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 kentucky.wellcare.com | 73 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 kentucky.wellcare.com | 109 05/28/2015 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 Z Zachek, Michael MD 49, 59, 69, 123 Zehner, Joseph MD 62 Zhu, Jianhua MD 106 Zia, Amir MD 106 Zusman, Zev MD 154 kentucky.wellcare.com | 291 68079 1-877-389-9457 (TTY/TDD 1-877-247-6272) kentucky.wellcare.com
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