fraser, Claire MD
76, 91
Fraser, Zahid MD
29
Freds Pharmacy 1664
248
Freds Pharmacy 1964
245
Freds Pharmacy 1966
252
Freds Pharmacy 2019
251
Freds Pharmacy 3726 3726
246
Freds Pharmacy 3960 3960
260
F
Freeman, Sarah LPC
161
F and H Drugs
264
Froedge, Mark DMD
66
Fallahzadeh, Hossein MD
74
Frogge, Kellee MD
24
Falls, Candice APRN
230
Family First Health Care, PLLC 166 G
Family Medical Center
166 Gaba, Deepak MD
97
Family Medical Center of Hart Co
Gabbert, Deborah SLP
227
177 Gainous, Brian OD
110
Familyworks Therapy and
Gallo, Daniel MD
20, 21
Consultation Ser
158 Gamaliel Drug LLC
256
Fane, Robert CP
163 Gamm, Catherine LPC
161
Farber, Darren DO
98 Gammon, David MD
20
Farrage, James MD
121 Garrett, Caroline MD
29
Faulkner-Simmons, Patricia MD 29 Gaskill, Julie DDS
114
Fee, Barbara APRN
216 Gaskin, Whitney OD
110
Fee, Kirk MD
37, 51, 62, 86, 115 Gaskins, Brian ARNP
190, 222
Feese, Catherine MD
34, 90 Gaskins, Julie APRN
190, 222
Feger, Timothy MD
70, 88, 125 Gass, Joseph MD
107
Feltner, William MD
24 Gateway Counseling Service LLC
Feresenius Medical Care Glasgow
158
169 Gautam, Sandeep MD
96
Ficarra, Anthony OD
110 German, David MD
5, 6
Finley, Cynthia APRN
195 Gersh, Richard OD
110
First Choice Home Medical
187 Getwell Drug Dollar 6028
256
First Step Prosthetics LLC
187 Gibson, Corena APRN
210
Fisher, Eric MD
3 Gibson, Dana MD
21
Fissikoudi, Aspasia MD
104 Gibson, Georgeanna LPC
161
Fitts, John MD
97 Gibson, Miles MD
22
Fitzgerald, Ginger APRN
216 Gibson, Ray MD
42, 55, 58
Fitzgerald, Michael ARNP
216 Giles, Charles MD
1
Flannagan, Joseph DC
55 Gilpatrick, Latasha APRN 216, 222
Flannery, Anthony MD
3 Gilson, Ian MD
3, 4
Fleshman, Todd OD
110 Gipson, Angela APRN
231
Flowers Rural Health Clinic
174 Glasgow Kidney Center
169
Floyd Tyner, Cassie DO
16 Glasgow Orthotics and Prosthetics
Folk, Chad DC
98
169
Forster, Karl DDS
58
kentucky.wellcare.com | 282
Provider Index
G - cont.
Glasgow Prescription Center
169, 245
Glenn, Jason OD
110
Glover, Michael MD
9
Gokey, Lena APRN
231
Golden, Jeffrey MD
19
Gonzalez, Nestor MD
92
Good, Gina APRN
216
Good, Terry MD
72
Goodin, Donald MD
42
Goodman, Grant LMFT
149
Goodrich, Demara APRN
231
Goulbourne, Shaun PT
206
Gover, John MD
27
Gower Drug Store
178, 253
Granese, Jacqueline MD
99
Grau, Joseph MD
163
Graves, David DMD
92
Gravil, Deborah APRN
208, 231
Gray, Adrian APRN
210
Gray, Jennifer MD
26, 30
Gray, Margo APRN
206
Grayson, Rebecca PT
237
Green County Health Center
176
Green County Primary Care
176
Green River Pharmacy
247
Green, Lindsey LPC
162
Green, Rebecca OD
111
Greensburg Healthcare
13
Greer, Brandon DMD 45, 61, 86, 114
Greer, Lois LPC
141
Greer, Rebecca DMD
68
Gregory, Ryan PT
237
Grentz, Liesel DO
22
Grentz, Liesel MD
22
Gresham, Janna DC
89
Grewal, Harinder MD
24
Grey Counseling
141
Grieve, Frederick PHD
163
Griggs, Leah MD
100
Grimball, Edward MD
20
Grinde, Stephen MD
108
Grippe, Robert Brian DMD 73, 82
Groves, Tasha APRN
195
Grubbs, Deanna MD
21
Guess, Dawn APRN
231
Guin, Jason MD
Gullett, Amanda LPC
70, 88, 125 Hawk, Carrie APRN
211
153 Hawley, Bryan DC
98
Hay, Donald MD
53
H
Hayford, Glenna LCSW
152
Haase, Tage MD
103
Health First Pharmacy
251
Haddad, Housam MD
8
Heartland Family Pharmacy
253
Haddad, Imad MD
8
Heck, Erin LMFT
143
Hagan, Crystal DMD
68
Heffron, Jamison OD
44
Haider, Mohammad DO
108
Heinze, Dane DC
85
Hale, Carla PA
197
Helm, Christie LCSW
143, 159
Haley, Arthur OD
92
Helm, Michael PA
220
Hall, Donna LMFT
160
Helton, Harold MD
76
Hamlin, Dustin APRN
211
Heltsley, Russell OD
111
Hamm, Corey DMD
64, 73, 82
Hemmer, Ann-Marie MD
14
Hamm, Jessica DMD
64, 73, 82
Henderson, Richard OD
111
Hammad, Ghayth MD
7
Hendrix, Wayne MD
27
Hancock, Elizabeth PT
Henry, Mark MD
76
192, 199, 208, 237
Henson, Amy OD
77
Hancock, Melissa MD
24
Herald, Kyle PA
239
Hanes, Christopher DMD
102
Hesse, Matthew OD
53, 126
Hanger Pros and Orth East Inc
Hesson, David MD
24
183, 188
Heuer, Richard MD
81
Hanna, Edwin LCSW
159
Hewitt, Keith MD
107
Hansbrough, Eugene MD
62, 115
Hicks, Jason APRN
241
Hansbrough, James MD
Higdon, Amanda OD
61
34, 35, 48, 69, 121
Higdon, Kristie SLP
240
Hanshaw, William LMFT
160
Highland Pharmacy
245
Hardin, Peter MD
94, 122
Hill, Tammy APRN
205, 222
Hardin, Philip DMD
126
Hines Pharmacy
262
Harlan, Aubrey OD
56
Hinton, Stephen MD
24
Harmon, Laura APRN
231
Hiser, Stacey APRN
195
Harp, Melissa APRN
206
Hishmeh, Fahed DMD
126
Harrell, William MD
29, 30
Hockman, Aimee LMFT
160
Harris, Carolyn DO
24, 57, 90
Hogan, Tony APRN
195
Harris, Joseph PT
199
Hogue, Allison APRN
231
Harris, Scott DO
36, 85
Holland, Brian MD
46, 47, 92, 94
Harris, Teresa APRN
231
Holland, Christopher DPM
121
Harrison Pharmacy
256
Holloway, Amy APRN
208, 231
Harston, William MD
36, 97
Holman, Kelly PT 192, 199, 208, 237
Hart County Health Center
177
Holmes, Anthony LPC
143
Hart County Respiratory Care Inc
Holt, John MD
58
177
Home Medical Equipment LLC DBA
Hart, Deanna APRN
213
Homecare
182
Hart, Jennifer APRN
222
Home Oxygen Medical Equipment
Hatchett Home Medical
187
Equipment
169
Hometown Medical Supplies
176
Hatmaker, Charles PA
220
Hometown Pharmacy
254
Hatton, Torie APRN
195
kentucky.wellcare.com | 283
Provider Index
H - cont.
Hoormann, Laura ARNP
231
Horn, Tara MD
20, 76
Horn, Todd MD
72, 82
Hortillosa, Llewelyn MD
157
Hosparus Inc
186, 188
Hospice of Lake Cumberland 183
Hospice of Southern Kentucky Inc
188
Houchens Express Pharmacy LLC
DBA Sheldo
185, 187
Houchens, Nancy APRN
231
House, Juanita APRN
216
House, Steven MD
4
Howard, Kathy APRN
232
Howell, Michael DMD
102
Hsieh, Anson MD
27
Hsieh, Stanley MD
26
Huckaby, Katie APRN
232
Hudson, Cynthia PT
199, 237
Huff, Marci LMFT
158, 160
Huffman, Hannah OD
77
Huffman, James MD
34, 76
Huffman, Mark MD
34, 76
Hume, Timothy MD
18
Humphries, Kimberly PA
219
Hunt, Lee CSW
145
Hurt, Amber MD
103
Hutton, Natalie MD
15
I
Igbokwe, Eme MD
106
Inman, Gregory DMD
92
Intrepid USA Healthcare Services
166, 173, 183
Intrust Healthcare
152
Iqbal, Ibraiz MD
71
Iqbal, Shazia MD
19
Irvin, Sandra APRN
190
Isaac, Julie MD
43, 105
Isbell, Melanie APRN
195
Isenberg, Stacy APRN
232
J
Jabbour, Nicola MD
Jackson, Britney APRN
Jackson, Joseph DC
Jackson, Kevin OD
75, 83
232
50
111
Jacobs, Mark OD
53, 64, 77
Jain, Manisha MD
27
Jain, Vivek MD
46
James Medical Equipment, LTD
166, 172, 186, 189
James Medical Pharmacy 166, 243
James, Naren MD
8
Jamestown Pharmacy
259
Jamestown Valu Rite Pharmacy Inc
184
Jane Todd Crawford Memorial
Hospital
133
Jane Todd Pharmacy LLC
251
Jasper, Kathryn APRN
211
Jayme, Annelee DMD
73
Jazarevic, Slobodan MD
74
Jeffries, Angela MD
119
Jenkins, Patrick MD
19
Jennings, John LCSW
144, 159
Jennings, Tammy APRN
194, 205
Jensen-Stanley, Pamela DPM 80, 84
Jepson, Terry APRN
232
Jeskie, John OD
36, 111
Jessen, Mark MD
103
Jessie, Angela APRN
204, 232
Jewell, Robbyn APRN
205
Jhamb, Indar MD
96
Jobson, Brenda DO
73
John, Maurice MD
44, 58, 91
Johnson, Angela APRN
195
Johnson, Ashley PT
192, 199, 209, 237, 238
Johnson, Barbara LCSW
152
Johnson, Douglas OD
111
Johnson, Julie LPC
149
Johnson, Paula APRN
232
Johnsrude, Christopher MD
46, 93, 118
Johnston, Matthew APRN
232
Johnston, Thomas MD
85
Jones, Jo Ann MD
99
Jones, John DC
40
Jones, John OD
111
Jones, Sherry MD
1
Jones, Stephanie MD
22
Joseph, Dennis MD
72
Joseph, Sunny Abraham MD 89, 90
kentucky.wellcare.com | 284
K
Kalakish, Samer MD
124
Kammerling, James MD
33, 82
Kapley, David MD
163
Karam, Nicolas MD
71
Karippot, Asha MD
42
Karman, Robert MD
94
Kasica, Deborah MD
107
Kassem, Bachar MD
75, 83
Katesglass, Carolyn LCSW
159
Kaul, Sanjay MD
12, 27
Kazimuddin, Mohammed MD
36, 38, 60, 62, 97, 122, 123
Keith, Collin DC
67
Keller, Bradley MD
47, 93, 118
Kelley, Venda APRN
216
Kelly, Kevin MD
27, 28, 29
Kelly, Louise PA
220
Keltner, Margena OD
84
Kendall, Kyle PT
238
Kennedy, Mary LCSW
159
Kennedy, Michael PT
238
Kenney, Charles MD
76
Kentucky Medical Supply Inc 180
Kenyon, Angela LPC
141
Kepley, Megan APRN
232
Kerr, Allison OD
34
Kerr, Paul DMD
60
Kesri, Sam MD
28
Khan, Amtullah MD
81
Khan, Muhammad MD
24
Khan, Umar MD
35, 123
Kilgallin, John MD
22
Kim, Edward MD
47, 93, 118
King Drug and Home Care Mt 246
King Drug and Home Care Rv 253
King Home Care Bowling Green
262
King Home Care Tompkinsville 256
King, Kimberly APRN
216
King, Seth PA 193, 197, 209, 224, 239
Kingery, Suzanne MD
119, 120
Kingrey, Victoria APRN
203
Kinney, Matthew MD
25
Kirkpatrick, Mark MD
13
Kiser, Amelia MD
4
Kissinger, Phillip DMD
85, 102
Provider Index
K - cont.
Kiteck, Clinton DO
1, 17
Klamer, Thomas MD
57
Klapheke, William MD
41
Kleinman, Mark MD
77, 91
Klutts, Fred OD
111
KMART
245, 257, 259, 262
Knecht, Tim DMD
85, 102
Kniery, Paul MD
29
Koller, Michael DMD
60
Korba, John MD
33, 68, 103
Kovar, Mary APRN
232, 233
Krein, Sarah OD
56, 92
Kries, Kelly MD
29
Kroger 254, 257, 259, 261, 262, 264
Kroll, Peter MD
116
Kuhn, Forrest MD
39
Kummerfeldt Fabian, Carlos MD 48
Lemmons, Brett PT
238
Lemon, Cindy APRN
233
Lessenberry, Barrett MD
46
Lewis, Mickey LMFT
156
Liberty Family Medical Center 172
Lifeline Home Health Care of
Russellvill
178
Lifeline Home Health Care of
Somerset LL
172, 173, 174, 176, 179, 183, 184, 186, 189
Lifeline Home Health of Bowling
Green LL
168, 177, 185, 188
Lifescan Imaging
182
Lifeskills Inc
142, 144, 147, 148, 149, 150, 151, 156, 158
Lifferth, Austin OD
44
Lincare Inc
169, 182, 187, 257
Lincare Inc NY
182
Linden, John PsyD
163
Lindsey, Leigh CNM
228
Link, Kimberly APRN
233
Lissanu, Zewdu MD
90
Lister, Dana DO
32
Liu, Gilbert MD
25
Liu, Nathaniel MD
57
Lobb, Sheila APRN
205, 222, 226
Logan County Health Center 178
Logsdon, Stacy APRN
233
Lombardi, Salvatore MD
104
Lose, Kenneth DMD
64, 74, 82
Lotz, Douglas MD
70, 79, 88, 94, 125, 127
Love, Marcus OD
111
Love, Tammy OD
111
Lovejoy Medical
182
Lowry, Mark MD
29
Loy, Eric MD
11
Loy-Flanagan, Melanie DMD
83
Loze, George PT
211
Luckett, James OD
111
Lukat, Roy AUD
214
Lupardus, Amy OT
236
Lynn, Mark OD
111
Lyons, Karen MD
107
L
Labcorp
167
Labron, Amy APRN
233
Ladson, James MD
116
Lake Cumberland Childrens
Advocacy Center
184
Lake Cumberland Pharmacy
259
Lake Cumberland Pharmacy 2 259
Lake Cumberland Regional Hospital
135
Lake Cumberland Surgery Center
182
Lakeshore Pharmacy
257
Landers, Lindsey APRN
192, 213
Lang, Angela APRN
216, 226
Lang, Michael DO
2
Lanier, Randall MD
122
Larusch, John LPC
153
Lash, Joseph MD
33, 82
Lawless, Kim AUD
225
Lawrence, Stephen OD
111
Lawson, Jerry MD
22
Lawson, Terry APRN
210
Lazarus, Howard MD 44, 58, 59, 91
Le, Ha MD
39
Leahy, Ryan MD 47, 93, 94, 118, 120
Lease, Vicky DC
50 M
Leavell, Alana APRN
201 Macy, Brian MD
Leeper, Norman MD
163 Maglinger, Paul MD
Mahmoud, Sanaa MD
70, 79
Mallory, Brad MD
4
Malmquist, Gregg MD
37, 51, 62, 86, 115
Mangold, Sara MD
107
Manion, Kenny MD
4
Marcum, Lisa APRN
217
Marek, Christopher MD
80
Marion, Michael MD
41
Marple, Vickie APRN
201
Marrero, Lori APRN
233
Marroquin, Gloria MD
87
Martin, Amanda APRN
217
Martin, Debbie APRN
190, 222
Martin, Frederick OD
53, 64, 77
Martinez, George CP
154
Martinez, Yanire MD
31
Mason, Derrick LMFT
160
Mastronardi, Diego MD
26
Mathis, Charles MD
15
Matta, Jyothi MD 47, 93, 94, 118, 120
Matthews, Clifford MD
76
Matthews, John OD
92
Maxfield, Courtney CNM
228
Maxim, Dawn APRN
226
Mayer, Richard DO
31
Mayfield, Sarah MD
29
Mayhew, Jarrod OD
44
Maynard, Harold DMD
64, 74, 83
Mayor-Lynn, Kathleen MD
104
McAlister, John PT 192, 199, 209, 238
McAlpin, Gordon DMD
68
McAlpin, Joshua DMD
74, 83
McCandless, Donneta Ldo 44, 109
McCauley, Stacy APRN
233
McClure-Hunley, Kesha LPC
153
McCreary County Health Center
179
McCreary Family Medical
16
McCreary Primary Care Center 179
McDonald, Denita APRN
217, 241
McElroy, Laura CNP
217, 226, 241
McFarland, Ronald MD
31
McGahan, Richard MD
95, 122
McGehee, Lindsay APRN
195, 199, 208, 233, 234
26, 123
McGiffin, Ryan OD
53, 127
37, 116
kentucky.wellcare.com | 285
Provider Index
M - cont.
McKenna, Kimberly APRN
226
McKenna, Kimberly ARNP
226
McKinley, Lindsay OD
54, 64, 77
McKinley, Stephen OD 54, 64, 77
McKinney, James MD
54
McMichael, L Lee LCSW
158, 162
McMichael, Lucille LCSW
159
McMinoway, Tiffany APRN 190, 222
McMurtrey, Kelly DC
66
McPeak Surgery Center LLC
169
McWherter, Ian OD
44
McWhorter- Hill, Erica APRN 203
McWhorter, Annette APRN
196
McWhorter-Hill, Erica APRN
241
Med Care Pharmacy LLC Glasgow
245
Medequip
168, 187, 188
Medical Arts Pharmacy
245
Medical Center At Scottsville 244
Medicine Arts Pharmacy 187, 262
Medicine Shoppe Long Term Care
257
Medicine Shoppe Pharmacy 0534
257
Medsource of Liberty
172
Meijer Pharmacy 272 272
262
Meiman, Shawn APRN
226
Melson, Mark MD
44, 108
Mercer, Patricia MD
39, 67, 96
Meriwether, Aaron LPC
153
Merrick, Brian APRN
217
Merriss, Autumn LCSW
143, 159
Metcalfe Co Health Center
180
Metcalfe County Primary Center
180
Metcalfe Drug
255
Meyer, Kimberly ARNP
222
Meyer, Victor OD
112
Meyers, Shanna APRN
241
Middleton, James MD
14
Middleton, Joe APRN
196, 206
Miles, Jillian PA
201
Miles, Richard MD
22
Miles, Robert DC
40
Millay, Robert DMD
64, 74, 83
Miller, Christopher DPM
80
Miller, J PT
197, 207
Miller, John DMD
66
Miller, Melenda MD
4
Miller, Michael APRN
217
Miller, Natalie MD
70, 88, 125
Miller, Rodney MD
37, 86, 117
Mirich, Rodney MD
8
Mitchell, Kelly LPC
153
Mls 1116 Inc DBA Mls Medical
166
Moffat, Kenneth MD
108
Molloy, Pamela MD
31
Monroe County Health Dept
181
Monroe County Medical Center
Pharmacy
256
Monroe County Medical Center
Reference Lab
181
Monroe Medical Equipment Co
LLC
181
Montalvo, Noemi OD
112
Montgomery-Turner, Erica DC 52
Monticello Medical Associates
Laboratory
189
Moore, Andrew MD
115
Moore, Jonathan DPM
80
Moore, Marina PT 193, 199, 209, 238
Moore, Paul MD
123
Moore, Rachel LPC
154
Moore, Rebecca CNP
202, 217
Morgan, Allyson PT
219
Morgan, Kelly APRN
203
Morgans Medicine, PLLC
249
Morris, Lonnie MD
99
Morrison, Dennie LPC
162
Morrison, Keith MD
36, 42, 60, 85, 104
Morsi, Nagy MD
100
Mortimer, Beverly APRN 196, 234
Mosby, Carol OT
199, 236
Moss, Sandra MD
6
Mouser, Tameron APRN
199, 234
Mudd, Louis MD
163
Mullai, N MD
75
Mullick, Mrinal MD
163
Murphy, Chastity ARNP
203
Myatt, Ashley PA
239
Myers, William DMD
41
Myrick, Lauren APRN
234
kentucky.wellcare.com | 286
Mysliwiec, Kevin OD
54, 64, 77
N
Nadim, Yasser MD
78
Nagatoshi, Raymond OD
112
Nair, Harikrishnan MD
39
Najmuddin, Asif MD
122
Nambiar, Sudheer MD
48
Napier, Danita APRN
217
Napier, David MD
26
Napier, Katherine APRN 208, 234
Naser, Mahmud MD
64
Nash, Melody APRN
208, 234
Nathoo, Narendra MD
106
Nations Medicines
257
Neal, Ashley MD
47, 93, 118
Neal, Lisa DMD
52
Nelson, Terry LCSW
152
Nemec, Jeffery MD
85, 107
Nesbitt, John MD
41
Neuhaus, Linsey MD
4
Neville, Les DMD
58
Neville, Steven DMD
58
Newcomb, John DMD
78
Newman, Sherri APRN
234
Nexus Lab Inc
166
Niazi, Muhammad MD
76, 83
Nichols, Joshua OD
77
Nidhiry, Emmanuel MD
75, 83
Noe, Christina LPC
154
Noffsinger, Phillip
158
Nolan-Rose, Laura OD
112
Norris, Ashley DO
5
North Century Pharmacy
243
Northgate Pharmacy
262
Nota, Maria MD
25
Nowell, Mark MD
68
Nuckols, Charles DMD
114
Nunn Drugs Inc
180, 255
Nunn, Peggy LCSW
143
Nunnally, Ian MD
56
O
Oakes, Rodney MD
19
Oakwood Pharmacy
257
O'Dell, Bentley APRN
190, 201, 205, 212, 223
Ogunyemi, Dele DO
37, 38, 117
Provider Index
O - cont.
Okeeffe, Shane MD
103, 124
Oldenkamp, Derek DC
40
Oliver, Heather OD
92, 112
Omar, Rashid OD
112
Omoruyi, Adetokunbo MD
119
Oteham, Larry DO
19
Otto, Hans MD
70, 88, 125
Overley, Eric OD
54, 64, 78
Overstreet, Jennifer APRN
201
P
Pack, Nan PA
227
Padilla, Rosalie MD
28
Page, John DMD
68
Pahuja, Sandhya MD
59
Palmer, Lisa LCSW
152
Pandeya, Virag MD
14
Pansuria, Neha MD
123
Pardue, Jacqueline APRN
192, 224, 234
Park Avenue Pharmacy
245
Parkland Drugs
245
Parmelee, Jeff PT
219
Parmet Inc DBA Metcalfe Drugs
180
Parmet Inc DBA Parkland Drugs 169
Parnell, Heather APRN
234
Parrigin, Ashley APRN
234
Parrott, Jennifer APRN
192, 234
Parsley, Heather APRN
206, 234, 235
Partain, Jeffrey OD
112
Partin, Elizabeth APRN
191
Partin, Gary MD
1, 13
Partin, John APRN
191, 203, 223
Partin, John ARNP
212
Partin, Karen APRN
196, 205
Partin, Sheryl APRN
217
Pasupuleti, Ramarao MD
117
Paszkiewicz, John PT
238
Patel, Piyush MD
154
Patel, Pradip MD
25
Patterson, Cherice MD
21
Patton, Christopher MD
37, 46, 51, 62, 86, 116
Patton, John MD
16
Peddicord, Carol MD
10
Pelham, Robert DC
40
Pell, Susan PA
220
Peplinski, Lee OD
44
Perdue, Tara APRN
224
Perkins, Katelyn PA
220
Perring, Sarah APRN
235
Perry, Amy APRN
211
Perry, Carrie PT
193, 199, 209, 238
Perry, Hoover MD
16
Perry, Mary APRN
217
Persad, Sam MD
23
Perumandla, Sirisha MD
75
Peterson, Gilman MD
49
Petrenko, Peter MD
31
Petrey, Joseph DMD
78
Pharmacy Arts
244
Pharmacy Express
245
Pharmay Express
169
Pharmerica 7059
245
Phelps, Audrey APRN
228, 240
Phoenix Preferred Care
152
Picard, Robert PA
220
Pierce, Brandy APRN
206
Pierce, Rebekah APRN
235
Pierson, Kyle PT
200, 238
Pillars, Kevin DC
58
Pinckley-Stewart, Pippa MD
29
Pinerola, Jase PT 193, 200, 209, 238
Ping, Debbie APRN
191
Piracha, Asim MD
44, 59, 91
Pitcock, Christopher DMD
102
Pitcock, Louie PT
197, 200, 238
Poe, David DC
60
Polk, Sheryl APRN
241
Pollard, Stephen MD
70, 79, 88, 92, 125, 127
Popplewell, Howard DMD
83
Popplewell, Jessica DMD
52
Porter, Aaron MD
44, 61, 68, 108
Poynter, Nicholas DC
67
Prather, Brandi DMD
79
Pratt, Gerald MD
31
Premier Integrity Solutions Inc 184
Premiertox 2.0
184
Prendergast, Neal MD
95
Prescott, Daniel MD
77, 91
Prescription Shop
250
kentucky.wellcare.com | 287
Prewitt, Chasity LPC
154
Pribble, Allan MD
97
Price, Ashley PA
201
Price, John MD
8
Price, Martin OD
112
Price, William OD
45, 112
Priddle, Brian MD
21
Prince, Charles MD
89
Professional Medical Supply
182
Professional Pharmacy Of
Somerset
257
Proffitt, Jennifer APRN
213
Prostko, Constance ARNP
212
Pruitt, Vera LMFT
160
Puckett Counseling Services
143
Pulaski County Health Center 182
Pulliam, Mark OD
112
Purkiss, Todd MD
77, 91
Pursley, Philip LPC
162
Purvis, Jeffrey MD
26
Q
Quality Care Medical Equipment
Scrubs
243
Quest Diagnostics
167
R
Raghuvanshi, Charu MD
163
Rains, Dewey CSW
152
Rainwater, Christy LPC
154
Rajput, Gaurav DO
80
Raley, James OD
112
Randall, Terry PT
219
Rankin, Bradley MD
70, 88, 125
Ratusny, John DC
98
Rauh, Donald MD
100
Redd, Rebecca LCSW
158
Redden, Robert MD
28
Reddy, A MD
46
Reddy, Adithya MD
80
Reddy, Karuna MD
23
Reddy, Sujata MD
43
Reddy, Venkata MD
40
Reed, Jeanie LPC
143, 162
Reed, Laura APRN
196
Regmi, Subash MD
105
Reichstein, David MD
108
Reid, Yolanda ARNP
235
Provider Index
R - cont.
Reilly, David MD
19
Remaly, Meredith APRN
235
Resp Aire Inc
178
Reynolds, Betsy MD
19
Reynolds, Roy MD
23
Rhinehart, Ashley APRN
226, 235
Rice, Lisa LMFT
160
Rice, Samuel MD
11
Richards, David MD
37, 51, 62, 86, 116
Richards, Nathan MD
70, 88, 125
Richardson, Autumn APRN
217
Richardson, Daniel PT
193, 200, 209, 239
Richardson, Donald OD
78
Richerson, Bethany PT
200, 239
Riley White Drugs
178, 188, 253
Riley, Terry DDS
53
Rinne, James MD
91
Risen, Mark DPM
48, 94
Ritchey, Dasen MD
74
Ritchey, Rebecca PA
220
RITE AID
244, 245, 246, 247, 251, 252, 254, 255,
257, 259, 260, 262, 264
Rivendell Behavioral Health Servs
158
Riverside Pharmacy
262
Roark, Mark APRN
211
Robert Fane Agency
158
Roberts Pharmacy LLC
248
Roberts, Keith OD
112
Roberts, Raymond DC
89
Roberts, Sherrell MD
31
Robertson, Paul OD
112
Robertson, Terani APRN
222
Robinson, Tori APRN
235
Robinson, William OD
78
Rogers, Adam DC
50, 98
Rogers, Brian OD
112
Rogers, Ronald DC
33
Rogers, Thomas MD
24
Romines, Robert MD
34, 89
Rone, Kellye APRN
235
Rooney, George OD
45, 112
Roper, Laura PA
197
Rose, Stephen MD
46 Schwender, Frank MD
Ross, Mark OD
36
55, 57, 60, 67, 96, 97
Ross, Willie OD
69 Schwenk, Klint MD
25
Rubeen, Shafia MD
2, 23 Science Hill Drug
257
Rubesh, Grant OD
113 Scott, Laura DMD
52, 55
Ruby, Jonathan MD
19 Seadler, Celeste OD
59
Rush, Heather APRN
235 Seeley, Martha MD
1
Russell County Health Center 184 Segree, Joseph OD
92
Russell County Hospital
136 Seither, Richard MD
122
Russell Springs Pharmacy
259 Seshadri, Vidya MD
104
Russell, Katosha N APRN
226 Settle, Deborah ARNP
192, 235
Rutledge, Amy APRN
196 Sewell, Elliott LPC
146
Rutledge, Dale MD
21 Sexton, Shawna DO
31
Rutledge, Harold MD
79 Shadowen, David MD
100
Rutter, Matthew MD
124 Shadowen, Rebecca MD
104
Shafer, Christopher MD
106
S
Shah, Amit MD
14
Sacia, Casey APRN
196
Shahmir, Mort MD
100
Safy of Kentucky Somer
152
Sharma, Anil MD
67
Sahetya, Gul MD
28, 56, 122
Sharma, Vivek MD
90
Sahetya, Kalidas MD
28, 56, 97
Sharp-Byrn, Rebelee LCSW
143
Salee, Sarah OD
113
Shearer Drug
248
Saleh, Jocelyn APRN
217
Sheikh, Hamza MD
100
Saleh, Khaled MD
71
Sheldons Express Pharmacy
260
Salifu, Zakare DO
39
Sheldons Express Pharmacy 1 263
Salisbury, Evelyn MD
14
Sheldons Express Pharmacy 2 263
Salmon, James MD
99
Sheldons Express Pharmacy 5 263
Salsbury, Kyle PT
227
Shelton, Alan DMD
58
Sams Pharmacy
263
Shelton, Gwendolyn LCSW
159
Sanders, Deidra APRN
Shelton, Tommy MD
74, 83
213, 218, 226, 242
Sheth, Nirav MD
103
Sanders, Lynda MD
42, 47
Shipp, Robert MD
1
Sandhu, Manmeet MD
28, 107
Shirley-Jones, Sherry MD
14
Sarlis, Demosthenes MD
80
Shively, Eugene MD
34, 90
Sawyer, James OD
127
Shively, Susan APRN
226
Schafer, Jeremy PT
204, 239
Shoptaw, James MD
81
Schleter, Harvey OD
78
Short, Dennis DC
53
Schmidt, William MD
33, 82
Shrum, Lindsay LCSW
152
Schmitt, Timothy MD
44, 59, 91
Shuemaker, Christopher DMD
Schneider, Eric MD
108
50, 102
Schnell, Jeffrey DPM
121
Siady, J MD
17
Schnell, Shannon DPM 65, 80, 121
Siady, Jesus MD
1, 22
Schosser, Robert MD
72
Siddiqui, Tariq MD
82
Schuldheisz, Sandra MD
80, 81
Silvers Hometown Pharmacy 264
Schumacher, Elizabeth PHD 143, 163
Silvers, Bob OD
34
Schuschke, Leslie MD
48, 120
Simmons, Leslie APRN
196, 235
Schwank, William MD
Simmons, Samantha LPC
202
36, 43, 50, 61, 85, 106
kentucky.wellcare.com | 288
Provider Index
S - cont.
Simpson County Health Center 185
Simpson, Agatha PA
220
Simpson, Charles OD
59
Simpson, Cynthia APRN
201
Sims, Hugh MD
99
Sims, Scott MD
43, 105
Sims, Stephanie APRN
235
Sinclair, Keith
19
Singal, Inder MD
44
Singer, Phillip MD
37, 46, 51, 62, 86, 116
Singh, Abhilasha MD
15
Singh, Kamal MD
15, 28
Singh, Kushal MD
15, 28
Singh, Tamina MD 42, 48, 104, 120
Slinker, Jason DC
57
Small, Karen MD
4
Smith, Abbie APRN
235
Smith, Anthony LCSW
159
Smith, Anthony LPC
162
Smith, David MD
122
Smith, Henry DMD
83
Smith, J MD
30
Smith, Janet MD
33
Smith, Jason DMD
58
Smith, Jeffery DC
126
Smith, John MD
30
Smith, Kimberly OD
52
Smith, Michael OD
52
Smith, Stephen OD
113
Smith, Steven MD
42, 104
Smith-Puckett, Peggy LMFT
143
Smiths Grove RX Shop
263
Snead, Kevin OD
113
Snowdy, Paul PA
221
Sobczyk, Walter MD 47, 93, 118, 119
Solomon, Marcus MD
108
Somerset Mental Health
152
Somerset Pharmacy
257
Soriano, Alejandro MD
105
Souleyrette, Dale OD
113
South Creek Drug
264
South, Christy MD
43, 107
Southard, Stephanie DO
31
Southern Kentucky Rehab Hospital
188
Southern Medical Laboratories 170
Sowell, Debra MD
30
Sowell, Michael MD
106
Sparkman, Timothy OD 54, 64, 78
Sparks, Joshua MD
47, 48, 93, 94, 119, 120
Spear, Steven OD
113
Spears, Patricia APRN
196
Spoonamore, Barry MD
52
Sprague, Douglas MD
105, 120
Springer, Michael MD
40
Springhill Pharmacy
263
Stafford, William MD
8
Stanis, Carl OD
113
Stanley, Anna OD
61
Stanley, Margaret CNM
194
Stanley, Michael PA
198
Staples Washer, Stacia APRN 208
Starnes, Nicholas DC
40
Staten, Tequila APRN
196, 236
Stavens, Chris MD
39, 40, 67, 71
Stavens, Gerasimos MD 39, 67, 71
Steffen, Laura OD
52
Stephen, Thomas MD
119
Stephens, Cassandra MD
24
Stephens, Heather OD
69
Stephenson, John DMD
55
Stephenson, Julius DMD
55
Stepp, Elizabeth LMFT
160
Sternberg, Elizabeth DO
120
Sternberg, Thomas MD
39, 96
Stevens, Merrille ARNP
218
Stewart, Kyle DMD
64, 74, 83
Stice, Nathan MD
108
Stidham, Cova APRN
236
Stiff, Jennifer MD
25
Stinson, Angela APRN
218, 242
Stinson, Jessica APRN
197
Stivers, Benjamin MD
74
Stockton, Bonnie APRN
242
Stockton, Tim LPC
165
Stone, James LPC
162
Stone, Monica MD
13
Stotts, Patricia APRN
191
Stovall, Linda APRN
192, 213
Stovalls Prescription Shop
244
Strickland, Nicole APRN
206
kentucky.wellcare.com | 289
Stutts, John MD
Styer, Thomas MD
Sublett, James MD
Suh, Yoo MD
Supinski, Robert MD
Sutton, Dwight MD
Sutton, James DMD
Sutton, Jarrett MD
Sydnor, Carl OD
Sztendera, Lora MD
119
34
70, 88, 125
41
79
28
45, 61, 86, 115
108
113
24
T
T J Samson Home Health
169
T K Home Medical
168
Tabassi, Bita OD
113
Tade, Darrell OD
113
Taft, Debra APRN
218
Taleghani, Christopher MD
106
Tallent, Steven DMD
53, 126
Tan, Emily MD
25
Tank, Thomas DC
41
Tapp, John MD
26
Tarter, Alisha PA
221
Taulbee, Rebecca MD
25
Taylor County Dialysis Center 186
Taylor County Hospital
138
Taylor Rural Health LLC
166
Taylor, Terri OD
113
Teresa Sheffield APRN LLC
181
Thacker, Thomas PA
206, 207
Thayer, Jason LCSW
153
Thayer, Nancy LCSW
153
The Adanta Group
152
The Barren River Regional Cancer
Center
170
The Kid Spot Center LLC
186
The Medical Center
139
The Medical Center - Bowlng
Green Pharma
263
The Medical Center At Franklin 137
The Medical Center At Scottsville
129
The Medical Center At Scottsville
Rural
168
The Medical Center Home Care
Epsdt
188
The Medicine Centre Pharmacy
261
Provider Index
T - cont.
Thiery, Diane APRN
191, 226
Thistlethwaite, William MD
42
Thomas, Della APRN
218
Thomas, Steven MD
56
Thompson, Jennifer MD
25
Thompson, Thomas DMD
45, 61, 86, 115
Thomson, Douglas MD
35, 48, 49, 51, 56, 59, 62, 66, 69, 87,
122
Thornbury, Amy APRN
197
Tillery, Katherine LCSW
153
Tj Samson Community Hospital
130, 169
Tj Samson Community Hospital
Dialysis
169
Todd, Lisa APRN
203
Todd, Sarah PA
221
Tohill, Thomas DMD
74
Tolbert, Melissa PT
197, 200, 239
Tomorrows Woman
188
Tompkinsville Drug Co
256
Trabue, Dwight LMFT
160, 161
Trabue, Jan LPC
162
Tracy, Micah APRN
197
Treen, Ben MD
41, 99
Trevor, Devin MD
108, 188
Trimble, Sarah APRN
219
Tristar Greenview Regional Hospital
139
Trotter, Samantha LPC
154
True, Matthew DC
72
Trueblood Dobbs, Violet CNP 242
Trueblood, Violet CNP
218
Tucker, Angela LCSW
153
Tucker, Joseph OD
36, 113
Turbyville, Joseph MD
71, 88, 125
Turner, Charles MD
5, 28
Turner, Michael DC
52
Turpen, Klark MD
49
Turpen, Ryan MD
49
Tyler, Jennifer APRN
228, 240
Tyner, Cassie DO
8
U
Umar, Syed MD
Umlauf, Robert PHD
Underwood, John MD
Unick, Christian MD
Unruh, Thomas MD
Upchurch, Gary OD
117
38, 117
62, 63
54, 65, 78
V
Van Cleave, Vicki PsyD
157
Van-Blaricom, Melissa LPC
156
Vanmeter, Ginger LCSW
158, 160
Vanmeter, Steve MD
90
Vann Healthcare Services 169, 245
Vann Homecare Inc
169
Vasudeva, Amita MD
105
Veligandla, Shailaja MD
75
Vessels, Eric MD
38, 118
Vinjamuri, Mridula MD
75
Vito, Gloria APRN
218
Voakes, John MD
30
Vogler, Thomas APRN
208
Volk, Donna MD
119
W
Waddell, Judith APRN
236
Wagner, Ronald OD
45
Waked, Alain MD
97, 98
Walden, Brenda DMD
102
Walden, Gary DMD
102
Walgreens 245, 253, 257, 258, 263
Walgreens Infusion Services
183
Walkup, Elizabeth APRN
224
Wall, Jamie LCSW
160
Wallace, Stephanie APRN
226
Walmart
243, 245, 253, 256, 258, 260, 261, 263,
264
Walton-Shirley, Melissa MD
40
Ward, Stephen OD
45
Warden, Trina OD
113
Wardlow Meredith, Lorie APRN
204, 236
Ware, Lowell OD
113
Warise, Lita APRN
236
Warren Co Health Center
188
Warren, Donna MD
6, 13
Warrier, Priya MD
67, 71, 88, 126
Watkins, Grant DC
36
34, 90
154, 155 Watkins, James MD
Watkins,
Samuel
MD
95
156, 163
kentucky.wellcare.com | 290
Watkins, Shannon MD
99
Watkins, Terri OD
84
Watson, Dana LPC
154
Watson, George MD
30
Watson, Robert MD
38, 87, 118
Watson, Sara MD
120
Watt, Kristina LPC
162
Wayne County Health Dept
189
Wayne County Hospital Inc-Rad
140
Wayne County Hospital Rural
Health Clini
189
Wayne Countychildhood Center
189
Webb, Bill OD
61
Webb, Charles PsyD
164
Webb, Louise APRN
236
Webb, Thelma CSW
152
Weber, David MD
79
Webster, Krista PT
193, 200, 209, 239
Weddle, Brandi APRN
218
Weidler, Donald MD
1
Weiner, Joy APRN
219
Weiss, Galen MD
92
Wells, Mary APRN
205
Wells, Thad OD
61
Wentworth, Jennifer MD
108
Wesley, Robert MD
23
West Somerset Pharmacy Inc 258
West, Benjamin LPC
144
West, Jennifer APRN
211
West, Nancy MD
16
West, Paula APRN
192, 236
West, Timothy DC
64
Western Kentucky Diagnostic
Imaging
187
Westlake Regional Hospital
128
Weyman, Christine MD
34, 52, 55, 57, 65, 79, 84
Wheeler, Jennifer LMFT
161
White, Barry MD
19
White, Brandi APRN
192, 213
White, Lesley APRN 219, 226, 242
Whiteside, Jim MD
40
Whiteside, William DMD
102
Whitleys Pharmacy 0770
253
Provider Index
W - cont.
Whitlock, Stephanie APRN
197
Whitlow, Cheryl OD
45, 66
Whitlow, Robert OD
45, 66
Wilkerson, Harold DMD
89
Wilkins, Edmund MD
109
Wilkins, Justin OD
114
Williams, Cori LPC
162
Williams, Douglas APRN
203
Williams, Ebonie LPC
142, 156
Williams, Roger MD
5
Williams, Tarin DMD
50
Williamson, Diana APRN
219
Williamson, Diana ARNP
219
Wilson Counseling
158
Wilson, Angie DC
72
Wilson, James MD
19
Wilson, Jared MD
1, 8, 13, 17, 22
Wilson, Jeffrey MD
41, 99
Wilson, Kimberly LCSW
160
Wilson, Kimberly LPC
141
Wilson, Rita APRN
192, 224, 236
Winchester Patton & Burgess PSC
179
Wintergerst, Kupper MD
119
Wise, Heather DMD
94
Wise, Jacqueline APRN
236
Witcher, Lori MD
30
Witcher, Spencer MD
36, 44, 61, 68, 109
Withers, Miranda APRN
219
Wolf, Nicholas OD
114
Woodruff, Kellie APRN
236
Woods II, Robert MD
72
Woods, Tracy OT
197, 236
Wooley, Dennis APRN
191, 226
Wortz, Gary MD
91
Wright, Ballard MD
54
Wright, Jackie APRN
206
Wright, Jason APRN
191, 226, 227
Wright, Lucinda MD
47, 93, 119
Wright, Peter MD
53, 54
Wright, Rondal MD
5
Wurth, Bradley DMD
34, 78, 92
Wurth, Mary DMD
94
Wynn Express Pharmacy
254
X
Xenopoulos, Nicholas MD
67
Xtreme Prosthetics and Orthotics
LLC
182
Y
Yanicko Jr, Daniel MD
79
Yanicko, Daniel MD
79
Yates Pharmacy LLC
253
Yates, Christy APRN
219, 227, 242
Yemane, Mengistu MD
20
Yoder, Samuel DC
89
Young, Matthew LMFT
161
Young, Sarrah SLP
240
Young, Shannon APRN
223
Yurchisin, Mark MD
103, 104
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Zachek, Michael MD 49, 59, 69, 123
Zehner, Joseph MD
62
Zhu, Jianhua MD
106
Zia, Amir MD
106
Zusman, Zev MD
154
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