204
33881963 2020 Kentucky Provider Directory Directorio de Proveedores de Kentucky This directory is updated as of 8/8/2020. Ballard, Caldwell, Calloway, Carlisle, Crittenden, Fulton, Graves, Hickman, Livingston, Lyon, Marshall, McCracken CAD_62471M State Approved 04112019 ©WellCare 2020 KY0KMDDIR62471M_0001

2020 Kentucky Provider Directory - WellCare

  • Upload
    others

  • View
    3

  • Download
    0

Embed Size (px)

Citation preview

33881963

2020 Kentucky Provider DirectoryDirectorio de Proveedores de Kentucky

This directory is updated as of 8/8/2020.

Ballard, Caldwell, Calloway, Carlisle, Crittenden, Fulton, Graves, Hickman, Livingston, Lyon,

Marshall, McCracken

CAD_62471M State Approved 04112019

©WellCare 2020 KY0KMDDIR62471M_0001

33881963

33881963

TABLE OF CONTENTS

Provider DirectoryIntroduction ......................................................................................................................................................................................................... IHow to Read Our Provider Listings .......................................................................................................................................................... IIIcon Guide ............................................................................................................................................................................................................ II

List of Plan Providers

Primary Care Physicians

Ballard ................................................................................................................................................................................................................1

Caldwell ...........................................................................................................................................................................................................2

Calloway ..........................................................................................................................................................................................................3

Carlisle ..............................................................................................................................................................................................................5

Crittenden ..................................................................................................................................................................................................... 6

Fulton ................................................................................................................................................................................................................7

Graves .............................................................................................................................................................................................................. 8

Livingston ....................................................................................................................................................................................................... 9

Lyon ................................................................................................................................................................................................................. 10

Marshall ........................................................................................................................................................................................................... 11

Mccracken .................................................................................................................................................................................................... 12

Specialty Physicians

Caldwell ......................................................................................................................................................................................................... 16

Calloway ........................................................................................................................................................................................................ 18

Carlisle ........................................................................................................................................................................................................... 24

Crittenden ................................................................................................................................................................................................... 25

Fulton ............................................................................................................................................................................................................. 27

Graves ............................................................................................................................................................................................................28

Hickman ........................................................................................................................................................................................................ 33

Livingston ..................................................................................................................................................................................................... 34

Lyon ................................................................................................................................................................................................................ 35

Marshall ......................................................................................................................................................................................................... 36

Mccracken .................................................................................................................................................................................................... 41

Hospitals

Caldwell ........................................................................................................................................................................................................ 67

Calloway .......................................................................................................................................................................................................68

Crittenden ...................................................................................................................................................................................................69

Graves ............................................................................................................................................................................................................70

Marshall .......................................................................................................................................................................................................... 71

Mccracken ................................................................................................................................................................................................... 72

Behavioral Health

Caldwell ........................................................................................................................................................................................................ 73

KY0KMDDIR62471M_0001

33881963

TABLE OF CONTENTS

Behavioral Health

Calloway ....................................................................................................................................................................................................... 74

Graves ............................................................................................................................................................................................................ 75

Livingston .....................................................................................................................................................................................................78

Lyon ................................................................................................................................................................................................................ 79

Marshall .........................................................................................................................................................................................................80

Mccracken .................................................................................................................................................................................................... 81

Ancillary Providers

All .....................................................................................................................................................................................................................88

Ballard ............................................................................................................................................................................................................89

Caldwell ........................................................................................................................................................................................................90

Calloway ........................................................................................................................................................................................................ 91

Carlisle ........................................................................................................................................................................................................... 92

Crittenden ................................................................................................................................................................................................... 93

Fulton .............................................................................................................................................................................................................94

Graves ............................................................................................................................................................................................................95

Hickman ........................................................................................................................................................................................................96

Livingston ..................................................................................................................................................................................................... 97

Lyon ................................................................................................................................................................................................................98

Marshall .........................................................................................................................................................................................................99

Mccracken ................................................................................................................................................................................................. 100

Allied Providers

Ballard ...........................................................................................................................................................................................................103

Caldwell ...................................................................................................................................................................................................... 104

Calloway ......................................................................................................................................................................................................107

Carlisle ........................................................................................................................................................................................................... 112

Crittenden ................................................................................................................................................................................................... 113

Fulton .............................................................................................................................................................................................................114

Graves ............................................................................................................................................................................................................ 115

Hickman ........................................................................................................................................................................................................119

Livingston ....................................................................................................................................................................................................120

Lyon ............................................................................................................................................................................................................... 122

Marshall ........................................................................................................................................................................................................ 123

Mccracken .................................................................................................................................................................................................. 127

Pharmacy

Ballard ............................................................................................................................................................................................................ 151

Caldwell ....................................................................................................................................................................................................... 152

Calloway ...................................................................................................................................................................................................... 153

Carlisle ..........................................................................................................................................................................................................154

33881963

TABLE OF CONTENTS

Pharmacy

Crittenden ..................................................................................................................................................................................................155

Fulton ............................................................................................................................................................................................................156

Graves ........................................................................................................................................................................................................... 157

Hickman .......................................................................................................................................................................................................158

Livingston ....................................................................................................................................................................................................159

Lyon .............................................................................................................................................................................................................. 160

Marshall .........................................................................................................................................................................................................161

Mccracken ..................................................................................................................................................................................................162

IndexesAlternate Languages Index ....................................................................................................................................................................... 164Specialty Providers At-A-Glance ........................................................................................................................................................... 165Extended Hours Index ................................................................................................................................................................................ 169Provider Index ................................................................................................................................................................................................. 174

33881963

33881963

Here is your WellCare of Kentucky provider directory. It lists all of the providers in our network. These providers include:

• Primary care providers (PCPs) and specialists

• Hospitals

• Pharmacies

Each of these providers will make his or her own decisions about the care you need. WellCare of Kentucky is not responsible for these decisions. Some providers may not perform certain services due to their religious or moral beliefs.

We’ve listed all of the providers by county. Then we’ve grouped them together by the type of care or services they give. We've also included:

• The providers’ addresses and phone numbers

• Symbols to tell you whether the provider is accepting new patients, board certified or wheelchair accessible

We have a provider look-up tool on our website. Go to www.wellcare.com/Kentucky. Then click on the “Find a Provider” icon. You’ll be able to search for providers right in your area. This is the best place to get our most current directory information.

Call us if you have questions about this directory. We can help you find a provider. We can even help set up an appointment for you. Our toll-free number is 1-877-389-9457. TTY users can call 711. You can reach us Monday–Friday, 7 a.m. to 7 p.m.

We wish you good health.

www.wellcare.com/Kentucky | I

33881963

How to Read Our Provider Listings

Smith, Joe, MD Provider ID: 111111

Your Family Medical Center

Male/Female

123 Main Street Anytown, FL 12345 (555) 555-5555

00 Yrs/99 Yrs

Sunshine Hospital

Language: Spanish

Cultural Competence Training Complete/Incomplete

9:00 am-5:00 pm

PCMH: YES/NO. Level 1, 2, 3

Provider name

Practice name

Provider gender

{Provider address and phone number

Indicates provider is board certified

Indicates provider has wheelchair access

Indicates provider is not accepting new patients

Accessible by Public Transportation

Ages of patients seen by provider

Hospital the provider is associated with

Language spoken by provider or staff

Indicates whether or not provider has completed Cultural Competence Training

Hours of operation

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

Accessible by Public Transportation

*PCMH stands for Patient Centered Medical Home. This is a way of giving care that involves a team of healthcare professionals. The team works together to meet the needs of each patient. Providers are placed in one of three levels; Level 1 (lowest), Level 2 and Level 3 (highest).

www.wellcare.com/Kentucky | II

33881963

Este es su directorio de proveedores de WellCare of Kentucky. Aquí 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 o morales.

Hemos listado a todos los proveedores por condado. Luego los hemos agrupado por el tipo de cuidado o servicios que ofrecen. También hemos incluido:

• Las direcciones y los números de teléfono de los proveedores

• Símbolos para indicarle si el proveedor está aceptando nuevos pacientes, si es certificado por una junta o si cuenta con acceso para silla de ruedas

En nuestro sitio web contamos con una herramienta de búsqueda de proveedores. Visite

www.wellcare.com/Kentucky. Luego haga clic en el icono “Find a Provider” (Buscar un proveedor). Usted podrá buscar proveedores exactamente en su área. Este es el mejor lugar para obtener nuestra información de directorio más actual.

Si tiene alguna pregunta sobre este directorio, llámenos. Podemos ayudarle a encontrar un proveedor. Incluso podemos ayudarle a programar una cita. Nuestro número sin cargo es 1-877-389-9457. Los usuarios de TTY pueden llamar al 711. Puede comunicarse con nosotros de lunes a viernes de 7 a.m. a 7 p.m.

Le deseamos una buena salud.

IIIwww.wellcare.com/Kentucky |

33881963

Cómo leer nuestros listados de proveedores

Smith,Joe, MD Provider ID: 111111

Your Family Medical Center

Male/Female

123 Main Street Anytown, FL 12345 (555) 555-5555

00 Yrs/99 Yrs

Sunshine Hospital

Language: Spanish

Cultural Competence Training Complete/Incomplete

9:00 am-5:00 pm

PCMH: YES/NO. Level 1, 2, 3

Nombre del proveedor

Nombre de la práctica

Sexo del proveedor

{Dirección y número de teléfono del proveedor

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

Accesible en transporte público

Edades de los pacientes vistos por el proveedor

Hospital con el que está asociado el proveedor

Idioma que habla el proveedor o personal

Indica si el proveedor completó o no la capacitación de competencia cultural

Horario de atención

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

Accesible en transporte público

*PCMH se refiere a Hogar Médico Enfocado en el Paciente. Es una manera de proporcionar cuidado que involucra a un equipo de profesionales de la salud. El equipo trabaja en conjunto para satisfacer las necesidades de cada paciente. Los proveedores son asignados a uno de tres niveles: Nivel 1 (el más bajo), Nivel 2 y Nivel 3 (el más alto).

www.wellcare.com/Kentucky | IV

33881963

Spanish to English Provider Types*/Tipos de proveedores de español a inglés*

Español Inglés

Acupuntura Acupuncture

Psiquiatría de adicciones

Addiction Psychiatry

Medicina para adolescentes

Adolescent Medicine

Servicios de acompañante para adultos

Adult Companion Services

Cuidado diurno para adultos

Adult Day Care

Hogar de cuidado sustituto para adultos

Adult Foster Care Home

Cuidado médico diurno para adultos

Adult Medical Day Care

Cuidado residencial para adultos

Adult Residential Care Home

Administración de casos enfocados en adultos

Adult Targeted Case Management

Centro para tratar el SIDA

AIDS Center

Alergias e inmunología

Allergy & Immunology

Centro de cirugía ambulatoria

Ambulatory Surgery Center

Servicios de vida asistida

Assisted Living Services

Audiología Audiology

Asesoramiento en salud del comportamiento

Behavioral Health Counseling

Centro de salud del comportamiento

Behavioral Health Facility

Centro de maternidad

Birthing Center

Laboratorio de cateterismo cardíaco

Cardiac Cath Laboratory

Español Inglés

Electrofisiología cardíaca

Cardiac Electrophysiology

Monitoreo cardíaco Cardiac Monitoring

Cardiología Cardiology

Cirugía cardiovascular

Cardiovascular Surgery

Cirugía cardiovascular

Cardiovascular Surgery

Servicios de administración de casos

Case Management Services

Pediatría de abuso infantil

Child Abuse Pediatrics

Centro de desarrollo para niños

Child Development Center

Administración de casos enfocados en niños

Children Targeted Case Management

Niños con necesidades especiales de cuidado de la salud

Children With Special Healthcare Needs

Quiropráctica Chiropractic

Servicios de tareas domésticas y limpieza del hogar

Chore/ Housekeeping Services

Clínica Clinic

Neurofisiología clínica

Clinical Neurophysiology

Cirugía de colon y recto

Colon & Rectal Surgery

Centro de salud comunitario

Community Health Center

Centro de salud mental comunitario

Community Mental Health Center

Junta de servicios a la comunidad

Community Service Board

www.wellcare.com/Kentucky | V

33881963

Español Inglés

Cirugía cardíaca congénita

Congenital Cardiac Surgery

Servicios de suministros médicos descartables

Consumable Medical Supply Services

Clínica de cuidado conveniente

Convenient Care Clinic

Hospital de acceso crítico

Critical Access Hospital

Odontología Dentistry

Dermatología Dermatology

Dermatopatología Dermatopathology

Centro designado para el sida

Designated Aids Center

Educación sobre la diabetes

Diabetes Education

Centro de diagnóstico y tratamiento

Diagnostic And Treatment Center

Centro de diagnóstico Diagnostic Center

Diagnóstico por imágenes

Diagnostic Imaging

Diálisis Dialysis

Equipo médico duradero

Durable Medical Equipment

Otorrinolaringología Ear, Nose & Throat

Endocrinología, diabetes, metabolismo

Endocrinology, Diabetes, Metabolism

Endodoncia Endodontics

Servicios de adaptaciones de accesibilidad al entorno

Environmental Accessibility Adaptation Services

Servicios especiales de EPSDT

EPSDT Special Services

Servicios de acompañante

Escort Services

Español Inglés

Planificación familiar Family Planning

Medicina familiar Family Practice

Servicios de capacitación familiar

Family Training Services

Centro de salud con calificación federal

Federally Qualified Health Center

Servicios de evaluación/reducción de riesgos financieros

Financial Risk Assessment/Risk Reduction Services

Centro de aptitud física

Fitness Center

Gastroenterología Gastroenterology

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

Gynecological Oncology

Ginecología Gynecology

Cirugía de la mano Hand Surgery

Oncología de cabeza y cuello

Head & Neck Oncology

Cirugía de cabeza y cuello

Head & Neck Surgery

Control de la seguridad de la salud

Health Safety Monitoring

Proveedor de audífonos

Hearing Aid Supplier

Terapia y especialista en audífonos

Hearing Aid Therapy & Specialist

Hematología Hematology

www.wellcare.com/Kentucky | VI

33881963

Español Inglés

Hematología y oncología

Hematology & Oncology

VIH/SIDA HIV/AIDS

Comidas entregadas a domicilio

Home-Delivered Meals

Cuidado de la salud en el hogar

Home Healthcare

Hospicio Hospice

Cuidado de hospicio y paliativo

Hospice & Palliative Care

Hospital Hospital

Servicios de limpieza del hogar y tareas domésticas

Housekeeping/ Chore Services

Medicina hiperbárica Hyperbaric Medicine

Enfermedades infecciosas

Infectious Disease

Terapia de infusión Infusion Therapy

Medicina interna Internal Medicine

Pruebas de laboratorio de patología

Laboratory Pathology Testing

Agencia licenciada de servicios de cuidado en el hogar

Licensed Home Care Service Agency

Litotripsia Lithotripsy

Imágenes por resonancia magnética

Magnetic Resonance Imaging

Mamografía Mammography

Masoterapia Massage Therapy

Medicina maternofetal

Maternal Fetal Medicine

Genética médica Medical Genetics

Oncología médica Medical Oncology

Administración de medicamentos

Medication Administration

Español Inglés

Diagnóstico con equipos portátiles

Mobile Diagnostic

MRI, equipos abiertos MRI Open

Medicina perinatal neonatal

Neonatal Perinatal Medicine

Nefrología Nephrology

Neurooncología Neuro Oncology

Discapacidades del desarrollo neurológico

Neurodevelopmental Disabilities

Neurodiagnóstico Neurodiagnostic

Neurología Neurology

Neurología/otología Neurology/Otology

Medicina neuromuscular

Neuromuscular Medicine

Neurooncología Neuro-Oncology

Neuropsicología Neuropsychology

Neurorradiología Neuroradiology

Neurocirugía Neurosurgery

Servicios de transporte sin carácter de emergencia

Non-Emergency Transportation

Cardiología nuclear Nuclear Cardiology

Medicina nuclear Nuclear Medicine

Radiología nuclear Nuclear Radiology

Enfermeras parteras Nurse Midwife

Nutrición Nutrition

Obstetricia Obstetrics

Obstetricia/ Ginecología

Obstetrics/ Gynecology

Medicina ocupacional

Occupational Medicine

Terapia ocupacional Occupational Therapy

Oftalmología Ophthalmology

www.wellcare.com/Kentucky | VII

33881963

Español Inglés

Óptico Optician

Optometría Optometry

Cirugía oral y maxilofacial

Oral & Maxillofacial Surgery

Ortodoncia Orthodontics

Cirugía ortopédica Orthopaedic Surgery

Ortésica Orthotics

Ortopedia y prostética

Orthotics & Prosthetics

Establecimiento quirúrgico para pacientes ambulatorios

Outpatient Surgical Facility

Tratamiento del dolor

Pain Management

Apoyo para el tratamiento del dolor

Pain Management Support

Alergias e inmunología pediátricas

Pediatric Allergy & Immunology

Medicina pediátrica del comportamiento

Pediatric Behavioral Medicine

Monitoreo cardíaco pediátrico

Pediatric Cardiac Monitoring

Cardiología pediátrica Pediatric Cardiology

Cirugía cardiovascular pediátrica

Pediatric Cardiovascular Surgery

Dermatología pediátrica

Pediatric Dermatology

Otorrinolaringología pediátrica

Pediatric Ear, Nose & Throat

Endocrinología pediátrica

Pediatric Endocrinology

Gastroenterología pediátrica

Pediatric Gastroenterology

Genética pediátrica Pediatric Genetics

Español Inglés

Hematología/ oncología pediátricas

Pediatric Hematology/ Oncology

Enfermedades infecciosas pediátricas

Pediatric Infectious Disease

Nefrología pediátrica Pediatric Nephrology

Neurología pediátrica Pediatric Neurology

Neurocirugía pediátrica

Pediatric Neurosurgery

Oncología pediátrica Pediatric Oncology

Oftalmología pediátrica

Pediatric Ophthalmology

Ortopedia pediátrica Pediatric Orthopaedics

Cirugía ortopédica pediátrica

Pediatric Orthopedic Surgery

Psiquiatría pediátrica Pediatric Psychiatry

Neumonología pediátrica

Pediatric Pulmonology

Medicina de rehabilitación pediátrica

Pediatric Rehabilitation Medicine

Reumatología pediátrica

Pediatric Rheumatology

Medicina deportiva pediátrica

Pediatric Sports Medicine

Cirugía pediátrica Pediatric Surgery

Hepatología pediátrica y trasplante

Pediatric Transplant Hepatology

Urología pediátrica Pediatric Urology

Pediatría Pediatrics

Comportamiento y desarrollo pediátrico

Pediatrics Behavioral & Developmental

Pedodoncia Pedodontics

Periodoncia Periodontics

www.wellcare.com/Kentucky | VIII

33881963

Español Inglés

Servicios de cuidado personal

Personal Care 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

Pulmonary Disease

Oncología radioterápica

Radiation Oncology

Radioterapia Radiation Therapy

Centro de radioterapia

Radiation Therapy Center

Radiología intervencional y vascular

Radiology - Interventional & Vascular

Español Inglés

Centro de rehabilitación

Rehabilitation Facility

Medicina de rehabilitación

Rehabilitation Medicine

Terapia de rehabilitación

Rehabilitation Therapy

Endocrinología reproductiva

Reproductive Endocrinology

Terapia respiratoria Respiratory Therapy

Servicios de cuidado de relevo

Respite Care Services

Reumatología Rheumatology

Centro de salud rural Rural Health Center

Cuidado autodirigido Self-Directed Care

Centro de enfermería especializada

Skilled Nursing Facility

Estudios de diagnóstico del sueño

Sleep Diagnostic Studies

Medicina del sueño Sleep Medicine

Cuidado diurno social Social Day Care

Terapia del habla Speech Therapy

Medicina para lesiones de médula espinal

Spinal Cord Injury Medicine

Medicina deportiva Sports Medicine

Cuidado subagudo Sub-Acute Care

Abuso de sustancias Substance Abuse

Oncología quirúrgica Surgical Oncology

Monitoreo telecardíaco

Tele-Cardiac Monitoring

Cirugía torácica y cardiovascular

Thoracic & Cardiovascular Surgery

Cirugía torácica Thoracic Surgery

www.wellcare.com/Kentucky | IX

33881963

* 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.

Español Inglés

Tórax/sistema vascular

Thoracic/Vascular

Hepatología de trasplante

Transplant Hepatology

Centro de cuidado urgente

Urgent Care Center

Urología Urology

Español Inglés

Oncología urológica Urology Oncology

Urología/ginecología Urology/Gynecology

Laboratorio vascular Vascular Lab

Medicina vascular Vascular Medicine

Cirugía vascular Vascular Surgery

www.wellcare.com/Kentucky | X

33881963

List of Plan Providers

Lista de proveedores del plan

33881963

Primary Care Providers

Ballard

Federally Qualified Health Center

Arcare

Provider ID: 1211653Ky Care 112Subspecialty: HRSA FQHC120 N 4th StBarlow, KY 42024-9579(270) 334-3131Fax: (270) 334-317300 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Internal Medicine

Butler, Danny MD

Provider ID: 627461Gender: MaleDr Butler Associates PLLC134 Phillips DrWickliffe, KY 42087(270) 335-3335Fax: (270) 443-712200 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 1

33881963

Primary Care Providers

Caldwell

Family Practice

Graham, Scott MD

Provider ID: 2087407Gender: MaleCaldwell Medical Associates700 Cassidy AveFredonia, KY 42411(270) 545-3386Fax: (270) 545-371200 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Wilder, Debra MD

Provider ID: 667119Gender: Female100 Medical Center DrPrinceton, KY 42445-2430(270) 365-030000 YRS/130 YRSPCMH: No

Internal Medicine

Settle, Lathan MD

Provider ID: 1273631Gender: MaleBaptist Health Medical Group Inc605 S Jefferson St, Ste BPrinceton, KY 42445-2173(270) 365-5502Fax: (270) 365-446700 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Shah, Pankajkumar MD

Provider ID: 1075222Gender: MalePennyroyal Healthcare Services. Inc310 Hawthorne StreetPrinceton, KY 42445-1622(270) 365-0227Fax: (270) 365-255900 YRS/130 YRSMon - Fri 8:30 to 5:00PCMH: No

Shah, Pankajkumar MD

Provider ID: 2175599Gender: MalePennyroyal Healthcare Services Inc310 Hawthorne StPrinceton, KY 42445-1622(270) 365-0227Fax: (270) 365-255900 YRS/130 YRSMon - Fri 8:30 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 2

33881963

Primary Care Providers

Calloway

Family Practice

Adams, Thomas MD

Provider ID: 2045542Gender: Male1000 S 12th StMurray, KY 42071(270) 759-920000 YRS/130 YRSPCMH: No

Adams, Thomas MD

Provider ID: 626040Gender: MalePrimary Care Medical Center1000 South 12th StMurray, KY 42071(270) 759-9200Fax: (270) 759-836800 YRS/130 YRSMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00PCMH: No

Butler, Daniel MD

Provider ID: 626058Gender: MalePrimary Care Medical Center PSC1000 S 12th StMurray, KY 42071-9303(270) 759-9200Fax: (270) 759-907800 YRS/130 YRSMurray Calloway County HospitalJackson Purchase Medical CtrMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00PCMH: No

Crouch, Richard MD

Provider ID: 633610Gender: MaleMurray Calloway300 S 8th St, Ste 480 WMurray, KY 42071(270) 753-0704Fax: (270) 752-285200 YRS/130 YRSMon - Wed, Fri 8:00 to 5:00 Thu 8:00 to 8:00PCMH: No

Ford, Alison MD

Provider ID: 633826Gender: FemaleMurray Calloway Co Public Hosp Corp300 S 8th St, Ste 480wMurray, KY 42071-2403(270) 762-1782Fax: (270) 752-285200 YRS/130 YRSMon - Wed, Fri 8:00 to 5:00 Thu 8:00 to 8:00PCMH: No

Gupton, Emily DO

Provider ID: 627642Gender: FemalePrimary Care Medical Center1000 S 12th StMurray, KY 42071-9303(270) 759-9200Fax: (270) 759-836800 YRS/130 YRSMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00PCMH: No

Hughes, Robert MD

Provider ID: 627410Gender: MalePrimary Care Medical Center1000 S 12th StMurray, KY 42071-9303(270) 759-9200Fax: (270) 759-836800 YRS/130 YRSMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00PCMH: No

Scearce, Joshua MD

Provider ID: 1899586Gender: MaleMurray Medical Associates300 S 8th St, Ste 480wMurray, KY 42071(270) 762-1781Fax: (270) 752-285200 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

General Practice

Tveite, John MD

Provider ID: 633619Gender: MaleMurray Medical Associates300 S 8th St, Ste 480Murray, KY 42071(270) 753-070400 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Internal Medicine

Blalock, Richard MD

Provider ID: 627405Gender: MalePrimary Care Medical Center1000 S 12th StMurray, KY 42071-9303(270) 759-9200Fax: (270) 759-996600 YRS/130 YRSMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00PCMH: No

Clark, Hollis MD

Provider ID: 627507Gender: MalePrimary Care Medical Center1000 S 12th StMurray, KY 42071-9303(270) 759-9200Fax: (270) 759-836800 YRS/130 YRSMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00PCMH: No

Irvin, Myra MD

Provider ID: 1899499Gender: FemaleMurray Medical Associates300 S 8th St, Ste 480wMurray, KY 42071(270) 762-1515Fax: (270) 752-285200 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 3

33881963

Primary Care Providers

Calloway

Internal Medicine - cont.

Kelly, Patrick MD

Provider ID: 627448Gender: MalePrimary Care Medical Center1000 S 12th StMurray, KY 42071-9303(270) 759-9200Fax: (270) 759-996600 YRS/130 YRSMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00PCMH: No

Mangold, Melissa MD

Provider ID: 1526107Gender: FemalePhysician Specialists Of Murray803 Poplar StMurray, KY 42071(270) 751-2287Fax: (270) 767-364800 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

O'dell, Nicholas MD

Provider ID: 1020839Gender: MalePhysician Specialists Of Murray300 S 8th St, Ste 480wMurray, KY 42071-2403(270) 753-0704Fax: (270) 752-285200 YRS/130 YRSMurray Calloway County HospitalMon - Fri 8:00 to 5:00PCMH: No

Pediatrics

Cates, Heath MD

Provider ID: 1174860Gender: FemaleMurray Pediatrics300 S 8th St, Ste 208eMurray, KY 42071(270) 759-9223Fax: (270) 753-734500 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Hughes, Joyce MD

Provider ID: 626037Gender: FemalePrimary Care Medical Center1000 S 12th StMurray, KY 42071(270) 759-9200Fax: (270) 759-996600 YRS/21 YRSMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00PCMH: No

Milo, Jackie MD

Provider ID: 599500Gender: FemaleMurray Calloway County Public Hospi300 S 8th St, Ste 208eMurray, KY 42071(270) 759-9223Fax: (270) 752-285900 YRS/21 YRSMurray Calloway County HospitalMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 4

33881963

Primary Care Providers

Carlisle

Family Practice

Zetter, David MD

Provider ID: 1854276Gender: MaleArlington Medical Clinic100 State Route 80 EArlington, KY 42021(270) 267-0051Fax: (270) 655-590000 YRS/130 YRSMon - Wed, Fri 8:30 to 4:00 Thu 8:30 to 12:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 5

33881963

Primary Care Providers

Crittenden

Family Practice

James, Gary MD

Provider ID: 606296Gender: MaleCrittenden Health Systems Emer-gency520 W Gum StMarion, KY 42064-1516(270) 965-5281Fax: (270) 965-104100 YRS/130 YRSMon - Sun 12:00 to 12:00PCMH: No

James, Gary MD Provider ID: 627676Gender: MaleFamily Practice Clinic PSC518 W Gum StMarion, KY 42064-1516(270) 965-5238Fax: (270) 965-975400 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Maddux, Howard MD

Provider ID: 606300Gender: MaleCrittenden Health Systems Emer-gency520 W Gum StMarion, KY 42064-1516(270) 965-5281Fax: (270) 965-104100 YRS/130 YRSMon - Sun 12:00 to 12:00PCMH: No

Maddux, Jonathan MD

Provider ID: 627581Gender: MaleFamily Practice Clinic PSC518 W Gum StMarion, KY 42064-1516(270) 965-5238Fax: (270) 965-975400 YRS/130 YRSMon - Fri 8:30 to 5:00PCMH: No

Maddux, Howard MD Provider ID: 627677Gender: MaleFamily Practice Clinic PSC518 W Gum StMarion, KY 42064-1516(270) 965-5238Fax: (270) 965-975400 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

General Practice

Barnes, William MD

Provider ID: 595018Gender: MaleTririvers Healthcare PLLC308 S Main StMarion, KY 42064-1545(270) 965-4377Fax: (270) 965-956902 YRS/130 YRSCrittenden Community HospitalMon - Fri 9:00 to 5:00PCMH: No

Gavin, Michael MD Provider ID: 2189041Gender: MaleMarion Physicians Clinic308 S Main StMarion, KY 42064(270) 965-4377Fax: (270) 965-956800 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Gavin, Michael MD

Provider ID: 595043Gender: MaleTri River Healthcare PLLC308 S Main StMarion, KY 42064-1545(270) 965-4377Fax: (270) 965-956902 YRS/130 YRSLivingston Hospital & HealthcaMon - Fri 9:00 to 5:00PCMH: No

Internal Medicine

Yazigi, Ghassan MD Provider ID: 2189161Gender: MaleMarion Physicians Clinic308 S Main StMarion, KY 42064(270) 965-4377Fax: (270) 965-956800 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Yazigi, Ghassan MD

Provider ID: 595198Gender: MaleTri Rivers Healthcare PLLC308 S Main StMarion, KY 42064-1545(270) 965-4377Fax: (270) 965-956912 YRS/130 YRSLivingston Hospital & HealthcaMon - Fri 9:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 6

33881963

Primary Care Providers

Fulton

Family Practice

Benigno, Daisy MD

Provider ID: 1164686Gender: Female101main StreetFulton, KY 42041(270) 472-5245Fax: (270) 472-524918 YRS/130 YRSPCMH: No

Benigno, Daisy MD

Provider ID: 1164686Gender: FemaleJackson Purchase Primary Care Hickm2003 South 7th StHickman, KY 42050(270) 236-3337Fax: (270) 236-334018 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

General Practice

Malik, Indu MD

Provider ID: 594903Gender: FemaleIndu B Malik Md227 Commercial AveFulton, KY 42041-1528(270) 472-3262Fax: (270) 350-444200 YRS/130 YRSMon - Sat 10:00 to 5:00 Sun 9:00 to 12:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 7

33881963

Primary Care Providers

Graves

Family Practice

Braxton, Thomas MD

Provider ID: 632500Gender: MalePinelake Physician Practice LLC1111 Medical Center CirMayfield, KY 42066-1194(270) 251-4085Fax: (270) 251-408600 YRS/130 YRSJackson Purchase Medical CtrMon - Tue, Thu 8:00 to 6:30 Fri 8:00 to 6:00PCMH: No

Stone, Richard DO

Provider ID: 919243Gender: MaleStone Family Practice PLLC1029 Medical Center Cir, Ste 200Mayfield, KY 42066-1189(270) 251-4545Fax: (270) 251-408600 YRS/130 YRSJackson Purchase Medical CtrMon - Fri 9:00 to 5:00PCMH: No

Williams, Patricia MD

Provider ID: 1593536Gender: FemalePinelake Physician Practice LLC110 S 9th StMayfield, KY 42066-2208(270) 247-7795Fax: (270) 247-260200 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Williams, Wayne MD

Provider ID: 1593547Gender: MalePinelake Physician Practice LLC110 S 9th StMayfield, KY 42066-2208(270) 247-7795Fax: (270) 247-260200 YRS/130 YRSMon - Tue, Thu - Fri 9:00 to 4:00 Wed 9:00 to 12:00PCMH: No

Nurse Practitioner

Wilson, Jamie MD

Provider ID: 2028494Gender: FemaleFast Pace Kentucky. PLLC1251 Paris RdMayfield, KY 42066-4989(270) 356-1345Fax: (270) 356-134800 YRS/150 YRSThe Medical Center At FranklinMarshall County HospitalMon - Fri 8:00 to 8:00 Sat 8:00 to 6:00 Sun 1:00 to 5:00PCMH: No

Pediatrics

Hussain, Abid MD

Provider ID: 2227139Gender: MalePinelake Physician Practices. LLC D1111 Medical Center CirMayfield, KY 42066-1194(270) 247-1104Fax: (270) 251-404900 YRS/150 YRSJackson Purchase Medical CtrLanguages: Persian - Farsi, Spanish, UrduMon - Fri 8:00 to 4:30 Sat 8:00 to 12:00PCMH: No

Hussain, Abid MD Provider ID: 614339Gender: MaleMayfield Pediatric Clinic417 S 6th StMayfield, KY 42066(270) 247-1104Fax: (270) 247-110700 YRS/21 YRSTwin Lakes Regional Med CenterMon - Fri 8:00 to 5:00PCMH: No

Nallu, Ramchandra MD

Provider ID: 2180367Gender: MalePinelake Physician Practices. LLC D1111 Medical Center CirMayfield, KY 42066-1194(270) 251-4056Fax: (270) 251-404900 YRS/18 YRSMon - Fri 8:30 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 8

33881963

Primary Care Providers

Livingston

Family Practice

Truong, Khai MD

Provider ID: 1306187Gender: MaleGrand Lakes Clinic1860 J H O'bryan AveGrand Rivers, KY 42045(270) 362-8246Fax: (270) 362-975700 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

General Practice

Barnes, William MD

Provider ID: 595002Gender: MaleSalem Medical Clinic141 Hospital Dr, Ste 102Salem, KY 42078-8043(270) 988-3298Fax: (270) 988-464202 YRS/130 YRSCrittenden Community HospitalMon - Fri 8:00 to 5:00 Sat 8:00 to 12:00PCMH: No

Gavin, Michael MD Provider ID: 2189040Gender: MaleSmithland Medical Clinic205 E Adair StSmithland, KY 42081(270) 928-2146Fax: (270) 928-449200 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Gavin, Michael MD Provider ID: 2189050Gender: MaleTrhc Hospital Services141 Hospital Dr, Ste 103Salem, KY 42078(270) 988-7365Fax: (270) 988-415600 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Gavin, Michael MD

Provider ID: 995178Gender: MaleTri-Rivers Healthcare PLLC205 E Adair StSmithland, KY 42081-9164(270) 928-2146Fax: (270) 928-449202 YRS/130 YRSLivingston Hospital & HealthcaMon - Wed 8:00 to 5:00 Thu - Fri 8:00 to 4:00PCMH: No

Gavin, Michael MD

Provider ID: 995178Gender: Male141 Hospital DrSalem, KY 42078-8043(270) 988-3298Fax: (270) 988-464202 YRS/130 YRSLivingston Hospital & HealthcaPCMH: No

Internal Medicine

Yazigi, Ghassan MD

Provider ID: 1829058Gender: MaleFamily Care Walk-In Clinic131 Hospital DrSalem, KY 42078(270) 988-2299Fax: (270) 988-390000 YRS/01 YRSMon - Fri 9:00 to 5:00PCMH: No

Yazigi, Ghassan MD Provider ID: 2189159Gender: MaleTrhc Hospital Services141 Hospital Dr, Ste 103Salem, KY 42078(270) 988-7365Fax: (270) 988-415600 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Yazigi, Ghassan MD

Provider ID: 595172Gender: MaleSalem Medical Clinic141 Hospital Dr, Ste 102Salem, KY 42078(270) 988-3298Fax: (270) 988-464212 YRS/130 YRSLivingston Hospital & HealthcaMon - Fri 8:00 to 5:00 Sat 8:00 to 12:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 9

33881963

Primary Care Providers

Lyon

Family Practice

French, David MD

Provider ID: 670568Gender: MaleBaptist Health Medical Group Inc403 W Fairview AveEddyville, KY 42038(270) 388-5454Fax: (270) 388-545200 YRS/130 YRSMon - Thu, Sat 8:00 to 5:00PCMH: No

Truong, Khai MD

Provider ID: 1306189Gender: MaleEddyville Family Medical209 W Main StEddyville, KY 42038(270) 388-0620Fax: (270) 388-166000 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Wilder, Debra MD

Provider ID: 667119Gender: FemaleKuttawa Clinic PLLC91 Cedar StKuttawa, KY 42055-6287(270) 388-7380Fax: (270) 388-736400 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

General Practice

Hiland, Steve MD

Provider ID: 596006Gender: MaleSteve B Hiland Md627 W Fairview AveEddyville, KY 42038-7386(270) 388-9764Fax: (270) 388-055700 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Internal Medicine

Stewart-Jaynes, Marissa MD

Provider ID: 808533Gender: FemaleMercy Primary Care Lyon Co97 Lakeshore DrKuttawa, KY 42055(270) 898-2444Fax: (270) 388-418400 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 10

33881963

Primary Care Providers

Marshall

Family Practice

Beck, Austin MD

Provider ID: 1470630Gender: MaleMercy Primary Care - Marshall Count83 Wellness Way Lane, 1st FloorBenton, KY 42025-7156(270) 527-8601Fax: (270) 527-981500 YRS/130 YRSMon - Fri 8:00 to 6:00 Sat 8:00 to 12:00PCMH: No

Horn, Frances DO

Provider ID: 1995159Gender: FemaleBaptist Health Medical Group Inc543 Powell LaneBenton, KY 42025(270) 415-7070Fax: (270) 415-707100 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Perez-Lopez, Edwin MD

Provider ID: 961323Gender: MaleMercy Primary Care Marshall Count83 Wellness Way, Fl 1Benton, KY 42025-7156(270) 527-8601Fax: (270) 527-961500 YRS/130 YRSMarshall County HospitalMon - Fri 8:00 to 5:00PCMH: No

Porter, Andrew MD

Provider ID: 630422Gender: MaleMercy Primary Care Marshall County83 Wellness Way, Fl 1Benton, KY 42025-7156(270) 527-8601Fax: (270) 527-961500 YRS/130 YRSMarshall County HospitalMon - Fri 8:00 to 5:00PCMH: No

Starkey, Anthony MD

Provider ID: 1694935Gender: MaleMd Partners PLLC615 Old Symsonia RdBenton, KY 42025(270) 527-4800Fax: (270) 744-083400 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

General Practice

Jessup, Ashley MD

Provider ID: 1496651Gender: FemaleBaptist Health Medical Group Inc4754 Us Highway 62Calvert City, KY 42029(270) 415-7780Fax: (270) 415-777900 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Internal Medicine

Albertson, Byron DO

Provider ID: 606196Gender: MaleMercy Primary Care Benton83 Wellness Way, Fl 2Benton, KY 42025-7156(270) 527-0045Fax: (270) 527-007500 YRS/130 YRSMarshall County HospitalMon - Fri 8:00 to 4:30PCMH: No

Jessee, Ali DO

Provider ID: 1995189Gender: FemaleBaptist Health Medical Group Inc543 Powell LaneBenton, KY 42025(270) 415-7070Fax: (270) 415-707100 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Lyles, Julia MD Provider ID: 615095Gender: Female617 Old Symsonia RdBenton, KY 42025-5042(270) 527-2411Fax: (270) 527-873418 YRS/130 YRSBaptist Health LexingtonPCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 11

33881963

Primary Care Providers

Mccracken

Family Practice

Beck, Austin MD

Provider ID: 1470630Gender: MaleMercy Lourdes Urgent Care225 Medical Center Dr, Ste 101Paducah, KY 42003(270) 441-4357Fax: (270) 441-413200 YRS/130 YRSMon - Fri 7:00 to 7:00 Sat 8:00 to 6:00 Sun 11:00 to 4:00PCMH: No

Leslie, Darrell MD

Provider ID: 1482475Gender: MaleMercy Family Medicine225 Medical Center Dr, Ste 302Paducah, KY 42003(270) 538-7170Fax: (270) 538-717100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Leslie, Shanna MD

Provider ID: 1489122Gender: FemaleMercy Family Medicine225 Medical Center Dr, Ste 302Paducah, KY 42003(270) 538-7170Fax: (270) 538-717100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Martin, Aribbe MD

Provider ID: 594761Gender: MaleAribbe A Martin Md PSC225 Medical Center Dr, Ste 209Paducah, KY 42003(270) 441-4506Fax: (270) 441-437700 YRS/130 YRSBaptist Health PaducahMon - Fri 9:00 to 5:00PCMH: No

Mittendorf, Isaac MD

Provider ID: 2238618Gender: MaleJames Kyle Turnbo Md PSC546 Lone Oak RdPaducah, KY 42003-4526(270) 441-4777Fax: (270) 441-478000 YRS/150 YRSMon - Fri 8:00 to 5:00PCMH: No

Smith, David MD

Provider ID: 1047770Gender: MaleKycare 43125 South 20th StPaducah, KY 42001(270) 575-3247Fax: (870) 569-359700 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Turnbo, James MD Provider ID: 666966Gender: MaleJames Kyle Turnbo Md PSC546 Lone Oak RdPaducah, KY 42003(270) 441-4777Fax: (270) 441-478000 YRS/130 YRSMon - Tue, Thu - Fri 8:00 to 5:00 Wed 8:00 to 12:00PCMH: No

Watson, Michael DO

Provider ID: 1790258Gender: MaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 602Paducah, KY 42003(270) 575-5990Fax: (270) 442-766700 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Wright, Alex MD

Provider ID: 1268793Gender: MaleMercy Primary Care - Paducah225 Medical Center Dr, Ste 304Paducah, KY 42003(270) 538-5596Fax: (270) 538-559700 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

General Practice

Mehrotra, Sunny MD

Provider ID: 1767736Gender: MaleMercy Family Medicine225 Medical Center Dr, Ste 302Paducah, KY 42003(270) 538-7170Fax: (270) 538-717100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Internal Medicine

Bowman-Stroud, Cynthia MD

Provider ID: 1470640Gender: FemaleMercy Family Medicine225 Medical Center Dr, Ste 302Paducah, KY 42003(270) 538-7170Fax: (270) 538-717100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Brazzell, John MD

Provider ID: 269697Gender: MaleSubspecialty: HRSA FQHC125 S 20th StPaducah, KY 42001(270) 575-3247Fax: (870) 569-359700 YRS/130 YRSLourdes Hospital IncMon - Fri 9:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 12

33881963

Primary Care Providers

Mccracken

Internal Medicine - cont.

Butler, Danny MD

Provider ID: 627462Gender: MaleDr Butler Associates PLLC2603 Kentucky Ave, Ste 303Paducah, KY 42003-3829(270) 443-2900Fax: (270) 443-712200 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Hogancamp, David MD

Provider ID: 1859163Gender: MaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 304Paducah, KY 42003(270) 415-7050Fax: (270) 575-705100 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Learch, Robert DO

Provider ID: 1306121Gender: MaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 602Paducah, KY 42003(270) 575-5990Fax: (270) 442-766700 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Long Jr, James MD

Provider ID: 1478218Gender: MaleMercy Internal Medicine225 Medical Center Dr, Ste 201Paducah, KY 42003(270) 444-4250Fax: (270) 444-426000 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Long Jr, James MD

Provider ID: 1829055Gender: MaleMercy Health - Palliative Care1530 Lone Oak RdPaducah, KY 42003(270) 415-3650Fax: (270) 415-360800 YRS/01 YRSMon - Fri 8:00 to 5:00PCMH: No

Meeks, Van MD

Provider ID: 1139778Gender: MaleTotal Life Care PLLC2850 Lone Oak Rd, Ste 4Paducah, KY 42003(270) 554-3904Fax: (270) 534-892800 YRS/130 YRSMon - Fri 8:00 to 4:00PCMH: No

Nelson, Troy DO

Provider ID: 1357901Gender: MaleKycare 43125 South 20th StPaducah, KY 42001-7100(270) 575-3247Fax: (870) 569-359700 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Purvis, Melissa MD

Provider ID: 1478265Gender: FemaleMercy Internal Medicine225 Medical Center Dr, Ste 201Paducah, KY 42003(270) 444-4250Fax: (270) 444-426000 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Telle, Terri MD

Provider ID: 686800Gender: FemaleMercy Primary Care Reidland6035 Kentucky Dam RdPaducah, KY 42003-9472(270) 898-2444Fax: (270) 898-475300 YRS/130 YRSMon - Fri 8:00 to 4:00PCMH: No

Teves Mani, Milagros MD

Provider ID: 1860379Gender: FemaleMercy Internal Medicine225 Medical Center Dr, Ste 201Paducah, KY 42003-7934(270) 444-4250Fax: (270) 444-426000 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Wilson, Ronald MD

Provider ID: 2087614Gender: MaleBaptist Health Medical Group Inc4620 Village Square DrPaducah, KY 42001(270) 442-8575Fax: (270) 442-876300 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Wilson, Richard MD

Provider ID: 2142471Gender: MaleWilson Medical Staffing100 Marshall CtPaducah, KY 42001-9639(270) 558-5456Fax: (270) 558-547100 YRS/150 YRSLourdes Hospital IncMon 8:30 to 5:00 Tue - Fri 8:00 to 5:00 Sat - Sun 12:00 to 11:30PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 13

33881963

Primary Care Providers

Mccracken

Internal Medicine - cont.

Wilson, Richard MD

Provider ID: 2142471Gender: MaleWilson Medical Staffing2501 Kentucky Ave, Fl 5Paducah, KY 42003-3813(270) 558-5456Fax: (270) 558-547100 YRS/150 YRSLourdes Hospital IncMon 8:30 to 5:00 Tue - Fri 8:00 to 5:00PCMH: No

Wilson, Richard MD

Provider ID: 2142471Gender: MaleWilson Medical Staffing4747 Alben Barkley DrPaducah, KY 42001-6789(270) 558-5456Fax: (270) 558-547100 YRS/150 YRSLourdes Hospital IncMon - Fri 8:00 to 5:00 Sat - Sun 12:00 to 11:30PCMH: No

Wilson, Richard MD

Provider ID: 2142471Gender: MaleWilson Medical Staffing4960 Village Square DrPaducah, KY 42001-7490(270) 558-5456Fax: (270) 558-547100 YRS/150 YRSLourdes Hospital IncMon - Fri 8:00 to 5:00 Sat - Sun 12:00 to 11:30PCMH: No

Obstetrics/Gynecology

Cardenas, Jorge MD

Provider ID: 606206Gender: MalePaducah Womens Clinic2311 Kentucky AvePaducah, KY 42003-3243(270) 443-8425Fax: (270) 442-330300 YRS/130 YRSBaptist Health PaducahMon - Fri 9:00 to 5:00PCMH: No

Pediatrics

Bowman-Stroud, Cynthia MD

Provider ID: 1470640Gender: FemaleMercy Family Medicine225 Medical Center Dr, Ste 302Paducah, KY 42003(270) 538-7170Fax: (270) 538-717100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Bruce, William MD

Provider ID: 1489136Gender: MaleMercy Internal Medicine225 Medical Center Dr, Ste 201Paducah, KY 42003-7934(270) 444-4250Fax: (270) 444-426000 YRS/18 YRSMon - Fri 8:00 to 5:00PCMH: No

Cecil, Caitlyn MD

Provider ID: 1287795Gender: FemaleCecil Clinic2670 New Holt Rd, Ste CPaducah, KY 42001(270) 575-1010Fax: (270) 575-100700 YRS/18 YRSMon - Fri 8:00 to 5:00PCMH: No

Cecil, Caitlyn MD

Provider ID: 2257370Gender: FemaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 501Paducah, KY 42003(270) 443-7534Fax: (270) 442-030900 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Lowdenback, Rachel DO

Provider ID: 892621Gender: FemaleMercy Pediatrics548 Lone Oak RdPaducah, KY 42003(270) 442-6161Fax: (270) 442-629400 YRS/21 YRSMarcum & Wallace Mem HospMon - Wed 8:00 to 6:00 Thu - Fri 8:00 to 5:00PCMH: No

Mason, Kayla MD

Provider ID: 594929Gender: Female2501 Kentucky AvePaducah, KY 42003-3813(270) 575-210000 YRS/18 YRSBaptist Health PaducahPCMH: No

Mason, Kayla MD

Provider ID: 594929Gender: FemalePediatric Group Of Paducah PSC2605 Kentucky Ave, Doctors Bldg 3 Ste 501Paducah, KY 42001(270) 443-7534Fax: (270) 442-030900 YRS/18 YRSBaptist Health PaducahMon - Fri 9:00 to 4:30 Sat 9:00 to 12:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 14

33881963

Primary Care Providers

Mccracken

Pediatrics - cont.

Meeks, Van MD

Provider ID: 1139778Gender: MaleTotal Life Care PLLC2850 Lone Oak Rd, Ste 4Paducah, KY 42003(270) 554-3904Fax: (270) 534-892800 YRS/130 YRSMon - Fri 8:00 to 4:00PCMH: No

Mudd, Jeffrey MD

Provider ID: 2036338Gender: MaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 501Paducah, KY 42003(270) 443-7534Fax: (270) 442-030900 YRS/18 YRSMon - Fri 8:00 to 5:00PCMH: No

Mudd, Jeffrey MD

Provider ID: 615077Gender: MalePediatric Group Of Paducah PSC2605 Kentucky Ave, Doctors Bldg 3 Ste 501Paducah, KY 42001(270) 443-7534Fax: (270) 442-030900 YRS/18 YRSBaptist Health PaducahMon - Fri 9:00 to 4:30 Sat 9:00 to 12:00PCMH: No

Payne, Holly MD

Provider ID: 1152056Gender: FemaleMercy Pediatrics548 Lone Oak RdPaducah, KY 42003(270) 442-6161Fax: (270) 442-629400 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

Roach, John MD

Provider ID: 666970Gender: MaleBluegrass Pediatrics LLC4645 Village Square Dr, Ste CPaducah, KY 42001-7448(270) 366-0960Fax: (270) 554-110800 YRS/21 YRSMon - Fri 8:00 to 5:00PCMH: No

Schell, David MD

Provider ID: 2036305Gender: MaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 501Paducah, KY 42003(270) 443-7534Fax: (270) 442-030900 YRS/18 YRSMon - Fri 9:00 to 4:30 Sat 9:00 to 12:00PCMH: No

Schell, David MD

Provider ID: 595021Gender: MalePediatric Group Of Paducah PSC2605 Kentucky Ave, Doctors Bldg 3 Ste 501Paducah, KY 42001(270) 443-7534Fax: (270) 442-030900 YRS/18 YRSBaptist Health PaducahMon - Fri 9:00 to 4:30 Sat 9:00 to 12:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 15

33881963

Specialty Physicians

Caldwell

Cardiology

Bose, Sanjay MD

Provider ID: 1784033Gender: MaleCaldwell Medical Center100 Medical Center DrPrinceton, KY 42445-2430(270) 365-0300Fax: (270) 365-415000 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

General Dentistry

Sitton, Lora DMD

Provider ID: TPV79037DM-01Gender: Female400 West Washington StPrinceton, KY 42445(270) 365-6174Fax: (270) [email protected] YRS/99 YRSMon - Thu 7:00 to 4:00PCMH: No

General Surgery

Petty, Sue MD

Provider ID: 1545357Gender: FemaleCaldwell Medical Associates320 Micbeth DrPrinceton, KY 42445(270) 365-0332Fax: (270) 365-638100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Slentz, Kevin MD

Provider ID: 2257410Gender: MaleCaldwell Medical Center100 Medical Center DrPrinceton, KY 42445-2430(270) 365-0300Fax: (270) 365-415000 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Medical Oncology

Chua, Winston MD

Provider ID: 1846498Gender: MaleBaptist Health Medical Group Inc605 South Jefferson Street, Suite BPrinceton, KY 42445(270) 365-5502Fax: (270) 365-446700 YRS/130 YRSLanguages: Chinese, TagalogMon - Fri 8:00 to 5:00PCMH: No

Optometry

Martin-Lane, Jennifer OD

Provider ID: TPV37273-01Gender: Female101 East Shepherdson StPrinceton, KY 42445(270) 365-6627Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Parker, Sarah OD

Provider ID: TPV2004-02Gender: Female101 East Shepherdson StPrinceton, KY 42445(270) 365-6627Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00 Sat 8:30 to 12:00PCMH: No

Talley, Daniel OD

Provider ID: TPV2003-02Gender: Male101 East Shepherdson StPrinceton, KY 42445(270) 365-6627Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:30 to 5:00PCMH: No

Orthopaedic Surgery

Bealle, David MD

Provider ID: 2036251Gender: MaleCaldwell Medical Center100 Medical Center DrPrinceton, KY 42445(270) 365-0300Fax: (270) 365-415000 YRS/130 YRSMon - Tue, Thu - Fri 8:30 to 4:30 Wed 8:30 to 11:00PCMH: No

Bealle, David MD

Provider ID: 977512Gender: MaleFairview Physicians Network LLC DBA100 Medical Center DrPrinceton, KY 42445-2430(270) 365-030000 YRS/130 YRSJennie Stuart Medical CenterCaldwell Medical CenterMon - Fri 9:00 to 5:00PCMH: No

Chang, Timothy MD

Provider ID: 2036317Gender: MaleCaldwell Medical Center100 Medical Center DrPrinceton, KY 42445(270) 365-0300Fax: (270) 365-415000 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Chang, Timothy MD

Provider ID: 2036317Gender: MaleCma Orthopedics550 Highway 62 W, Ste 400Princeton, KY 42445-2435(270) 365-9599Fax: (270) 365-984300 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 16

33881963

Specialty Physicians

Caldwell

Orthopaedic Surgery - cont.

Robbe, Frederick MD

Provider ID: 977601Gender: MaleFairview Physicians Network LLC DBA100 Medical Center DrPrinceton, KY 42445-2430(270) 365-030000 YRS/130 YRSJennie Stuart Medical CenterCaldwell Medical CenterMon - Fri 9:00 to 5:00PCMH: No

Robbe III, Frederick MD

Provider ID: 2058218Gender: MaleCaldwell Medical Center100 Medical Center DrPrinceton, KY 42445-2430(270) 365-0300Fax: (270) 365-415000 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Robbe III, Frederick MD

Provider ID: 2058218Gender: MaleCma Orthopedics550 Highway 62 W, Ste 400Princeton, KY 42445-2435(270) 365-9599Fax: (270) 365-984300 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Sports Medicine

Bealle, David MD

Provider ID: 977512Gender: MaleFairview Physicians Network LLC DBA100 Medical Center DrPrinceton, KY 42445-2430(270) 365-030000 YRS/130 YRSJennie Stuart Medical CenterCaldwell Medical CenterMon - Fri 9:00 to 5:00PCMH: No

Robbe, Frederick MD

Provider ID: 977601Gender: MaleFairview Physicians Network LLC DBA100 Medical Center DrPrinceton, KY 42445-2430(270) 365-030000 YRS/130 YRSJennie Stuart Medical CenterCaldwell Medical CenterMon - Fri 9:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 17

33881963

Specialty Physicians

Calloway

Cardiology

Homayuni, Ali MD

Provider ID: 2172874Gender: MalePhysician Specialists300 S 8th St, Ste 182wMurray, KY 42071(270) 762-1560Fax: (270) 752-286100 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Lea, Brian MD

Provider ID: 631999Gender: MaleBaptist Health Medical Group Inc1208 Johnson BlvdMurray, KY 42071(270) 759-4098Fax: (270) 767-362700 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Chiropractic

Brame, Jason DC

Provider ID: 1019669Gender: MaleImac Regeneration Center1601 Highway 121 Byp N, Ste AMurray, KY 42071(270) 971-4344Fax: (270) 554-502100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Etherton, Bambi DC Provider ID: 618603Gender: FemaleEtherton Chiropractic Of Murray1103 Chestnut StMurray, KY 42071-1962(270) 759-0030Fax: (270) 767-047100 YRS/130 YRSMon - Wed, Fri 8:30 to 5:00PCMH: No

Etherton, Virgil DC Provider ID: 618606Gender: MaleEtherton Chiropractic Of Murray1103 Chestnut StMurray, KY 42071-1962(270) 759-0030Fax: (270) 767-047100 YRS/130 YRSMon - Wed 8:30 to 5:00 Fri 8:30 to 6:00PCMH: No

Heskett, Adam DC

Provider ID: 1828800Gender: MaleCornerstone Chiropractic Center1703 Highway 121 Byp NMurray, KY 42071-8853(270) 759-1116Fax: (270) 759-111700 YRS/130 YRSMon, Wed 8:00 to 6:00 Tue, Thu 9:00 to 6:00 Fri - Sat 8:00 to 12:00PCMH: No

Wallis, Matthew DC

Provider ID: 1019672Gender: MaleImac Regeneration Center1601 Highway 121 Byp N, Ste AMurray, KY 42071(270) 971-4344Fax: (270) 554-502100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Ear. Nose & Throat

Lorenz, Frederick MD

Provider ID: 1115202Gender: MalePhysician Specialists Of Murray300 S 8th St, Ste 109eMurray, KY 42071(270) 762-1567Fax: (270) 762-156800 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Gastroenterology

Finch, Monte DO

Provider ID: 611648Gender: Male803 Poplar StMurray, KY 42071-2432(270) 762-110000 YRS/130 YRSMurray Calloway County HospitalJackson Purchase Medical CtrPCMH: No

Finch, Monte DO

Provider ID: 611648Gender: MalePhysician Specialists Of Murray300 S 8th St, Ste 182wMurray, KY 42071-2444(270) 759-4000Fax: (270) 752-285700 YRS/130 YRSMurray Calloway County HospitalJackson Purchase Medical CtrMon - Fri 9:00 to 5:00PCMH: No

General Dentistry

Clark, Laura DDS

Provider ID: TPV36151-01Gender: Female111 South 13th StMurray, KY 42071(270) 753-120600 YRS/25 YRSMon - Thu 8:00 to 5:00PCMH: No

Hunley, Ashton DDS Provider ID: TPV35832-02Gender: Female111 South 13th StMurray, KY 42071(270) [email protected] YRS/25 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 18

33881963

Specialty Physicians

Calloway

General Dentistry - cont.

Pasco, William DMD

Provider ID: TPV3938-01Gender: Male1653 Calloway AveMurray, KY 42071(270) 753-1914Fax: (270) [email protected] YRS/99 YRSTue 8:30 to 5:00PCMH: No

Robertson, Charles DMD

Provider ID: TPV4048-01Gender: Male1710 State Rt 121 Bypass N, Suite AMurray, KY 42071(270) 753-9479Fax: (270) [email protected] YRS/99 YRSMon - Thu 7:30 to 5:00PCMH: No

Sullivan, Gabriel DDS

Provider ID: TPV36059-01Gender: Male111 South 13th StMurray, KY 42071(270) 753-1206Fax: (270) [email protected] YRS/25 YRSMon - Thu 8:00 to 5:00PCMH: No

West, Jackie DMD

Provider ID: TPV4061-01Gender: Male1711 121 North BypassMurray, KY 42071(270) [email protected] YRS/99 YRSMon - Thu 8:00 to 5:00PCMH: No

General Surgery

Dowdy, James MD

Provider ID: 1599874Gender: MalePhysician Specialists Of Murray300 S 8th St, Ste 401eMurray, KY 42071(270) 753-2444Fax: (270) 767-364400 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Koelsch, David MD

Provider ID: 1599946Gender: MalePhysician Specialists Of Murray300 S 8th St, Ste 401eMurray, KY 42071(270) 753-2444Fax: (270) 767-364400 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Swain, Brian MD

Provider ID: 1606229Gender: MalePhysician Specialists Of Murray300 S 8th St, Ste 100wMurray, KY 42071(270) 762-1515Fax: (270) 767-158400 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Swain, Brian MD

Provider ID: 1606229Gender: MalePhysician Specialists Of Murray300 S 8th St, Ste 101wMurray, KY 42071(270) 762-1515Fax: (270) 767-363500 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Swain, Brian MD

Provider ID: 1606229Gender: MalePhysician Specialists Of Murray300 S 8th St, Ste 401eMurray, KY 42071(270) 753-2444Fax: (270) 767-364400 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Maternal Fetal Medicine

Lombardi, Salvatore MD

Provider ID: 673298Gender: MaleThe Perinatal Group1000 N 12th StMurray, KY 42071(931) 572-0086Fax: (931) 572-107800 YRS/130 YRSTue 8:00 to 5:00PCMH: No

Mayor-Lynn, Kathleen MD

Provider ID: 597277Gender: FemaleThe Perinatal Group1000 N 12th StMurray, KY 42071(931) 572-0086Fax: (931) 572-107800 YRS/130 YRSBaptist Health Madisonville Rehab DistinMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 19

33881963

Specialty Physicians

Calloway

Nephrology

Ali, Shaukat MD

Provider ID: 1757537Gender: MaleKidney Specialists Of Paducah300 S 8th St, Ste 382 WMurray, KY 42071(270) 538-5880Fax: (270) 538-587016 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Wilkerson, Jonathan MD

Provider ID: 1757760Gender: MaleKidney Specialists Of Paducah300 S 8th St, Ste 382 WMurray, KY 42071(270) 538-5880Fax: (270) 538-587016 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Youssef, Jacques MD

Provider ID: 1757764Gender: MaleKidney Specialists Of Paducah300 S 8th St, Ste 382wMurray, KY 42071(270) 538-5880Fax: (270) 538-587018 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Neurology

Korson, Rachel MD

Provider ID: 914040Gender: FemalePhysician Specialist Of Murray300 S 8th St, Ste 301eMurray, KY 42071-2403(270) 762-1566Fax: (270) 762-178400 YRS/130 YRSMurray Calloway County HospitalMon - Fri 8:00 to 5:00PCMH: No

Obstetrics/Gynecology

Deeter, Dawn MD

Provider ID: 1715231Gender: FemalePhysician Specialists Of Murray300 S 8th St, Ste 203eMurray, KY 42071(270) 759-9300Fax: (270) 762-178300 YRS/130 YRSLanguages: French, SpanishMon - Fri 9:00 to 5:00PCMH: No

Lombardi, Salvatore MD

Provider ID: 673298Gender: MaleThe Perinatal Group1000 N 12th StMurray, KY 42071(931) 572-0086Fax: (931) 572-107800 YRS/130 YRSTue 8:00 to 5:00PCMH: No

Mayor-Lynn, Kathleen MD

Provider ID: 597277Gender: FemaleThe Perinatal Group1000 N 12th StMurray, KY 42071(931) 572-0086Fax: (931) 572-107800 YRS/130 YRSBaptist Health Madisonville Rehab DistinMon - Fri 8:00 to 5:00PCMH: No

Price, Matthew MD

Provider ID: 626035Gender: MalePrimary Care Medical Center1000 S 12th StMurray, KY 42071(270) 759-9200Fax: (270) 759-996600 YRS/130 YRSMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00PCMH: No

Turley, Karla MD

Provider ID: 1130478Gender: FemalePrimary Care Medical Center1000 S 12th StMurray, KY 42071(270) 767-3116Fax: (270) 759-836800 YRS/130 YRSMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00PCMH: No

Ophthalmology

Bryson, David MD

Provider ID: TPV3810-01Gender: Male300 South 8th St, Suite 505eMurray, KY 42071(270) 753-3131Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 4:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 20

33881963

Specialty Physicians

Calloway

Optometry

Brewer, Landon OD

Provider ID: TPV22297-08Gender: Male817 North 12th StMurray, KY 42071(270) 873-8200Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 6:00PCMH: No

Ellis, Joe OD

Provider ID: TPV4752-08Gender: Male817 North 12th StMurray, KY 42071(270) 873-8200Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 6:00PCMH: No

Hall, Benjamin OD

Provider ID: TPV4396-01Gender: Male312 North 12th StMurray, KY 42071(270) 767-9300Fax: (270) [email protected] YRS/99 YRSMon - Tue 10:00 to 7:00 Wed, Fri 9:00 to 5:00 Thu, Sat 9:00 to 12:00PCMH: No

Harris, Mallory OD

Provider ID: TPV35901-02Gender: Female817 North 12th StMurray, KY 42071(207) 873-8200Fax: (207) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 6:00PCMH: No

Jaco, James OD

Provider ID: TPV4699-08Gender: Male817 North 12th StMurray, KY 42071(207) 873-8200Fax: (207) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 6:00PCMH: No

Jarvis, Reed OD

Provider ID: TPV5073-02Gender: Male1806 North 4th StMurray, KY 42071(270) 759-1429Fax: (270) 759-149300 YRS/99 YRSMon 10:00 to 7:00 Tue - Wed 8:00 to 5:00 Thu - Fri 8:00 to 7:00PCMH: No

Leonard, Ben OD

Provider ID: TPV8613-07Gender: Male817 North 12th StMurray, KY 42071(270) 873-8200Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 6:00PCMH: No

Morris, Laurel OD

Provider ID: TPV4876-10Gender: Female817 North 12th StMurray, KY 42071(270) 873-8200Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 6:00PCMH: No

Owens, Mark OD

Provider ID: TPV4937-08Gender: Male817 North 12th StMurray, KY 42071(270) 873-8200Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 6:00PCMH: No

Payne, Douglas OD

Provider ID: TPV4578-01Gender: Male809 Arcadia Cir, Suite AMurray, KY 42071(270) 753-5507Fax: (270) [email protected] YRS/99 YRSMon - Thu 9:00 to 5:00PCMH: No

Sheridan, Donise OD

Provider ID: TPV4574-09Gender: Female817 North 12th StMurray, KY 42071(270) 873-8200Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 6:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 21

33881963

Specialty Physicians

Calloway

Optometry - cont.

Tucker, David OD

Provider ID: TPV4540-08Gender: Male817 North 12th StMurray, KY 42071(270) 873-8200Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 6:00PCMH: No

Williams, Jesse OD

Provider ID: TPV20958-02Gender: Male1806 North 4th StMurray, KY 42071(270) 759-1429Fax: (270) 759-149300 YRS/99 YRSMon 10:00 to 7:00 Tue - Wed 8:00 to 5:00 Thu - Fri 8:00 to 7:00PCMH: No

Oral & Maxillofacial Surgery

Bobo, Michael DDS

Provider ID: TPV4189-01Gender: Male1109 Poplar StMurray, KY 42071(270) 759-4063Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:00PCMH: No

Orthopaedic Surgery

Blalock, Richard MD

Provider ID: 1313036Gender: MalePhysician Specialists Of Murray300 S 8th St, Ste 284wMurray, KY 42071(270) 762-1542Fax: (270) 752-285600 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Charette, Raymond MD

Provider ID: 633684Gender: MaleMurray Calloway Co Pub Hosp Corp Db300 S 8th St, Ste 284wMurray, KY 42071-2452(270) 761-5756Fax: (270) 752-285600 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Compton, Stephen MD

Provider ID: 919750Gender: MalePhysician Specialists Of Murray300 S 8th St, Ste 480wMurray, KY 42071-2403(270) 761-5756Fax: (270) 767-366500 YRS/130 YRSMurray Calloway County HospitalMon - Fri 8:00 to 5:00PCMH: No

Compton, Stephen MD

Provider ID: 919750Gender: MalePrimary Care Medical Center1000 S 12th StMurray, KY 42071(270) 759-9200Fax: (270) 759-996600 YRS/130 YRSMurray Calloway County HospitalMon - Fri 8:00 to 5:00PCMH: No

Morgan, Derek MD Provider ID: 633753Gender: MaleMurray Calloway Co Pub Hosp Corp Db300 S 8th St, Ste 284wMurray, KY 42071-2452(270) 761-5756Fax: (270) 752-285600 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Pain Management

Malla, Yogesh MD

Provider ID: 1757656Gender: Male1710 Highway Bypass N, Ste 1Murray, KY 42071(270) 554-8373Fax: (812) 477-724000 YRS/130 YRSMon - Sun 7:00 to 5:00PCMH: No

Manchikanti, Laxmaiah MD

Provider ID: 1757662Gender: Male1710 Highway Bypass N, Ste 1Murray, KY 42071(270) 554-8373Fax: (812) 477-724000 YRS/130 YRSMon - Sun 7:00 to 5:00PCMH: No

Pediatric Cardiology

Keller, Bradley MD

Provider ID: 631924Gender: MaleUlrf Pediatric Cardiology300 S 8th St Ste, Ste 480wMurray, KY 42071-2452(502) 585-4802Fax: (502) 589-125600 YRS/18 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 22

33881963

Specialty Physicians

Calloway

Pediatric Cardiology - cont.

Lau, Kelvin MD

Provider ID: 1129973Gender: MaleUlrf Pediatric Cardiology300 S 8th St, Ste 480wMurray, KY 42071(502) 585-4802Fax: (502) 589-125600 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Wright, Lucinda MD

Provider ID: 601497Gender: FemalePediatric Cardiology Associates PSC300 S 8th St, Ste 284wMurray, KY 42071-2452(502) 585-4802Fax: (502) 589-125600 YRS/18 YRSNorton Children's Medical CenterNorton HospitalMon - Fri 8:00 to 5:00PCMH: No

Wright, Lucinda MD

Provider ID: 601497Gender: FemaleUlrf Pediatric Cardiology300 S 8th St, Ste 480 WMurray, KY 42071(502) 585-4802Fax: (502) 589-125600 YRS/18 YRSNorton Children's Medical CenterNorton HospitalMon - Fri 8:00 to 5:00PCMH: No

Pediatrics

Lau, Kelvin MD

Provider ID: 1129973Gender: MaleUlrf Pediatric Cardiology300 S 8th St, Ste 480wMurray, KY 42071(502) 585-4802Fax: (502) 589-125600 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Physical Medicine & Rehabilitation

Kosanovic, Radomir MD

Provider ID: 2178619Gender: MalePain Management Centers Of America1710 Highway Bypass N, Ste 1Murray, KY 42071(270) 554-8373Fax: (812) 477-724000 YRS/130 YRSMon - Sun 7:00 to 5:00PCMH: No

Murala, Samuel MD

Provider ID: 1909743Gender: Male1710 Highway Bypass N, Ste 1Murray, KY 42071(270) 554-8373Fax: (812) 477-724000 YRS/130 YRSMon - Sun 7:00 to 5:00PCMH: No

Rommelman, Monte MD

Provider ID: 627180Gender: MalePaducah Physiatric Partners803 Poplar StMurray, KY 42071-2432(270) 443-9352Fax: (270) 443-901300 YRS/130 YRSMurray Calloway County HospitalMon - Fri 8:00 to 5:00PCMH: No

Pulmonary Disease

Yazdani, Aijaz MD

Provider ID: 604490Gender: Male585 Westport Rd, Ste CElizabethtown, KY 42701-3905(270) 735-9066Fax: (270) 735-903600 YRS/130 YRSFlaget Memorial HospitalLanguages: UrduPCMH: No

Urology

Stanczyk, Christopher DO

Provider ID: 633706Gender: Male300 S 8th St, Ste 109eMurray, KY 42071-2462(270) 762-1567Fax: (270) 752-285500 YRS/130 YRSPCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 23

33881963

Specialty Physicians

Carlisle

General Dentistry

Boyd, John DDS

Provider ID: TPV4988-01Gender: Male268 Us Hwy 62Bardwell, KY 42023(270) 628-3512Fax: (270) [email protected] YRS/99 YRSMon - Wed 8:00 to 5:00 Fri 8:00 to 12:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 24

33881963

Specialty Physicians

Crittenden

Cardiology

Bose, Sanjay MD

Provider ID: 2199997Gender: MaleCrittenden Community Hospital LLC520 W Gum StMarion, KY 42064(270) 965-1073Fax: (270) 965-107800 YRS/130 YRSThu 10:00 to 2:30PCMH: No

Ear. Nose & Throat

Hawkins, James MD

Provider ID: 2200012Gender: MaleCrittenden Community Hospital LLC520 W Gum StMarion, KY 42064(270) 965-1073Fax: (270) 965-107800 YRS/130 YRSThu 9:00 to 9:30PCMH: No

General Surgery

Barnes, William MD Provider ID: 2189020Gender: MaleMarion Physicians Clinic308 S Main StMarion, KY 42064(270) 965-4377Fax: (270) 965-956800 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

General Surgery - cont.

Barnes, William MD Provider ID: 2189020Gender: MaleTrhc Hospital Services (MOB)110 Country Club DrMarion, KY 42064(270) 965-1085Fax: (270) 965-098100 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Patton, Demetrius MD Provider ID: 2189102Gender: MaleTrhc Hospital Services (MOB)110 Country Club DrMarion, KY 42064(270) 965-1085Fax: (270) 965-098100 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Ophthalmology

Baker, Carl MD

Provider ID: TPV2931-08Gender: Male713 South Main StMarion, KY 42064(270) 965-528000 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Bodnarchuk, Brian MD Provider ID: TPV32549-07Gender: Male713 South Main StMarion, KY 42064(270) 965-528000 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Gillespie, Mark MD

Provider ID: TPV4929-02Gender: Male713 South Main StMarion, KY 42064(270) 965-5280Fax: (270) [email protected] YRS/99 YRSMon - Fri 9:00 to 5:00PCMH: No

Kim, James MD Provider ID: TPV29495-03Gender: Male713 South Main StMarion, KY 42064(270) 965-5280Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Meeks, Landon MD

Provider ID: TPV16518-08Gender: Male713 South Main StMarion, KY 42064(270) 965-5280Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Taylor, Jeffery MD Provider ID: TPV4727-07Gender: Male713 South Main StMarion, KY 42064(270) 965-528000 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 25

33881963

Specialty Physicians

Crittenden

Optometry

Parker, Sarah OD

Provider ID: TPV2004-01Gender: Female713 South Main StMarion, KY 42064(270) 965-5280Fax: (270) [email protected] YRS/99 YRSMon - Fri 9:00 to 5:00PCMH: No

Porter, Adria OD

Provider ID: TPV4326-01Gender: Female713 South Main StMarion, KY 42064(270) 965-5280Fax: (270) [email protected] YRS/99 YRSMon - Fri 9:00 to 5:00PCMH: No

Podiatry

Dowell, David DPM

Provider ID: 2233926Gender: MaleCrittenden Community Hospital LLC520 W Gum StMarion, KY 42064-1516(270) 965-1073Fax: (270) 965-107800 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Rheumatology

Hammonds, Cara MD

Provider ID: 2200011Gender: FemaleCrittenden Community Hospital LLC520 W Gum StMarion, KY 42064(270) 965-1073Fax: (270) 965-107800 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 26

33881963

Specialty Physicians

Fulton

Geriatric Medicine

Benigno, Daisy MD

Provider ID: 1164686Gender: Female101main StreetFulton, KY 42041(270) 472-5245Fax: (270) 472-524918 YRS/130 YRSPCMH: No

Benigno, Daisy MD

Provider ID: 1164686Gender: FemaleJackson Purchase Primary Care Hickm2003 South 7th StHickman, KY 42050(270) 236-3337Fax: (270) 236-334018 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

Orthopaedic Surgery

Fulbright, Bennie MD

Provider ID: 633687Gender: MaleParkway Regional Medical Clinic Inc2006 Holiday Ln, Ste 300Fulton, KY 42041-8468(270) 472-8120Fax: (270) 472-812300 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 27

33881963

Specialty Physicians

Graves

Cardiology

Daniels, Tyrone MD

Provider ID: 2082366Gender: MalePinelake Physician Practice LLC1111 Medical Center CirMayfield, KY 42066-1194(304) 528-4600Fax: (304) 399-226600 YRS/150 YRSBaptist Health PaducahJackson Purchase Medical CtrMon - Fri 8:00 to 4:30PCMH: No

Chiropractic

Clapp, Joshua DC

Provider ID: 1878804Gender: MaleTotal Health Chiropractic1011 Paris Rd, Ste 341Mayfield, KY 42066-3306(270) 970-475500 YRS/130 YRSPCMH: No

Travis, Michael DC

Provider ID: 1878805Gender: MaleTotal Health Chiropractic1011 Paris Rd, Ste 341Mayfield, KY 42066-3306(270) 970-475500 YRS/130 YRSPCMH: No

Ear. Nose & Throat

Triana, Rudolph MD

Provider ID: 629304Gender: MalePinelake Physician Practice LLC1029 Medical Center Cir, Ste 200Mayfield, KY 42066-1189(270) 251-4547Fax: (270) 251-408100 YRS/130 YRSJackson Purchase Medical CtrMon - Fri 8:00 to 4:30PCMH: No

Triana, Rudolph MD

Provider ID: 629304Gender: MalePinelake Physician Practice LLC1111 Medical Center Cir, Ste 200Mayfield, KY 42066-1189(270) 251-4080Fax: (270) 251-408100 YRS/130 YRSJackson Purchase Medical CtrMon - Fri 8:00 to 4:30PCMH: No

Gastroenterology

Cuadrado, Ruben MD

Provider ID: 1185473Gender: MaleJackson Purchase Gastroenterology A1029 Medical Center Circle, Suite 306Mayfield, KY 42066(270) 251-4575Fax: (270) 251-457700 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Torok, Anita MD

Provider ID: 1164684Gender: FemaleJackson Purchase Gastroenterology A1029 Medical Center Circle, Ste 306Mayfield, KY 42066(270) 251-4575Fax: (270) 251-457700 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

Torok, Anita MD

Provider ID: 1164684Gender: FemaleJackson Purchase Gastroenterology A1029 Medical Center Circle, Ste 401aMayfield, KY 42066(270) 251-4575Fax: (270) 251-457700 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

General Dentistry

Freeman, Bryan DMD

Provider ID: TPV10762-01Gender: Male312 Wyatt DrMayfield, KY 42066(270) 247-1966Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Hall, Dustin DMD

Provider ID: TPV27871-04Gender: Male312 Wyatt DrMayfield, KY 42066(270) 247-1966Fax: (270) [email protected] YRS/99 YRSLanguages: SpanishMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 28

33881963

Specialty Physicians

Graves

General Dentistry - cont.

Strange Spraggs, Samantha DMD

Provider ID: TPV27386-01Gender: Female312 Wyatt DrMayfield, KY 42066(270) 247-1966Fax: (270) [email protected] YRS/99 YRSLanguages: SpanishMon - Fri 8:00 to 5:00PCMH: No

General Surgery

Whiteley, James MD

Provider ID: 2052064Gender: MalePine Lake Physician Practices. LLC1099 Medical Center CircleMayfield, KY 42066(270) 251-4100Fax: (270) 251-424000 YRS/130 YRSNorton Audubon HospitalJackson Purchase Medical CtrMon - Sat 8:00 to 4:30PCMH: No

Medical Oncology

Chua, Winston MD

Provider ID: 1846498Gender: MaleBaptist Health Medical Group Inc1111 Medical Center CircleMayfield, KY 42066(270) 444-3930Fax: (270) 442-528400 YRS/130 YRSLanguages: Chinese, TagalogMon 8:00 to 5:00PCMH: No

Nephrology

Pitaras, Elias MD

Provider ID: 716374Gender: MalePinelake Physician Practice LLC1029 Medical Center Cir, Ste 401Mayfield, KY 42066-1189(270) 251-4141Fax: (270) 251-452200 YRS/130 YRSJackson Purchase Medical CtrMon - Fri 8:00 to 4:30PCMH: No

Obstetrics/Gynecology

Baldwin, Melisha MD

Provider ID: 1270434Gender: FemaleJackson Purchase Primary Care Mayfi1111 Medical Center CirMayfield, KY 42066(270) 251-4543Fax: (270) 251-454400 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

Kruger, Janine MD

Provider ID: 1273524Gender: FemalePinelake Physician Practice LLC1111 Medical Center CirMayfield, KY 42066(270) 251-4543Fax: (270) 251-454400 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

Wynstra, Jonathan MD

Provider ID: 1173874Gender: MaleMayfield Family Medicine1111 Medical Center CircleMayfield, KY 42066(270) 251-4543Fax: (270) 251-454416 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

Ophthalmology

Gillespie, Mark MD

Provider ID: TPV4929-09Gender: Male1400 Commonwealth DrMayfield, KY 42066(270) 247-2417Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Williams, Johnny MD

Provider ID: TPV4787-01Gender: Male1029 Medical Center Cr, Suite 200Mayfield, KY 42066(270) 251-4545Fax: (270) [email protected] YRS/99 YRSMon, Wed 8:00 to 4:00 Fri 8:00 to 12:00PCMH: No

Optometry

Brewer, Landon OD

Provider ID: TPV22297-02Gender: Male1400 Commonwealth DrMayfield, KY 42066(270) 247-2417Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 6:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 29

33881963

Specialty Physicians

Graves

Optometry - cont.

Bugg, Kelly OD

Provider ID: TPV3374-02Gender: Female333 South 6th StMayfield, KY 42066(270) 247-5532Fax: (270) 247-024500 YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 10:00 to 7:00PCMH: No

Case, Michael OD

Provider ID: TPV23297-19Gender: Male1400 Commonwealth DrMayfield, KY 42066(270) 247-2417Fax: (270) 247-209000 YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 6:00PCMH: No

Ellis, Joe OD

Provider ID: TPV4752-05Gender: Male1400 Commonwealth DrMayfield, KY 42066(270) 247-2417Fax: (270) 247-209000 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Hobbs, Timothy OD

Provider ID: TPV3575-02Gender: Male333 South 6th StMayfield, KY 42066(270) 247-5532Fax: (270) [email protected] YRS/99 YRSLanguages: SpanishMon - Fri 8:00 to 5:00PCMH: No

Jaco, James OD

Provider ID: TPV4699-06Gender: Male1400 Commonwealth DrMayfield, KY 42066(270) 247-2417Fax: (636) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 6:00PCMH: No

Johnson, Chelsey OD

Provider ID: TPV30493-25Gender: Female1400 Commonwealth DrMayfield, KY 42066(270) 247-2417Fax: (270) 247-209000 YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 6:00PCMH: No

Johnson, Chelsey OD

Provider ID: TPV30493-28Gender: Female333 South 6th StMayfield, KY 42066(270) 247-5532Fax: (270) [email protected] YRS/99 YRSLanguages: SpanishMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 7:00PCMH: No

Leonard, Ben OD Provider ID: TPV8613-03Gender: Male1400 Commonwealth DrMayfield, KY 42066(270) 247-2417Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Metzger, William OD Provider ID: TPV104242-31Gender: Male401 Indiana AveMayfield, KY 42066(248) 528-211600 YRS/99 YRSPCMH: No

Metzger, William OD

Provider ID: TPV104242-32Gender: Male500 Beck LaneMayfield, KY 42066(270) 247-7890Fax: (270) [email protected] YRS/99 YRSPCMH: No

Morris, Laurel OD

Provider ID: TPV4876-07Gender: Female1400 Commonwealth DrMayfield, KY 42066(270) 247-2417Fax: (270) 247-209000 YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 6:00PCMH: No

Owens, Mark OD

Provider ID: TPV4937-05Gender: Male1400 Commonwealth DrMayfield, KY 42066(270) 247-2417Fax: (270) 247-209000 YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 6:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 30

33881963

Specialty Physicians

Graves

Optometry - cont.

Sheridan, Donise OD

Provider ID: TPV4574-03Gender: Female1400 Commonwealth DrMayfield, KY 42066(270) 247-2417Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Smith, Tony OD

Provider ID: TPV1487655437WL-01Gender: Male1225 Paris Rd.Mayfield, KY 42066(270) 247-6262Fax: (270) 247-865200 YRS/99 YRSMon - Tue 9:00 to 6:00 Wed, Fri - Sat 9:00 to 5:00 Thu 9:00 to 5:30PCMH: No

Tucker, David OD

Provider ID: TPV4540-05Gender: Male1400 Commonwealth DrMayfield, KY 42066(270) 247-2417Fax: (270) 247-209000 YRS/99 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 6:00PCMH: No

Orthodontics

Milliner, Matthew DMD

Provider ID: TPV13231-01Gender: Male822 Paris RdMayfield, KY 42066(270) 247-0751Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Milliner, Matthew DMD

Provider ID: TPV13231-02Gender: Male822 Paris Road (C4C)Mayfield, KY 42066(270) 247-0751Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Orthopaedic Surgery

Dineen, Timothy MD

Provider ID: 1238376Gender: MaleCentral Kentucky Radiology PLLC1099 Medical Center CirMayfield, KY 42066-1159(859) 219-0542Fax: (859) 219-943300 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Hunt, Philip MD

Provider ID: 1148881Gender: MalePinelake Physician Practice LLC1029 Medical Center Circle, Ste 308Mayfield, KY 42066(270) 251-4495Fax: (270) 251-449600 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

Owens, Joshua MD

Provider ID: 644218Gender: MaleMeadowview Orthopedic Care Center901 Kenton Station DrMaysville, KY 41056-9609(606) 759-5337Fax: (606) 759-534000 YRS/130 YRSMeadowview Reg Med CtrMon - Fri 8:00 to 5:00PCMH: No

Pediatric Urology

Van Savage, John MD

Provider ID: 1510288Gender: MalePinelake Physician Practice LLC1029 Medical Ctr Cir, Ste 408Mayfield, KY 42066-1189(270) 251-4060Fax: (270) 251-406100 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

Podiatry

Little, Jessica DPM

Provider ID: 1021216Gender: FemalePinelake Physician Practices LLC1029 Medical Center Cir, Ste 401bMayfield, KY 42066-1189(270) 251-4590Fax: (270) 251-459100 YRS/130 YRSMon - Fri 8:30 to 5:00PCMH: No

Pulmonary Disease

Dos Remedios, Roberto MD

Provider ID: 614338Gender: MaleJackson Purchase Pulmonary Medicine1111 Medical Center Cir, Fl 2Mayfield, KY 42066-1194(270) 251-4040Fax: (855) 430-033500 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 31

33881963

Specialty Physicians

Graves

Radiology - Interventional &

Vascular

Boshell, Bill MD

Provider ID: 1539666Gender: MaleCentral Kentucky Radiology PLLC1099 Medical Center CircleMayfield, KY 42066-1159(859) 219-0542Fax: (859) 219-943300 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Sports Medicine

Braxton, Thomas MD

Provider ID: 632500Gender: MalePinelake Physician Practice LLC1111 Medical Center CirMayfield, KY 42066-1194(270) 251-4085Fax: (270) 251-408600 YRS/130 YRSJackson Purchase Medical CtrMon - Tue, Thu 8:00 to 6:30 Fri 8:00 to 6:00PCMH: No

Urology

Van Savage, John MD

Provider ID: 1510288Gender: MalePinelake Physician Practice LLC1029 Medical Ctr Cir, Ste 408Mayfield, KY 42066-1189(270) 251-4060Fax: (270) 251-406100 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 32

33881963

Specialty Physicians

Hickman

General Dentistry

Anderson, John DDS

Provider ID: TPV33894-01Gender: Male106 Padgett DrClinton, KY 42031(270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Brown, Aaron DMD

Provider ID: TPV35540-03Gender: Male106 Padgett DrClinton, KY 42031(502) 244-2441Fax: (502) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Dykgraaf, Alyssa DMD

Provider ID: TPV86998DM-01Gender: Female106 Padgett DrClinton, KY 42031(502) 888-8888Fax: (502) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Frey, Donald DMD

Provider ID: TPV1063772952DM-01Gender: Male106 Padgett DrClinton, KY 42031(502) 244-2441Fax: (502) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Harris, Kristin DMD

Provider ID: TPV29875-06Gender: Female106 Padgett DrClinton, KY 42031(502) 244-2420Fax: (502) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Mattingly, Jordan DMD

Provider ID: TPV34034-02Gender: Female106 Padgett DrClinton, KY 42031(502) 244-2441Fax: (502) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Rasheed, Muhammed DMD

Provider ID: TPV10712-10Gender: Male106 Padgett DrClinton, KY 42031(502) 244-2420Fax: (502) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 33

33881963

Specialty Physicians

Livingston

General Surgery

Barnes, William MD Provider ID: 2189020Gender: MaleSalem Medical Clinic141 Hospital Dr, Ste 102Salem, KY 42078(270) 988-3208Fax: (270) 988-464200 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Barnes, William MD Provider ID: 2189020Gender: MaleTrhc Hospital Services141 Hospital Dr, Ste 103Salem, KY 42078(270) 988-7365Fax: (270) 988-415600 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Patton, Demetrius MD Provider ID: 2189102Gender: MaleSalem Medical Clinic141 Hospital Dr, Ste 102Salem, KY 42078(270) 988-3208Fax: (270) 988-464200 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Patton, Demetrius MD Provider ID: 2189102Gender: MaleSmithland Medical Clinic205 E Adair StSmithland, KY 42081(270) 928-2146Fax: (270) 928-449200 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Patton, Demetrius MD Provider ID: 2189102Gender: MaleTrhc Hospital Services141 Hospital Dr, Ste 103Salem, KY 42078(270) 988-7365Fax: (270) 988-415600 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Patton, Demetrius MD

Provider ID: 979925Gender: MaleTririvers Healthcare PLLC141 Hospital Dr, Ste 102Salem, KY 42078-8043(270) 988-3298Fax: (270) 988-464200 YRS/130 YRSLivingston Hospital & HealthcaMon - Fri 8:00 to 5:00 Sat 8:00 to 12:00PCMH: No

Patton, Demetrius MD

Provider ID: 979925Gender: MaleTririvers Healthcare PLLC141 Hospital Dr, Ste 103Salem, KY 42078-8043(270) 988-3298Fax: (270) 988-464200 YRS/130 YRSLivingston Hospital & HealthcaMon - Fri 8:00 to 5:00PCMH: No

Patton, Demetrius MD

Provider ID: 979925Gender: MaleTririvers Healthcare PLLC205 E Adair StSmithland, KY 42081-9164(270) 988-2146Fax: (270) 988-449200 YRS/130 YRSLivingston Hospital & HealthcaMon - Wed 8:00 to 5:00 Thu - Fri 8:00 to 4:00PCMH: No

Patton, Demetrius MD

Provider ID: 979925Gender: MaleTririvers Healthcare PLLC308 S Main StSalem, KY 42078(270) 965-4377Fax: (270) 965-956900 YRS/130 YRSLivingston Hospital & HealthcaMon - Fri 8:00 to 5:00PCMH: No

Pain Management

Wilson, Kristal MD

Provider ID: 1859605Gender: FemaleNulease Medical Solutions LLC501 N Hayden AveSalem, KY 42078-8008(270) 988-2081Fax: (270) 988-206618 YRS/130 YRSMon - Fri 8:00 to 6:30PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 34

33881963

Specialty Physicians

Lyon

Chiropractic

Schoonover, Kent DC Provider ID: 604975Gender: MaleEddyville Chiropractic21 State Route 3305 SEddyville, KY 42038-7915(270) 388-7707Fax: (270) 388-770700 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 35

33881963

Specialty Physicians

Marshall

Chiropractic

Barrett, James DC

Provider ID: 618595Gender: MaleBarrett Chiropractic Center Inc3002 Us Highway 641 NBenton, KY 42025-7464(270) 527-7033Fax: (270) 527-682600 YRS/130 YRSMon, Wed - Fri 7:30 to 5:00 Sat 9:00 to 12:00PCMH: No

Clapp, Joshua DC

Provider ID: 1730621Gender: MaleTotal Health Chiropractic374 W 5th StBenton, KY 42025(270) 906-2700Fax: (270) 906-280000 YRS/130 YRSMon - Thu 8:30 to 6:00 Fri 8:30 to 5:00PCMH: No

Tack, Lisa DC Provider ID: 615331Gender: FemaleCalvert City Chiropractic5131 Us Highway 62Calvert City, KY 42029-8390(270) 395-4540Fax: (270) 395-771500 YRS/130 YRSMon, Fri 9:00 to 3:00 Wed 9:00 to 12:00PCMH: No

Tack, Bradley DC Provider ID: 618795Gender: MaleBradley A Tack PSC5131 Us Highway 62Calvert City, KY 42029-8390(270) 395-4540Fax: (270) 395-771500 YRS/130 YRSMon - Tue, Thu 9:00 to 6:00 Wed 9:00 to 12:00 Fri 9:00 to 5:00 Sat 7:00 to 12:00PCMH: No

Travis, Michael DC Provider ID: 1101251Gender: MaleTotal Health Chiropractic374 W 5th StBenton, KY 42025(270) 906-2700Fax: (270) 906-280000 YRS/130 YRSMon - Fri 8:00 to 5:00 Sat 9:00 to 10:00PCMH: No

Dermatology

Ford, Halden MD

Provider ID: 611644Gender: MalePaducah Dermatology PLLC619 Old Symsonia RdBenton, KY 42025-5042(270) 444-8477Fax: (270) 444-847900 YRS/130 YRSBaptist Health PaducahMon - Fri 8:00 to 5:00PCMH: No

General Dentistry

Abell, Francis DMD

Provider ID: TPV8839-02Gender: Female267 Slickback RdBenton, KY 42025(270) 527-8441Fax: (270) 527-418700 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Bolin, Roy DMD

Provider ID: TPV36253-01Gender: Male267 Slickback RdBenton, KY 42025(270) [email protected] YRS/99 YRSLanguages: SpanishMon - Fri 8:00 to 5:00PCMH: No

Cude, Andrew DMD

Provider ID: TPV39443-01Gender: Male267 Slickback RdBenton, KY 42025(270) [email protected] YRS/99 YRSLanguages: SpanishMon - Thu 8:00 to 4:00PCMH: No

Cude, Timothy DMD

Provider ID: TPV39503-01Gender: Male267 Slickback RdBenton, KY 42025(270) 527-8441Fax: (270) [email protected] YRS/99 YRSLanguages: SpanishMon - Thu 8:00 to 4:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 36

33881963

Specialty Physicians

Marshall

General Dentistry - cont.

Levinson, Howard DDS

Provider ID: TPV51334DM-02Gender: Male267 Slickback RdBenton, KY 42025(270) 527-8441Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Pasco, William DMD

Provider ID: TPV3938-02Gender: Male1317 Main StreetBenton, KY 42025(270) 527-3434Fax: (270) [email protected] YRS/99 YRSMon, Wed 8:30 to 5:00PCMH: No

Rigdon, Nancy DMD

Provider ID: TPV3025-04Gender: Female267 Slickback RdBenton, KY 42025(270) 527-8441Fax: (270) 527-418700 YRS/99 YRSLanguages: SpanishMon - Fri 8:00 to 5:00PCMH: No

White, Keith DMD

Provider ID: TPV5664-02Gender: Male267 Slickback RdBenton, KY 42025(270) 527-8441Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

General Surgery

Beale, Robert MD

Provider ID: 600318Gender: MaleBenton Medical And Surgical Associa619 Old Symsonia RdBenton, KY 42025(270) 527-7400Fax: (270) 527-221100 YRS/130 YRSJackson Purchase Medical CtrMon - Tue, Thu - Fri 8:30 to 4:30PCMH: No

Hematology & Oncology

Concepcion, Luis MD

Provider ID: 1846560Gender: MaleBaptist Health Medical Group Inc543 Powell LaneBenton, KY 42025(270) 415-7070Fax: (270) 415-707100 YRS/130 YRSMon - Fri 7:00 to 7:00 Sat 8:00 to 12:00PCMH: No

Obstetrics/Gynecology

Tolar, Stewart MD

Provider ID: 927291Gender: MaleBaptist Health Medical Group Inc4754 Highway 62Calvert City, KY 42029(270) 415-7780Fax: (270) 415-777900 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Optometry

Brewer, Landon OD

Provider ID: TPV22297-03Gender: Male109 West 5th StBenton, KY 42025(270) 527-7421Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:30 Tue 8:00 to 7:00PCMH: No

Brewer, Landon OD

Provider ID: TPV22297-04Gender: Male43 Industrial PkwyCalvert City, KY 42029(270) 906-0540Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 4:30PCMH: No

Case, Michael OD

Provider ID: TPV23297-16Gender: Male109 West 5th StBenton, KY 42025(270) 527-7421Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:30 Tue 8:00 to 7:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 37

33881963

Specialty Physicians

Marshall

Optometry - cont.

Case, Michael OD

Provider ID: TPV23297-17Gender: Male43 Industrial PkwyCalvert City, KY 42029(270) 906-0540Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:30 Tue 8:00 to 7:00PCMH: No

Ellis, Joe OD

Provider ID: TPV4752-02Gender: Male109 West 5th StBenton, KY 42025(270) 527-7421Fax: (270) [email protected] YRS/99 YRSMon, Wed, Fri 7:30 to 5:30 Tue, Thu 7:30 to 7:00PCMH: No

Ellis, Joe OD

Provider ID: TPV4752-04Gender: Male43 Industrial PkwyCalvert City, KY 42029(270) 906-0540Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 4:30PCMH: No

Gibson, Wendy OD

Provider ID: TPV3505-01Gender: Female1512 Main StBenton, KY 42025(270) 527-0951Fax: (270) [email protected] YRS/99 YRSMon - Fri 9:00 to 5:00PCMH: No

Hayes, Michael OD

Provider ID: TPV1801839477WL-01Gender: Male310 West 5th StBenton, KY 42025(270) 527-9983Fax: (270) [email protected] YRS/99 YRSTue - Fri 9:00 to 5:30 Sat 9:00 to 1:00PCMH: No

Jaco, James OD

Provider ID: TPV4699-04Gender: Male109 West 5th StBenton, KY 42025(270) 527-7421Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:30 Tue 8:00 to 7:00PCMH: No

Jaco, James OD

Provider ID: TPV4699-05Gender: Male43 Industrial PkwyCalvert City, KY 42029(270) 906-0540Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 4:30PCMH: No

Johnson, Chelsey OD

Provider ID: TPV30493-23Gender: Female109 West 5th StBenton, KY 42025(270) 527-7421Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:30 Tue 8:00 to 7:00PCMH: No

Johnson, Chelsey OD

Provider ID: TPV30493-24Gender: Female43 Industrial PkwyCalvert City, KY 42029(270) 906-0540Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 4:30PCMH: No

Leonard, Ben OD

Provider ID: TPV8613-02Gender: Male43 Industrial PkwyCalvert City, KY 42029(270) 906-0540Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 38

33881963

Specialty Physicians

Marshall

Optometry - cont.

Leonard, Ben OD

Provider ID: TPV8613-04Gender: Male109 West 5th StBenton, KY 42025(270) 527-7421Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:30 Tue 8:00 to 7:00PCMH: No

Lyles, Aaron OD

Provider ID: TPV4321-07Gender: Male140 Commerce BlvdBenton, KY 42025(270) 252-3937Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Lyles, Natasha OD

Provider ID: TPV5001-04Gender: Female140 Commerce BlvdBenton, KY 42025(270) 252-3937Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Morris, Laurel OD

Provider ID: TPV4876-04Gender: Female109 West 5th StBenton, KY 42025(270) 527-7421Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Morris, Laurel OD

Provider ID: TPV4876-06Gender: Female43 Industrial PkwyCalvert City, KY 42029(270) 906-0540Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 4:30PCMH: No

Owens, Mark OD

Provider ID: TPV4937-03Gender: Male109 West 5th StBenton, KY 42025(270) 527-7421Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:30 Tue 8:00 to 7:00PCMH: No

Owens, Mark OD

Provider ID: TPV4937-04Gender: Male43 Industrial PkwyCalvert City, KY 42029(270) 906-0540Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 4:30PCMH: No

Sheridan, Donise OD

Provider ID: TPV4574-04Gender: Female109 West 5th StBenton, KY 42025(270) 527-7421Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:30 Tue 8:00 to 7:00PCMH: No

Sheridan, Donise OD

Provider ID: TPV4574-05Gender: Female43 Industrial PkwyCalvert City, KY 42029(270) 906-0540Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 4:30PCMH: No

Tucker, David OD

Provider ID: TPV4540-03Gender: Male109 West 5th StBenton, KY 42025(270) 527-7421Fax: (270) [email protected] YRS/99 YRSMon, Wed - Fri 8:00 to 5:30 Tue 8:00 to 7:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 39

33881963

Specialty Physicians

Marshall

Optometry - cont.

Tucker, David OD

Provider ID: TPV4540-04Gender: Male43 Industrial PkwyCalvert City, KY 42029(270) 906-0540Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 4:30PCMH: No

Orthopaedic Surgery

Fulbright, Bennie MD

Provider ID: 633687Gender: MaleMarshall County Surgical & Medical619 Old Symsonia RdBenton, KY 42025(270) 527-2411Fax: (270) 527-873400 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Fulbright, Bennie MD

Provider ID: 633687Gender: MaleMarshall County Surgical And Medica617 Old Symsonia RdBenton, KY 42025-5042(270) 527-2411Fax: (270) 527-873400 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Pulmonary Disease

Dos Remedios, Roberto MD

Provider ID: 614338Gender: Male615 Old Symsonia RdBenton, KY 42025-5042(270) 251-404000 YRS/130 YRSPCMH: No

Dos Remedios, Roberto MD

Provider ID: 614338Gender: MaleJackson Purchase Pulmonary Medicine503 George Mcclain DrBenton, KY 42025(270) 251-4040Fax: (270) 247-099800 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Dos Remedios, Roberto MD

Provider ID: 614338Gender: MaleJackson Purchase Pulmonary Medicine619 Old Symsonia RdBenton, KY 42025(270) 251-4040Fax: (855) 430-033500 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Rheumatology

Hammonds, Cara MD

Provider ID: 1730971Gender: FemaleMarshall Co Hospital & Long Term Fa617 Old Symsonia RdBenton, KY 42025-5042(270) 527-241100 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 40

33881963

Specialty Physicians

Mccracken

Allergy & Immunology

Guin, Jason MD Provider ID: 719261Gender: MaleFamily Allergy And Asthma - Floren2312 Kentucky AvePaducah, KY 42003-3244(270) 442-5151Fax: (502) 429-615700 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Rankin, Bradley MD

Provider ID: 618602Gender: MaleFamily Allergy And Asthma2312 Kentucky AvePaducah, KY 42003-3244(270) 442-5151Fax: (502) 429-615700 YRS/130 YRSBaptist Health PaducahMon - Fri 8:00 to 5:00PCMH: No

Turbyville, Joseph MD Provider ID: 683774Gender: MaleFamily Allergy And Asthma2312 Kentucky AvePaducah, KY 42003-3244(270) 442-5151Fax: (502) 429-615700 YRS/130 YRSMon - Fri 8:30 to 5:00PCMH: No

Cardiology

Bose, Sanjay MD

Provider ID: 636790Gender: MaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 301Paducah, KY 42003(270) 575-3113Fax: (270) 575-313500 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Ford, James MD

Provider ID: 637844Gender: MaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 301Paducah, KY 42003(270) 575-3113Fax: (270) 575-313500 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Hall, David MD

Provider ID: 1507374Gender: MaleMercy Cardiology Associates1532 Lone Oak Rd, Ste 415Paducah, KY 42003-7943(270) 442-0103Fax: (270) 442-010900 YRS/130 YRSMon - Fri 8:15 to 4:00PCMH: No

Hogancamp, Charles MD

Provider ID: 667206Gender: Male1530 Lone Oak RdPaducah, KY 42003-7901(270) 444-225000 YRS/130 YRSPCMH: No

Hogancamp, Charles MD

Provider ID: 667206Gender: MaleCardiology Associates Of Paducah1532 Lone Oak Rd, Ste 415Paducah, KY 42003(270) 442-0103Fax: (270) 442-010900 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Lea, Brian MD

Provider ID: 631999Gender: MaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 301Paducah, KY 42003(270) 575-3113Fax: (270) 575-313500 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Mcelroy, Bradley MD

Provider ID: 166083Gender: MaleWestern Ky Cardiology Consultants2601 Kentucky Ave, Dob 1 Ste 301Paducah, KY 42003(270) 575-3113Fax: (270) 575-313505 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Mcelroy, Bradley MD

Provider ID: 751882Gender: MaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 301Paducah, KY 42003(270) 575-3113Fax: (270) 575-313500 YRS/130 YRSPCMH: No

Rains, Martin MD

Provider ID: 1355014Gender: MaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 301Paducah, KY 42003(270) 575-3113Fax: (270) 575-313500 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 41

33881963

Specialty Physicians

Mccracken

Cardiology - cont.

Talley, Joel MD

Provider ID: 667211Gender: Male1530 Lone Oak RdPaducah, KY 42003-7901(270) 444-225000 YRS/130 YRSPCMH: No

Talley, Joel MD

Provider ID: 667211Gender: MaleCardiology Associates Of Paducah1532 Lone Oak Rd, Ste 415Paducah, KY 42003(270) 442-0103Fax: (270) 442-010900 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Cardiovascular Surgery

Johnson, Carl MD

Provider ID: 601554Gender: MaleBaptist Health Medical Group2601 Kentucky Ave, Ste 300Paducah, KY 42003-3826(270) 443-5564Fax: (270) 443-554900 YRS/130 YRSBaptist Health PaducahMon - Fri 9:00 to 5:00PCMH: No

Chiropractic

Atnip, Mark DC Provider ID: 656161Gender: MaleMccracken County Chiropractic PSC2731 Jackson StPaducah, KY 42003(270) 444-7111Fax: (270) 444-712200 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Brame, Jason DC

Provider ID: 1019669Gender: MaleImac Regeneration Center2725 James Sanders Blvd, Ste APaducah, KY 42001(270) 554-5114Fax: (270) 554-502100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Chase, Mary DC

Provider ID: 2238622Gender: FemaleImac Regeneration2725 James Sanders Blvd, Ste APaducah, KY 42001(270) 554-5114Fax: (270) 215-483400 YRS/130 YRSMon - Thu 8:00 to 5:00 Fri 8:00 to 12:00PCMH: No

Heisner, Monty DC Provider ID: 608049Gender: MaleMonty Heisner Dc5649 Benton RdPaducah, KY 42003-1003(270) 898-3052Fax: (270) 898-305200 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Kahre, Travis DC Provider ID: 618578Gender: MaleSouthside Family Chiropractic3333 Irvin Cobb Dr, Ste 104Paducah, KY 42003-0526(270) 442-2211Fax: (270) 933-105400 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Schipp, Heath DC

Provider ID: 612898Gender: MaleActive Care Chiropractic3240 Lone Oak Rd, Ste CPaducah, KY 42003-0370(270) 554-7661Fax: (270) 554-768300 YRS/130 YRSLanguages: SpanishMon, Wed 9:00 to 6:00 Tue, Thu 12:00 to 6:00 Fri 8:00 to 5:00PCMH: No

Wallis, Matthew DC

Provider ID: 1019672Gender: MaleImac Regeneration Center2725 James Sanders Blvd, Ste APaducah, KY 42001(270) 554-5114Fax: (270) 215-483400 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Dermatology

Ford, Halden MD

Provider ID: 611644Gender: MalePaducah Dermatology PLLC3101 Parisa DrPaducah, KY 42003(270) 444-8477Fax: (270) 444-847900 YRS/130 YRSBaptist Health PaducahMon - Fri 8:00 to 4:30PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 42

33881963

Specialty Physicians

Mccracken

Dermatology - cont.

Tidwell, William MD

Provider ID: 1644953Gender: MalePaducah Dermatology PLLC3101 Parisa DrPaducah, KY 42003(270) 444-8477Fax: (704) 444-847900 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

Ear. Nose & Throat

Ballert, John MD

Provider ID: 1129378Gender: MaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 601Paducah, KY 42003(270) 408-4368Fax: (270) 408-327200 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Jones, Shawn MD

Provider ID: 1129391Gender: MaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 601Paducah, KY 42003(270) 408-4368Fax: (270) 408-327200 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Murphy, Patricia MD

Provider ID: 2188972Gender: FemaleNew Age Vitality Clinic148 Stuart Nelson Park RdPaducah, KY 42001-9678(270) 908-2681Fax: (606) 789-889318 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Nechtman, Carl MD

Provider ID: 1899575Gender: MaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 601Paducah, KY 42003(270) 408-4368Fax: (270) 408-327200 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Resser, John MD

Provider ID: 1129413Gender: MaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 601Paducah, KY 42003(270) 408-4368Fax: (270) 408-327200 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Speach Jr, Albert MD

Provider ID: 1582703Gender: MaleMercy ENT225 Medical Center Dr, Ste 303Paducah, KY 42003-7934(270) 444-4222Fax: (270) 444-422300 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

Gastroenterology

Basu, Patrick MD

Provider ID: 2172754Gender: MaleMercy Gastroenterology225 Medical Center Dr, Ste 308Paducah, KY 42003-7915(270) 443-0777Fax: (270) 443-099900 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Bodnarchuk, Gary MD

Provider ID: 667237Gender: MaleMercy Gastroenterology225 Medical Center Dr, Ste 308Paducah, KY 42003(270) 444-2444Fax: (270) 443-099900 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Carter, Russell DO

Provider ID: 1180582Gender: MaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 202Paducah, KY 42003(270) 415-4690Fax: (270) 415-469100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Chandrashekar, Lingaiah MD

Provider ID: 1909092Gender: MaleMercy Gastroenterology225 Medical Center Dr, Ste 308Paducah, KY 42003-7915(270) 443-0777Fax: (270) 443-099900 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Gaffney, Kristin DO

Provider ID: 2189298Gender: FemaleMercy Gastroenterology225 Medical Center Dr, Ste 308Paducah, KY 42003-7915(270) 443-0777Fax: (270) 443-099900 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 43

33881963

Specialty Physicians

Mccracken

Gastroenterology - cont.

Jones, Ross MD

Provider ID: 1189168Gender: FemaleMercy Gastroenterology225 Medical Center Dr, Ste 308Paducah, KY 42003(270) 443-0777Fax: (270) 713-036100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Mccombs, Ricky MD

Provider ID: 1180893Gender: MaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 202Paducah, KY 42003(270) 415-4690Fax: (270) 415-469100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Powers, David DO

Provider ID: 1856733Gender: MaleMercy Gastroenterology225 Medical Center Dr, Ste 308Paducah, KY 42003-7915(270) 443-0777Fax: (270) 443-099900 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Scowcroft, Charles MD

Provider ID: 1892011Gender: MaleMercy Gastroenterology225 Medical Center Dr, Ste 308Paducah, KY 42003-7915(270) 443-0777Fax: (270) 443-099900 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Shiben, Timothy MD

Provider ID: 1180986Gender: MaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 202Paducah, KY 42003(270) 415-4690Fax: (270) 415-469100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

General Dentistry

Bolin, Roy DMD

Provider ID: TPV36253-02Gender: Male1836 Broadway StreetPaducah, KY 42001(270) 442-0256Fax: (270) [email protected] YRS/99 YRSMon 7:00 to 5:00 Tue 7:00 to 4:00 Wed 7:00 to 7:00 Thu 7:00 to 6:00 Fri 7:00 to 4:30 Sat 7:00 to 12:00PCMH: No

Craft, John DMD

Provider ID: TPV4187-01Gender: Male2136 BroadwayPaducah, KY 42001(270) 442-2310Fax: (270) [email protected] YRS/20 YRSMon - Wed, Fri 8:00 to 5:00 Thu 8:00 to 12:00PCMH: No

Hall, Dustin DMD

Provider ID: TPV27871-05Gender: Male4616 Village Square DrPaducah, KY 42001(270) 444-6080Fax: (270) [email protected] YRS/99 YRSLanguages: SpanishMon - Fri 8:00 to 5:00PCMH: No

Strange Spraggs, Samantha DMD

Provider ID: TPV27386-02Gender: Female4616 Village Square DrPaducah, KY 42001(270) 444-6080Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

General Surgery

Bicking, Griffin DO Provider ID: 722088Gender: MaleBaptist Health Medical Group2603 Kentucky Ave, Ste 105Paducah, KY 42003(270) 415-4802Fax: (270) 415-483500 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Davis, Anthony MD

Provider ID: 1304808Gender: MaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 102Paducah, KY 42003(270) 443-0202Fax: (270) 443-023500 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 44

33881963

Specialty Physicians

Mccracken

General Surgery - cont.

Higdon Wilham, Alice DO

Provider ID: 1716312Gender: FemaleMercy General Surgery1532 Lone Oak Rd, Ste 235Paducah, KY 42003(270) 442-9463Fax: (270) 442-224100 YRS/130 YRSMon - Thu 8:00 to 5:00 Fri 8:00 to 4:00PCMH: No

Jackson, April MD

Provider ID: 603596Gender: FemaleSurgical Group Of Paducah PSC2601 Kentucky Ave, Ste 201 Dob #1Paducah, KY 42003-3825(270) 538-9555Fax: (270) 538-955400 YRS/130 YRSLourdes Hospital IncMon - Fri 9:00 to 5:00PCMH: No

Lund, Lindsey MD

Provider ID: 1049545Gender: FemaleMercy ENT225 Medical Center Dr, Ste 303Paducah, KY 42003-7915(270) 442-9463Fax: (270) 442-224100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Lund, Lindsey MD Provider ID: 1049545Gender: FemaleMercy General Surgery1532 Lone Oak Rd, Ste 235Paducah, KY 42003-7941(270) 442-9463Fax: (270) 442-224100 YRS/130 YRSMon - Fri 8:00 to 4:00PCMH: No

Mauterer, David MD

Provider ID: 941880Gender: MaleMercy General Surgery1532 Lone Oak Rd, Ste 235Paducah, KY 42003-7941(270) 442-9463Fax: (270) 442-224100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Mauterer, David MD

Provider ID: 941880Gender: MaleMercy General Surgery225 Medical Center Dr, Ste 303Paducah, KY 42003-7915(270) 442-9463Fax: (270) 538-687900 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Medvetz, Lisa MD

Provider ID: 1827131Gender: FemaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 102Paducah, KY 42003(270) 575-8462Fax: (270) 443-023500 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Slomiany, Beatrix MD

Provider ID: 1313373Gender: FemaleNautilus Health Care Group Plc2501 Kentucky AvePaducah, KY 42001(270) 575-2414Fax: (888) 507-983300 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Stigall, Kevin MD

Provider ID: 601507Gender: MaleSurgical Group Of Paducah PSC2601 Kentucky Ave, Ste 201 Dob 1Paducah, KY 42003(270) 538-9555Fax: (270) 538-955400 YRS/130 YRSBaptist Health PaducahMon - Fri 8:00 to 5:00PCMH: No

Hematology & Oncology

Claudino, Wederson MD

Provider ID: 1313072Gender: MalePaducah Cancer & Blood Center225 Medical Center Dr, Ste 301Paducah, KY 42003-7914(270) 441-4343Fax: (270) 441-434400 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Claudino, Wederson MD

Provider ID: 1899457Gender: MalePaducah Medical Oncology225 Medical Center Dr, Ste 301Paducah, KY 42003(270) 441-4343Fax: (270) 441-434400 YRS/130 YRSLanguages: PortugueseMon - Fri 8:30 to 5:00PCMH: No

Ezewuiro, Obiageli MD

Provider ID: 1468674Gender: FemaleBaptist Health Medical Group Inc2501 Kentucky Ave, Ste 201Paducah, KY 42003-3813(270) 554-0011Fax: (270) 554-652500 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 45

33881963

Specialty Physicians

Mccracken

Hematology & Oncology - cont.

Firwana, Belal MD

Provider ID: 2179047Gender: MaleBaptist Health Medical Group Inc2501 Kentucky Ave, Ste 201Paducah, KY 42003(270) 444-3930Fax: (270) 442-528400 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Skinner, William MD

Provider ID: 1892029Gender: MalePaducah Medical Oncology225 Medical Center Dr, Ste 301Paducah, KY 42003(270) 441-4343Fax: (270) 441-434400 YRS/130 YRSMon - Fri 8:30 to 5:00PCMH: No

Hyperbaric Medicine

Banister, Jason MD

Provider ID: 627089Gender: MaleLourdes Wound Care225 Medical Center Dr, Ste 205Paducah, KY 42003-7907(270) 441-4462Fax: (270) 441-446100 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Infectious Disease

Fleenor Ford, Anita MD

Provider ID: 668988Gender: FemaleHeartland Cares Inc1903 Broadway StPaducah, KY 42001(270) 444-8144Fax: (270) 444-814700 YRS/130 YRSMon - Thu 8:00 to 4:30PCMH: No

Fleenor-Ford, Anita MD

Provider ID: 669082Gender: FemaleInfectious Disease Associates PLLC1903 BroadwayPaducah, KY 42001(270) 444-9889Fax: (270) 444-929100 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

Lebuhn, Carl MD

Provider ID: 627279Gender: MaleHeartland Cares Inc1903 Broadway StPaducah, KY 42001(270) 444-8144Fax: (270) 444-814700 YRS/130 YRSMon - Fri 9:00 to 4:00PCMH: No

Lebuhn, Carl MD

Provider ID: 727795Gender: MaleInfectious Disease Associates PLLC1903 BroadwayPaducah, KY 42001(270) 444-9889Fax: (270) 444-929100 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

Interventional Cardiology

Fontana, Umberto MD

Provider ID: 2224416Gender: MaleMercy Cardiology Associates1532 Lone Oak Rd, Ste 415Paducah, KY 42003-7943(270) 442-0103Fax: (270) 442-010900 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

Mani, Anil MD

Provider ID: 2057885Gender: MaleMercy Cardiology Associates1532 Lone Oak Rd, Ste 415Paducah, KY 42003-7943(270) 442-0103Fax: (270) 442-010900 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

Mcdermott, Timothy MD

Provider ID: 1731489Gender: MaleMercy Cardiology Associates1532 Lone Oak Rd, Ste 415Paducah, KY 42003-7943(270) 442-0103Fax: (270) 442-010900 YRS/130 YRSMon - Fri 8:00 to 4:00PCMH: No

Maternal Fetal Medicine

How, Helen MD

Provider ID: 671690Gender: FemaleNorton Maternal Fetal Medicine Spec2605 Kentucky Ave, Bldg 3 Ste 102Paducah, KY 42003-3817(270) 415-8965Fax: (855) 855-458500 YRS/130 YRSLanguages: ChineseMon - Fri 8:00 to 4:30PCMH: No

Jenkins, Thomas MD

Provider ID: 1227202Gender: MaleNorton Mfm Specialists2605 Kentucky Ave, Bldg 3 Ste 102Paducah, KY 42003-3817(270) 415-8965Fax: (855) 855-458500 YRS/130 YRSMon - Fri 8:30 to 4:30PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 46

33881963

Specialty Physicians

Mccracken

Maternal Fetal Medicine - cont.

Turnquest Wells, Mureena MD

Provider ID: 1334328Gender: FemaleNorton Mfm Specialists2605 Kentucky Ave, Bldg 3 Ste 102Paducah, KY 42003-3817(270) 415-8965Fax: (855) 855-458500 YRS/130 YRSMon - Fri 8:30 to 4:30PCMH: No

Neonatal Perinatal Medicine

Shimer, Kimberly MD

Provider ID: 2177868Gender: FemaleNorton Childrens Neonatology Specia2501 Kentucky AvePaducah, KY 42003(502) 588-0982Fax: (502) 588-098700 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Nephrology

Ali, Shaukat MD

Provider ID: 1757537Gender: MaleKidney Specialists Of Paducah1532 Lone Oak Rd, Ste 315Paducah, KY 42003(270) 538-5880Fax: (270) 538-587016 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Ali, Shaukat MD

Provider ID: 700588Gender: MaleWestern Kentucky Kidney Special-ists1532 Lone Oak Rd, Ste 315Paducah, KY 42003(270) 538-5880Fax: (270) 538-587012 YRS/130 YRSLanguages: Punjabi, Spanish, UrduMon - Fri 8:00 to 5:00PCMH: No

Ali, Shaukat MD

Provider ID: 700588Gender: Male225 Medical Center Dr, Ste 201Paducah, KY 42003-7907(270) 441-4250Fax: (270) 538-587012 YRS/130 YRSLanguages: Punjabi, Spanish, UrduPCMH: No

Pitaras, Elias MD

Provider ID: 716374Gender: MalePinelake Physician Practice LLC1532 Lone Oak Rd, Ste G 15Paducah, KY 42003(270) 443-3392Fax: (270) 251-452200 YRS/130 YRSJackson Purchase Medical CtrMon - Fri 8:00 to 5:00PCMH: No

Wilkerson, Jonathan MD

Provider ID: 1757760Gender: MaleKidney Specialists Of Paducah1532 Lone Oak Rd, Ste 315Paducah, KY 42003(270) 538-5880Fax: (270) 538-587016 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Wilkerson, Jonathan MD

Provider ID: 708691Gender: MaleJackson Purchase Medical Associ-ates1532 Lone Oak Rd, Ste 315Paducah, KY 42003(270) 538-5880Fax: (270) 538-587000 YRS/130 YRSLourdes Hospital IncMon - Fri 8:30 to 5:00PCMH: No

Youssef, Jacques MD

Provider ID: 1189201Gender: Male225 Medical Center Dr, Ste 201Paducah, KY 42003-7907(270) 441-425000 YRS/130 YRSPCMH: No

Youssef, Jacques MD

Provider ID: 1757764Gender: MaleKidney Specialists Of Paducah1532 Lone Oak Rd, Ste 315Paducah, KY 42003(270) 538-5880Fax: (270) 538-587018 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Neurology

Ashburn, Joseph MD

Provider ID: 627049Gender: MaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 304Paducah, KY 42003(270) 415-4800Fax: (270) 415-480100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 47

33881963

Specialty Physicians

Mccracken

Neurology - cont.

Braun Hashemi, Clare MD

Provider ID: 1326913Gender: FemaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 304Paducah, KY 42003(270) 415-4800Fax: (270) 415-480100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Couch, Jimmy DO

Provider ID: 633758Gender: MaleMercy Neurosurgery1532 Lone Oak Rd, Ste 143Paducah, KY 42003(270) 538-6600Fax: (270) 538-663500 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Grubbs, John MD

Provider ID: 627280Gender: MaleBaptist Health Medical Group2603 Kentucky Ave, Ste 304Paducah, KY 42003-3801(270) 415-4800Fax: (270) 415-480100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Hogancamp, William MD

Provider ID: 615272Gender: MaleMercy Neurology1532 Lone Oak Rd, Ste 150Paducah, KY 42003(270) 538-6700Fax: (270) 538-675500 YRS/130 YRSBaptist Health PaducahMon - Fri 8:00 to 5:00PCMH: No

Neurosurgery

Couch, Jonathan DO

Provider ID: 1273121Gender: MaleMercy Neurosurgery1532 Lone Oak Rd, Ste 143Paducah, KY 42003(270) 538-6600Fax: (270) 538-663500 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Ding, Dale MD

Provider ID: 2200003Gender: MaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 402Paducah, KY 42003(270) 443-6472Fax: (270) 442-164900 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Farrell, Brian MD

Provider ID: 1857088Gender: MaleMercy Neurosurgery1532 Lone Oak Rd, Ste 143Paducah, KY 42003(270) 538-6600Fax: (270) 538-663500 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Finizio, Joseph MD

Provider ID: 671209Gender: MaleNorton Neurosurgical Institute Of K225 Medical Center Dr, Ste 401Paducah, KY 42003-7914(270) 441-4800Fax: (270) 441-283000 YRS/130 YRSOwensboro Health Regional HospitalSt Vincent EvansvilleMon - Fri 8:00 to 4:30PCMH: No

Gruber, Thomas MD Provider ID: 700555Gender: MaleBaptist Health Medical Group2603 Kentucky Ave, Ste 402Paducah, KY 42003(270) 443-6472Fax: (270) 442-164900 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Molloy, Gerald MD

Provider ID: 2227422Gender: MaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 402Paducah, KY 42003(270) 443-6472Fax: (270) 442-164900 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 48

33881963

Specialty Physicians

Mccracken

Obstetrics

Hope Unlimited Care Center And

Medical C

Provider ID: 716458Hope Unlimited Care Center And Medi1101 Jefferson StPaducah, KY 42001(270) 442-1166Fax: (270) 442-994800 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Obstetrics/Gynecology

Cuthrell, William MD

Provider ID: 671499Gender: MaleNorton Mfm Specialties2605 Kentucky Ave, Bldg 3 Ste 102Paducah, KY 42003(270) 415-8965Fax: (855) 855-458500 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

England, Gary MD

Provider ID: 667145Gender: MaleGary T England Md2603 Kentucky Ave, Ste 101Paducah, KY 42003(270) 442-5102Fax: (270) 442-510800 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Mueller, Susan MD

Provider ID: 606305Gender: FemaleContemporary Ob-Gyn Of Western Kent2605 Kentucky Ave, Ste 103 Dob 3Paducah, KY 42003(270) 444-9199Fax: (270) 444-929900 YRS/130 YRSBaptist Health PaducahLourdes Hospital IncMon - Fri 8:00 to 5:00PCMH: No

Savells, Amber MD

Provider ID: 1093179Gender: FemaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 301Paducah, KY 42003(270) 443-1220Fax: (270) 443-002312 YRS/130 YRSMon - Thu 8:00 to 4:00 Fri 8:00 to 12:00PCMH: No

Slatter Hall, Miriam MD

Provider ID: 1144167Gender: FemaleMercy OBGYN1532 Lone Oak Rd, Ste 245Paducah, KY 42003(270) 538-5700Fax: (270) 538-570100 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

Sublette, Matthew MD

Provider ID: 1306180Gender: MaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 301Paducah, KY 42003(270) 443-1220Fax: (270) 443-002300 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Tolar, Stewart MD

Provider ID: 927291Gender: MaleBaptist Health Medical Group2605 Kentucky Ave, Ste 301Paducah, KY 42003-3828(270) 443-1220Fax: (270) 443-002300 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Wagner, Amanda MD

Provider ID: 667254Gender: Female1530 Lone Oak RdPaducah, KY 42003-7900(270) 444-225000 YRS/130 YRSPCMH: No

Wagner, Amanda MD

Provider ID: 667254Gender: FemaleMercy OBGYN1532 Lone Oak Rd, Ste 245Paducah, KY 42003(270) 538-5700Fax: (270) 538-570100 YRS/130 YRSMon - Fri 9:00 to 4:00PCMH: No

Williamson, Katherine DO

Provider ID: 1717378Gender: FemaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 301Paducah, KY 42003(270) 443-1220Fax: (270) 443-002300 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 49

33881963

Specialty Physicians

Mccracken

Ophthalmology

Baker, Carl MD

Provider ID: TPV2931-02Gender: Male1900 Broadway, Suite 2Paducah, KY 42001(270) 443-4393Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Baker, Carl MD

Provider ID: TPV2931-03Gender: Male4630 Village Square DrPaducah, KY 42001(270) 443-4393Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Baker, Carl MD

Provider ID: TPV2931-07Gender: Male225 Medical Center DrPaducah, KY 42003(270) 433-439300 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Billingsley, John MD

Provider ID: TPV900133-02Gender: Male1130 Lone Oak Rd, Suite BPaducah, KY 42003(270) 538-985800 YRS/99 YRSMon, Wed 8:00 to 5:00 Fri 7:30 to 4:00PCMH: No

Bodnarchuk, Brian MD

Provider ID: TPV32549-02Gender: Male100 Medical Center DrPaducah, KY 42003(270) 442-1024Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Bodnarchuk, Brian MD

Provider ID: TPV32549-03Gender: Male225 Medical Center DrPaducah, KY 42003(270) 441-4500Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Bodnarchuk, Brian MD

Provider ID: TPV32549-04Gender: Male2501 Kentucky AvePaducah, KY 42003(270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Bodnarchuk, Brian MD

Provider ID: TPV32549-06Gender: Male4630 Village Square DrPaducah, KY 42001(270) 443-4393Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Bowers, Barbara MD

Provider ID: TPV3623-02Gender: Female2831 Lone Oak RdPaducah, KY 42003(270) 554-8373Fax: (270) [email protected] YRS/99 YRSPCMH: No

Bowers, Barbara MD

Provider ID: TPV3623-03Gender: Female1130 Lone Oak Rd, Suite BPaducah, KY 42003(270) 415-0245Fax: (270) [email protected] YRS/99 YRSMon - Wed 8:00 to 5:00PCMH: No

Gillespie, Mark MD

Provider ID: TPV4929-07Gender: Male4630 Village Square DrPaducah, KY 42001(270) 443-4393Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Gillespie, Mark MD

Provider ID: TPV4929-08Gender: Male225 Medical Center DrPaducah, KY 42003(270) 433-439300 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 50

33881963

Specialty Physicians

Mccracken

Ophthalmology - cont.

Kim, James MD

Provider ID: TPV29495-01Gender: Male4630 Village Square DrPaducah, KY 42001(270) 443-4393Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Kim, James MD Provider ID: TPV29495-04Gender: Male225 Medical Center DrPaducah, KY 42003(270) 441-450000 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Kim, James MD Provider ID: TPV29495-05Gender: Male2501 Kentucky AvePaducah, KY 42003(270) 575-210000 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Meeks, Landon MD

Provider ID: TPV16518-03Gender: Male100 Medical Center DrivePaducah, KY 42003(270) 443-439300 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Meeks, Landon MD

Provider ID: TPV16518-06Gender: Male4630 Village Square DrPaducah, KY 42001(270) 443-4393Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Meeks, Landon MD

Provider ID: TPV16518-07Gender: Male225 Medical Center DrPaducah, KY 42003(270) 443-439300 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Taylor, Jeffery MD

Provider ID: TPV4727-05Gender: Male4630 Village Square DrPaducah, KY 42001(270) 442-1671Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Taylor, Jeffery MD

Provider ID: TPV4727-06Gender: Male225 Medical Center DrPaducah, KY 42003(270) 433-439300 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Optician

Seilheimer, August LDO

Provider ID: TPV4941-01Gender: Male3340 Irvin Cobb DrPaducah, KY 42003(270) 575-1919Fax: (270) [email protected] YRS/99 YRSMon - Fri 9:00 to 5:30 Sat 9:00 to 1:00PCMH: No

Optometry

Ahmad, Bilal OD

Provider ID: TPV23729-05Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Badiwala, Hiral OD

Provider ID: TPV32178-10Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 51

33881963

Specialty Physicians

Mccracken

Optometry - cont.

Beauchamp, Johnathan OD

Provider ID: TPV23732-05Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Bharadia, Mohamed OD Provider ID: TPV103757-05Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-209000 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Borders, Britt OD Provider ID: TPV34759-04Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Borders, Sara OD Provider ID: TPV34765-04Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Bowling, Aja OD Provider ID: TPV3371-08Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Brewer, Landon OD

Provider ID: TPV22297-06Gender: Male1748 Broadway StPaducah, KY 42001(270) 443-9955Fax: (270) 442-146900 YRS/99 YRSMon, Wed 9:00 to 6:00 Tue, Thu 8:00 to 5:00 Fri 9:00 to 1:00PCMH: No

Brumit, Michael OD Provider ID: TPV950000269-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Buckner, James OD Provider ID: TPV4689-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Bui, Hai OD

Provider ID: TPV31955-11Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Burt, Kevin OD Provider ID: TPV4845-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Busey, Lannie OD Provider ID: TPV4869-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Case, Michael OD Provider ID: TPV23297-04Gender: Male3910 Hinkleville RdPaducah, KY 42001(502) 966-2020Fax: (502) 966-209900 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 52

33881963

Specialty Physicians

Mccracken

Optometry - cont.

Case, Michael OD

Provider ID: TPV23297-18Gender: Male1748 Broadway StPaducah, KY 42001(270) 443-9955Fax: (270) [email protected] YRS/99 YRSMon, Wed 9:00 to 6:00 Tue, Thu 8:00 to 5:00 Fri 9:00 to 1:00PCMH: No

Chatham, Kaley OD Provider ID: TPV5915-08Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Cheng, Judy OD

Provider ID: TPV29248-07Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Coleman, Justin OD Provider ID: TPV18437-09Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Cox, Wesley OD

Provider ID: TPV32173-10Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Crockett, Jason OD Provider ID: TPV4717-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Daniel, Joshua OD Provider ID: TPV14996-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Davis, Jordan OD Provider ID: TPV35987-01Gender: Female2302 Kentucky AvePaducah, KY 42003(270) 415-5080Fax: (270) [email protected] YRS/99 YRSMon, Wed - Thu 8:00 to 5:00 Tue 8:00 to 7:00 Fri 8:00 to 2:00PCMH: No

Eger, Michael OD Provider ID: TPV4975-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Ellis, Joe OD

Provider ID: TPV4752-07Gender: Male1748 Broadway StPaducah, KY 42001(270) 443-9955Fax: (270) 442-146900 YRS/99 YRSMon, Wed 9:00 to 6:00 Tue, Thu 8:00 to 5:00 Fri 9:00 to 1:00PCMH: No

Ficarra, Anthony OD

Provider ID: TPV13354-04Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 53

33881963

Specialty Physicians

Mccracken

Optometry - cont.

Gamblin, Steven OD

Provider ID: TPV5198-01Gender: Male3340 Irvin Cobb DrPaducah, KY 42003(270) 441-7332Fax: (270) [email protected] YRS/99 YRSMon - Tue, Thu - Fri 9:00 to 5:00 Sat 9:00 to 1:00PCMH: No

Gersh, Richard OD Provider ID: TPV3379-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Gibson, Jennifer OD

Provider ID: TPV4737-01Gender: Female2302 Kentucky AvePaducah, KY 42003(270) 415-5080Fax: (270) [email protected] YRS/99 YRSMon, Wed - Thu 8:00 to 5:00 Tue 8:00 to 7:00 Fri 8:00 to 2:00PCMH: No

Grady, Susan OD

Provider ID: TPV1855-05Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Gray, Keith OD

Provider ID: TPV34064-04Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Green, Rebecca OD Provider ID: TPV18575-08Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Henderson, Richard OD Provider ID: TPV3387-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Hobbs, Timothy OD

Provider ID: TPV3575-01Gender: Male1130 Lone Oak RdPaducah, KY 42003(270) 415-0245Fax: (270) [email protected] YRS/99 YRSMon - Thu 8:00 to 5:00PCMH: No

Hobbs, Timothy OD

Provider ID: TPV3575-03Gender: Male1130 Lone Oak Rd, Suite BPaducah, KY 42003(270) 583-9858Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Houston, Joshua OD Provider ID: TPV29881-07Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Jaco, James OD

Provider ID: TPV4699-07Gender: Male1748 Broadway StPaducah, KY 42001(270) 443-9955Fax: (636) [email protected] YRS/99 YRSMon, Wed 9:00 to 6:00 Tue, Thu 8:00 to 5:00 Fri 9:00 to 1:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 54

33881963

Specialty Physicians

Mccracken

Optometry - cont.

Johnson, Lauren OD Provider ID: TPV28925-05Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Johnson, Chelsey OD

Provider ID: TPV30493-01Gender: Female1748 Broadway StPaducah, KY 42001(270) 443-9955Fax: (270) [email protected] YRS/99 YRSMon, Wed 9:00 to 6:00 Tue, Thu 8:00 to 5:00 Fri 9:00 to 1:00PCMH: No

Johnson, Chelsey OD

Provider ID: TPV30493-06Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Johnson, Douglas OD Provider ID: TPV3408-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Kailey, Manavjeet OD

Provider ID: TPV27010-04Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Klutts, Fred OD Provider ID: TPV3420-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Lawrence, Stephen OD Provider ID: TPV5184-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Leonard, Ben OD

Provider ID: TPV8613-06Gender: Male1748 Broadway StPaducah, KY 42001(270) 443-9955Fax: (270) 442-146900 YRS/99 YRSMon, Wed 9:00 to 6:00 Tue, Thu 8:00 to 5:00 Fri 9:00 to 1:00PCMH: No

Love, Marcus OD Provider ID: TPV3422-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Luckett, James OD Provider ID: TPV3427-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Lynn, Mark OD Provider ID: TPV3431-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Mansfield, Levi OD

Provider ID: TPV20438-01Gender: Male5101 Hinkleville Rd, Suite 490Paducah, KY 42001(270) 442-7222Fax: (270) [email protected] YRS/99 YRSMon - Tue, Thu - Fri 9:30 to 6:00 Sat 9:30 to 5:30PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 55

33881963

Specialty Physicians

Mccracken

Optometry - cont.

Mansfield, Levi OD

Provider ID: TPV20438-02Gender: Male60 Lakeview DrPaducah, KY 42001(270) 554-2000Fax: (270) 554-298900 YRS/99 YRSMon - Thu 8:30 to 5:30 Fri 9:00 to 2:00PCMH: No

Martin, William OD

Provider ID: TPV1831232503WL-01Gender: Male3220 Irving Cobb DrPaducah, KY 42003(270) 444-7824Fax: (270) 444-905203 YRS/99 YRSMon - Fri 9:00 to 5:00 Sat 9:00 to 3:00PCMH: No

Mcfadden, Donald OD Provider ID: TPV29726-05Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Montalvo, Noemi OD Provider ID: TPV3455-08Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Moreau, Eric OD

Provider ID: TPV22921-14Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Morris, Laurel OD

Provider ID: TPV4876-05Gender: Female1748 BroadwayPaducah, KY 42001(270) 443-9955Fax: (270) 442-146900 YRS/99 YRSMon, Wed 9:00 to 6:00 Tue, Thu 8:00 to 5:00 Fri 9:00 to 1:00PCMH: No

Mueller, Adam OD Provider ID: TPV29780-28Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Nagatoshi, Raymond OD Provider ID: TPV3456-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Newberry, Daniel OD

Provider ID: TPV20437-02Gender: Male60 Lakeview DrPaducah, KY 42001(270) 554-2000Fax: (270) 554-298900 YRS/99 YRSMon - Thu 8:30 to 5:30 Fri 9:00 to 2:00PCMH: No

Novotny, Patrick OD

Provider ID: TPV1356475-05Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Oliver, Heather OD Provider ID: TPV18436-11Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Oliver, Crystal OD Provider ID: TPV27472-07Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 56

33881963

Specialty Physicians

Mccracken

Optometry - cont.

Omar, Rashid OD Provider ID: TPV3459-13Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-209000 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Owens, Mark OD

Provider ID: TPV4937-02Gender: Male1748 Broadway StPaducah, KY 42001(270) 443-9955Fax: (270) [email protected] YRS/99 YRSMon, Wed 9:00 to 6:00 Tue, Thu 8:00 to 5:00 Fri 9:00 to 1:00PCMH: No

Parnell, Jeffrey OD

Provider ID: TPV26862-06Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Parnell, Robin OD

Provider ID: TPV30669-05Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Partain, Jeffrey OD Provider ID: TPV4733-14Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Patel, Tania OD Provider ID: TPV30169-05Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Price, Martin OD Provider ID: TPV3461-01Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Pulliam, Mark OD Provider ID: TPV3462-16Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Reed, Tiffany OD Provider ID: TPV5260-12Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Reeve, Charles OD Provider ID: TPV30231-05Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Richert, Judith OD

Provider ID: TPV4805-05Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 57

33881963

Specialty Physicians

Mccracken

Optometry - cont.

Roberts, John OD Provider ID: TPV10927-06Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Roberts, Keith OD Provider ID: TPV4829-10Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Robertson, Paul OD Provider ID: TPV5034-02Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Rose, Laura OD Provider ID: TPV13482-08Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Rubesh, Grant OD Provider ID: TPV3465-16Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Ruzicka, Amy OD

Provider ID: TPV33839-04Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Salee, Sarah OD Provider ID: TPV5151-08Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Sanchez-Juan, Ada OD Provider ID: TPV34749-04Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Sheridan, Donise OD

Provider ID: TPV4574-07Gender: Female1748 Broadway StPaducah, KY 42001(270) 443-9955Fax: (270) 442-146900 YRS/99 YRSMon, Wed 9:00 to 6:00 Tue, Thu 8:00 to 5:00 Fri 9:00 to 1:00PCMH: No

Smith, Stephen OD Provider ID: TPV5187-15Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Snead, Kevin OD Provider ID: TPV4850-11Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Souleyrette, Dale OD Provider ID: TPV3467-15Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 58

33881963

Specialty Physicians

Mccracken

Optometry - cont.

Spear, Steven OD Provider ID: TPV5206-11Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Stanis, Carl OD Provider ID: TPV3468-13Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Steele, Harry OD

Provider ID: TPV3312-10Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Sydnor, Carl OD Provider ID: TPV4434-08Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Tabassi, Bita OD Provider ID: TPV4405-15Gender: Female3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Travis, Justin OD

Provider ID: TPV37356-01Gender: Male1748 Broadway StPaducah, KY 42001(270) 443-9955Fax: (270) [email protected] YRS/99 YRSMon, Wed 9:00 to 6:00 Tue, Thu 8:00 to 5:00 Fri 9:00 to 1:00PCMH: No

Tucker, David OD

Provider ID: TPV4540-02Gender: Male1748 Broadway StPaducah, KY 42001(270) 443-9955Fax: (270) [email protected] YRS/99 YRSMon, Wed 9:00 to 6:00 Tue, Thu 8:00 to 5:00 Fri 9:00 to 1:00PCMH: No

Ward, William OD

Provider ID: TPV27033-05Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-2090Fax: (270) 444-208600 YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Wolf, Nicholas OD

Provider ID: TPV13175-07Gender: Male3910 Hinkleville RdPaducah, KY 42001(270) 443-209000 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 5:30 Sun 1:00 to 5:00PCMH: No

Oral & Maxillofacial Surgery

Bowles, Thomas DMD

Provider ID: 1431227Gender: MaleHeine Heine And Bowles PLLC2850 Lone Oak Rd, Ste 5Paducah, KY 42003(270) 554-2026Fax: (270) 554-916400 YRS/130 YRSMon - Thu 8:00 to 4:00 Fri 7:00 to 1:00PCMH: No

Bowles, Thomas DMD

Provider ID: TPV24711-01Gender: Male2850 Lone Oak Rd, Suite 5Paducah, KY 42003(270) 554-2026Fax: (270) [email protected] YRS/20 YRSMon - Thu 8:00 to 4:00 Fri 7:00 to 1:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 59

33881963

Specialty Physicians

Mccracken

Oral & Maxillofacial Surgery - cont.

Ciampa, Peter DMD

Provider ID: TPV33103-01Gender: Male200 Medical Center DrPaducah, KY 42003(270) 442-4374Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:30 to 4:00PCMH: No

Harris, Robbie DDS

Provider ID: TPV33034-01Gender: Male4975 Alben Barkley Dr, Suite 4Paducah, KY 42001(270) 408-1960Fax: (270) [email protected] YRS/99 YRSMon - Fri 8:00 to 5:00PCMH: No

Heine, Robert DMD

Provider ID: 1420145Gender: MaleHeine Heine And Bowles PLLC2850 Lone Oak Rd, Ste 5Paducah, KY 42003(270) 554-2026Fax: (270) 554-916400 YRS/130 YRSMon - Thu 8:00 to 4:00 Fri 7:00 to 1:00PCMH: No

Heine, Robert DMD

Provider ID: TPV24100-01Gender: Male2850 Lone Oak Rd, Suite 5Paducah, KY 42003(270) 554-2026Fax: (270) [email protected] YRS/99 YRSMon - Thu 8:00 to 4:00 Fri 7:00 to 1:00PCMH: No

Heine, Brian DMD

Provider ID: TPV3323-01Gender: Male2850 Lone Oak Rd, Suite 5Paducah, KY 42003(270) 554-2026Fax: (270) [email protected] YRS/20 YRSMon - Thu 8:00 to 4:00 Fri 7:00 to 1:00PCMH: No

Orthodontics

Rice, Michael DMD

Provider ID: TPV3987-02Gender: Male4710 Village Square DrPaducah, KY 42001(270) 534-1991Fax: (270) [email protected] YRS/99 YRSMon - Fri 9:00 to 5:00PCMH: No

Woods, Mckenzie DMD

Provider ID: TPV28478-02Gender: Female2307 Kentucky AvePaducah, KY 42003(270) 443-7405Fax: (270) [email protected] YRS/99 YRSMon - Thu 8:00 to 5:00PCMH: No

Woods, James DMD Provider ID: TPV3016-01Gender: Male2307 Kentucky AvePaducah, KY 42003(270) [email protected] YRS/99 YRSMon - Thu 8:00 to 5:00PCMH: No

Orthopaedic Surgery

Jackson, Stephen MD

Provider ID: 600365Gender: MaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSBaptist Health PaducahLourdes Hospital IncMon - Fri 8:00 to 5:00PCMH: No

Jackson, Stephen MD

Provider ID: 600365Gender: MaleOrthopedic Institute Of W Ky4787 Alben Barkley RdPaducah, KY 42002(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSBaptist Health PaducahLourdes Hospital IncMon - Fri 8:00 to 5:00PCMH: No

Patel, Shiraz MD

Provider ID: 603135Gender: MaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSBaptist Health PaducahLanguages: SpanishMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 60

33881963

Specialty Physicians

Mccracken

Orthopaedic Surgery - cont.

Romine, Spencer MD

Provider ID: 719255Gender: MaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Strenge, Kenneth MD

Provider ID: 603988Gender: MaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSBaptist Health PaducahMon - Fri 8:00 to 5:00PCMH: No

Pain Management

Love, Riley MD

Provider ID: 1644650Gender: MalePain Management Center Of Paducah2831 Lone Oak RdPaducah, KY 42003(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Malla, Yogesh MD

Provider ID: 1757656Gender: MalePain Management Centers Of America67 Lakeview DrPaducah, KY 42001(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 7:00 to 5:00PCMH: No

Malla, Yogesh MD

Provider ID: 1757656Gender: MalePain Management Centers Of America67 Lakeview Dr, Bldg CPaducah, KY 42001(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 7:00 to 5:00PCMH: No

Malla, Yogesh MD

Provider ID: 1757656Gender: MalePain Management Centers Of America67 Lakeview Dr, Ste 3bPaducah, KY 42001(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 7:00 to 5:00PCMH: No

Malla, Yogesh MD

Provider ID: 1757656Gender: MalePain Management Centers Of America67 Lakeview Dr, Ste 60Paducah, KY 42001(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 7:00 to 5:00PCMH: No

Malla, Yogesh MD

Provider ID: 613487Gender: MalePain Management Center Of Paducah67 Lakeview DrPaducah, KY 42002(270) 554-8373Fax: (270) 554-944700 YRS/130 YRSBaptist Health PaducahMon - Fri 7:00 to 5:00PCMH: No

Manchikanti, Kavita MD

Provider ID: 1313260Gender: FemalePain Management Center Of Paducah2831 Lone Oak RdPaducah, KY 42003(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Manchikanti, Kavita MD

Provider ID: 1313260Gender: FemalePain Management Center Of Paducah67 Lakeview DrPaducah, KY 42002(270) 554-8373Fax: (270) 554-992400 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 61

33881963

Specialty Physicians

Mccracken

Pain Management - cont.

Manchikanti, Laxmaiah MD

Provider ID: 1757662Gender: MalePain Management Centers Of America67 Lakeview DrPaducah, KY 42001(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Ruxer, John DO

Provider ID: 985565Gender: MaleOrthopedic Institute Of W K100 Clint Hill BlvdPaducah, KY 42001-6768(270) 450-7229Fax: (270) 450-708600 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Pediatric Cardiology

Keller, Bradley MD

Provider ID: 631924Gender: MalePediatric Cardiology Associates PSC400 Park Ave, Ste DPaducah, KY 42001-0611(502) 585-4802Fax: (502) 589-125600 YRS/18 YRSMon - Fri 8:00 to 5:00PCMH: No

Keller, Bradley MD

Provider ID: 631924Gender: MaleUlrf Pediatric Cardiology2605 Kentucky AvePaducah, KY 42003(502) 585-4802Fax: (502) 589-125600 YRS/18 YRSMon - Fri 8:00 to 5:00PCMH: No

Lau, Kelvin MD

Provider ID: 1129973Gender: MaleUlrf Pediatric Cardiology2605 Kentucky AvePaducah, KY 42003(502) 585-4802Fax: (502) 589-125600 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Wright, Lucinda MD

Provider ID: 601497Gender: FemalePediatric Cardiology Associates PSC400 Park Ave, Ste DPaducah, KY 42001-0611(502) 585-4802Fax: (502) 589-125600 YRS/18 YRSNorton Children's Medical CenterNorton HospitalMon - Fri 8:00 to 5:00PCMH: No

Wright, Lucinda MD

Provider ID: 601497Gender: FemaleUlrf Pediatric Cardiology2605 Kentucky AvePaducah, KY 42003(502) 585-4802Fax: (502) 589-125600 YRS/18 YRSNorton Children's Medical CenterNorton HospitalMon - Fri 8:00 to 5:00PCMH: No

Pediatrics

Lau, Kelvin MD

Provider ID: 1129973Gender: MaleUlrf Pediatric Cardiology2605 Kentucky AvePaducah, KY 42003(502) 585-4802Fax: (502) 589-125600 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Lowdenback, Rachel DO

Provider ID: 1784252Gender: FemaleMercy Lourdes Urgent Care225 Medical Center Dr, Ste 101Paducah, KY 42003(270) 441-4357Fax: (270) 441-413200 YRS/18 YRSMon - Fri 9:00 to 5:00PCMH: No

Mason, Kayla MD

Provider ID: 2037206Gender: FemaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 501Paducah, KY 42003(270) 443-7534Fax: (270) 442-030900 YRS/18 YRSMon - Fri 9:00 to 5:00PCMH: No

Physical Medicine & Rehabilitation

Manchikanti, Kavita MD

Provider ID: 1313260Gender: FemalePain Management Center Of Paducah2831 Lone Oak RdPaducah, KY 42003(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 62

33881963

Specialty Physicians

Mccracken

Physical Medicine & Rehabilitation -

cont.

Manchikanti, Kavita MD

Provider ID: 1313260Gender: FemalePain Management Center Of Paducah67 Lakeview DrPaducah, KY 42002(270) 554-8373Fax: (270) 554-992400 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Manchikanti, Kavita MD

Provider ID: 1757660Gender: FemalePain Management Centers Of America67 Lakeview DrPaducah, KY 42001(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Manchikanti, Kavita MD

Provider ID: 1757660Gender: FemalePain Management Center Of Paducah2831 Lone Oak RdPaducah, KY 42003(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Rommelman, Monte MD

Provider ID: 627180Gender: MalePaducah Physiatric Partners3651 James Sanders BlvdPaducah, KY 42001(270) 443-9352Fax: (270) 443-901300 YRS/130 YRSMurray Calloway County HospitalMon - Fri 8:00 to 5:00PCMH: No

Rommelman, Monte MD

Provider ID: 627180Gender: MalePaducah Physiatric Partners716 Poplar StMurray, KY 42071(270) 443-9352Fax: (270) 443-901300 YRS/130 YRSMurray Calloway County HospitalMon - Fri 8:00 to 5:00PCMH: No

Plastic & Reconstructive Surgery

Valentini, George MD

Provider ID: 1313410Gender: MaleNautilus Health Care Group Plc2501 Kentucky AvePaducah, KY 42003(270) 575-2414Fax: (888) 507-983300 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Ward, Peter MD

Provider ID: 2005600Gender: MalePhysicians Unity2501 Kentucky Ave, Fl 5Paducah, KY 42003-3813(270) 575-2598Fax: (270) 415-698818 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Pulmonary Disease

Anaya, Ervin MD

Provider ID: 1858978Gender: MaleBaptist Health Medical Group Inc1920 Broadway StPaducah, KY 42001(270) 442-3647Fax: (270) 442-377700 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Clarke, Jeffrey MD

Provider ID: 618645Gender: MaleBaptist Health Medical Group Inc1920 Broadway StPaducah, KY 42001-7106(270) 442-3647Fax: (270) 442-377700 YRS/130 YRSBaptist Health PaducahMon - Fri 9:00 to 5:00PCMH: No

Jain, Subin MD

Provider ID: 1784160Gender: MaleBaptist Health Medical Group Inc1920 Broadway StPaducah, KY 42001(270) 442-3647Fax: (270) 442-377700 YRS/130 YRSMon - Sun 12:00 to 12:00PCMH: No

Jambeih, Rami MD

Provider ID: 1859167Gender: MaleBaptist Health Medical Group Inc1920 Broadway StPaducah, KY 42001(270) 442-3647Fax: (270) 442-377700 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 63

33881963

Specialty Physicians

Mccracken

Pulmonary Disease - cont.

Kellie, Scott MD

Provider ID: 1827036Gender: MaleBaptist Health Medical Group Inc1920 Broadway StPaducah, KY 42001(270) 442-3647Fax: (270) 442-377700 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Kelly, Keith MD

Provider ID: 618618Gender: MaleBaptist Health Medical Group Inc1920 Broadway StPaducah, KY 42001-7106(270) 442-3647Fax: (270) 442-377700 YRS/130 YRSBaptist Health PaducahMon - Fri 9:00 to 5:00PCMH: No

Nidadavolu, Vinay MD

Provider ID: 1856728Gender: MaleBaptist Health Medical Group Inc1920 Broadway StPaducah, KY 42001(270) 442-3647Fax: (270) 442-377700 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Pfister, Gregory MD

Provider ID: 2257402Gender: MaleBaptist Health Medical Group Inc1920 Broadway StPaducah, KY 42001(270) 442-3647Fax: (270) 442-377700 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Rosenblum, Frederick MD

Provider ID: 2179073Gender: MaleBaptist Health Medical Group Inc1920 Broadway StPaducah, KY 42001(270) 442-3647Fax: (270) 442-377700 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Saad, Lebnan MD

Provider ID: 1856754Gender: MaleBaptist Health Medical Group Inc1920 Broadway StPaducah, KY 42001(270) 442-3647Fax: (270) 442-377700 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Sayied, Tausif MD

Provider ID: 1856763Gender: MaleBaptist Health Medical Group Inc1920 Broadway StPaducah, KY 42001(270) 442-3647Fax: (270) 442-377700 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Sensarma, Sugata MD

Provider ID: 2172958Gender: MaleBaptist Health Medical Group Inc1920 Broadway StPaducah, KY 42001(270) 442-3647Fax: (270) 442-377700 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Radiation Oncology

Locken III, Peter MD

Provider ID: 1189144Gender: MaleRadiotherapy Associates PSC2501 Kentucky Ave, Western Baptist HospitalPaducah, KY 42001(270) 575-2780Fax: (270) 575-276800 YRS/130 YRSMon - Thu 8:30 to 4:00PCMH: No

Rheumatology

Phillips, Christopher MD

Provider ID: 1757711Gender: MaleRheumatology Specialists Of Paducah100 Kiana Court, Ste BPaducah, KY 42001(270) 408-6100Fax: (270) 408-611200 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Phillips, Christopher MD

Provider ID: 604331Gender: MalePaducah Rheumatology225 Medical Center Dr, Ste 206Paducah, KY 42003(270) 441-4522Fax: (270) 441-424912 YRS/130 YRSBaptist Health PaducahMon - Fri 8:30 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 64

33881963

Specialty Physicians

Mccracken

Thoracic & Cardiovascular Surgery

Johnson, Carl MD

Provider ID: 601554Gender: MaleBaptist Health Medical Group2601 Kentucky Ave, Ste 300Paducah, KY 42003-3826(270) 443-5564Fax: (270) 443-554900 YRS/130 YRSBaptist Health PaducahMon - Fri 9:00 to 5:00PCMH: No

Lopez, Nicholas MD

Provider ID: 604010Gender: MaleWbmv DBA W Kentucky Heart Chest Su2601 Kentucky Ave, Ste 300Paducah, KY 42003-3826(270) 443-5564Fax: (270) 443-554900 YRS/130 YRSBaptist Health PaducahLanguages: SpanishMon - Fri 8:00 to 5:00PCMH: No

O'rourke, James MD

Provider ID: 667186Gender: MaleMercy Regional Heart And Lung Surge1532 Lone Oak Rd, Ste 445Paducah, KY 42003(270) 538-5830Fax: (270) 538-583518 YRS/130 YRSMon - Fri 8:30 to 5:00PCMH: No

Urology

Ellison, Patrick MD

Provider ID: 600964Gender: MaleMercy Urology1532 Lone Oak Rd, Ste 310Paducah, KY 42003(270) 538-6200Fax: (270) 538-622000 YRS/130 YRSBaptist Health PaducahMon - Fri 8:00 to 5:00PCMH: No

Evans, Lee MD

Provider ID: 2036381Gender: MaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 102Paducah, KY 42003(270) 442-3539Fax: (270) 442-205100 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Krick, James DO

Provider ID: 1856588Gender: MaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 102Paducah, KY 42003(270) 442-3539Fax: (270) 442-205100 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Nesbitt II, John MD

Provider ID: 1827928Gender: MaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 102Paducah, KY 42003(270) 442-3539Fax: (270) 442-205100 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Ransler, Charles MD

Provider ID: 1227396Gender: MaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 102Paducah, KY 42003(270) 442-3539Fax: (270) 442-205100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Sofinowski, Troy MD

Provider ID: 1784388Gender: MaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 102Paducah, KY 42003(270) 442-3539Fax: (270) 442-205100 YRS/130 YRSMon - Fri 8:00 to 4:30PCMH: No

Spicer, Donald MD

Provider ID: 1227446Gender: MaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 102Paducah, KY 42003(270) 442-3539Fax: (270) 442-205100 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Vascular Surgery

Bicking, Griffin DO

Provider ID: 722088Gender: MaleBaptist Health Medical Group2603 Kentucky Ave, Ste 105Paducah, KY 42003(270) 415-4802Fax: (270) 415-483500 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 65

33881963

Specialty Physicians

Mccracken

Vascular Surgery - cont.

Cumbers, Jason MD

Provider ID: 1715221Gender: MaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 105Paducah, KY 42003-3814(270) 415-4802Fax: (270) 415-483500 YRS/130 YRSMon - Fri 9:00 to 5:00PCMH: No

Ivanukoff, Victoria DO

Provider ID: 1995183Gender: FemaleMercy Vascular Specialists1532 Lone Oak Rd, Ste 405Paducah, KY 42003-7942(270) 441-4300Fax: (270) 441-437000 YRS/130 YRSMon - Fri 8:30 to 4:00PCMH: No

Ivanukoff, Victoria DO

Provider ID: 1995183Gender: FemaleMercy Wound Care225 Medical Center Dr, Ste 205Paducah, KY 42003(270) 441-4462Fax: (270) 441-446100 YRS/130 YRSMon - Fri 8:30 to 4:00PCMH: No

Musser, David MD

Provider ID: 1542081Gender: MaleMercy Vascular Specialists1532 Lone Oak Rd, Ste 405Paducah, KY 42003(270) 441-4300Fax: (270) 441-437000 YRS/130 YRSMon - Fri 8:30 to 4:00PCMH: No

Ranval, Timothy MD

Provider ID: 667188Gender: Male1530 Lone Oak RdPaducah, KY 42003-7901(270) 444-225000 YRS/130 YRSPCMH: No

Ranval, Timothy MD

Provider ID: 667188Gender: MaleMercy Vascular Specialists1532 Lone Oak Rd, Ste 405Paducah, KY 42003(270) 441-4300Fax: (270) 441-492500 YRS/130 YRSMon - Fri 8:00 to 5:00PCMH: No

Sanders, Scott MD

Provider ID: 667413Gender: Male1530 Lone Oak RdPaducah, KY 42003-7901(270) 444-225000 YRS/130 YRSBaptist Health MadisonvillePCMH: No

Sanders, Scott MD

Provider ID: 667413Gender: MaleMercy Vascular Specialists1532 Lone Oak Rd, Ste 405Paducah, KY 42003(270) 441-4300Fax: (270) 441-492500 YRS/130 YRSBaptist Health MadisonvilleMon - Fri 8:00 to 5:00PCMH: No

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 66

33881963

Hospitals

Caldwell

Critical Access Hospital

Caldwell County Hospital Inc DBA

Caldwel

Provider ID: 2245756100 Medical Center DrPrinceton, KY 42445-2430(270) 365-0300Fax: (270) 365-415000 YRS/130 YRSMon - Fri 9:00 to 5:00

Caldwell Medical Center

Provider ID: 690974100 Medical Center DrPrinceton, KY 42445(270) 365-0300Fax: (270) 365-652800 YRS/130 YRSMon - Fri 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 67

33881963

Hospitals

Calloway

Hospital

Murray Calloway County Hospital

Provider ID: 356799803 Poplar StMurray, KY 42071-2432(270) 762-1100Fax: (270) 767-360000 YRS/130 YRSMon - Sun 12:00 to 12:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 68

33881963

Hospitals

Crittenden

Hospital

Crittenden Community Hospital

Provider ID: 508190520 W Gum StMarion, KY 42064-1516(270) 965-528100 YRS/130 YRSMon - Fri 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 69

33881963

Hospitals

Graves

Hospital

Jackson Purchase Medical Ctr Provider ID: 1711531099 Medical Center CirMayfield, KY 42066-1099(270) 251-413700 YRS/130 YRSMon - Sun 12:00 to 12:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 70

33881963

Hospitals

Marshall

Critical Access Hospital

Marshall County Hospital

Provider ID: 636944615 Old Symsonia RoadBenton, KY 42025(270) 527-4800Fax: (270) 527-485300 YRS/130 YRSMon - Sun 12:00 to 12:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 71

33881963

Hospitals

Mccracken

Hospital

Baptist Health Paducah

Provider ID: 1518282501 Kentucky AvePaducah, KY 42003(270) 575-2100Fax: (270) 575-846400 YRS/130 YRSMon - Sun 12:00 to 12:00

Lourdes Hospital Inc

Provider ID: 3511530 Lone Oak RdPaducah, KY 42002-7100(270) 444-2444Fax: (270) 444-298000 YRS/130 YRSMon - Sun 12:00 to 12:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 72

33881963

Behavioral Health

Caldwell

Licensed Clinical Social Worker

Blakeley, Tisha LCSW Provider ID: 1180511Gender: FemalePennyroyal Center1350 Us Highway 62 WPrinceton, KY 42445(270) 365-2008Fax: (270) 365-200906 YRS/130 YRSMon - Fri 8:30 to 5:00

Boze, Ashley LCSW

Provider ID: 1083523Gender: FemalePennyroyal Regional Mh-Mr Board Inc1350 Us Hwy 62 WestPrinceton, KY 42445(270) 365-2008Fax: (270) 365-200902 YRS/130 YRSMon - Fri 8:30 to 5:00

Fox, Kelli LCSW

Provider ID: 2174089Gender: FemaleHealth First Community Health Cente1100 S Jefferson StPrinceton, KY 42445-2379(270) 365-9455Fax: (270) 667-906500 YRS/130 YRSMon - Fri 8:00 to 5:00

Tichenor, Kathy CSW

Provider ID: 1864966Gender: FemaleKathy Tichenor Counseling LLC111 E Washington StPrinceton, KY 42445-2249(270) 339-567006 YRS/130 YRSMon - Fri 8:00 to 5:00 Sat 9:00 to 1:30

Wenz Sherrill, Kimberly LCSW

Provider ID: 995633Gender: Female1350 Us Highway 62 WPrinceton, KY 42445-6106(270) 365-2008Fax: (270) 365-200900 YRS/130 YRSLanguages: SpanishMon - Fri 9:00 to 5:00

Licensed Professional Counselor

Boyd, Zane LPC

Provider ID: 1125130Gender: MalePennyroyal Regional Mh-Mr Board Inc1350 Us Hwy 62 WestPrinceton, KY 42445(270) 365-2008Fax: (270) 365-200900 YRS/130 YRSMon - Fri 8:30 to 5:00

King, Demetrius LPC

Provider ID: 2175569Gender: FemalePennyroyal Healthcare Services Inc310 Hawthorne StPrinceton, KY 42445-1622(270) 365-0227Fax: (270) 365-255900 YRS/130 YRSMon - Fri 8:30 to 5:00

Lasser, Michael LPC

Provider ID: 1778028Gender: MaleMichael Lasser205 S Jefferson StPrinceton, KY 42445(270) 874-703318 YRS/110 YRSMon - Fri 8:00 to 5:00

Ortt, Amanda LPC

Provider ID: 1505569Gender: FemaleHealth First Community Health Cente1100 S Jefferson StPrinceton, KY 42445-2379(270) 365-9455Fax: (270) 667-906500 YRS/18 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 73

33881963

Behavioral Health

Calloway

Community Mental Health Center

Four Rivers Behavioral Health

Provider ID: 607223Lakes Center1051 N 16th StMurray, KY 42071(270) 753-6622Fax: (270) 753-966900 YRS/130 YRSMon - Fri 8:00 to 5:00

Licensed Clinical Social Worker

Hambrick, Candice LCSW

Provider ID: 1772248Gender: FemaleKycare 128312 S 8th StMurray, KY 42071-2428(270) 753-2395Fax: (270) 759-474500 YRS/130 YRSMon - Fri 8:00 to 5:00

Rorex, Megan CSW

Provider ID: 2208561Gender: FemaleGrowing Minds Learning Ctr-Murray634 N 12th StMurray, KY 42071-1651(270) 702-4641Fax: (615) 577-565400 YRS/130 YRSMon - Fri 8:00 to 5:30

Licensed Marriage And Family

Therapist

Vega, Francisco LMFT

Provider ID: 1720265Gender: MaleKycare 128312 S 8th StMurray, KY 42071-2428(270) 753-2395Fax: (270) 759-474518 YRS/130 YRSMon - Fri 8:00 to 5:00

Psychiatry

Mcghee, Michael MD

Provider ID: 2008371Gender: MaleMurray Psychiatric Associates803 Poplar StMurray, KY 42071(270) 762-1100Fax: (270) 762-178300 YRS/130 YRSMon - Fri 9:00 to 5:00

Sallee, John MD

Provider ID: 633725Gender: MaleMurray Calloway County Public Hosp719 Elm StMurray, KY 42071-2638(270) 761-0043Fax: (270) 761-004500 YRS/130 YRSMon - Fri 8:00 to 5:00

Psychology

King, Lisa PSYD

Provider ID: 1110959Gender: FemaleKing Psychological Services PLLC615 S 12th St, Stes F And GMurray, KY 42071(270) 767-7040Fax: (866) 861-329900 YRS/130 YRSTue, Thu - Fri 8:30 to 4:30

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 74

33881963

Behavioral Health

Graves

Behavioral Health Counseling

Carter, James LCSW

Provider ID: 1043820Gender: Male1391 Rohrer RdMayfield, KY 42066-8438(270) 705-8715Fax: (270) 623-667300 YRS/130 YRSMon - Fri 9:00 to 5:00

Community Mental Health Center

Four Rivers Behavioral Health

Provider ID: 607223Illness Management And Recovery - I331 N 7th StMayfield, KY 42066-1821(270) 251-294300 YRS/130 YRSMon - Fri 8:00 to 5:00

Licensed Clinical Social Worker

Brown, Roschnell LCSW

Provider ID: 1461657Gender: MaleFour Rivers Behavioral Health1525 Cuba RdMayfield, KY 42066(270) 247-2588Fax: (270) 247-014200 YRS/130 YRSMon - Fri 8:00 to 5:00

Carter, James LCSW

Provider ID: 1043820Gender: Male1391 Rohrer RdMayfield, KY 42066-8438(270) 705-8715Fax: (270) 623-667300 YRS/130 YRSMon - Fri 9:00 to 5:00

Carter, James LCSW

Provider ID: 2216080Gender: MalePsychotherapy Services1391 Rohrer RdMayfield, KY 42066(270) 623-6672Fax: (270) 623-667300 YRS/130 YRSMon - Thu 8:00 to 5:00

Carter, James LCSW Provider ID: 978096Gender: MaleMerit Behavioral Associates224 N 7th StMayfield, KY 42066-1820(270) 251-3666Fax: (270) 251-350600 YRS/130 YRSMon - Fri 8:00 to 5:00

Fleming, Elizabeth LCSW

Provider ID: 1461710Gender: FemaleFour Rivers Behavioral Health1525 Cuba RdMayfield, KY 42066(270) 247-2588Fax: (270) 247-014200 YRS/130 YRSMon - Fri 8:00 to 5:00

Fondaw, Leah LCSW

Provider ID: 1470687Gender: FemaleFour Rivers Behavioral Health1525 Cuba RdMayfield, KY 42066(270) 247-2588Fax: (270) 247-014200 YRS/130 YRSMon - Fri 8:00 to 5:00

Houston, Damond LCSW

Provider ID: 2104936Gender: MaleFour Rivers Behavioral Health1525 Cuba RdMayfield, KY 42066(270) 247-2588Fax: (270) 247-014200 YRS/130 YRSMon - Fri 8:00 to 5:00

Jones, Sondra LCSW

Provider ID: 1461800Gender: FemaleFour Rivers Behavioral Health1525 Cuba RdMayfield, KY 42066(270) 247-2588Fax: (270) 247-014200 YRS/130 YRSMon - Fri 8:00 to 5:00

Keene, Craig LCSW

Provider ID: 1471079Gender: MaleFour Rivers Behavioral Health1525 Cuba RdMayfield, KY 42066(270) 247-2588Fax: (270) 247-014200 YRS/130 YRSMon - Fri 8:00 to 5:00

Owen, Pamela LCSW

Provider ID: 1461938Gender: FemaleFour Rivers Behavioral Health1525 Cuba RdMayfield, KY 42066(270) 247-2588Fax: (270) 247-014200 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 75

33881963

Behavioral Health

Graves

Licensed Clinical Social Worker -

cont.

Peek-Fisk, Rolanda LCSW

Provider ID: 671239Gender: FemaleMerit Behavioral Associates224 N 7th StMayfield, KY 42066(270) 251-3666Fax: (270) 251-350600 YRS/130 YRSMon - Fri 8:00 to 5:00

Peek-Fisk, Rolanda LCSW Provider ID: 671239Gender: FemaleMerit Behavioral Associates229 W WalnutMayfield, KY 42066(270) 251-3666Fax: (270) 251-350600 YRS/130 YRSMon - Sat 8:00 to 5:00

Smith, Mina LCSW

Provider ID: 671082Gender: FemaleMerit Behavioral Associates224 N 7th StMayfield, KY 42066(270) 251-3666Fax: (270) 251-350605 YRS/130 YRSMon - Fri 9:00 to 5:00

Williams, Joseph LCSW Provider ID: 751409Gender: MaleJoseph A Williams209 E Sunset DrMayfield, KY 42066-3265(270) 247-5667Fax: (888) 706-954900 YRS/130 YRSMon - Fri 8:00 to 5:00

Licensed Professional Counselor

Alton, Kristian LPC

Provider ID: 1492806Gender: FemaleFour Rivers Behavioral Health1525 Cuba RdMayfield, KY 42066(270) 247-2588Fax: (270) 247-969200 YRS/130 YRSMon - Fri 8:00 to 5:00

Barrix, Donna LPC

Provider ID: 1717618Gender: FemalePeace Talks609 W BroadwayMayfield, KY 42066(270) 804-989100 YRS/130 YRSMon - Fri 9:00 to 5:00

Harris, Christy LPC

Provider ID: 2057739Gender: FemaleThe Counseling Center516 S 6th StMayfield, KY 42066-2346(270) 705-330500 YRS/130 YRSMon - Fri 8:00 to 5:00

House, Camille LPC

Provider ID: 1348854Gender: FemaleMerit Behavioral Associates224 N 7th StMayfield, KY 42066(270) 251-3666Fax: (270) 251-350600 YRS/130 YRSMon - Fri 8:00 to 5:00

Johnson, Marquetta LPC

Provider ID: 2172877Gender: FemaleFour Rivers Behavioral Health1525 Cuba RdMayfield, KY 42066(270) 247-2588Fax: (270) 247-001400 YRS/130 YRSMon - Fri 8:00 to 5:00

Lee, Susan LPC

Provider ID: 1532005Gender: FemaleFour Rivers Behavioral Health1525 Cuba RdMayfield, KY 42066(270) 247-2588Fax: (270) 247-014200 YRS/130 YRSMon - Fri 8:00 to 5:00

Morrow, Kelli LPC

Provider ID: 1461900Gender: FemaleFour Rivers Behavioral Health1525 Cuba RdMayfield, KY 42066(270) 247-2588Fax: (270) 247-014200 YRS/130 YRSMon - Fri 8:00 to 5:00

Ogg, Janet LPC

Provider ID: 1635996Gender: FemalePurchasing Area Counseling Center101 N 7th St, Ste 2bMayfield, KY 42066-1811(270) 705-719400 YRS/130 YRSMon - Fri 9:00 to 9:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 76

33881963

Behavioral Health

Graves

Licensed Professional Counselor -

cont.

Trover, Sarah LPC

Provider ID: 1461993Gender: FemaleFour Rivers Behavioral Health1525 Cuba RdMayfield, KY 42066(270) 247-2588Fax: (270) 247-014200 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 77

33881963

Behavioral Health

Livingston

Licensed Clinical Social Worker

Prowell, Zoe LCSW

Provider ID: 2088980Gender: FemaleNulease Medical Solutions LLC501 N Hayden AveSalem, KY 42078-8008(270) 988-2081Fax: (270) 988-206600 YRS/130 YRSMon - Fri 8:00 to 6:30

Prowell, Zoe LCSW

Provider ID: 2120481Gender: FemaleNulease Medical Solutions LLC501 N Hayden AveSalem, KY 42078-8008(270) 988-2081Fax: (270) 988-206601 YRS/100 YRSMon - Fri 8:00 to 6:30

Licensed Professional Counselor

Branson, Joanne LPC

Provider ID: 2211727Gender: FemaleNulease Medical Solutions LLC501 N Hayden AveSalem, KY 42078-8008(502) 988-2081Fax: (502) 988-206600 YRS/130 YRSMon - Fri 8:00 to 6:30

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 78

33881963

Behavioral Health

Lyon

Psychology

Jungblom, Rita PSYD

Provider ID: 1644614Gender: FemaleThe Wellness Place LLC68 Cedar StKuttawa, KY 42055(270) 601-4235Fax: (270) 350-467300 YRS/130 YRSMon - Fri 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 79

33881963

Behavioral Health

Marshall

Licensed Clinical Social Worker

Smith, Carol LCSW

Provider ID: 1355047Gender: FemaleMercy Primary Care - Marshall Count83 Wellness Way Lane, 1st FloorBenton, KY 42025-7156(270) 527-8601Fax: (270) 527-981500 YRS/130 YRSMon - Fri 8:00 to 6:00 Sat 8:00 to 12:00

Smith, Carol LCSW

Provider ID: 1355047Gender: FemaleMercy Primary Care-Benton83 Wellness Way Lane, 2nd FloorBenton, KY 42025-7156(270) 527-0045Fax: (270) 527-007500 YRS/130 YRSMon - Fri 7:00 to 7:00

Licensed Professional Counselor

Cain, Jeannie LPC

Provider ID: 1702803Gender: FemaleCain And Associates Aca Center Ll17 Us Highway 68 WBenton, KY 42025-7002(270) 349-1722Fax: (270) 215-122400 YRS/130 YRSMon - Tue 7:00 to 3:00 Wed 7:00 to 12:00 Thu 1:00 to 8:00

Psychiatric Residential Treatment

Facilities

Swis Purchasing LLC DBA

Purchase Youth V

Provider ID: 1468478Swis Purchasing LLC DBA Purchase Yo473 Old Symsonia RdBenton, KY 42025(270) 727-311700 YRS/130 YRSMon, Thu - Sun 12:00 to 12:00 Tue - Wed 12:00 to 1:20

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 80

33881963

Behavioral Health

Mccracken

Addiction Psychiatry

Cohen, Irwin MD

Provider ID: 1735019Gender: MaleBhg Paducah Treatment Center/ Bhg2705 Olivet Church RdPaducah, KY 42001-9755(270) 443-0096Fax: (270) 443-008000 YRS/130 YRSMon - Fri 8:00 to 2:30

Behavioral Health Counseling

Necco Inc

Provider ID: 1354919Necco Paducah125 Eagle Nest DrPaducah, KY 42003(270) 898-1293Fax: (270) 898-118700 YRS/130 YRSMon - Fri 9:00 to 7:00

Community Mental Health Center

Four Rivers Behavioral Health

Provider ID: 607223Center For Adult Services425 Broadway StPaducah, KY 42001-0713(270) 442-7121Fax: (270) 443-969200 YRS/130 YRSMon - Fri 8:00 to 7:00

Four Rivers Behavioral Health

Provider ID: 607223Illness Management And Recovery - I304 S 17th StPaducah, KY 42003-2817(270) 443-2049Fax: (270) 443-271600 YRS/130 YRSMon - Fri 8:00 to 5:00

Distinct Part Unit Psych

Lourdes Hospital Inpatient Psych

Distinc

Provider ID: 15767151530 Lone Oak RdPaducah, KY 42003-7901(270) 444-2444Fax: (270) 444-298000 YRS/130 YRSMon - Fri 9:00 to 5:00

Licensed Clinical Social Worker

Baer, Shelly LCSW

Provider ID: 1477628Gender: FemaleEmerald Therapy Center LLC3227 Coleman RdPaducah, KY 42001(270) 534-5128Fax: (270) 477-000700 YRS/130 YRSMon - Fri 9:00 to 5:00

Brown, Roschnell LCSW

Provider ID: 1461657Gender: MaleFour Rivers Behavioral Health425 Broadway St, Ste 201Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Brown, Roschnell LCSW

Provider ID: 1461657Gender: MaleFour Rivers Behavioral Health452 Broadway St, Ste 102Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Carter, James LCSW

Provider ID: 976951Gender: Male3025 Clay StPaducah, KY 42001-4071(270) 443-1317Fax: (270) 443-136900 YRS/130 YRSMon - Fri 9:00 to 5:00

Clifton, Theresa LCSW

Provider ID: 1821759Gender: FemaleCompass Counseling LLC2204 Kentucky AvePaducah, KY 42003-3242(270) 777-4490Fax: (866) 824-402200 YRS/130 YRSMon - Fri 9:00 to 5:00

Conley, Christopher LCSW Provider ID: 2231607Gender: MaleNecco. LLC - Paducah125 Eagle Nest DrPaducah, KY 42003-9435(270) 898-1293Fax: (270) 898-118700 YRS/18 YRSMon - Fri 9:00 to 5:00

Dabbs, Joseph CSW

Provider ID: 2040240Gender: MaleJourneypure Bowling Green - Paducah3229 Coleman RdPaducah, KY 42001-6563(502) 804-275118 YRS/130 YRSMon - Fri 8:00 to 4:30

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 81

33881963

Behavioral Health

Mccracken

Licensed Clinical Social Worker -

cont.

Davis, Mary LCSW

Provider ID: 1033029Gender: Female234 Berger RdPaducah, KY 42003-4522(270) 933-1991Fax: (618) 234-022000 YRS/130 YRSMon, Wed 8:30 to 5:30 Tue, Thu 8:30 to 6:30 Fri 8:30 to 5:00

Ervin, Judith LCSW

Provider ID: 1470680Gender: FemaleMercy Internal Medicine225 Medical Center Dr, Ste 201Paducah, KY 42003-7934(270) 444-4250Fax: (270) 444-426000 YRS/130 YRSMon - Fri 8:00 to 5:00

Fleming, Elizabeth LCSW

Provider ID: 1461710Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 201Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Fleming, Elizabeth LCSW

Provider ID: 1461710Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 202Paducah, KY 42001(270) 442-8039Fax: (270) 442-572900 YRS/130 YRSMon - Fri 8:00 to 5:00

Fleming, Elizabeth LCSW

Provider ID: 1461710Gender: FemaleFour Rivers Behavioral Health452 Broadway St, Ste 102Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Fleming, Elizabeth LCSW

Provider ID: 2064592Gender: FemaleKycare 431901 Ky AvePaducah, KY 42003-2810(270) 575-3247Fax: (270) 408-158400 YRS/130 YRSMon - Fri 8:00 to 5:00

Fondaw, Leah LCSW

Provider ID: 1470687Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 102Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Fondaw, Leah LCSW

Provider ID: 1470687Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 201Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Fondaw, Leah LCSW

Provider ID: 1470687Gender: FemaleFour Rivers Behavioral Health452 Broadway St, Ste 102Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Giltner, Kimberlee LCSW Provider ID: 1124903Gender: FemaleKimberlee D. Giltner. Lcsw234 A Berger RdPaducah, KY 42003(270) 933-1991Fax: (270) 933-199100 YRS/130 YRSMon - Fri 8:00 to 5:00

Hambrick, Candice LCSW

Provider ID: 1772248Gender: FemaleKycare 43125 South 20th StreetPaducah, KY 42001(270) 575-3247Fax: (270) 408-158400 YRS/130 YRSMon - Fri 8:00 to 5:00

Hopwood, Christy LCSW Provider ID: 972446Gender: FemaleChristy N Hopwood2850 Adams St, Ste 12Paducah, KY 42001-4110(270) 564-6887Fax: (270) 534-023200 YRS/130 YRSMon - Fri 8:00 to 5:00

Hopwood, Christy LCSW

Provider ID: 976929Gender: Female3025 Clay StPaducah, KY 42001-4071(270) 443-1317Fax: (270) 443-136900 YRS/130 YRSMon - Fri 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 82

33881963

Behavioral Health

Mccracken

Licensed Clinical Social Worker -

cont.

Houston, Damond LCSW

Provider ID: 2104936Gender: MaleFour Rivers Behavioral Health425 Broadway St, Ste 201Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Jones, Sondra LCSW

Provider ID: 1461800Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 201Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Jones, Sondra LCSW

Provider ID: 1461800Gender: FemaleFour Rivers Behavioral Health452 Broadway St, Ste 102Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Keene, Craig LCSW

Provider ID: 1471079Gender: MaleFour Rivers Behavioral Health425 Broadway St, Ste 101Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Keene, Craig LCSW

Provider ID: 1471079Gender: MaleFour Rivers Behavioral Health425 Broadway St, Ste 201Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Keene, Craig LCSW

Provider ID: 1471079Gender: MaleFour Rivers Behavioral Health452 Broadway St, Ste 102Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Merriss, Autumn CSW Provider ID: 2055417Gender: FemaleJourneypure Bowling Green - Paducah3229 Coleman RdPaducah, KY 42001-6563(270) 201-514118 YRS/130 YRSMon - Fri 8:00 to 4:30

Owen, Pamela LCSW

Provider ID: 1461938Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 102Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Owen, Pamela LCSW

Provider ID: 1461938Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 201Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Owen, Pamela LCSW

Provider ID: 1461938Gender: FemaleFour Rivers Behavioral Health452 Broadway St, Ste 102Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Powell, Terri CSW

Provider ID: 2051874Gender: FemaleJourneypure Bowling Green. LLC Padu3229 Coleman RdPaducah, KY 42001-6563(270) 781-3387Fax: (270) 781-340718 YRS/130 YRSMon - Fri 8:00 to 5:00

Ray, Kelly LCSW

Provider ID: 1730589Gender: FemaleMercy Behavioral Health Specialists1532 Lone Oak Rd, Ste 345Paducah, KY 42003(270) 444-2250Fax: (270) 538-659600 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 83

33881963

Behavioral Health

Mccracken

Licensed Clinical Social Worker -

cont.

Rorex, Megan CSW

Provider ID: 2208561Gender: FemaleGrowing Minds Learning Ctr-Paducah3551 Park Plaza RdPaducah, KY 42001-5948(270) 702-4641Fax: (615) 724-472200 YRS/130 YRSMon - Fri 8:00 to 5:30

Sunberg, Stephanie LCSW

Provider ID: 1513641Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 100Paducah, KY 42001-0713(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Sunberg, Stephanie LCSW

Provider ID: 1513641Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 201Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Webb, Jennifer LCSW

Provider ID: 2170369Gender: FemaleBhg Paducah Treatment Center2705 Olivet Church RdPaducah, KY 42001-9755(270) 443-0096Fax: (270) 443-008000 YRS/130 YRSMon - Fri 8:00 to 5:00

Wenzsherrill, Kimberly LCSW

Provider ID: 976944Gender: Female3025 Clay StPaducah, KY 42001-4071(270) 443-1317Fax: (270) 443-136900 YRS/18 YRSMon - Fri 9:00 to 5:00

Licensed Marriage And Family

Therapist

Darling, Sara LMFT

Provider ID: 1857053Gender: FemaleSara Siner Darling. PLLC329 Madison StPaducah, KY 42001(270) 207-9274Fax: (270) 207-927400 YRS/130 YRSMon 12:00 to 5:00 Tue 9:00 to 5:00 Wed 9:00 to 4:00 Thu 11:00 to 5:00

Schofield, Janice LMFT

Provider ID: 1489429Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 100Paducah, KY 42001-0713(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Vega, Francisco LMFT

Provider ID: 1720265Gender: MaleKycare 43125 South 20th StPaducah, KY 42001-7100(270) 575-3247Fax: (270) 408-158418 YRS/130 YRSMon - Fri 8:00 to 5:00

Vega, Francisco LMFT

Provider ID: 1720265Gender: MaleKycare 443240 Irvin Cobb DrPaducah, KY 42003(270) 443-9474Fax: (870) 569-359318 YRS/130 YRSMon - Fri 8:00 to 5:00

Licensed Professional Counselor

Alton, Kristian LPC

Provider ID: 1492806Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 201Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Crisp, Hollie LPC

Provider ID: 1174135Gender: MaleNecco Inc - Paducah125 Eagle Nest DrPaducah, KY 42003-9435(270) 898-1293Fax: (270) 898-118700 YRS/18 YRSMon - Fri 8:00 to 8:00

Crouch, Simon LPC

Provider ID: 2170377Gender: MaleBhg Paducah Treatment Center2705 Olivet Church RdPaducah, KY 42001-9755(270) 443-0096Fax: (270) 443-008000 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 84

33881963

Behavioral Health

Mccracken

Licensed Professional Counselor -

cont.

Evans, Kerry LPC

Provider ID: 1088249Gender: FemaleNecco Inc125 Eagle Nest DrivePaducah, KY 42003(270) 898-1293Fax: (270) 898-118700 YRS/18 YRSMon - Sun 8:00 to 8:00

Frazier, April LPC

Provider ID: 1855626Gender: FemaleNecco Inc125 Eagle Nest DrPaducah, KY 42003-9435(270) 898-1293Fax: (270) 898-118700 YRS/18 YRSMon - Fri 8:00 to 8:00

French, Ashley LPC

Provider ID: 2191079Gender: FemaleJourneypure Kentucky Medical Group3229 Coleman RdPaducah, KY 42001-6563(270) 201-514118 YRS/110 YRSMon - Fri 9:00 to 5:00

Hunt, Ashley LPC

Provider ID: 2197163Gender: FemaleNecco. LLC - Paducah125 Eagle Nest DrPaducah, KY 42003-9435(270) 898-1293Fax: (270) 898-118700 YRS/18 YRSMon - Fri 8:00 to 8:00

Hunt, Stephanie LPC

Provider ID: 2214804Gender: FemaleNecco LLC Paducah125 Eagle Nest DrPaducah, KY 42003(270) 898-1293Fax: (270) 898-118700 YRS/18 YRSMon - Fri 8:00 to 8:00

Jones, Lashunda LPC

Provider ID: 1865413Gender: FemaleCompass Counseling2204 Kentucky AvePaducah, KY 42003-3242(270) 777-449005 YRS/130 YRSMon, Wed - Fri 8:00 to 7:00 Tue 8:00 to 6:00

Jordan, Beth LPC

Provider ID: 1250896Gender: FemaleBeth Jordan Counseling2850 Adams St, Ste 11Paducah, KY 42001(270) 804-960212 YRS/130 YRSMon 11:00 to 6:00 Tue - Wed 10:00 to 6:00 Thu 10:00 to 5:00

Lafever, Christopher LPC

Provider ID: 1591114Gender: MaleFour Rivers Behavioral Health425 Broadway St, Ste 201Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Lee, Susan LPC

Provider ID: 1532005Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 201Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Long, Scott LPC

Provider ID: 1821733Gender: MaleCompass Counseling2204 Kentucky AvePaducah, KY 42003-3242(270) 777-4490Fax: (866) 824-402200 YRS/130 YRSMon - Fri 9:00 to 6:00

Morrow, Kelli LPC

Provider ID: 1461900Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 201Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Morrow, Kelli LPC

Provider ID: 1461900Gender: FemaleFour Rivers Behavioral Health452 Broadway St, Ste 102Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 85

33881963

Behavioral Health

Mccracken

Licensed Professional Counselor -

cont.

O'connor, Denise LPC

Provider ID: 1542137Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 102Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

O'connor, Denise LPC

Provider ID: 1542137Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 201Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Rooks, Erin LPC

Provider ID: 2170363Gender: FemaleBhg Paducah Treatment Center2705 Olivet Church RdPaducah, KY 42001-9755(270) 443-0096Fax: (270) 443-008018 YRS/130 YRSMon - Fri 8:00 to 5:00

Sloan, Matthew LPC

Provider ID: 2027663Gender: MaleFour Rivers Behavioral Health425 Broadway St, Ste 201Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Smith, April LPC

Provider ID: 2216096Gender: FemaleNecco LLC Paducah125 Eagle Nest DrPaducah, KY 42003(270) 898-1293Fax: (270) 898-118700 YRS/18 YRSMon - Fri 8:00 to 8:00

Smith, Sarah LPC

Provider ID: 1172357Gender: FemaleCommunity Living In Kentucky3351 Park Plaza RoadPaducah, KY 42001(270) 843-5300Fax: (270) 843-538300 YRS/130 YRSMon - Fri 8:00 to 5:00

Terhune, Jillian LPC

Provider ID: 1860544Gender: FemaleCompass Counseling2204 Kentucky AvePaducah, KY 42003-3242(270) 777-449005 YRS/130 YRSMon - Fri 9:00 to 5:00

Tittle, Amanda LPC

Provider ID: 2214573Gender: FemaleNecco LLC Paducah125 Eagle Nest DrPaducah, KY 42003(270) 898-1293Fax: (270) 898-118700 YRS/18 YRSMon - Fri 8:00 to 8:00

Trover, Sarah LPC

Provider ID: 1461993Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 103Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Trover, Sarah LPC

Provider ID: 1461993Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 201Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Trover, Sarah LPC

Provider ID: 1461993Gender: FemaleFour Rivers Behavioral Health452 Broadway St, Ste 102Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Turner, Dawn LPC

Provider ID: 1477088Gender: FemaleGuidepost Counseling5120 Village Square Dr, Ste 101Paducah, KY 42001(270) 519-272412 YRS/130 YRSMon, Thu 8:00 to 4:30 Tue 8:00 to 3:00 Wed 8:00 to 5:00 Fri 8:00 to 2:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 86

33881963

Behavioral Health

Mccracken

Psychiatry

Ballew, Laurie DO

Provider ID: 1794366Gender: FemaleLaurie K. Ballew657 Lone Oak Rd, Ste 2Paducah, KY 42003-4547(270) 558-3916Fax: (270) 415-584100 YRS/130 YRSMon - Fri 8:00 to 4:00

Famina, Svetlana MD

Provider ID: 1899472Gender: FemaleMercy Behavioral Health Specialists1532 Lone Oak Rd, Ste 345Paducah, KY 42003(270) 444-2250Fax: (270) 538-659600 YRS/130 YRSMon - Fri 8:00 to 4:00

Meyer, David MD

Provider ID: 1547968Gender: MalePaducah Psychiatry Group PSC100 Fountain Ave, Ste 301Paducah, KY 42001-2774(270) 443-8195Fax: (270) 444-792221 YRS/130 YRSMon - Fri 8:00 to 5:00

Meyer, David MD

Provider ID: 1790111Gender: MaleMercy Behavioral Health Specialists1532 Lone Oak Rd, Ste 345Paducah, KY 42003(270) 444-2250Fax: (270) 538-659600 YRS/130 YRSMon - Fri 8:00 to 4:00

Owsley, Eugene MD

Provider ID: 1703808Gender: MaleMercy Behavioral Health Specialists1532 Lone Oak Rd, Ste 345Paducah, KY 42003(270) 444-2250Fax: (270) 538-659600 YRS/130 YRSMon - Fri 8:00 to 4:30

Salim, Mazhar MD

Provider ID: 1455666Gender: MaleBhg Paducah Treatment Center2705 Olivet Church RdPaducah, KY 42001(270) 443-0096Fax: (270) 443-008000 YRS/130 YRSMon - Fri 8:00 to 5:00

Sears, Robert MD

Provider ID: 1553048Gender: MaleMercy Behavioral Health Specialists1530 Lone Oak RdPaducah, KY 42003(270) 444-2250Fax: (270) 538-659600 YRS/130 YRSMon - Tue, Fri 9:00 to 5:00 Wed - Thu 8:00 to 5:00

Sears, Robert MD

Provider ID: 1553048Gender: MaleMercy Behavioral Health Specialists1532 Lone Oak Rd, Ste 345Paducah, KY 42003(270) 444-2250Fax: (270) 538-659600 YRS/130 YRSMon - Tue, Fri 9:00 to 5:00 Wed - Thu 8:00 to 5:00

Psychology

Donner, Leslie CP

Provider ID: 2202288Gender: FemaleCompass Counseling LLC2204 Kentucky AvePaducah, KY 42003-3242(270) 777-449000 YRS/150 YRSWed - Fri 8:00 to 5:00

Hebert, Kiandra PHD

Provider ID: 1757616Gender: FemaleFour Rivers Behavioral Health425 Broadway St, Ste 201Paducah, KY 42001(270) 442-7121Fax: (270) 442-977500 YRS/130 YRSMon - Fri 8:00 to 5:00

Mccluggage, Natalie CP

Provider ID: 2180843Gender: FemaleOmni Community Health. Inc.4655 Alben Barkley DrPaducah, KY 42001-6772(502) 309-4510Fax: (502) 742-923405 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 87

33881963

Ancillary Providers

All

Laboratory Pathology Testing

Labcorp For Additional Providers And Loca-tions Please Call:(888) 522-2677

Quest Diagnostics For Additional Providers And Loca-tions Please Call:(888) 277-8772

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 88

33881963

Ancillary Providers

Ballard

Community Health Center

Ballard County Health Center

Provider ID: 1209504198 Bluegrass DrLa Center, KY 42056(270) 665-5432Fax: (270) 665-916600 YRS/130 YRSMon, Wed, Fri 8:00 to 4:00 Tue, Thu 7:30 to 4:30

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 89

33881963

Ancillary Providers

Caldwell

Federally Qualified Health Center

Pennyroyal Healthcare Services

Inc

Provider ID: 699618310 Hawthorne StPrinceton, KY 42445-1622(270) 365-0227Fax: (270) 365-255900 YRS/130 YRSMon - Fri 9:00 to 5:00

Home Health Care

Caldwell County Hospital Home

Health Age

Provider ID: 2092904Caldwell County Hospital Home Healt1310 Us Highway 62 WPrinceton, KY 42445-6106(270) 365-2011Fax: (270) 365-943300 YRS/150 YRSMon - Fri 8:00 to 4:30

Laboratory Pathology Testing

Health First Chc

Provider ID: TPV3718893-011100 S Jefferson St, First FloorPrinceton, KY 42445(270) 365-9455Fax: (270) 667-5956

Health First Chc

Provider ID: TPV61970-011100 S Jefferson St, First FloorPrinceton, KY 42445(270) 365-9455Fax: (270) 667-5956

Rural Health Center

Caldwell Medical Associates

Provider ID: 2151828320 Micbeth DrPrinceton, KY 42445-6332(270) 365-0320Fax: (270) 365-415000 YRS/130 YRSMon - Fri 9:00 to 5:00

Skilled Nursing Facility

Princeton Nursing And Rehabilita-

tion

Provider ID: 2210133Princeton Nursing And Rehabilitatio1333 W Main StPrinceton, KY 42445-6211(270) 365-3541Fax: (270) 365-506400 YRS/130 YRSMon - Sun 12:00 to 12:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 90

33881963

Ancillary Providers

Calloway

Dialysis

Rcg Murray

Provider ID: 635040Nna Of Paducah LLC609 South 12th StMurray, KY 42071-2915(270) 759-3080Fax: (270) 759-217500 YRS/130 YRSMon, Wed, Fri 4:45 to 3:30

Durable Medical Equipment

Legacy Oxygen And Home Care

Equipme

Provider ID: 751425924 S 12th StMurray, KY 42071-2949(270) 753-2001Fax: (270) 753-200200 YRS/130 YRSMon - Fri 8:00 to 5:00

Medical Arts Home Medical

Provider ID: 627031300 S 8th St, Ste 104eMurray, KY 42071-2444(270) 762-2011Fax: (270) 753-184400 YRS/130 YRSMon - Fri 8:00 to 5:00 Sat 9:00 to 1:00

Pharmacy Inc

Provider ID: 158267182 Spruce StMurray, KY 42071-2150(270) 762-0602Fax: (800) 498-035100 YRS/130 YRSMon - Fri 9:00 to 5:00

Pharmacy Inc Provider ID: TPVV13680GK-0182 Spruce StMurray, KY 42071(270) 762-0602Fax: (270) 759-3614www.vgmhomelink.com00 YRS/99 YRSMon - Fri 7:00 to 7:00

Rotech

Provider ID: 328392104 Max Hurt DrMurray, KY 42071-7847(270) 759-8889Fax: (270) 753-633900 YRS/130 YRSMon - Fri 9:00 to 4:00

Family Planning

Calloway County Health Dept Provider ID: 644832602 Memory LnMurray, KY 42071(270) 753-3381Fax: (270) 753-845500 YRS/130 YRSMon - Thu 7:30 to 5:00 Fri 7:30 to 4:30

Home Health Care

Home Health Plus Inc

Provider ID: 7905511900 G N 12th St, Ste GMurray, KY 42071-9878(270) 753-5656Fax: (270) 753-418100 YRS/130 YRSMon - Fri 8:00 to 5:00

Intrepid USA Healthcare Services

Provider ID: 648334Fc Of Kentucky. Inc1616 Hwy 121 North, Suite CMurray, KY 42071(270) 753-1434Fax: (270) 759-916600 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 91

33881963

Ancillary Providers

Carlisle

Family Planning

Carlisle Co Health Department

Provider ID: 64571962 John Roberts DriveBardwell, KY 42023(502) 628-543100 YRS/130 YRSMon - Fri 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 92

33881963

Ancillary Providers

Crittenden

Community Health Center

Crit Co Elementary Star Clinic

Provider ID: 645126120 Autumn LnMarion, KY 42064-1877(270) 247-3553Fax: (270) 247-039100 YRS/130 YRSMon - Thu 8:00 to 5:00 Fri 8:00 to 11:30

Crittenden Co Middle

High-Rocket

Provider ID: 645222Crittenden Co Rocket High519 W Gum StMarion, KY 42064(270) 965-5215Fax: (270) 965-907800 YRS/130 YRSMon - Thu 8:00 to 5:00 Fri 8:00 to 11:30

Durable Medical Equipment

Glenns Apothecary

Provider ID: 779118520 W Gum StMarion, KY 42064-1516(270) 965-4101Fax: (270) 965-995700 YRS/130 YRSMon - Fri 8:30 to 5:30 Sat 8:30 to 1:30

Holland Medical Services

Provider ID: 601511252 Sturgis RdMarion, KY 42064-1271(270) 965-5808Fax: (270) 965-580900 YRS/130 YRSMon - Fri 8:30 to 5:00

Holland Medical Services

Provider ID: 601511707 S Main StMarion, KY 42064-1807(270) 965-5808Fax: (270) 965-580900 YRS/130 YRSMon - Fri 8:30 to 5:00

Holland Medical Services

Provider ID: 787775252 Sturgis RdMarion, KY 42064-1271(270) 965-5808Fax: (270) 965-580900 YRS/130 YRSMon - Fri 8:30 to 5:00

Rotech

Provider ID: 328392Rotech Oxygen & Medical Equip-ment252 Sturgis RdMarion, KY 42064-1271(270) 965-5808Fax: (270) 965-580900 YRS/130 YRSMon - Fri 8:30 to 5:00

Thrifty Home Medical

Provider ID: 620790210 S MainMarion, KY 42064(270) 965-0089Fax: (270) 965-081000 YRS/130 YRSMon - Fri 8:30 to 5:00

Family Planning

Crittenden Co Health Center Provider ID: 645764190 Industrial DriveMarion, KY 42064(270) 965-5215Fax: (270) 965-907800 YRS/130 YRSMon - Thu 8:00 to 5:00 Fri 8:00 to 11:30

Home Health Care

Marion Home Health Agency Provider ID: 614244Hwy 60 WMarion, KY 42064(270) 965-2550Fax: (270) 965-113000 YRS/130 YRS

Rural Health Center

Family Practice Clinic PSC

Provider ID: 648282518 W Gum StMarion, KY 42064-1516(270) 965-5238Fax: (270) 965-901500 YRS/130 YRSMon - Fri 8:00 to 5:00

Tri-Rivers Healthcare PLLC

Provider ID: 1211709Marion Physicians Clinic308 S Main StMarion, KY 42064-1545(270) 965-4377Fax: (270) 965-956900 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 93

33881963

Ancillary Providers

Fulton

Durable Medical Equipment

Evans Total Care LLC Provider ID: 602668208 Lake StFulton, KY 42041-1544(270) 472-2984Fax: (270) 472-937700 YRS/130 YRSMon - Fri 9:00 to 5:00

Epsdt Special Services

Regional Home Care Pkwy

Provider ID: 611937Fulton Home Care Parkway1000 Elm StFulton, KY 42041-7702(270) 472-0070Fax: (270) 472-0894Mon - Fri 8:00 to 5:00

Family Planning

Fulton Co Health Ctr - Fulton

Provider ID: 645144350 Browder StreetFulton, KY 42041(270) 472-1982Fax: (270) 472-255300 YRS/130 YRSMon - Fri 8:00 to 4:30

Fulton Co Health Ctr - Hickman

Provider ID: 644997402 Troy AvenueHickman, KY 42050(270) 236-2825Fax: (270) 236-943400 YRS/130 YRSMon - Fri 8:00 to 4:30

Home Health Care

Regional Home Care Pkwy

Provider ID: 611937Fulton Home Care Parkway1000 Elm StFulton, KY 42041-7702(270) 472-0070Fax: (270) 472-0894Mon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 94

33881963

Ancillary Providers

Graves

Dialysis

Rcg Mayfield

Provider ID: 635029Nna Of Paducah LLC1029 Medical Center Cir, Ste 301Mayfield, KY 42066-1189(270) 247-7291Fax: (270) 247-865700 YRS/130 YRSMon - Sat 6:00 to 6:00

Durable Medical Equipment

Duncan Prescription Center

Provider ID: 643039Sew Enterprises Inc315 W BroadwayMayfield, KY 42066-2231(270) 247-3345Fax: (270) 247-134400 YRS/130 YRSMon - Fri 7:30 to 5:15 Sat 7:30 to 2:00

Gibsons Pharmacy Homecare Provider ID: 640956Gibsons Pharmacy715 E BroadwayMayfield, KY 42066(270) 247-7300Fax: (270) 247-694500 YRS/130 YRSMon - Sat 8:00 to 5:00

Stones Drugs Inc

Provider ID: 655086414 S 9th StMayfield, KY 42066(270) 247-3232Fax: (270) 247-428500 YRS/130 YRSMon - Fri 8:00 to 6:00 Sat 8:00 to 2:00

Family Planning

Graves County Health Center Provider ID: 645362416 Central AveMayfield, KY 42066(270) 247-3553Fax: (270) 247-039100 YRS/130 YRSMon - Fri 8:00 to 4:00

Home Health Care

Intrepid USA Healthcare Services

Provider ID: 648334Fc Of Kentucky. Inc1025 Paducah RdMayfield, KY 42066(270) 251-2001Fax: (270) 251-097200 YRS/130 YRSMon - Fri 8:00 to 5:00

Lifeline Of Jackson Purchase

Home Health

Provider ID: 1841685Lifeline Of Jackson Purchase Home H1011 Paris Road, Ste 345Mayfield, KY 42066-3306(270) 753-5656Fax: (270) 753-418100 YRS/150 YRSMon - Fri 8:00 to 4:30

Rural Health Center

Jackson Purchase Primary Care

Mayfield C

Provider ID: 1196628Pinelake Physician Practice LLC DBA1111 Medical Center CircleMayfield, KY 42066(270) 251-4543Fax: (270) 251-454400 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 95

33881963

Ancillary Providers

Hickman

Family Planning

Hickman Co Health Center Provider ID: 645151370 S Washington StreetClinton, KY 42031(270) 653-6110Fax: (270) 653-652300 YRS/130 YRSMon - Fri 8:00 to 4:30

Skilled Nursing Facility

Clinton Place

Provider ID: 814960106 Padgett DriveClinton, KY 42031(270) 653-5558Fax: (270) 653-552200 YRS/130 YRSMon - Sun 12:00 to 12:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 96

33881963

Ancillary Providers

Livingston

Durable Medical Equipment

Clinic Pharmacy Of Ky

Provider ID: 759920141 Hospital DrSalem, KY 42078-8043(270) 988-3230Fax: (270) 988-423000 YRS/130 YRSMon - Fri 8:30 to 5:30 Sat 8:30 to 12:30

Glenns Prescription Center

Provider ID: 760051119 E Main StSalem, KY 42078(270) 988-3226Fax: (270) 988-435700 YRS/130 YRSMon - Fri 8:00 to 6:00 Sat 8:30 to 1:30

Smithland Pharmacy Inc Provider ID: 656131203 E Adair StSmithland, KY 42081(270) 928-2161Fax: (270) 928-229300 YRS/130 YRSMon - Sat 8:00 to 5:00

Family Planning

Livingston Co Health Center Provider ID: 644930124 State StreetSmithland, KY 42081(270) 928-2193Fax: (270) 928-209800 YRS/130 YRSMon - Thu 8:00 to 5:00 Fri 8:00 to 11:30

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 97

33881963

Ancillary Providers

Lyon

Dialysis

Rcg Kuttawa

Provider ID: 634998Biomedical Applications Of Kentucky95 Lakeshore DrKuttawa, KY 42055(270) 388-0078Fax: (270) 388-070800 YRS/130 YRSMon, Wed, Fri 5:45 to 2:30

Family Planning

Lyon Co Health Center Provider ID: 645113211 W Fairview AvenueEddyville, KY 42038(270) 388-9763Fax: (270) 388-594100 YRS/130 YRSMon - Thu 8:00 to 5:00 Fri 8:00 to 11:30

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 98

33881963

Ancillary Providers

Marshall

Durable Medical Equipment

At Home Medical

Provider ID: 613605Mis-State Investments LLC At Home M837 Us Hwy 68 W, Ste ABenton, KY 42025(270) 252-0897Fax: (270) 252-089900 YRS/130 YRSMon - Fri 8:30 to 5:00

Western Kentucky Home Medical

Equipment

Provider ID: 628211Western Kentucky Home Medical Equip2602 Main StBenton, KY 42025-1810(270) 527-1522Fax: (270) 527-152200 YRS/130 YRSMon - Fri 9:00 to 6:00

Family Planning

Marshall County Health Dept Provider ID: 644886267 Slickback RdBenton, KY 42025(270) 527-1496Fax: (270) 527-532100 YRS/130 YRSMon - Fri 8:00 to 4:30

Home Health Care

Lhcg Xxiii LLC

Provider ID: 2090362Marshall County Hospital Home Healt805 Main StBenton, KY 42025-1240(270) 527-8084Fax: (270) 527-947400 YRS/150 YRSMon - Fri 8:00 to 4:30

Rural Health Center

Marshall County Surgical And

Medical Gro

Provider ID: 1584423Marshall County Surgical And Medica617 Old Symsonia RdBenton, KY 42025(270) 527-2411Fax: (270) 527-873400 YRS/130 YRSMon - Fri 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 99

33881963

Ancillary Providers

Mccracken

Ambulatory Surgery Center

Ambulatory Surgery Center Provider ID: 618654Ambulatory Surgery Center-Paducah2831 Lone Oak RdPaducah, KY 42003-8041(270) 554-8373Fax: (270) 554-049300 YRS/130 YRSMon - Fri 9:00 to 5:00

Eye Surgery Center Of Paducah

Provider ID: 1063651100 Medical Center DrPaducah, KY 42003-7909(270) 442-1024Fax: (270) 442-100118 YRS/130 YRSMon - Fri 8:00 to 5:00

Innovative Eye Surgery Center

Provider ID: 2015374Innovative Eye Surgery Center PLLC1130 Lone Oak Rd, Ste BPaducah, KY 42003-4525(270) 538-9858Fax: (270) 538-958500 YRS/150 YRSMon - Fri 8:00 to 5:00

Clinic

Office For Children With Special

Health

Provider ID: 616818Paducah Regional Ccshcn400 Park Ave, Bldg DPaducah, KY 42001-0611(270) 443-3651Fax: (270) 441-711900 YRS/21 YRSMon - Fri 8:00 to 4:30

Dialysis

Rcg Paducah

Provider ID: 635054Nna Of Paducah1532 Lone Oak Rd, Ste G15Paducah, KY 42003-7939(270) 443-0217Fax: (270) 442-029500 YRS/130 YRSMon, Wed, Fri 6:00 to 5:00

Durable Medical Equipment

Davis Drugs-Dme Provider ID: 600888Davis Drugs Dme250 Lone Oak RdPaducah, KY 42001(270) 443-1442Fax: (270) 444-061000 YRS/130 YRSMon - Fri 9:00 to 5:00

Hanger Clinic

Provider ID: 134894Hanger Pros & Orth East Inc4645 Village Square, Ste JPaducah, KY 42001(270) 554-0100Fax: (270) 554-558800 YRS/130 YRSMon - Fri 9:00 to 5:00

Hanger Clinic

Provider ID: 134894Hanger Prosthetics & Orthotics Inc4655 Alben Barkley DrPaducah, KY 42001(270) 554-0100Fax: (270) 554-558800 YRS/130 YRSMon - Sat 8:00 to 5:00

Hanger Prosthetics & Orthotics

Inc Provider ID: 6574734655 Alben Barkley DrPaducah, KY 42001(270) 554-0100Fax: (270) 554-558800 YRS/130 YRSMon - Sat 8:00 to 5:00

Legacy Oxygen And Home Care

Equipment

Provider ID: 2084989Legacy Oxygen Home Care Equip-ment800 Broadway StPaducah, KY 42001-6808(270) 442-7887Fax: (270) 442-789700 YRS/130 YRSMon - Fri 9:00 to 5:00

Legacy Oxygen Home Care Equip-

ment

Provider ID: 602640126 Lone Oak RdPaducah, KY 42001-4442(270) 442-7887Fax: (270) 442-789700 YRS/130 YRSMon - Fri 9:00 to 5:00

Lincare Inc Provider ID: 3780453530 Park Plaza RdPaducah, KY 42001-8900(270) 443-8727Fax: (270) 443-970800 YRS/130 YRSMon - Fri 8:00 to 5:00

Lincare Inc

Provider ID: 378045Lincare-Paducah326 Harrison StPaducah, KY 42001(270) 443-0957Fax: (270) 443-604400 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 100

33881963

Ancillary Providers

Mccracken

Durable Medical Equipment - cont.

Medcare Home Medical Provider ID: 615339Medcare Medical Supply2800 Clark St, Ste CPaducah, KY 42001(270) 448-2273Fax: (270) 448-227400 YRS/130 YRSMon - Fri 9:00 to 5:00

Medcare Medical Supply Provider ID: TPVV2404B-012800 Clark St Ste CPaducah, KY 42001(270) 448-2273Fax: (270) 448-2274www.vgmhomelink.com00 YRS/99 YRSMon - Fri 7:00 to 7:00

Option Care Inc

Provider ID: 6719083487 Park AvePaducah, KY 42001-9150(800) 511-0063Fax: (270) 415-943300 YRS/130 YRSMon - Fri 8:00 to 5:00

Orr Medical LLC Provider ID: 6012803434 Lovelaceville RdPaducah, KY 42001-5855(270) 554-7311Fax: (270) 554-708400 YRS/130 YRSMon - Fri 9:00 to 4:30

Paducah Prosthetics

Provider ID: 10666802232 BroadwayPaducah, KY 42001(270) 575-3223Fax: (270) 575-973500 YRS/130 YRSMon - Fri 8:00 to 4:30

Pennyrile Home Medical Provider ID: TPVV0520F-012975 Lone Oak RdPaducah, KY 42003(270) 554-0830Fax: (270) 554-0832www.vgmhomelink.com00 YRS/99 YRSMon - Fri 7:00 to 7:00

Ricks Pharmacy Inc

Provider ID: 6179943001 Schneidman RdPaducah, KY 42003-3541(270) 443-7200Fax: (270) 443-853700 YRS/130 YRSMon - Fri 9:00 to 6:00 Sat 9:00 to 3:00

Epsdt Special Services

Easter Seals West Kentucky

Provider ID: 616242801 N 29th StPaducah, KY 42001-4056(270) 444-9687Fax: (270) 444-810500 YRS/21 YRSMon - Fri 7:00 to 5:30

Legacy Oxygen And Home Care

Equipment

Provider ID: 2084989Legacy Oxygen Home Care Equip-ment800 Broadway StPaducah, KY 42001-6808(270) 442-7887Fax: (270) 442-789700 YRS/130 YRSMon - Fri 9:00 to 5:00

Legacy Oxygen Home Care Equip-

ment

Provider ID: 602640126 Lone Oak RdPaducah, KY 42001-4442(270) 442-7887Fax: (270) 442-789700 YRS/130 YRSMon - Fri 9:00 to 5:00

Family Planning

Paducah Mccracken County

Health Center

Provider ID: 645317Paducah-Mccracken Co H Cntr916 Kentucky AvePaducah, KY 42002(270) 444-9631Fax: (270) 442-878900 YRS/130 YRSMon - Fri 7:30 to 5:00

Federally Qualified Health Center

Kentuckycare 43

Provider ID: 976049125 S 20th StPaducah, KY 42001(270) 575-3247Fax: (270) 408-158400 YRS/130 YRSMon - Fri 9:00 to 5:00

Home Health Care

Mercy Health Homecare Paducah

Provider ID: 638436Mercy Health Home911 Joe Clifton DrPaducah, KY 42001-3747(270) 444-2444Fax: (270) 444-298000 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 101

33881963

Ancillary Providers

Mccracken

Hospice

Mercy Health Hospice Paducah

Provider ID: 638441Lourdes Hospice911 Joe Clifton DrPaducah, KY 42001-3747(270) 415-3636Fax: (270) 444-237900 YRS/130 YRSMon - Fri 8:00 to 5:00

Infusion Therapy

Option Care Inc

Provider ID: 6719083487 Park AvePaducah, KY 42001-9150(800) 511-0063Fax: (270) 415-943300 YRS/130 YRSMon - Fri 8:00 to 5:00

Laboratory Pathology Testing

Labcorp

Provider ID: TPV1461521-01225 Medical Center Dr Ste 408Paducah, KY 42003(270) 441-7480Fax: (270) 442-9109

Labcorp

Provider ID: TPV1461522-014630 Village Sq Dr. Suite 103Paducah, KY 42001(270) 538-1929Fax: (270) 538-1931

Labcorp

Provider ID: TPV1697277-014630 Village Sq Dr. Suite 201Paducah, KY 42001(270) 538-1929Fax: (270) 538-1931

Labcorp

Provider ID: TPV1908911-01408 S 28th Street. Suite BPaducah, KY 42003(270) 443-9080Fax: (270) 443-9082

Quest Diagnostics

Provider ID: TPV191296-012605 Kentucky Ave, Doctor Bldg 3 Ste 103Paducah, KY 42001(270) 444-7737Fax: (270) 444-7797

Quest Diagnostics

Provider ID: TPV41817-012605 Kentucky Ave Doctor Bldg 3 Ste 103Paducah, KY 42001(270) 444-7737Fax: (270) 444-7797

Occupational Therapy

Easter Seals West Kentucky

Provider ID: 616242801 N 29th StPaducah, KY 42001-4056(270) 444-9687Fax: (270) 444-810500 YRS/21 YRSMon - Fri 7:00 to 5:30

Orthotics & Prosthetics

Center For Orthotic Prosthetic

Care Provider ID: TPVE28200S-014975 Alben Barkely Dr Ste 2Paducah, KY 42001(270) 558-4704Fax: (270) 558-4719www.vgmhomelink.com00 YRS/99 YRSMon - Fri 7:00 to 7:00

Hanger Clinic

Provider ID: 134894Hanger Pros & Orth East Inc4645 Village Square, Ste JPaducah, KY 42001(270) 554-0100Fax: (270) 554-558800 YRS/130 YRSMon - Fri 9:00 to 5:00

Hanger Clinic

Provider ID: 134894Hanger Prosthetics & Orthotics Inc4655 Alben Barkley DrPaducah, KY 42001(270) 554-0100Fax: (270) 554-558800 YRS/130 YRSMon - Sat 8:00 to 5:00

Pediatric Dentistry

Colgan, Justin DMD

Provider ID: TPV33896-03101 Colonial CtPaducah, KY 42001(270) 554-3131Fax: (270) [email protected] YRS/17 YRSMon - Thu 7:30 to 5:00

Colgan, Justin DMD

Provider ID: TPV33896-042501 Kentucky AvePaducah, KY 42003(270) 575-2100Fax: (270) [email protected] YRS/18 YRSTue, Thu 7:00 to 12:00

Colgan, John DMD

Provider ID: TPV8691-03101 Colonial CtPaducah, KY 42001(270) 554-3131Fax: (270) [email protected] YRS/17 YRSMon - Thu 7:30 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 102

33881963

Allied Providers

Ballard

Family Practice

Whitehead, Jaime APRN

Provider ID: 1139613Gender: FemaleArcare120 N 4th StreetBarlow, KY 42024(270) 334-3131Fax: (270) 334-317300 YRS/130 YRSMon - Fri 8:00 to 5:00

Nurse Practitioner

Price, Erica APRN

Provider ID: 2086156Gender: FemaleKycare 112120 N 4th StreetBarlow, KY 42024-9579(270) 334-3131Fax: (870) 569-353900 YRS/130 YRSMon - Fri 8:00 to 5:00

Physician Assistant

Ward, Jeffrey PA

Provider ID: 1502908Gender: MaleDr Butler & Associates PLLC134 Phillips DrWickliffe, KY 42087(270) 335-3335Fax: (270) 443-712200 YRS/130 YRSMon - Fri 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 103

33881963

Allied Providers

Caldwell

Certified Nurse Anesthetist

Gibson, Jonathan CRNA Provider ID: 1349149Gender: MaleLifelinc Anesthesia PLLC100 Medical Center DrPrinceton, KY 42445(901) 207-2032Fax: (844) 752-216300 YRS/130 YRSMon - Fri 8:00 to 5:00

Nurse Practitioner

Dillard, Mary APRN

Provider ID: 2175552Gender: FemalePennyroyal Healthcare Services Inc310 Hawthorne StPrinceton, KY 42445-1622(270) 365-0227Fax: (270) 365-255918 YRS/110 YRSMon - Fri 8:30 to 5:00

Drawdy, Joseph APRN

Provider ID: 1694479Gender: MaleCaldwell Medical Associates302 Micbeth DrPrinceton, KY 42445(270) 365-1225Fax: (270) 365-125200 YRS/130 YRSMon - Fri 7:30 to 5:00

Drawdy, Joseph APRN

Provider ID: 2143454Gender: MaleCaldwell Medical Associates700 Cassidy AveFredonia, KY 42411(270) 545-3386Fax: (270) 545-371200 YRS/130 YRSMon - Fri 8:00 to 5:00

Dunaway, Tammy APRN

Provider ID: 1797907Gender: FemalePennyroyal Family Health310 Hawthorne StPrinceton, KY 42445-1622(270) 365-0227Fax: (270) 365-255900 YRS/130 YRSMon - Fri 8:30 to 5:00

Dunaway, Tammy APRN

Provider ID: 2175555Gender: FemalePennyroyal Healthcare Services Inc310 Hawthorne StPrinceton, KY 42445-1622(270) 365-0227Fax: (270) 365-255900 YRS/130 YRSMon - Fri 8:30 to 5:00

Duncan, Kelsea APRN

Provider ID: 2157395Gender: FemaleFast Pace Kentucky. PLLC1023 W Main StPrinceton, KY 42445-1253(270) 254-584000 YRS/130 YRSMon - Fri 8:00 to 8:00 Sat 8:00 to 6:00 Sun 1:00 to 5:00

Farless, Chelsey APRN

Provider ID: 1507004Gender: FemaleFast Pace Kentucky. PLLC1023 W Main StPrinceton, KY 42445(270) 254-5840Fax: (270) 254-585300 YRS/130 YRSMon - Fri 8:00 to 8:00 Sat 8:00 to 6:00

Farless, Chelsey APRN

Provider ID: 2175563Gender: FemalePennyroyal Healthcare Services Inc310 Hawthorne StPrinceton, KY 42445-1622(270) 365-0227Fax: (270) 365-255900 YRS/130 YRSMon - Fri 8:30 to 5:00

Hickman, Barbara APRN

Provider ID: 1638652Gender: FemaleCaldwell Medical Associates320 Micbeth DrPrinceton, KY 42445(270) 365-0320Fax: (270) 365-415000 YRS/130 YRSMon - Fri 9:00 to 5:00

Hickman, Barbara APRN

Provider ID: 1822781Gender: FemaleCaldwell Medical Associates302 Micbeth DrPrinceton, KY 42445(270) 365-1225Fax: (270) 365-125200 YRS/01 YRSMon - Fri 7:30 to 4:30

Irvan, Suzanne APRN

Provider ID: 1900671Gender: FemaleBaptist Health Medical Group Inc605 S Jefferson St, Ste BPrinceton, KY 42445(270) 365-5502Fax: (270) 365-446700 YRS/01 YRSMon - Fri 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 104

33881963

Allied Providers

Caldwell

Nurse Practitioner - cont.

Jackson, Kimberly APRN

Provider ID: 1465095Gender: FemaleHealth First Community Health Cente600 S Jefferson StPrinceton, KY 42445-2174(270) 365-6571Fax: (270) 667-906500 YRS/18 YRSMon - Thu 8:00 to 5:00 Fri 8:00 to 3:00

Moody, Chelcia APRN

Provider ID: 1119990Gender: FemalePennyroyal Healthcare Services Inc310 Hawthorne StreetPrinceton, KY 42445-1622(270) 365-0227Fax: (270) 365-255900 YRS/130 YRSMon - Fri 8:30 to 5:00

Naghtin, Ellery APRN

Provider ID: 1119993Gender: FemalePennyroyal Healthcare Services Inc310 Hawthorne StreetPrinceton, KY 42445-1622(270) 365-0227Fax: (270) 365-255900 YRS/130 YRSMon - Fri 8:30 to 5:00

Naghtin, Ellery APRN

Provider ID: 2175581Gender: FemalePennyroyal Healthcare Services Inc310 Hawthorne StPrinceton, KY 42445-1622(270) 365-0227Fax: (270) 365-255900 YRS/130 YRSMon - Fri 8:30 to 5:00

Neal, Sunny APRN

Provider ID: 2172924Gender: FemaleCaldwell Medical Associates302 Micbeth DrPrinceton, KY 42445(270) 365-1225Fax: (270) 365-125200 YRS/130 YRSMon - Fri 8:00 to 5:00

Neal, Sunny APRN

Provider ID: 2172924Gender: FemaleCaldwell Medical Associates320 Micbeth DrPrinceton, KY 42445-6332(270) 365-1225Fax: (270) 365-125200 YRS/130 YRSMon - Fri 8:00 to 5:00

Peyton, Russell APRN Provider ID: 1717236Gender: Male550 Us-62, Suite 400Princeton, KY 42445(270) 362-959900 YRS/130 YRS

Peyton, Russell APRN

Provider ID: 2027554Gender: MaleCaldwell Medical Center100 Medical Center DrPrinceton, KY 42445-2430(270) 365-0300Fax: (270) 365-415000 YRS/130 YRSMon - Tue, Thu - Fri 8:30 to 4:30 Wed 8:30 to 11:00

Reed, Samantha APRN

Provider ID: 667442Gender: Female100 Medical Center DrPrinceton, KY 42445-2430(270) 441-4300Fax: (270) 441-437000 YRS/130 YRSMon - Fri 8:00 to 4:30

Scheidler, Elizabeth APRN

Provider ID: 1484494Gender: FemalePennyroyal Family Health310 Hawthorne StPrinceton, KY 42445-1622(270) 365-0227Fax: (270) 365-255900 YRS/130 YRSMon - Fri 8:30 to 5:00

Scheidler, Elizabeth APRN

Provider ID: 2175587Gender: FemalePennyroyal Healthcare Services Inc310 Hawthorne StPrinceton, KY 42445-1622(270) 365-0227Fax: (270) 365-255900 YRS/130 YRSMon - Fri 8:30 to 5:00

Shoulders, Kristee APRN

Provider ID: 1321798Gender: FemaleFast Pace Kentucky. PLLC1023 West Main StPrinceton, KY 42445(270) 254-5840Fax: (270) 254-585300 YRS/130 YRSMon - Fri 8:00 to 5:00

Stovall, Deborah APRN

Provider ID: 2005324Gender: FemaleCaldwell Medical Associates320 Micbeth DrPrinceton, KY 42445-6332(270) 365-0320Fax: (270) 365-415000 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 105

33881963

Allied Providers

Caldwell

Occupational Therapy

Daugherty, Michelle OT

Provider ID: 2251754Gender: FemaleCma Orthopedics550 Highway 62 W, Ste 400Princeton, KY 42445-2435(270) 365-9599Fax: (270) 365-984300 YRS/130 YRSMon - Fri 8:00 to 5:00

Physical Therapy

Cravens, Matthew PT

Provider ID: 2032248Gender: MaleFuller Physical Therapy2072 Us Highway 62 WPrinceton, KY 42445-6060(270) 365-522600 YRS/130 YRSMon - Fri 8:00 to 5:00

Gordon, Kristin PT

Provider ID: 2026245Gender: FemaleBaptist Health Medical Group Inc605 S Jefferson StPrinceton, KY 42445(270) 365-1585Fax: (270) 365-937700 YRS/130 YRSMon - Thu 8:00 to 5:30 Fri 8:00 to 2:00

James, J Thomas PT

Provider ID: 1788196Gender: MaleFuller Physical Therapy2072 Us Highway 62 WPrinceton, KY 42445-6060(270) 365-5126Fax: (270) 365-512700 YRS/130 YRSMon - Fri 8:00 to 5:00

Phelps, Brittany PT

Provider ID: 1700044Gender: FemaleFuller Physical Therapy2072 Us Highway 62 WPrinceton, KY 42445-6060(270) 365-5226Fax: (270) 365-522700 YRS/130 YRSMon - Fri 8:00 to 5:00

Phillips, Shanna PT

Provider ID: 2140342Gender: FemaleCma Orthopedics550 Highway 62 W, Ste 400Princeton, KY 42445-2435(270) 365-9599Fax: (270) 365-984300 YRS/130 YRSMon - Fri 8:00 to 5:00

Physician Assistant

Legereit, Penny PA

Provider ID: 667168Gender: Female100 Medical Center DrPrinceton, KY 42445-2430(270) 441-4300Fax: (270) 441-437000 YRS/130 YRSMon - Fri 8:00 to 4:30

Parker, Kenneth PA

Provider ID: 977594Gender: MaleFairview Physicians Network LLC DBA100 Medical Center DrPrinceton, KY 42445-2430(270) 365-030000 YRS/130 YRSMon - Fri 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 106

33881963

Allied Providers

Calloway

Family Practice

Jackson, Darrye APRN

Provider ID: 1802407Gender: FemaleKycare 128312 S 8th StMurray, KY 42071-2428(270) 753-2395Fax: (270) 759-474500 YRS/130 YRSMon - Fri 8:00 to 5:00

Jones, Emily APRN

Provider ID: 1802421Gender: FemaleKycare 128312 S 8th StMurray, KY 42071-2428(270) 753-2395Fax: (270) 759-474500 YRS/130 YRSMon - Fri 8:00 to 5:00

Kingston, Gregory APRN

Provider ID: 1802422Gender: MaleKycare 128312 S 8th StMurray, KY 42071-2428(270) 753-2395Fax: (270) 759-474500 YRS/130 YRSMon - Fri 8:00 to 5:00

Marriage & Family Therapy

Wheeler, Jennifer LMFT

Provider ID: 2208550Gender: FemaleGrowing Minds Learning Ctr-Murray634 N 12th StMurray, KY 42071-1651(270) 702-4641Fax: (615) 577-565400 YRS/130 YRSMon - Fri 8:00 to 5:30

Nurse Midwife

Baker-Ross, Anita CNM

Provider ID: 1854316Gender: FemalePhysician Specialists Of Murray300 S 8th St, Ste 203eMurray, KY 42071(270) 759-9300Fax: (270) 762-178300 YRS/130 YRSMon - Fri 8:00 to 5:00

Nurse Practitioner

Alexander, Dana APRN Provider ID: 633810Gender: FemaleMurray Calloway Co Public Hosp Corp300 S 8th St, Ste 480wMurray, KY 42071-2403(270) 759-4099Fax: (270) 752-285200 YRS/130 YRSMon - Wed, Fri 8:00 to 5:00 Thu 8:00 to 8:00

Anderson, Bobbi APRN

Provider ID: 2008305Gender: FemaleMurray Medical Associates300 S 8th St, Ste 480wMurray, KY 42071(270) 762-1781Fax: (270) 752-285200 YRS/130 YRSMon - Fri 8:00 to 6:00 Sat 9:00 to 3:00 Sun 12:00 to 4:00

Barber, Melanie APRN

Provider ID: 1802313Gender: FemaleKycare 128312 S 8th StMurray, KY 42071-2428(270) 753-2395Fax: (270) 759-474500 YRS/130 YRSMon - Fri 8:00 to 5:00

Bazzell, Erica APRN Provider ID: 1098757Gender: FemaleMurray Medical Associates300 South 8th, Ste 480wMurray, KY 42071(270) 759-4099Fax: (270) 752-285200 YRS/130 YRSMon - Fri 8:00 to 5:00 Sat 8:00 to 12:00

Bazzell, Andrea APRN

Provider ID: 1642177Gender: FemalePrimary Care Medical Center1000 S 12th StMurray, KY 42071-9303(270) 759-9200Fax: (270) 759-996600 YRS/130 YRSMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00

Becker, Joseph APRN

Provider ID: 2216108Gender: MaleKidney Specialists Of Paducah300 S 8th St, Ste 282Murray, KY 42071-2400(270) 538-5880Fax: (270) 538-587000 YRS/150 YRSBaptist Health PaducahLourdes Hospital IncMon - Fri 8:00 to 5:00

Bourne, Jennie APRN

Provider ID: 1599856Gender: FemalePhysician Specialists Of Murray300 S 8th St, Ste 401eMurray, KY 42071(270) 753-2444Fax: (270) 767-364400 YRS/130 YRSMon - Fri 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 107

33881963

Allied Providers

Calloway

Nurse Practitioner - cont.

Craig, Danielle APRN

Provider ID: 1859130Gender: FemaleMurray Medical Associates300 S 8th St, Ste 107 EMurray, KY 42071(270) 762-1512Fax: (270) 767-360500 YRS/130 YRSMon - Fri 9:00 to 5:00

Crittendon, Sherry APRN

Provider ID: 2187243Gender: FemaleFast Pace Kentucky. PLLC506 N 12th St, Ste AMurray, KY 42071-1660(270) 873-202200 YRS/130 YRSMon - Fri 8:00 to 8:00 Sat 8:00 to 6:00 Sun 1:00 to 5:00

Easterwood, Lauren APRN

Provider ID: 1715238Gender: FemalePhysician Specialists Of Murray300 S 8th St, Ste 203eMurray, KY 42071(270) 759-9300Fax: (270) 762-178300 YRS/130 YRSMon - Fri 9:00 to 5:00

Fielder, David APRN

Provider ID: 1694490Gender: MalePhysician Specialists Of Murray803 Poplar StMurray, KY 42071(270) 751-2287Fax: (270) 767-364800 YRS/130 YRSMon - Fri 9:00 to 5:00

Freeman, Sherry APRN

Provider ID: 1715702Gender: FemalePhysician Specialists Of Murray300 S 8th St, Ste 203eMurray, KY 42071(270) 759-9300Fax: (270) 762-178300 YRS/130 YRSMon - Fri 9:00 to 5:00

French, Janna APRN

Provider ID: 1769437Gender: FemalePrimary Care Medical Center1000 S 12th StMurray, KY 42071-9303(270) 759-920000 YRS/130 YRSMon - Thu 7:00 to 5:00 Fri 70:0 to to 0:0 Sat - Sun 8:00 to 5:00

Gargus, Jessica ARNP

Provider ID: 672138Gender: FemaleBaptist Health Medical Group Inc1208 Johnson BlvdMurray, KY 42071(270) 759-4098Fax: (270) 761-413100 YRS/130 YRSMon - Fri 8:00 to 5:00

Garth, Katy APRN Provider ID: 655265Gender: FemaleMurray Calloway Co Pub Hosp Corp Db300 S 8th St, Ste 301eMurray, KY 42071(270) 762-1566Fax: (270) 752-285800 YRS/130 YRSMon - Fri 8:00 to 5:00

Greene, Ginger APRN Provider ID: 758552Gender: FemaleMurray Calloway Co Pub Hosp Corp Db300 S 8th St, Ste 480wMurray, KY 42071(270) 762-1781Fax: (270) 752-285200 YRS/130 YRSMon - Fri 8:00 to 5:00

Hagan, Allison APRN

Provider ID: 1854315Gender: Female1710 Highway Bypass N, Ste 1Murray, KY 42071(270) 554-8373Fax: (812) 477-724000 YRS/130 YRSMon - Sun 7:00 to 5:00

Johnson, Melissa APRN Provider ID: 1131988Gender: FemalePhysician Specialists Of Murray300 S 8th St, Ste 301 EMurray, KY 42071(270) 762-1515Fax: (270) 767-362600 YRS/130 YRSMon - Fri 8:00 to 5:00

Karraker, Sabrina APRN Provider ID: 642871Gender: FemaleMurray Calloway Co Pub Hosp Corp Db300 S 8th St, Ste 284wMurray, KY 42071(270) 761-5756Fax: (270) 752-285600 YRS/130 YRSMurray Calloway County HospitalMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 108

33881963

Allied Providers

Calloway

Nurse Practitioner - cont.

Kelso, Laura APRN

Provider ID: 1757640Gender: FemaleKidney Specialists Of Paducah300 S 8th St, Ste 282wMurray, KY 42071(270) 538-5880Fax: (270) 538-587000 YRS/130 YRSMon - Fri 9:00 to 5:00

Kelso, Laura APRN Provider ID: 700540Gender: FemaleWestern Kentucky Kidney Special-ists300 S 8th St, Ste 178wMurray, KY 42071(270) 535-5880Fax: (270) 767-363816 YRS/130 YRSMon - Fri 8:30 to 5:00

Long, Kathy APRN

Provider ID: 1757651Gender: Female1710 Highway Bypass N, Ste 1Murray, KY 42071(270) 554-8373Fax: (812) 477-724000 YRS/130 YRSMon - Sun 7:00 to 5:00

Majors, Angela APRN

Provider ID: 1790101Gender: Female1710 Highway Bypass N, Ste 1Murray, KY 42071(270) 554-8373Fax: (812) 477-724000 YRS/130 YRSMon - Sun 7:00 to 5:00

Mckeel, Lacy APRN Provider ID: 675986Gender: FemaleMurray Calloway County Public Hospi300 S 8th St, Ste 208eMurray, KY 42071-2400(270) 759-9223Fax: (270) 753-734500 YRS/130 YRSMon - Fri 8:00 to 5:00

Norsworthy, Margaret APRN

Provider ID: 1511081Gender: FemalePhysician Specialists Of Murray300 S 8th St, Ste 301eMurray, KY 42071-2403(270) 762-1566Fax: (270) 762-158400 YRS/130 YRSMon - Fri 8:00 to 5:00

Oetjen, Lisa APRN

Provider ID: 2088311Gender: FemalePrimary Care Medical Center1000 S 12th StMurray, KY 42071-9303(270) 759-9200Fax: (270) 759-996600 YRS/150 YRSMon - Fri 8:00 to 8:00 Sat - Sun 8:00 to 6:00

Owens, Gina APRN

Provider ID: 1769811Gender: FemalePrimary Care Medical Center1000 S 12th StMurray, KY 42071(270) 759-9200Fax: (270) 759-996600 YRS/130 YRSMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00

Patterson, Kelly APRN

Provider ID: 1221310Gender: FemalePrimary Care Medical Center PSC1000 S 12th StMurray, KY 42071(270) 759-9200Fax: (270) 759-996600 YRS/130 YRSMon - Fri 8:00 to 8:00 Sat - Sun 8:00 to 6:00

Price, Erica APRN

Provider ID: 2086155Gender: FemaleKycare 128312 S 8th StreetMurray, KY 42071-2428(270) 753-2395Fax: (270) 759-474500 YRS/130 YRSMon - Fri 8:00 to 5:00

Riley, Kristen APRN

Provider ID: 1241587Gender: FemalePrimary Care Medical Center PSC1000 S 12th StMurray, KY 42071(270) 759-9200Fax: (270) 759-836800 YRS/130 YRSMon - Fri 8:00 to 5:00 Sat - Sun 8:00 to 6:00

Ryan, Martha APRN Provider ID: 633827Gender: FemaleMurray Calloway Co Public Hosp Corp300 S 8th St, Ste 480wMurray, KY 42071-2408(270) 759-4099Fax: (270) 752-285200 YRS/130 YRSMon - Wed, Fri 8:00 to 5:00 Thu 8:00 to 8:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 109

33881963

Allied Providers

Calloway

Nurse Practitioner - cont.

Sanderson, Misty APRN

Provider ID: 1642195Gender: FemalePrimary Care Medical Center1000 S 12th StMurray, KY 42071-9303(270) 759-9200Fax: (270) 759-836800 YRS/130 YRSMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00

Scales, Shanna APRN

Provider ID: 1365429Gender: FemaleAlliance Health Care LLC1710 Highway 121 Byp N, Ste DMurray, KY 42071-8925(270) 753-6100Fax: (270) 767-949000 YRS/130 YRSMon, Wed - Thu 7:30 to 5:30 Tue 8:00 to 5:30 Fri 7:30 to 4:00

Scales, Shanna APRN

Provider ID: 1703842Gender: FemaleAlliance Health Care LLC1710 Highway 121 Byp N, Ste DMurray, KY 42071-8925(270) 753-6100Fax: (270) 767-949000 YRS/130 YRSMon, Wed - Thu 7:30 to 5:30 Tue 8:00 to 5:30 Fri 7:30 to 4:00

Sneed, Larry APRN

Provider ID: 1860300Gender: MalePhysician Specialists Of Murray803 Poplar StMurray, KY 42071(270) 762-1227Fax: (270) 767-368900 YRS/130 YRSMon - Fri 9:00 to 5:00

Sprunger, Maria APRN

Provider ID: 1181001Gender: FemalePrimary Care Medical Center PSC1000 S 12th StMurray, KY 42071(270) 759-9200Fax: (270) 759-836800 YRS/130 YRSMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00

Stewart, Anna APRN

Provider ID: 1757739Gender: FemaleKidney Specialists Of Paducah300 S 8th St, Ste 382 WMurray, KY 42071(270) 538-5880Fax: (270) 538-587016 YRS/130 YRSMon - Fri 9:00 to 5:00

Thornton, Cessinee APRN

Provider ID: 1860385Gender: Female1710 Highway Bypass N, Ste 1Murray, KY 42071(270) 554-8373Fax: (812) 477-724000 YRS/130 YRSMon - Sun 7:00 to 5:00

Wiggins, Ashley APRN

Provider ID: 804306Gender: FemalePrimary Care Medical Center PSC1000 S 12th StMurray, KY 42071-9303(270) 759-9200Fax: (270) 759-996600 YRS/130 YRSMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00

Williams, Karrie APRN

Provider ID: 2179036Gender: FemalePain Management Centers Of America1710 Highway Bypass N, Ste 1Murray, KY 42071(270) 554-8373Fax: (812) 477-724000 YRS/130 YRSMon - Sun 7:00 to 5:00

Williams Barnhart, Sierra APRN

Provider ID: 2172973Gender: FemalePhysician Specialists803 Poplar StMurray, KY 42071(270) 751-2287Fax: (270) 767-364800 YRS/130 YRSMon - Fri 9:00 to 5:00

Williamson, Lance APRN

Provider ID: 1757761Gender: MaleKidney Specialists Of Paducah300 S 8th St, Ste 382wMurray, KY 42071(270) 538-5880Fax: (270) 538-587018 YRS/130 YRSMon - Fri 9:00 to 5:00

Physical Therapy

Swartz, Mary PT

Provider ID: 1489612Gender: FemaleHarmony PT And Wellness PLLC901 Coldwater Rd, Unit 2Murray, KY 42071(270) 873-7495Fax: (800) 806-451300 YRS/130 YRSMon - Fri 8:00 to 5:00 Sat 8:00 to 2:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 110

33881963

Allied Providers

Calloway

Physician Assistant

Adams, Marsha PA

Provider ID: 1647942Gender: FemalePrimary Care Medical Center1000 S 12th StMurray, KY 42071-9303(270) 759-9200Fax: (270) 759-996600 YRS/130 YRSMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00

Dunn, Elizabeth PA

Provider ID: 1318146Gender: FemalePrimary Care Medical Center1000 S 12th StMurray, KY 42071(270) 759-9200Fax: (270) 759-836800 YRS/130 YRSMon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 6:00

Fridy, Kristen PA

Provider ID: 2104923Gender: FemalePhysician Specialists300 S 8th St, Ste 284wMurray, KY 42071(270) 762-1542Fax: (270) 752-285600 YRS/130 YRSMon - Fri 9:00 to 5:00

Greene, Richard PA

Provider ID: 667445Gender: MalePhysician Specialists Of Murray300 S 8th St, Ste 182wMurray, KY 42071(270) 759-4000Fax: (270) 762-178300 YRS/130 YRSMon - Fri 8:00 to 5:00

Smith, Linda PA

Provider ID: 1313376Gender: FemaleMurray Medical Assoc300 S 8th St, Ste 480wMurray, KY 42071(270) 753-0704Fax: (270) 752-285200 YRS/130 YRSMon - Fri 8:00 to 5:00

Smith, Linda PA

Provider ID: 1313376Gender: FemalePhysician Specialists Of Murray300 S 8th St, Ste 284wMurray, KY 42071(270) 761-5756Fax: (270) 752-285600 YRS/130 YRSMon - Fri 8:00 to 5:00

Taylor, Alysha PA Provider ID: 1056839Gender: FemaleMurray Calloway County Public Hospi300 S 8th St, Ste 208eMurray, KY 42071-2400(270) 759-9223Fax: (270) 752-285900 YRS/130 YRSMon - Fri 8:00 to 5:00

Williams, Angela PA

Provider ID: 1821889Gender: FemalePrimary Care Medical Center1000 S 12th StMurray, KY 42071-9303(270) 759-9200Fax: (270) 759-996600 YRS/130 YRSMon - Fri 8:00 to 8:00 Sat - Sun 8:00 to 6:00

Williams, Angela PA

Provider ID: 2105115Gender: FemalePhysician Specialists300 S 8th St, Ste 480wMurray, KY 42071(270) 762-1515Fax: (270) 767-364000 YRS/130 YRSMon - Fri 9:00 to 5:00

Professional Counselor

Coffelt, Katrina LPC

Provider ID: 1471130Gender: FemaleBridges Family Center LLC1712 State Route 121 N, Ste IMurray, KY 42071(270) 761-5804Fax: (270) 761-580700 YRS/130 YRSMon - Thu 8:00 to 6:00 Fri 8:00 to 1:00

Miller, Rebecca LPC

Provider ID: 2208543Gender: FemaleGrowing Minds Learning Ctr-Murray634 N 12th StMurray, KY 42071-1651(270) 702-4641Fax: (615) 577-565400 YRS/130 YRSMon - Fri 8:00 to 5:30

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 111

33881963

Allied Providers

Carlisle

Family Practice

Jones, Emily APRN

Provider ID: 691842Gender: FemaleKentuckycare 2175 E Court StBardwell, KY 42023-8483(270) 443-9474Fax: (270) 443-947700 YRS/130 YRSMon - Fri 9:00 to 5:00

Nurse Practitioner

Jackson, Darrye APRN Provider ID: 643964Gender: FemaleSubspecialty: HRSA FQHC75 E Court StBardwell, KY 42023-8483(870) 347-253400 YRS/130 YRS

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 112

33881963

Allied Providers

Crittenden

Nurse Practitioner

Boone, Lee APRN Provider ID: 606255Gender: MaleFamily Practice Clinic PSC518 W Gum StMarion, KY 42064-1516(270) 965-5238Fax: (270) 965-975400 YRS/130 YRSMon - Fri 9:00 to 5:00

Brown, Jennifer APRN

Provider ID: 1899452Gender: FemaleFamily Practice Clinic PSC518 W Gum StMarion, KY 42064(270) 965-5238Fax: (270) 965-901500 YRS/130 YRSMon - Fri 7:30 to 5:00

Derington, Kelly APRN

Provider ID: 606283Gender: FemaleW Ky Hematology And Oncology Group520 W Gum StMarion, KY 42064(270) 965-528100 YRS/130 YRSTue 10:30 to 12:00

Ellington, Marcie APRN

Provider ID: 1715244Gender: FemaleFamily Practice Clinic PSC518 W Gum StMarion, KY 42064(270) 965-5238Fax: (270) 965-901500 YRS/130 YRSMon - Fri 9:00 to 5:00

Mundy, Stephanie APRN Provider ID: 2189099Gender: FemaleMarion Physicians Clinic308 S Main StMarion, KY 42064(270) 965-4377Fax: (270) 965-956800 YRS/130 YRSMon - Fri 9:00 to 5:00

Perryman, Lorie APRN

Provider ID: 1757593Gender: FemaleCrittenden Community Hospital LLC520 W Gum StMarion, KY 42064(270) 965-5281Fax: (270) 965-107800 YRS/130 YRSMon - Fri 9:00 to 5:00

Physician Assistant

Boone, Terry PA Provider ID: 2189030Gender: FemaleMarion Physicians Clinic308 S Main StMarion, KY 42064(270) 965-4377Fax: (270) 965-956800 YRS/130 YRSMon - Fri 9:00 to 5:00

Lewis, Justin PA Provider ID: 2189062Gender: MaleTrhc Hospital Services (MOB)110 Country Club DrMarion, KY 42064(270) 965-1085Fax: (270) 965-098100 YRS/130 YRSMon - Fri 9:00 to 5:00

Lewis, Justin PA Provider ID: 2189076Gender: MaleMarion Physicians Clinic308 S Main StMarion, KY 42064(270) 965-4377Fax: (270) 965-956800 YRS/130 YRSMon - Fri 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 113

33881963

Allied Providers

Fulton

Nurse Practitioner

Alexander-Lusk, Allie ARNP

Provider ID: 1181460Gender: FemalePinelake Physician Practice LLC101 Main StFulton, KY 42041-1601(270) 472-5249Fax: (270) 472-524500 YRS/130 YRSMon - Fri 8:00 to 4:30

Alexander-Lusk, Allie ARNP

Provider ID: 1181460Gender: FemalePinelake Physician Practice LLC2003 South 7th StHickman, KY 42050(270) 236-3337Fax: (270) 236-334000 YRS/130 YRSMon - Fri 9:00 to 5:00

Mcclanahan, Allison APRN

Provider ID: 2207552Gender: FemaleJackson Purchase Primary Care - Hic2003 S 7th StHickman, KY 42050-1841(270) 236-3337Fax: (270) 236-334000 YRS/150 YRSMon - Fri 8:00 to 4:30

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 114

33881963

Allied Providers

Graves

Family Practice

Greene, Susanne APRN

Provider ID: 718187Gender: FemalePinelake Physician Practice LLC1111 Medical Center CirMayfield, KY 42066-1194(270) 251-4055Fax: (270) 251-405300 YRS/130 YRSMon - Thu 8:00 to 4:30

Nurse Midwife

Riehl, Candace CNM

Provider ID: 1183806Gender: FemaleMayfield Family Medicine1111 Medical Center CircleMayfield, KY 42066(270) 251-4543Fax: (270) 251-454400 YRS/130 YRSMon - Fri 8:00 to 4:30

Nurse Practitioner

Apperson, Bethanie APRN

Provider ID: 1266593Gender: FemalePinelake Physician Practice LLC1029 Medical Center Cir, Ste 200Mayfield, KY 42066(270) 251-4084Fax: (270) 251-409200 YRS/130 YRSMon - Fri 8:00 to 4:30

Apperson, Bethanie APRN

Provider ID: 1266593Gender: FemalePinelake Physician Practice LLC1029 Medical Center Cir, Ste 401bMayfield, KY 42066(270) 251-4590Fax: (270) 251-459100 YRS/130 YRSMon - Fri 8:00 to 4:30

Carrico, Jennifer APRN

Provider ID: 1416138Gender: FemaleJackson Purchase Pulmonary Medicine1111 Medical Center Cir, Fl 2Mayfield, KY 42066-1194(270) 251-4040Fax: (855) 430-033500 YRS/130 YRSMon - Fri 8:00 to 5:00

Cole, Lela APRN

Provider ID: 1593815Gender: FemalePinelake Physician Practice LLC110 S 9th StMayfield, KY 42066-2208(270) 247-7795Fax: (270) 247-260200 YRS/130 YRSMon - Fri 9:00 to 5:00

Coleman, Courtney APRN

Provider ID: 1715216Gender: FemaleDale E Jones Md1029 Medical Center Circle, Ste 200Mayfield, KY 42066(270) 251-4545Fax: (270) 251-464600 YRS/130 YRSMon - Fri 9:00 to 5:00

Darnell, Sarah APRN

Provider ID: 1489743Gender: FemalePinelake Physician Practice LLC1099 Medical Center CircleMayfield, KY 42066(270) 251-4156Fax: (270) 251-437700 YRS/130 YRSMon - Fri 8:00 to 4:30

Driver, Rita APRN

Provider ID: 906288Gender: FemalePinelake Physician Practice LLC1099 Medical Center CirMayfield, KY 42066-1159(270) 251-4545Fax: (270) 251-454600 YRS/130 YRSMon - Fri 8:00 to 5:00

Dunn, Amanda APRN

Provider ID: 1304819Gender: FemaleFast Pace Kentucky. PLLC1251 Paris RdMayfield, KY 42066(270) 356-1345Fax: (270) 356-134800 YRS/130 YRSMon - Fri 8:00 to 8:00 Sat 8:00 to 6:00

Elkins, Michelle APRN

Provider ID: 1232924Gender: FemaleJackson Purchase Primary Care Mayfi1111 Medical Center CirMayfield, KY 42066(270) 251-4055Fax: (270) 251-405900 YRS/130 YRSMon - Fri 8:00 to 5:00

Goins-Harmon, Tanya APRN

Provider ID: 597243Gender: FemaleWestern Kentucky Family Health-care318 S 7th StMayfield, KY 42066-2337(270) 251-3223Fax: (270) 251-322000 YRS/130 YRSJackson Purchase Medical CtrMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 115

33881963

Allied Providers

Graves

Nurse Practitioner - cont.

Graham, Mary APRN

Provider ID: 2156637Gender: FemalePine Lake Physician Practices. Llc/110 S 9th StMayfield, KY 42066-2208(270) 247-779500 YRS/150 YRSMon - Fri 8:00 to 6:00

Hendley, Kayla APRN

Provider ID: 2163754Gender: FemaleFast Pace Kentucky. PLLC1251 Paris RdMayfield, KY 42066-4989(270) 356-134500 YRS/130 YRSMon - Fri 8:00 to 8:00 Sat 8:00 to 6:00 Sun 1:00 to 5:00

Kimbler, Amanda APRN

Provider ID: 804114Gender: FemaleWestern Kentucky Family Health-care318 S 7th StMayfield, KY 42066-2337(270) 251-3223Fax: (270) 251-322000 YRS/130 YRSMon - Fri 8:00 to 5:00

Lyell, Heather APRN

Provider ID: 1430669Gender: FemalePinelake Physician Practice LLC1029 Medical Center Cir, Ste 306Mayfield, KY 42066(270) 251-4575Fax: (270) 251-457700 YRS/130 YRSMon - Fri 8:00 to 4:30

New, Darrell APRN

Provider ID: 2242880Gender: MaleWestern Kentucky Family Health-care318 S 7th StMayfield, KY 42066-2337(270) 251-3223Fax: (270) 351-322300 YRS/130 YRSMon - Fri 8:00 to 5:00

Rhodes, Jaime APRN

Provider ID: 1196752Gender: FemaleJackson Purchase Gastroenterology A1029 Medical Center Circle, Ste 306Mayfield, KY 42066(270) 251-4575Fax: (270) 251-457700 YRS/130 YRSMon - Fri 8:00 to 4:30

Sasseen, Alison APRN

Provider ID: 614418Gender: FemaleSoutheastern Emergency Services PC1099 Medical Center CirMayfield, KY 42066-1159(270) 251-4507Fax: (270) 251-450700 YRS/130 YRSMon - Fri 9:00 to 5:00

Stringer, Sandy APRN

Provider ID: 807701Gender: FemalePinelake Physician Practice LLC1111 Medical Ctr Cir, Ste 130Mayfield, KY 42066-1194(270) 251-4055Fax: (270) 251-405900 YRS/130 YRSMon - Fri 8:00 to 5:00

Wilkerson, Jennifer APRN

Provider ID: 618423Gender: FemaleBaptist Health Madisonville318 S 7th StMayfield, KY 42066-2337(270) 251-3223Fax: (270) 251-322000 YRS/130 YRSJackson Purchase Medical CtrMon - Fri 8:00 to 5:00

Wilson, Sarah APRN

Provider ID: 995450Gender: FemalePurchase Gastroenterology Asso-ciate1029 Medical Center Cr, Ste 306Mayfield, KY 42066(270) 251-4575Fax: (270) 251-457700 YRS/130 YRSMon - Fri 8:00 to 5:00

Physical Therapy

Brewer, Jani PT

Provider ID: 1209391Gender: FemaleAtlas Physical Therapy LLC1413 St Rt 45 NMayfield, KY 42066(270) 247-9500Fax: (270) 247-952000 YRS/130 YRSMon - Fri 8:00 to 5:00

Dolan, Lois PT

Provider ID: 656515Gender: FemaleAtlas Physical Therapy LLC1413 St Rt 45 NMayfield, KY 42066(270) 247-9500Fax: (270) 247-952000 YRS/130 YRSMon - Fri 7:30 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 116

33881963

Allied Providers

Graves

Physical Therapy - cont.

Grizzard, Amy PT

Provider ID: 756483Gender: FemaleAtlas Physical Therapy LLC1413 St Rt 45 NMayfield, KY 42066(270) 247-9500Fax: (270) 247-952000 YRS/130 YRSMon - Fri 8:00 to 5:00

Hammons, Mark PT

Provider ID: 1427099Gender: MaleAtlas Physical Therapy LLC1413 State Route 45 NMayfield, KY 42066(270) 443-0681Fax: (270) 442-794800 YRS/130 YRSMon - Fri 8:00 to 5:00

Jeffords, Amy PT Provider ID: 2045244Gender: FemaleAtlas Physical Therapy1413 State Route 45 NMayfield, KY 42066-6740(270) 247-9500Fax: (270) 247-952000 YRS/150 YRSMon - Fri 8:00 to 5:00

Krueger, Bryan PT

Provider ID: 1209387Gender: MaleAtlas Physical Therapy LLC1413 St Rt 45 NMayfield, KY 42066(270) 247-9500Fax: (270) 247-952000 YRS/130 YRSMon - Fri 8:00 to 5:00

Midkiff, Cory PT

Provider ID: 1694568Gender: MaleAtlas Physical Therapy LLC1413 St Rt 45 NMayfield, KY 42066(270) 247-9500Fax: (270) 247-952000 YRS/130 YRSMon - Fri 8:00 to 5:00

Physician Assistant

Bryan, Douglas PA

Provider ID: 604144Gender: Male1099 Medical Center CrMayfield, KY 42066(859) 219-0542Fax: (859) 219-943300 YRS/130 YRSMon - Fri 9:00 to 5:00

Dunn, Elizabeth PA

Provider ID: 2104134Gender: FemalePine Lake Physician Practices LLC D417 S 6th StMayfield, KY 42066-2311(270) 247-110400 YRS/150 YRSJackson Purchase Medical CtrMon - Fri 8:00 to 4:30 Sat 8:00 to 12:00

Koch, Jeffrey PA

Provider ID: 603562Gender: MaleCentral Kentucky Radiology PLLC1099 Medical Center CirMayfield, KY 42066-1159(606) 877-2840Fax: (606) 877-284500 YRS/130 YRSMon - Fri 9:00 to 5:00

Leugers, Ryan PA

Provider ID: 1539650Gender: MaleCentral Kentucky Radiology PLLC1099 Medical Center CircleMayfield, KY 42066-1159(859) 219-0542Fax: (859) 219-943300 YRS/130 YRSMon - Fri 9:00 to 5:00

Russell, Joshua PA

Provider ID: 1539629Gender: MaleCentral Kentucky Radiology PLLC1099 Medical Center CircleMayfield, KY 42066-1159(859) 219-0542Fax: (859) 219-943300 YRS/130 YRSMon - Fri 9:00 to 5:00

Sexton, Samantha PA

Provider ID: 751426Gender: FemaleCentral Kentucky Radiology PLLC1099 Medical Center CirMayfield, KY 42066-1159(859) 219-0542Fax: (859) 219-943300 YRS/130 YRSMon - Fri 9:00 to 5:00

Smith, Mike PA

Provider ID: 1196335Gender: MaleCentral Kentucky Radiology PLLC1099 Medical Center CircleMayfield, KY 42066-1159(859) 219-0542Fax: (859) 219-943300 YRS/130 YRSMon - Fri 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 117

33881963

Allied Providers

Graves

Physician Assistant - cont.

Vanhoose, Anna PA

Provider ID: 1129196Gender: Female1099 Medical Center CrMayfield, KY 42066(859) 219-0542Fax: (859) 219-943300 YRS/130 YRSMon - Fri 9:00 to 5:00

Professional Counselor

Sanford, Lisa Robin LPC

Provider ID: 2195205Gender: FemaleSacred Break Throughs5460 State Route 131Hickory, KY 42051-8611(270) 658-3911Fax: (855) 884-054600 YRS/150 YRSMon - Tue, Thu 1:00 to 9:00 Wed, Fri, Sun 1:00 to 4:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 118

33881963

Allied Providers

Hickman

Nurse Practitioner

Goodrum, Stephannie APRN

Provider ID: 1562891Gender: FemaleCommunity Healthcare Of Western Ken308 S Washington St, Ste 200Clinton, KY 42031-1347(270) 653-0220Fax: (270) 653-022100 YRS/130 YRSMon - Fri 9:00 to 5:00

Goodrum, Stephannie APRN

Provider ID: 2093273Gender: FemalePinelake Physician Practices LLC Db106 W Clay StClinton, KY 42031-1317(270) 653-0220Fax: (270) 653-022100 YRS/150 YRSJackson Purchase Medical CtrMon - Fri 8:00 to 6:00

Graham, Mary APRN

Provider ID: 2156637Gender: FemalePinelake Physician Practices LLC Db106 W Clay StClinton, KY 42031-1317(270) 653-0220Fax: (270) 653-022100 YRS/150 YRSMon - Fri 8:00 to 6:00

Turner, Amy APRN

Provider ID: 1962577Gender: FemalePinelake Physician Practices. LLC D106 W Clay StClinton, KY 42031-1317(270) 653-022000 YRS/130 YRS

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 119

33881963

Allied Providers

Livingston

Advanced Practice Registered Nurse

Phillips, Allison APRN

Provider ID: 2009415Gender: FemaleNulease Medical Solutions LLC501 N Hayden AveSalem, KY 42078-8008(270) 988-2081Fax: (270) 988-206600 YRS/130 YRSMon - Fri 8:00 to 6:30

Nurse Practitioner

Clark, Alicia APRN

Provider ID: 2057318Gender: FemaleLivingston Hospital And Healthcare117 E Main StSalem, KY 42078(270) 988-3839Fax: (270) 388-383200 YRS/130 YRSMon - Fri 9:00 to 5:00

Derington, Kelly APRN

Provider ID: 606283Gender: FemaleW Ky Hematology And Oncology Group131 Hospital DrSalem, KY 42078(270) 988-229900 YRS/130 YRSTue 3:00 to 4:00

Doom, Jeanie APRN

Provider ID: 1273202Gender: FemaleGrand Lakes Clinic1860 J H Obryan AveGrand Rivers, KY 42045(270) 362-8246Fax: (270) 362-975700 YRS/130 YRSMon - Fri 8:00 to 5:00

Harris, Jessica APRN Provider ID: 2189051Gender: FemaleTrhc Hospital Services141 Hospital Dr, Ste 103Salem, KY 42078(270) 988-7365Fax: (270) 988-415600 YRS/130 YRSMon - Fri 9:00 to 5:00

Harris, Jessica APRN Provider ID: 2189060Gender: FemaleSmithland Medical Clinic205 E Adair StSmithland, KY 42081(270) 928-2146Fax: (270) 928-449200 YRS/130 YRSMon - Fri 9:00 to 5:00

Hodges, Sharon APRN

Provider ID: 2057778Gender: FemaleLivingston Hospital And Healthcare117 E Main StSalem, KY 42078(270) 988-3839Fax: (270) 388-383200 YRS/130 YRSMon - Fri 9:00 to 5:00

Martin, Sara APRN

Provider ID: 1779354Gender: FemaleNulease Medical Solutions LLC501 N Hayden AveSalem, KY 42078-8008(270) 988-2081Fax: (270) 988-206618 YRS/130 YRSMon - Fri 8:00 to 6:30

Morrison, Mary APRN

Provider ID: 1779355Gender: FemaleNulease Medical Solutions LLC501 N Hayden AveSalem, KY 42078-8008(270) 988-2081Fax: (270) 988-206618 YRS/130 YRSMon - Fri 8:00 to 6:30

Mundy, Stephanie APRN Provider ID: 2189088Gender: FemaleTrhc Hospital Services141 Hospital Dr, Ste 103Salem, KY 42078(270) 988-7365Fax: (270) 988-415600 YRS/130 YRSMon - Fri 9:00 to 5:00

Mundy, Stephanie APRN Provider ID: 2189091Gender: FemaleSmithland Medical Clinic205 E Adair StSmithland, KY 42081(270) 928-2146Fax: (270) 928-449200 YRS/130 YRSMon - Fri 9:00 to 5:00

Phillips, Kara APRN

Provider ID: 1200020Gender: FemaleTri Rivers Healthcare PLLC205 E Adair StSmithland, KY 42081(270) 928-2146Fax: (270) 928-449200 YRS/130 YRSMon, Wed - Fri 8:00 to 5:00 Tue 8:00 to 4:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 120

33881963

Allied Providers

Livingston

Nurse Practitioner - cont.

Phillips, Kara APRN

Provider ID: 2088978Gender: FemaleNulease Medical Solutions LLC501 N Hayden AveSalem, KY 42078-8008(270) 988-2081Fax: (270) 988-206600 YRS/130 YRSMon - Fri 8:00 to 6:30

Phillips, Kara APRN Provider ID: 2189111Gender: FemaleTrhc Hospital Services141 Hospital Dr, Ste 103Salem, KY 42078(270) 988-7365Fax: (270) 988-415600 YRS/130 YRSMon - Fri 9:00 to 5:00

Phillips, Kara APRN Provider ID: 2189112Gender: FemaleSmithland Medical Clinic205 E Adair StSmithland, KY 42081(270) 928-2146Fax: (270) 928-449200 YRS/130 YRSMon - Fri 9:00 to 5:00

Wilkerson, Regina APRN

Provider ID: 1233371Gender: FemaleMercy Health Physicians Kentucky Ll131 Hospital DrSalem, KY 42078(270) 442-0103Fax: (270) 442-010900 YRS/130 YRSMon - Fri 8:00 to 4:30

Wilkinson, Robert APRN Provider ID: 2189137Gender: MaleTrhc Hospital Services141 Hospital Dr, Ste 103Salem, KY 42078(270) 988-7365Fax: (270) 988-415600 YRS/130 YRSMon - Fri 9:00 to 5:00

Physician Assistant

Boone, Terry PA Provider ID: 2189030Gender: FemaleSalem Medical Clinic141 Hospital Dr, Ste 102Salem, KY 42078(270) 988-3208Fax: (270) 988-464200 YRS/130 YRSMon - Fri 9:00 to 5:00

Boone, Terry PA Provider ID: 2189030Gender: FemaleTrhc Hospital Services141 Hospital Dr, Ste 103Salem, KY 42078(270) 988-7365Fax: (270) 988-415600 YRS/130 YRSMon - Fri 9:00 to 5:00

Lewis, Justin PA

Provider ID: 1513701Gender: MaleSalem Medical Clinic141 Hospital Dr, Ste 102Salem, KY 42078-8043(270) 988-3298Fax: (270) 988-464200 YRS/130 YRSMon - Fri 8:00 to 5:00 Sat 8:00 to 12:00

Lewis, Justin PA Provider ID: 2189073Gender: MaleTrhc Hospital Services141 Hospital Dr, Ste 103Salem, KY 42078(270) 988-7365Fax: (270) 988-415600 YRS/130 YRSMon - Fri 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 121

33881963

Allied Providers

Lyon

Nurse Practitioner

Adams, Denise APRN

Provider ID: 1731473Gender: FemaleBaptist Health Medical Group Inc403 W Fairview AveEddyville, KY 42038-5452(270) 388-5454Fax: (270) 388-545200 YRS/130 YRSMon - Fri 8:00 to 5:00

Neidlinger, Velda APRN

Provider ID: 1828666Gender: FemaleEddyville Family Medical209 W Main StEddyville, KY 42038(270) 388-0620Fax: (270) 388-060400 YRS/130 YRSMon - Fri 9:00 to 5:00

Robison, Regina APRN

Provider ID: 2058064Gender: FemaleWellness Place LLC68 Cedar StKuttawa, KY 42055-6287(270) 601-4235Fax: (270) 963-303800 YRS/150 YRSMon - Fri 8:00 to 5:00

Skinner, Elizabeth APRN

Provider ID: 1313166Gender: FemaleKuttawa Clinic. PLLC91 Cedar StKuttawa, KY 42055(270) 388-7380Fax: (270) 388-736400 YRS/130 YRSMon - Fri 8:00 to 5:00

Wood, Wyetha APRN Provider ID: 1057011Gender: FemaleLivingston Hospital And Healthcare209 W Main StEddyville, KY 42038-7752(270) 388-0620Fax: (270) 388-060400 YRS/130 YRSCrittenden Community HospitalMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 122

33881963

Allied Providers

Marshall

Nurse Practitioner

Alexander, Dana APRN

Provider ID: 671950Gender: FemaleMurray Calloway Co Public Hosp Corp310 W 5th StBenton, KY 42025(270) 906-2444Fax: (270) 906-255500 YRS/130 YRSMon - Fri 8:00 to 5:00

Bradley, Kimberly APRN

Provider ID: 957661Gender: FemaleMercy Primary Care Marshall County83 Wellness Way, Fl 1Benton, KY 42025-7156(270) 527-8601Fax: (270) 527-961500 YRS/130 YRSMon - Fri 8:00 to 5:00

Carrico, Jennifer APRN

Provider ID: 1416138Gender: FemaleJackson Purchase Pulmonary Medicine619 Old Symsonia RdBenton, KY 42025(270) 251-4040Fax: (855) 430-033500 YRS/130 YRSMon - Fri 8:00 to 5:00

Curry, Donna APRN

Provider ID: 1109063Gender: FemaleBaptist Health Medical Group Inc5013 Gilbertsville HighwayCalvert City, KY 42029(270) 909-2196Fax: (270) 909-220400 YRS/130 YRSMon - Fri 7:30 to 4:30

Darnell, Rhonda APRN

Provider ID: 1275046Gender: FemaleMarshall County Surgical & Medical617 Old Symsonia RdBenton, KY 42025(270) 527-2411Fax: (270) 527-873400 YRS/130 YRSMon - Fri 9:00 to 5:00

Dunn, Amanda APRN

Provider ID: 1446843Gender: FemaleFast Pace Kentucky. PLLC401 Main StBenton, KY 42025(270) 906-0369Fax: (270) 906-037100 YRS/130 YRSMon - Fri 8:00 to 8:00 Sat 8:00 to 6:00

Evans, Kim APRN

Provider ID: 751215Gender: FemaleBaptist Health Medical Group Inc5013 Gilbertsville HighwayCalvert City, KY 42029(270) 909-2196Fax: (270) 909-220400 YRS/130 YRSMon - Fri 8:00 to 5:00

Fiessinger, Willard APRN Provider ID: 1129680Gender: MaleMercy Primary Care - Benton83 Wellness Way, Fl 2Benton, KY 42025-7156(270) 527-0045Fax: (270) 527-007500 YRS/130 YRSMon - Fri 8:00 to 4:00

Flowers, Emily APRN

Provider ID: 1132632Gender: FemaleMercy Primary Care - Benton83 Wellness Way, Fl 2Benton, KY 42025-7156(270) 527-0045Fax: (270) 527-007500 YRS/130 YRSMon - Fri 8:00 to 5:00

Friedrich, Kristie APRN

Provider ID: 1196904Gender: FemaleBaptist Health Medical Group Inc5013 Gilbertsville HighwayCalvert City, KY 42029(270) 575-3030Fax: (270) 575-041800 YRS/130 YRSMon - Fri 8:00 to 5:00

Friedrich, Kristie APRN

Provider ID: 1730044Gender: FemaleBaptist Health Medical Group Inc5013 Gilbertsville HighwayCalvert City, KY 42029(270) 575-3030Fax: (270) 575-041800 YRS/130 YRSMon - Fri 8:00 to 5:00

Jones, Catherine APRN

Provider ID: 685773Gender: FemaleMercy Primary Care Benton83 Wellness Way, Fl 2Benton, KY 42025-7156(270) 527-0045Fax: (270) 527-007500 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 123

33881963

Allied Providers

Marshall

Nurse Practitioner - cont.

Kolenich, Diane APRN

Provider ID: 1227239Gender: FemaleMarshall County Surgical & Medical617 Old Symsonia RdBenton, KY 42025(270) 527-2411Fax: (270) 527-873400 YRS/130 YRSMon - Thu 8:00 to 6:00 Fri 8:00 to 4:00

Leath, Heather APRN

Provider ID: 786301Gender: FemaleBaptist Health Medical Group Inc5013 Gilbertsville HighwayCalvert City, KY 42029(270) 909-2196Fax: (270) 909-220400 YRS/130 YRSMon - Fri 7:30 to 4:30

Lipinski, Lori APRN Provider ID: 683884Gender: FemaleBaptist Health Medical Group4754 Highway 62Calvert City, KY 42029-8456(270) 415-7780Fax: (270) 415-777900 YRS/130 YRSMon - Fri 8:00 to 5:00

Lovett, Jessica APRN

Provider ID: 667075Gender: FemaleMercy Primary Care Marshall County83 Wellness Way, Fl 1Benton, KY 42025-7156(270) 527-8601Fax: (270) 527-961500 YRS/130 YRSMon - Fri 8:00 to 5:00

Lovett, Jessica APRN

Provider ID: 704998Gender: FemaleRma Operating Inc DBA Regional Medi83 Wellness Way, Fl 1Benton, KY 42025-7156(270) 527-8601Fax: (270) 527-961500 YRS/18 YRSMon - Fri 8:00 to 6:00

Matejcek, Ann APRN

Provider ID: 1694542Gender: FemaleMarshall County Hospital615 Old Symsonia RdBenton, KY 42025(270) 527-4800Fax: (270) 527-491000 YRS/130 YRSMon - Fri 9:00 to 5:00

Matejcek, Ann APRN

Provider ID: 1827972Gender: FemaleMarshall County Surgical & Medical617 Old Symsonia RdBenton, KY 42025(270) 527-2411Fax: (270) 527-873400 YRS/130 YRSMon - Fri 9:00 to 5:00

Moryl, Maegan APRN Provider ID: 1143051Gender: FemaleMercy Primary Care - Benton83 Wellness Way, Fl 2Benton, KY 42025-7156(270) 527-0045Fax: (270) 527-007500 YRS/130 YRSMon - Fri 8:00 to 5:00

Offutt, Adrienne APRN

Provider ID: 1694360Gender: FemaleFast Pace Kentucky. PLLC401 Main StBenton, KY 42025(270) 906-0369Fax: (270) 906-037100 YRS/130 YRSMon - Fri 8:00 to 8:00 Sat 8:00 to 6:00 Sun 1:00 to 5:00

Olson, Kathy APRN

Provider ID: 1730616Gender: FemaleBaptist Health Medical Group Inc5013 Gilbertsville HighwayCalvert City, KY 42029(270) 909-2196Fax: (270) 909-220400 YRS/130 YRSMon - Fri 9:00 to 5:00

Rhodes, Jaime APRN

Provider ID: 1563566Gender: FemaleMarshall County Surgical & Medical619 Old Symsonia RdBenton, KY 42025(270) 251-4575Fax: (270) 251-457700 YRS/130 YRSMon - Fri 9:00 to 5:00

Rhodes, Jaime APRN

Provider ID: 1827974Gender: FemaleMarshall County Surgical & Medical617 Old Symsonia RdBenton, KY 42025(270) 527-2411Fax: (270) 527-873400 YRS/130 YRSMon - Fri 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 124

33881963

Allied Providers

Marshall

Nurse Practitioner - cont.

Staples, Susan APRN

Provider ID: 1830252Gender: FemaleFast Pace Kentucky PLLC401 Main StBenton, KY 42025-1119(270) 906-036900 YRS/130 YRSMon - Fri 8:00 to 8:00 Sat 8:00 to 6:00 Sun 1:00 to 5:00

Swensen, Robin APRN

Provider ID: 1273655Gender: FemaleBaptist Health Medical Group Inc5013 Gilbertsville HighwayCalvert City, KY 42029(270) 909-2196Fax: (270) 909-220400 YRS/130 YRSMon - Fri 7:00 to 7:00 Sat 8:00 to 1:00

Waters, Jennifer APRN

Provider ID: 2036340Gender: FemaleBaptist Health Medical Group Inc543 Powell LaneBenton, KY 42025(270) 415-7070Fax: (270) 415-707100 YRS/130 YRSMon - Fri 9:00 to 5:00

Wilson, Jamie ARNP

Provider ID: 2028478Gender: FemaleFast Pace Kentucky. PLLC401 Main StBenton, KY 42025-1119(270) 906-0369Fax: (270) 906-037100 YRS/150 YRSThe Medical Center At FranklinMarshall County HospitalMon - Fri 8:00 to 8:00 Sat 8:00 to 6:00 Sun 1:00 to 5:00

Occupational Therapy

Lui, Amy OT

Provider ID: 2088207Gender: FemaleAtlas Physical Therapy244 Us Highway 68 EBenton, KY 42025-7568(270) 443-0681Fax: (270) 442-794800 YRS/150 YRSMon - Fri 8:00 to 5:00

Schultz, Megan OT

Provider ID: 2094567Gender: FemaleAtlas Physical Therapy LLC244 Us Highway 68 EBenton, KY 42025-7568(270) 443-0681Fax: (270) 442-794800 YRS/150 YRSMon, Wed 9:00 to 7:30 Tue, Thu 8:00 to 7:30 Fri 8:00 to 12:00

Physical Therapy

Brewer, Jani PT

Provider ID: 1209391Gender: FemaleAtlas Physical Therapy LLC244 Us Hwy 68 EBenton, KY 42025(270) 527-4322Fax: (270) 527-432200 YRS/130 YRSMon - Fri 8:00 to 5:00

Dolan, Lois PT

Provider ID: 656515Gender: FemaleAtlas Physical Therapy LLC244 Us Hwy 68 EBenton, KY 42025(270) 527-4322Fax: (270) 442-794800 YRS/130 YRSMon - Fri 7:00 to 5:00

Grizzard, Amy PT

Provider ID: 756483Gender: FemaleAtlas Physical Therapy LLC244 Us Hwy 68 EBenton, KY 42025(270) 527-4322Fax: (270) 527-432200 YRS/130 YRSMon - Fri 8:00 to 5:00

Hammons, Mark PT

Provider ID: 1427099Gender: MaleAtlas Physical Therapy LLC244 Us Highway 68eBenton, KY 42025(270) 527-4322Fax: (270) 252-702600 YRS/130 YRSMon - Fri 8:00 to 5:00

Midkiff, Cory PT

Provider ID: 1694568Gender: MaleAtlas Physical Therapy LLC244 Us Highway 68eBenton, KY 42025(270) 527-4322Fax: (270) 252-702600 YRS/130 YRSMon - Sun 7:00 to 5:00

Physician Assistant

Garrett, Melinda PA

Provider ID: 611668Gender: FemalePaducah Dermatology PLLC619 Old Symsonia RdBenton, KY 42025(270) 444-8477Fax: (270) 444-847900 YRS/130 YRSMon - Thu 8:00 to 4:30 Fri 8:00 to 12:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 125

33881963

Allied Providers

Marshall

Physician Assistant - cont.

Unger, Carly PA

Provider ID: 2105098Gender: FemalePaducah Dermatology PLLC619 Old Symsonia RdBenton, KY 42025(270) 444-8477Fax: (270) 444-847900 YRS/130 YRSMon 8:00 to 4:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 126

33881963

Allied Providers

Mccracken

Advanced Practice Registered Nurse

Baker, Amy APRN

Provider ID: 2142412Gender: FemaleWilson Medical Staffing PLLC2501 Kentucky Ave, Fl 5Paducah, KY 42003-3813(275) 558-5461Fax: (270) 558-547100 YRS/150 YRSCrittenden Community HospitalMon - Fri 8:00 to 5:00

Audiology

Gibbens, Noreen AUD

Provider ID: 1856567Gender: FemaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 601Paducah, KY 42003(270) 408-4368Fax: (270) 408-327200 YRS/130 YRSMon - Fri 9:00 to 5:00

Children With Special Health Care

Needs

Office For Children With Special

Health

Provider ID: 616818Paducah Regional Ccshcn400 Park Ave, Bldg DPaducah, KY 42001-0611(270) 443-3651Fax: (270) 441-711900 YRS/21 YRSMon - Fri 8:00 to 4:30

Family Practice

Jackson, Darrye APRN

Provider ID: 1094383Gender: FemaleArcare3240 Irvin CobbPaducah, KY 42003(270) 443-9474Fax: (270) 443-947700 YRS/130 YRSMon - Fri 8:00 to 5:00

Marriage & Family Therapy

Lewis, Justin LMFT

Provider ID: 1996661Gender: MaleCompass Counseling2204 Kentucky AvePaducah, KY 42003-3242(270) 777-4490Fax: (866) 824-402216 YRS/130 YRSMon - Thu 8:00 to 6:00 Fri 8:00 to 5:00

Wheeler, Jennifer LMFT

Provider ID: 2208550Gender: FemaleGrowing Minds Learning Ctr-Paducah3551 Park Plaza RdPaducah, KY 42001-5948(270) 702-4641Fax: (615) 724-472200 YRS/130 YRSMon - Fri 8:00 to 5:30

Nurse Midwife

Inglish, Monica CNM

Provider ID: 1995172Gender: FemaleMercy Health Physicians Kentucky Ll1532 Lone Oak Rd, Ste 245Paducah, KY 42003(270) 538-5700Fax: (270) 538-570100 YRS/130 YRSMon - Thu 8:00 to 5:00 Fri 8:00 to 4:00

Nurse Practitioner

Anderson, Hannah APRN

Provider ID: 1562823Gender: FemaleMercy Lourdes Urgent Care225 Medical Center Dr, Ste 101Paducah, KY 42003(270) 441-4357Fax: (270) 441-413200 YRS/130 YRSMon - Fri 7:00 to 7:00 Sat 8:00 to 6:00 Sun 11:00 to 4:00

Bailey, Blair APRN

Provider ID: 2140232Gender: FemalePaducah Dermatology PLLC3101 Parisa DrPaducah, KY 42003(270) 444-8477Fax: (270) 444-847900 YRS/130 YRSMon - Fri 8:00 to 4:30

Baker, Kimberly APRN Provider ID: 1005131Gender: FemaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 301Paducah, KY 42003(270) 443-1220Fax: (270) 443-002300 YRS/130 YRSMon - Fri 8:00 to 5:00

Baker, Amy APRN

Provider ID: 1326682Gender: FemaleW Ky Hematology And Oncology Group225 Medical Center Dr, Ste 301Paducah, KY 42003-7914(270) 441-4343Fax: (270) 441-434400 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 127

33881963

Allied Providers

Mccracken

Nurse Practitioner - cont.

Baker, Amy APRN

Provider ID: 1899436Gender: FemalePaducah Medical Oncology225 Medical Center Dr, Ste 301Paducah, KY 42003(270) 441-4343Fax: (270) 441-434400 YRS/130 YRSMon - Fri 8:30 to 5:00

Balliet, Shelly APRN

Provider ID: 1571637Gender: FemaleMercy Primary Care-Paducah225 Medical Center Dr, Ste 304Paducah, KY 42003(270) 538-5596Fax: (270) 538-559700 YRS/130 YRSMon - Fri 8:00 to 5:00

Bazzell, Andrea APRN

Provider ID: 2020440Gender: FemaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 301Paducah, KY 42003(270) 575-3113Fax: (270) 575-313500 YRS/130 YRSMon - Fri 9:00 to 5:00

Becker, Joseph APRN

Provider ID: 2216108Gender: MaleKidney Specialists Of Paducah1532 Lone Oak Rd, Ste 315Paducah, KY 42003-7942(270) 538-5880Fax: (270) 538-587000 YRS/150 YRSBaptist Health PaducahLourdes Hospital IncMon - Fri 8:00 to 5:00

Bell, Shakira APRN

Provider ID: 1355075Gender: FemaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 301Paducah, KY 42003(270) 575-3113Fax: (270) 575-313500 YRS/130 YRSMon - Fri 8:00 to 5:00

Benefiel, Dawn APRN

Provider ID: 1789998Gender: FemaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 102Paducah, KY 42003(270) 442-3539Fax: (270) 442-205100 YRS/130 YRSMon - Fri 8:00 to 4:30

Bilak, Paul APRN

Provider ID: 1552838Gender: MaleHeartland Cares Inc1903 Broadway StPaducah, KY 42001(270) 444-8183Fax: (270) 444-814700 YRS/130 YRSMon - Thu 8:00 to 5:00 Fri 8:00 to 12:00

Bossuah, Kwaghdoo APRN

Provider ID: 1108239Gender: FemaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 103Paducah, KY 42003(270) 415-4860Fax: (270) 415-486200 YRS/130 YRSMon - Fri 7:00 to 7:00 Sat 8:00 to 1:00

Bossuah, Kwaghdoo APRN

Provider ID: 1108239Gender: FemaleBaptist Health Medical Group Inc3220 Irvin Cobb DrPaducah, KY 42003(270) 450-1240Fax: (270) 450-124300 YRS/130 YRSMon - Fri 8:00 to 7:00 Sat 8:00 to 6:00 Sun 11:00 to 5:00

Bransford, Leslye APRN

Provider ID: 2151823Gender: FemaleImac Regeneration2725 James Sanders Blvd, Ste APaducah, KY 42001(270) 554-5114Fax: (270) 215-483400 YRS/130 YRSMon - Thu 8:00 to 5:00 Fri 8:00 to 12:00

Bray, Deborah APRN

Provider ID: 1237792Gender: FemaleMercyhealthphysicianskentuckyl1532 Loneoak Rd, Ste 415Paducah, KY 42003(270) 442-0103Fax: (270) 442-010900 YRS/130 YRSMon - Fri 8:00 to 5:00

Brockman, Blair APRN

Provider ID: 1165469Gender: FemaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 301Paducah, KY 42003(270) 575-3113Fax: (270) 575-313500 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 128

33881963

Allied Providers

Mccracken

Nurse Practitioner - cont.

Buckhalter, Brandy APRN

Provider ID: 1196868Gender: FemaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 105Paducah, KY 42003-3814(270) 415-4802Fax: (270) 415-483500 YRS/130 YRSMon - Fri 8:00 to 5:00

Bushong, Anna APRN

Provider ID: 1348662Gender: FemaleBaptist Health Medical Group Inc3220 Irvin Cobb DrPaducah, KY 42003(270) 450-1240Fax: (270) 450-124300 YRS/130 YRSMon - Fri 8:00 to 7:00 Sat 8:00 to 6:00 Sun 11:00 to 5:00

Bushong, Anna APRN

Provider ID: 1348662Gender: FemaleBaptist Health Medical Group Inc4620 Village Square DrPaducah, KY 42001(270) 442-8575Fax: (270) 442-876300 YRS/130 YRSMon - Fri 9:00 to 5:00

Bushong, Anna APRN

Provider ID: 1348662Gender: FemaleBaptist Health Medical Group Inc5130 Hinkleville RdPaducah, KY 42001-9132(270) 450-1191Fax: (270) 450-071000 YRS/130 YRSMon - Fri 8:00 to 7:00 Sat 8:00 to 6:00 Sun 11:00 to 5:00

Carbonell-Smith, Michele APRN

Provider ID: 1730960Gender: FemaleBaptist Health Medical Group Inc1920 Broadway StPaducah, KY 42001(270) 442-3647Fax: (270) 442-377700 YRS/130 YRSMon - Fri 9:00 to 5:00

Carr, Tammy APRN

Provider ID: 613417Gender: FemaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 301Paducah, KY 42003(270) 443-1220Fax: (270) 443-002300 YRS/130 YRSBaptist Health PaducahMon - Fri 8:00 to 5:00

Carter, Kristen APRN

Provider ID: 2216145Gender: FemaleBaptist Health Medical Group Inc4620 Village Square DrPaducah, KY 42001(270) 442-8575Fax: (270) 442-876300 YRS/130 YRSMon - Fri 9:00 to 5:00

Cates, Tiffany APRN

Provider ID: 1462077Gender: FemaleMercy Neurology1532 Lone Oak Rd, Ste 150Paducah, KY 42003(270) 538-6700Fax: (270) 538-675500 YRS/130 YRSMon - Fri 8:00 to 5:00

Cates, Tiffany APRN

Provider ID: 1462077Gender: FemaleMercy Neurosurgery1532 Lone Oak Rd, Ste 143Paducah, KY 42003(270) 538-6600Fax: (270) 538-663500 YRS/130 YRSMon - Fri 8:00 to 5:00

Clark, Valerie APRN

Provider ID: 1189259Gender: FemaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 301Paducah, KY 42003(270) 443-1220Fax: (270) 443-002300 YRS/130 YRSMon - Thu 8:30 to 4:00 Fri 8:30 to 12:00

Cole, Chelsea APRN

Provider ID: 1856514Gender: FemaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 301Paducah, KY 42003(270) 575-3113Fax: (270) 575-358800 YRS/130 YRSMon - Fri 9:00 to 5:00

Coleman, Courtney APRN

Provider ID: 1730588Gender: FemaleMercy Health Physicians Kentucky Ll225 Medical Center Dr, Ste 101Paducah, KY 42003(270) 441-4357Fax: (270) 441-413200 YRS/130 YRSMon - Fri 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 129

33881963

Allied Providers

Mccracken

Nurse Practitioner - cont.

Colley, Thomas APRN

Provider ID: 2179046Gender: MaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 105Paducah, KY 42003-3814(270) 415-4802Fax: (270) 415-483500 YRS/130 YRSMon - Fri 9:00 to 5:00

Cooper, Felicia APRN

Provider ID: 1545342Gender: FemaleMercy Lourdes Urgent Care225 Medical Center Dr, Ste 101Paducah, KY 42003(270) 441-4357Fax: (270) 441-413200 YRS/130 YRSMon - Fri 8:00 to 5:00

Cooper, Felicia APRN

Provider ID: 2033518Gender: FemaleMercy Primary Care-Paducah225 Medical Center Dr, Ste 304Paducah, KY 42003(270) 538-5596Fax: (270) 538-559700 YRS/01 YRSMon - Fri 8:00 to 5:00

Crumble, Tara APRN

Provider ID: 614383Gender: FemaleMercy Lourdes Urgent Care225 Medical Center Dr, Ste 101Paducah, KY 42003(270) 441-4357Fax: (270) 441-413200 YRS/130 YRSMon - Thu 7:00 to 7:00 Fri 7:00 to 6:00 Sat 8:00 to 6:00 Sun 11:00 to 4:00

Crumble, Tara APRN Provider ID: 614383Gender: FemalePurchase Derm ENT LLC2605 Kentucky Ave, Ste 601Paducah, KY 42003-3806(270) 408-4368Fax: (270) 408-327200 YRS/130 YRSMon - Fri 9:00 to 5:00

Curry, Donna APRN

Provider ID: 1109063Gender: FemaleBaptist Health Medical Group Inc5130 Hinkleville RdPaducah, KY 42001(270) 450-1191Fax: (270) 450-071000 YRS/130 YRSMon - Fri 8:00 to 5:00

Daugherty, Hannah APRN

Provider ID: 2216161Gender: FemaleBaptist Health Medical Group Inc5130 Hinkleville RdPaducah, KY 42001-9132(270) 450-1191Fax: (270) 450-071000 YRS/130 YRSMon - Fri 8:00 to 7:00 Sat 8:00 to 6:00 Sun 11:00 to 5:00

Davies, Heidi APRN

Provider ID: 708676Gender: FemaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 8:00 to 5:00

Derington, Kelly APRN

Provider ID: 1899465Gender: FemalePaducah Medical Oncology225 Medical Center Dr, Ste 301Paducah, KY 42003(270) 441-4343Fax: (270) 441-434400 YRS/130 YRSMon - Fri 8:30 to 5:00

Derington, Kelly APRN

Provider ID: 606283Gender: FemaleW Ky Hematology And Oncology Group225 Medical Center Dr, Ste 301Paducah, KY 42003-7914(270) 441-4343Fax: (270) 441-434400 YRS/130 YRSMon - Thu 8:30 to 5:00 Fri 9:00 to 5:00

Dyer, Sarah APRN

Provider ID: 1968439Gender: FemaleNew Age Vitality Clinic148 Stuart Nelson Park Rd, # 1Paducah, KY 42001-9678(606) 789-8531Fax: (606) 789-889318 YRS/130 YRSMon - Fri 8:00 to 5:00

Dyer, Sarah APRN

Provider ID: 1968445Gender: FemaleKentucky Addiction Centers148 Stuart Nelson Park RdPaducah, KY 42001-9678(859) 739-3552Fax: (859) 878-220818 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 130

33881963

Allied Providers

Mccracken

Nurse Practitioner - cont.

Etheridge, Meredith APRN

Provider ID: 1468671Gender: FemaleMercy Family Medicine225 Medical Center Dr, Ste 302Paducah, KY 42003(270) 538-7170Fax: (270) 538-717100 YRS/130 YRSMon - Fri 8:00 to 5:00

Faulkner, Kelly APRN Provider ID: 807374Gender: Female5150 Village Square DrPaducah, KY 42001-9060(270) 443-935200 YRS/130 YRS

Faulkner, Kelly APRN

Provider ID: 807374Gender: FemalePaducah Physiatric Partners1532 Lone Oak Rd, Ste 150Paducah, KY 42003(270) 443-9352Fax: (270) 443-901300 YRS/130 YRSMon - Fri 8:00 to 5:00

Faulkner, Kelly APRN

Provider ID: 807374Gender: FemalePaducah Physiatric Partners3651 James Sanders BlvdPaducah, KY 42001(270) 366-0711Fax: (270) 443-901300 YRS/130 YRSMon - Fri 8:00 to 5:00

Fennel, Krista CNP Provider ID: 671492Gender: FemaleBaptist Health Medical Group2603 Kentucky Ave, Ste 402Paducah, KY 42003(270) 443-6472Fax: (270) 442-164900 YRS/130 YRSMon - Fri 8:00 to 5:00

Fiessinger, Willard APRN

Provider ID: 721059Gender: MaleMercy Emergency Medicine Specialist1530 Lone Oak RdPaducah, KY 42003-7901(270) 444-2150Fax: (270) 444-298500 YRS/130 YRSMon - Fri 9:00 to 5:00

Finney, Barbara APRN

Provider ID: 1753050Gender: FemaleBehavioral Health Group2705 Olivet Church RdPaducah, KY 42001-9755(270) 443-0096Fax: (270) 443-008000 YRS/130 YRSLourdes Hospital IncMon - Sun 6:00 to 2:00

Finney, Barbara APRN

Provider ID: 2242629Gender: FemaleKentucky Addiction Centers148 Stuart Nelson Park Rd, # 1Paducah, KY 42001-9678(270) 908-2681Fax: (859) 878-220818 YRS/130 YRSMon - Fri 8:00 to 5:00

Fletcher, Wynetta APRN

Provider ID: 2026738Gender: FemaleNew Age Vitality Clinic148 Stuart Nelson Park Rd, # 1Paducah, KY 42001-9678(270) 908-2681Fax: (606) 789-889318 YRS/130 YRSMon - Fri 8:00 to 5:00

Frensley, Joseph APRN

Provider ID: 1757600Gender: MaleOrthopedic Institute Of W K100 Clint Hill BlvdPaducah, KY 42001-6768(270) 450-7229Fax: (270) 450-708600 YRS/130 YRSMon - Fri 8:00 to 5:00

Frensley, Joseph APRN

Provider ID: 2166578Gender: MaleKentucky Addiction Centers148 Stuart Nelson Park Rd, Ste 1Paducah, KY 42001-9678(270) 908-2681Fax: (859) 878-220818 YRS/130 YRSMon - Fri 8:00 to 5:00

Frensley, Joseph APRN

Provider ID: 2166848Gender: MaleNew Age Vitality Clinic148 Stuart Nelson Park RdPaducah, KY 42001-9678(270) 908-2681Fax: (606) 789-889318 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 131

33881963

Allied Providers

Mccracken

Nurse Practitioner - cont.

Friedrich, Kristie APRN Provider ID: 1165559Gender: Female2601 Kentucky Ave, Ste 103Paducah, KY 42003-3817(270) 415-4860Fax: (270) 415-486200 YRS/130 YRS

Friedrich, Kristie APRN Provider ID: 1196904Gender: Female2601 Kentucky Ave, Ste 103Paducah, KY 42003-3817(270) 415-4860Fax: (270) 415-486200 YRS/130 YRS

Friedrich, Kristie APRN Provider ID: 1228826Gender: Female2601 Kentucky Ave, Ste 103Paducah, KY 42003-3817(270) 415-4860Fax: (270) 415-486200 YRS/130 YRS

Gargus, Jessica ARNP

Provider ID: 672138Gender: FemaleBaptist Medical Associates Inc2601 Kentucky Ave, Ste 300Paducah, KY 42003(270) 575-3113Fax: (270) 575-313500 YRS/130 YRSMon - Fri 8:00 to 5:00

Garrett, Elizabeth APRN

Provider ID: 1509344Gender: FemaleMercy Neurosurgery1532 Lone Oak Rd, Ste 143Paducah, KY 42003(270) 538-6600Fax: (270) 538-663500 YRS/130 YRSMon - Fri 8:00 to 5:00

Gipson, Jonathan APRN Provider ID: 977061Gender: MaleBaptist Health Medical Group2603 Kentucky Ave, Ste 402Paducah, KY 42003-3830(270) 443-6472Fax: (270) 442-164900 YRS/130 YRSMon - Fri 8:00 to 5:00

Gossom, Jessica APRN

Provider ID: 2008331Gender: FemaleMercy Gastroenterology225 Medical Center Dr, Ste 308Paducah, KY 42003-7915(270) 443-0777Fax: (270) 443-099900 YRS/130 YRSMon - Fri 8:00 to 5:00

Gottman, Erin APRN

Provider ID: 1242519Gender: FemaleFamily Allergy And Asthma2312 Kentucky AvePaducah, KY 42003-3244(270) 442-5151Fax: (502) 429-615700 YRS/130 YRSMon 8:00 to 6:00 Tue - Fri 8:00 to 5:00

Grace, Bonnie APRN

Provider ID: 667457Gender: FemaleMercy Gastroenterology225 Medical Center Dr, Ste 308Paducah, KY 42003(270) 443-0777Fax: (270) 443-099900 YRS/130 YRSMon - Fri 8:00 to 5:00

Green, Pamela APRN

Provider ID: 1470694Gender: FemaleMercy Internal Medicine225 Medical Center Dr, Ste 201Paducah, KY 42003(270) 444-4250Fax: (270) 444-426000 YRS/130 YRSMon - Fri 8:00 to 5:00

Hack, Kristie APRN

Provider ID: 951359Gender: FemaleMercy Gastroenterology225 Medical Center Dr, Ste 308Paducah, KY 42003(270) 443-0777Fax: (270) 713-036100 YRS/130 YRSMon - Fri 8:00 to 5:00

Hagan, Allison APRN

Provider ID: 1854315Gender: FemalePain Management Centers Of America67 Lakeview DrPaducah, KY 42001(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 7:30 to 5:30

Hart, Christy APRN

Provider ID: 667265Gender: FemalePaducah Dermatology PLLC3101 Parisa DrPaducah, KY 42003(270) 444-8477Fax: (270) 444-847900 YRS/130 YRSMon - Fri 8:00 to 4:30

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 132

33881963

Allied Providers

Mccracken

Nurse Practitioner - cont.

Heeb, Julie APRN

Provider ID: 1757618Gender: FemalePain Management Centers Of America67 Lakeview DrPaducah, KY 42001(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 8:00 to 5:00

Hendley, Kayla APRN

Provider ID: 2238763Gender: FemaleImac Regeneration2725 James Sanders Blvd, Ste APaducah, KY 42001(270) 554-5114Fax: (270) 215-483400 YRS/130 YRSMon - Thu 8:00 to 5:00 Fri 8:00 to 12:00

Henley, Kristen APRN

Provider ID: 1268538Gender: FemaleMercy Behavioral Health Specialists1532 Lone Oak Rd, Ste 345Paducah, KY 42003(270) 442-6161Fax: (270) 538-659600 YRS/130 YRSMon - Fri 8:00 to 5:00

Higdon, Julianne APRN Provider ID: 1128821Gender: FemaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 103Paducah, KY 42003(270) 415-4860Fax: (270) 415-486200 YRS/130 YRSMon - Fri 8:00 to 5:00

Higdon, Julianne APRN

Provider ID: 1128821Gender: FemaleBaptist Health Medical Group Inc301 Cumberland AvePaducah, KY 42001(270) 538-4208Fax: (270) 538-420900 YRS/130 YRSMon - Fri 8:00 to 5:00

Higdon, Julianne APRN

Provider ID: 1128821Gender: FemaleBaptist Health Medical Group Inc3220 Irvin Cobb DrPaducah, KY 42003(270) 450-1240Fax: (270) 450-124300 YRS/130 YRSMon - Fri 8:00 to 7:00 Sat 8:00 to 6:00 Sun 11:00 to 5:00

Higdon, Julianne APRN

Provider ID: 1128821Gender: FemaleBaptist Health Medical Group Inc5130 Hinkleville RdPaducah, KY 42001(270) 450-1191Fax: (270) 450-171000 YRS/130 YRSMon - Fri 8:00 to 7:00 Sat 8:00 to 6:00 Sun 11:00 to 5:00

Holmes, Sheryl APRN

Provider ID: 614397Gender: FemaleBaptist Health Medical Group5130 Hinkleville RdPaducah, KY 42001-9132(270) 450-1191Fax: (270) 450-171000 YRS/130 YRSMon - Fri 8:00 to 7:00 Sat 8:00 to 6:00 Sun 11:00 to 5:00

Holt, Paul APRN

Provider ID: 627424Gender: MaleDr Butler Associates PLLC2603 Kentucky Ave, Ste 303Paducah, KY 42003-3829(270) 443-2900Fax: (270) 443-712200 YRS/130 YRSMon - Fri 9:00 to 5:00

Houser, Kelly APRN

Provider ID: 1730959Gender: FemaleBaptist Health Medical Group Inc1920 Broadway StPaducah, KY 42001(270) 442-3647Fax: (270) 442-377700 YRS/130 YRSMon - Fri 9:00 to 5:00

Hunter, Brittany APRN

Provider ID: 1531992Gender: FemaleMercy Family Medicine225 Medical Center Dr, Ste 302Paducah, KY 42003(270) 538-7170Fax: (270) 538-717100 YRS/130 YRSMon - Fri 8:00 to 5:00

Jackson, Darrye APRN

Provider ID: 643964Gender: FemaleKycare 43Subspecialty: HRSA FQHC125 South 20th StPaducah, KY 42001(270) 575-3247Fax: (270) 408-158400 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 133

33881963

Allied Providers

Mccracken

Nurse Practitioner - cont.

Jenks, Ashley APRN

Provider ID: 1365299Gender: FemaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 301Paducah, KY 42003(270) 575-3113Fax: (270) 575-313500 YRS/130 YRSMon - Fri 8:00 to 5:00

Johnson, Rebecca APRN

Provider ID: 1731486Gender: FemaleMercy Health Physicians Kentucky Ll1532 Lone Oak Rd, Ste 245Paducah, KY 42003(270) 538-5700Fax: (270) 538-570100 YRS/130 YRSMon - Fri 8:00 to 5:00

Kadner, Millicent APRN

Provider ID: 1344417Gender: FemalePurchase Pain Management LLC1532 Lone Oak Rd, Ste 430Paducah, KY 42001(270) 415-3830Fax: (270) 415-383100 YRS/130 YRSMon - Fri 8:00 to 5:00

Kadner, Millicent APRN

Provider ID: 1582554Gender: FemaleMercy Health - Paducah Physical & P1532 Lone Oak Rd, Ste 320Paducah, KY 42003(270) 415-3830Fax: (270) 415-383100 YRS/130 YRSMon - Fri 8:00 to 4:30

Kehrer, Leon APRN

Provider ID: 932874Gender: MaleOrthopedic Institute Of W K100 Clint Hill BlvdPaducah, KY 42001-6768(270) 450-7229Fax: (270) 450-708600 YRS/130 YRSMon - Fri 8:00 to 5:00

Kelso, Laura APRN

Provider ID: 1757640Gender: FemaleKidney Specialists Of Paducah1532 Lone Oak Rd, Ste 315Paducah, KY 42003(270) 538-5880Fax: (270) 538-587000 YRS/130 YRSMon - Fri 9:00 to 5:00

Kelso, Laura APRN Provider ID: 700540Gender: Female225 Medical Center Dr, Ste 201Paducah, KY 42003-7907(270) 441-4250Fax: (270) 441-424916 YRS/130 YRS

Kelso, Laura APRN

Provider ID: 700540Gender: FemaleWestern Kentucky Kidney Special-ists1532 Lone Oak Rd, Ste 315Paducah, KY 42003(270) 538-5880Fax: (270) 538-587016 YRS/130 YRSMon - Fri 8:30 to 5:00

Kingston, Gregory APRN Provider ID: 667185Gender: MaleMercy Emergency Medicine Specialist1530 Lone Oak RdPaducah, KY 42003(270) 444-2845Fax: (270) 444-248100 YRS/130 YRSMon - Fri 8:00 to 5:00

Kingston, Gregory APRN

Provider ID: 912717Gender: MaleKycare 43125 South 20th StPaducah, KY 42001(270) 575-3247Fax: (870) 569-359700 YRS/130 YRSMon - Fri 8:00 to 5:00

Kirk, Shay APRN

Provider ID: 1165621Gender: FemaleMercy Cardiology Associates1532 Lone Oak Rd, Ste 415Paducah, KY 42003-7943(270) 442-0103Fax: (270) 442-010900 YRS/130 YRSMon 8:30 to 12:00 Thu 8:30 to 3:30

Knees, Amy APRN Provider ID: 1049560Gender: FemaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 301Paducah, KY 42003(270) 575-3113Fax: (270) 575-358800 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 134

33881963

Allied Providers

Mccracken

Nurse Practitioner - cont.

Knight, Kimberley APRN

Provider ID: 2036484Gender: FemaleBaptist Health Medical Group Inc1920 Broadway StPaducah, KY 42001(270) 442-3647Fax: (270) 442-377700 YRS/130 YRSMon - Fri 9:00 to 5:00

Knight, Kimberley APRN

Provider ID: 795982Gender: FemaleMercy Cardiology Associates1532 Lone Oak Rd, Ste 415Paducah, KY 42003-7942(270) 442-0103Fax: (270) 442-010900 YRS/130 YRSMon - Fri 8:30 to 4:30

Knight, Kimberley APRN

Provider ID: 795982Gender: FemaleMercy Cardiology Heart & Valve Clin225 Medical Center Dr, Ste 402Paducah, KY 42003(270) 442-0103Fax: (270) 442-010900 YRS/130 YRSMon 8:30 to 12:00 Wed, Fri 8:00 to 5:00 Thu 8:30 to 3:30

Koenigsmark, Kyli APRN

Provider ID: 691942Gender: FemaleMercy Medical Associates1532 Lone Oak Rd, Ste 345Paducah, KY 42003(270) 442-6161Fax: (270) 442-629400 YRS/130 YRSMon - Fri 8:30 to 4:00

Koenigsmark, Kyli APRN

Provider ID: 691942Gender: FemaleMercy Vascular Specialists1532 Lone Oak Rd, Ste 405Paducah, KY 42003-7942(270) 441-4300Fax: (270) 441-492500 YRS/130 YRSMon - Fri 8:00 to 5:00

Koepp, Jacquelyn APRN

Provider ID: 2104967Gender: FemaleCecil Clinic2670 New Holt Rd, Ste CPaducah, KY 42001(270) 575-1010Fax: (270) 575-100700 YRS/130 YRSMon - Fri 9:00 to 5:00

Kommer, Dena APRN

Provider ID: 1344426Gender: FemaleMercy Lourdes Urgent Care225 Medical Center Dr, Ste 101Paducah, KY 42003(270) 441-4357Fax: (270) 441-413200 YRS/130 YRSMon - Fri 8:00 to 5:00

Lee, Meghan APRN

Provider ID: 1571904Gender: FemaleMercy Medical Associates1532 Lone Oak Rd, Ste 245Paducah, KY 42003(270) 538-5700Fax: (270) 538-570100 YRS/130 YRSMon - Fri 8:00 to 5:00

Lock, Eva APRN

Provider ID: 1228913Gender: FemaleCecil Clinic2670 New Holt Rd, Ste CPaducah, KY 42001(270) 575-1010Fax: (270) 575-100700 YRS/130 YRSMon - Fri 8:00 to 5:00

Logan, Nancy APRN

Provider ID: 1259681Gender: FemaleBaptist Health Medical Group Inc5130 Hinkleville RdPaducah, KY 42001(270) 450-1191Fax: (270) 450-071000 YRS/130 YRSMon - Fri 8:00 to 7:00 Sat 8:00 to 6:00 Sun 11:00 to 5:00

Long, Kathy APRN

Provider ID: 1757651Gender: FemalePain Management Centers Of America67 Lakeview DrPaducah, KY 42001(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 9:00 to 5:00

Lykins, Tara APRN

Provider ID: 691929Gender: FemaleCardiology Associates Of Paducah1532 Lone Oak Rd, Ste 415Paducah, KY 42003-7942(270) 442-0103Fax: (270) 442-010918 YRS/130 YRSMon - Fri 8:30 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 135

33881963

Allied Providers

Mccracken

Nurse Practitioner - cont.

Majors, Angela APRN

Provider ID: 1790101Gender: FemalePain Management Centers Of America67 Lakeview DrPaducah, KY 42001(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 9:00 to 5:00

Majors, Angela APRN

Provider ID: 1790101Gender: FemalePain Management Centers Of America67 Lakeview Dr, Bldg 2Paducah, KY 42001(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 9:00 to 5:00

Majors, Angela APRN

Provider ID: 1790101Gender: FemalePain Management Centers Of America67 Lakeview Dr, Bldg CPaducah, KY 42001(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 9:00 to 5:00

Majors, Angela APRN

Provider ID: 1790101Gender: FemalePain Management Centers Of America67 Lakeview Dr, Ste 3bPaducah, KY 42001(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 9:00 to 5:00

Majors, Angela APRN

Provider ID: 1790101Gender: FemalePain Management Centers Of America67 Lakeview Dr, Ste 60Paducah, KY 42001(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 9:00 to 5:00

Martin, Patricia APRN

Provider ID: 1268618Gender: FemaleMercy Lourdes Urgent Care225 Medical Center Dr, Ste 101Paducah, KY 42003(270) 441-4357Fax: (270) 441-413200 YRS/130 YRSMon - Thu 7:00 to 7:00 Fri 7:00 to 6:00 Sat 8:00 to 6:00 Sun 11:00 to 4:00

Martin, Lindsay APRN

Provider ID: 1552996Gender: FemaleCecil Clinic2670 New Holt Rd, Ste CPaducah, KY 42001(270) 575-1010Fax: (270) 575-100700 YRS/130 YRSMon - Fri 9:00 to 5:00

Mcclain, Lauren APRN

Provider ID: 2003619Gender: FemaleMercy Wound Care225 Medical Center Dr, Ste 205Paducah, KY 42003(270) 441-4462Fax: (270) 441-446100 YRS/130 YRSMon - Thu 8:00 to 4:30 Fri 8:00 to 12:00

Mcpherson, Deanna APRN

Provider ID: 1717181Gender: FemaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 602Paducah, KY 42003(270) 442-4830Fax: (270) 442-766700 YRS/130 YRSMon - Fri 9:00 to 5:00

Mercer, Amy APRN

Provider ID: 1591126Gender: FemaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 103Paducah, KY 42003(270) 415-4860Fax: (270) 415-486200 YRS/130 YRSMon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 5:00

Mercer, Amy APRN

Provider ID: 1591126Gender: FemaleBaptist Health Medical Group Inc3220 Irvin Cobb DrPaducah, KY 42003-0337(270) 450-1240Fax: (270) 450-124300 YRS/130 YRSMon - Fri 8:00 to 7:00 Sat 8:00 to 6:00 Sun 11:00 to 5:00

Mercer, Amy APRN

Provider ID: 1591126Gender: FemaleBaptist Health Medical Group Inc5130 Hinkleville RdPaducah, KY 42001-9132(270) 450-1191Fax: (270) 450-071000 YRS/130 YRSMon - Fri 8:00 to 7:00 Sat 8:00 to 6:00 Sun 11:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 136

33881963

Allied Providers

Mccracken

Nurse Practitioner - cont.

Miller, Ginny APRN

Provider ID: 2104994Gender: FemaleBaptist Health Medical Group Inc3220 Irvin Cobb DrPaducah, KY 42003(270) 450-1240Fax: (270) 450-124300 YRS/130 YRSMon - Fri 9:00 to 5:00

Miller, Ginny APRN

Provider ID: 2104994Gender: FemaleBaptist Health Medical Group Inc5130 Hinkleville RdPaducah, KY 42001(270) 450-1191Fax: (270) 450-071000 YRS/130 YRSMon - Sun 8:00 to 4:00

Miller, Ginny APRN

Provider ID: 2189661Gender: FemaleMercy Health - Palliative Care911 Joe Clifton DrPaducah, KY 42003(270) 415-360000 YRS/130 YRSMon - Fri 8:00 to 4:30

Mitchell, Crystal APRN

Provider ID: 2063127Gender: FemaleBaptist Health Paducah2501 Kentucky AvePaducah, KY 42003-3813(270) 575-210018 YRS/130 YRSContinue Care Hospital At Baptist HealthMon - Fri 8:00 to 5:00

Morgan, Teresa APRN Provider ID: 1143116Gender: FemaleBaptist Health Medical Group Inc6530 New Highway 60 WPaducah, KY 42001(270) 538-4396Fax: (270) 538-439700 YRS/130 YRSMon - Fri 8:00 to 4:00

Moss, Teresa APRN

Provider ID: 712892Gender: FemaleCardiology Associates Of Paducah1532 Lone Oak Rd, Ste 415Paducah, KY 42003(270) 442-0103Fax: (270) 442-010918 YRS/130 YRSMon - Fri 8:30 to 5:00

Murphy, Kasey APRN

Provider ID: 1406286Gender: FemaleMercy Primary Care-Paducah225 Medical Center Dr, Ste 304Paducah, KY 42003(270) 538-5596Fax: (270) 538-559700 YRS/130 YRSMon - Fri 8:00 to 5:00

Neal, Sunny APRN

Provider ID: 2076415Gender: FemaleImac Regeneration2725 James Sanders Blvd, Ste APaducah, KY 42001(270) 554-5114Fax: (270) 215-483400 YRS/130 YRSMon - Thu 8:00 to 5:00 Fri 8:00 to 12:00

Newman, Ashley APRN

Provider ID: 2170375Gender: FemaleBhg Paducah Treatment Center2705 Olivet Church RdPaducah, KY 42001-9755(270) 443-0096Fax: (270) 443-008000 YRS/130 YRSMon - Fri 8:00 to 5:00

Nichols, Kelly APRN

Provider ID: 1313295Gender: FemaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 300Paducah, KY 42003(270) 443-5564Fax: (270) 443-554900 YRS/130 YRSMon - Fri 8:00 to 5:00

Olson, Kathy APRN

Provider ID: 1730616Gender: FemaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 103Paducah, KY 42003(270) 415-4860Fax: (270) 415-486200 YRS/130 YRSMon - Fri 9:00 to 5:00

Osbron, Donna APRN Provider ID: 998854Gender: FemaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 301Paducah, KY 42003(270) 443-1220Fax: (270) 443-002300 YRS/130 YRSMurray Calloway Hosp DpuMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 137

33881963

Allied Providers

Mccracken

Nurse Practitioner - cont.

Overstreet, Christy APRN

Provider ID: 1478253Gender: FemaleMercy Primary Care-Paducah225 Medical Center Dr, Ste 304Paducah, KY 42003(270) 538-5596Fax: (270) 538-559700 YRS/130 YRSMon - Fri 8:00 to 5:00

Patterson, Kelly APRN

Provider ID: 2087474Gender: FemaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 301Paducah, KY 42003(270) 575-3113Fax: (270) 575-313500 YRS/130 YRSMon - Fri 9:00 to 5:00

Petty, Sarah APRN

Provider ID: 2075087Gender: FemaleMercy Health-Paducah Family Medicin225 Medical Center Dr, Ste 304Paducah, KY 42003(270) 538-5596Fax: (270) 538-559700 YRS/130 YRSMon - Fri 8:00 to 5:00

Rawls, Courtney APRN

Provider ID: 1268689Gender: FemaleBaptist Health Medical Grp Inc3220 Irvin Cobb DrPaducah, KY 42003(270) 450-1240Fax: (270) 450-124300 YRS/130 YRSMon - Fri 8:00 to 7:00 Sat 8:0 to to 0:0 Sun 11:00 to 5:00

Rawls, Courtney APRN

Provider ID: 1268689Gender: FemaleBaptist Health Medical Grp Inc5130 Hinkeville RdPaducah, KY 42001(270) 450-1191Fax: (270) 450-071000 YRS/130 YRSMon - Fri 8:00 to 7:00 Sat 8:00 to 6:00 Sun 11:00 to 5:00

Reed, Samantha APRN

Provider ID: 667442Gender: FemaleMercy Medical Associates225 Medical Center Dr, Ste 205Paducah, KY 42003(270) 441-4462Fax: (270) 441-446100 YRS/130 YRSMon - Fri 8:30 to 4:00

Reed, Samantha APRN

Provider ID: 667442Gender: FemaleMercy Regional Heart And Lung Surge1532 Lone Oak Rd, Ste 445Paducah, KY 42003(270) 538-5830Fax: (270) 538-583500 YRS/130 YRSMon - Fri 8:00 to 5:00

Reed, Samantha APRN

Provider ID: 765872Gender: FemaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 301Paducah, KY 42003(270) 575-3113Fax: (270) 575-313500 YRS/130 YRSMon - Fri 8:00 to 5:00

Reimnitz, Catherine APRN

Provider ID: 1227403Gender: FemaleMercy Behavioral Health Specialists1530 Lone Oak RdPaducah, KY 42003(270) 444-284500 YRS/130 YRSMon - Fri 8:00 to 5:00

Reimnitz, Catherine APRN

Provider ID: 1227403Gender: FemaleMercy Behavioral Health Specialists1532 Lone Oak Rd, Ste 345Paducah, KY 42003(270) 444-2250Fax: (270) 538-659600 YRS/130 YRSMon - Fri 8:00 to 5:00

Robinson, Regina APRN

Provider ID: 2033649Gender: FemaleLaurie Ballew2520 New Holt Rd, Ste 1Paducah, KY 42001-7547(270) 558-3916Fax: (270) 415-584100 YRS/150 YRSLourdes Hospital IncMon, Wed - Fri 8:00 to 5:00 Tue 8:0 to to 0:0

Robison, Regina APRN

Provider ID: 1591212Gender: FemaleMercy Behavioral Health Specialists1532 Lone Oak RdPaducah, KY 42003(270) 444-2250Fax: (270) 538-659600 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 138

33881963

Allied Providers

Mccracken

Nurse Practitioner - cont.

Rosenberger, Cindy APRN

Provider ID: 1273627Gender: FemaleBaptist Health Medical Group Inc3220 Irvin Cobb DrPaducah, KY 42003-0337(270) 450-1240Fax: (270) 450-124300 YRS/130 YRSMon - Fri 8:00 to 7:00 Sat 8:00 to 6:00 Sun 11:00 to 5:00

Rosenberger, Cindy APRN

Provider ID: 1273627Gender: FemaleBaptist Health Medical Group Inc5130 Hinkleville RdPaducah, KY 42001(270) 450-1191Fax: (270) 450-071000 YRS/130 YRSMon - Fri 8:00 to 7:00 Sat 8:00 to 6:00 Sun 11:00 to 5:00

Rust, Jason APRN

Provider ID: 1561094Gender: MaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 304Paducah, KY 42003(270) 415-4800Fax: (270) 415-480100 YRS/130 YRSMon - Fri 8:00 to 5:00

Sanders, Deidra APRN

Provider ID: 618635Gender: FemaleFamily Allergy And Asthma2312 Kentucky AvePaducah, KY 42003-3244(270) 442-5151Fax: (502) 429-615700 YRS/130 YRSNorton HospitalMon - Fri 8:30 to 5:00

Sasseen, Alison APRN

Provider ID: 799988Gender: FemaleBaptist Health Medical Group Inc2501 Kentucky Ave, Cancer Center Ste 201Paducah, KY 42003(270) 554-0011Fax: (270) 554-652500 YRS/130 YRSMon - Fri 8:00 to 5:00

Smith, Karen APRN

Provider ID: 1273645Gender: FemaleMercy Lourdes Urgent Care225 Medical Center Dr, Ste 101Paducah, KY 42003(270) 441-4357Fax: (270) 441-413200 YRS/130 YRSMon - Thu 7:00 to 7:00 Fri 7:00 to 7:30 Sat 8:00 to 6:00 Sun 11:00 to 4:00

Snow, Shelby APRN

Provider ID: 2036356Gender: FemaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 501Paducah, KY 42003(270) 443-7534Fax: (270) 442-030900 YRS/18 YRSMon - Fri 8:00 to 5:00

Snow, Shelby APRN

Provider ID: 817761Gender: FemalePediatric Group Of Paducah2605 Kentucky Ave, Doctors Bldg 3 Ste 501Paducah, KY 42003(270) 443-7534Fax: (270) 442-030900 YRS/18 YRSMon - Fri 8:00 to 5:00

Spillman, Lisa CNM

Provider ID: 2125562Gender: FemaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 501Paducah, KY 42003(270) 443-7534Fax: (270) 442-030900 YRS/130 YRSMon - Fri 8:00 to 5:00

Stacy, Brandi APRN

Provider ID: 1846751Gender: FemaleMercy Lourdes Urgent Care225 Medical Center Dr, Ste 101Paducah, KY 42003(270) 441-4357Fax: (270) 441-443200 YRS/130 YRSMon - Fri 7:00 to 7:00 Sat 8:00 to 6:00 Sun 11:00 to 4:00

Stanger, Sarah APRN

Provider ID: 1910331Gender: FemaleImac Regeneration Center2725 James Sanders Blvd, Ste APaducah, KY 42001(270) 554-5114Fax: (270) 215-483400 YRS/130 YRSMon - Thu 8:00 to 5:00 Fri 8:00 to 12:00

Stewart, Anna APRN

Provider ID: 1757739Gender: FemaleKidney Specialists Of Paducah1532 Lone Oak Rd, Ste 315Paducah, KY 42003(270) 538-5880Fax: (270) 538-587016 YRS/130 YRSMon - Fri 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 139

33881963

Allied Providers

Mccracken

Nurse Practitioner - cont.

Stewart, Anna APRN Provider ID: 800886Gender: FemaleWestern Kentucky Kidney Special-ists1532 Lone Oak Rd, Ste 315Paducah, KY 42003-7942(270) 538-5885Fax: (270) 538-587000 YRS/130 YRSMon - Fri 8:00 to 5:00

Strickland, Christie APRN

Provider ID: 627116Gender: FemaleBaptist Health Medical Group Inc3220 Irvin Cobb DrPaducah, KY 42003(270) 450-1240Fax: (270) 450-124300 YRS/130 YRSMon - Fri 8:00 to 5:00

Strickland, Christie APRN

Provider ID: 627116Gender: FemaleBaptist Health Medical Group Inc5130 Hinkleville RdPaducah, KY 42001-9132(270) 450-1191Fax: (270) 450-071000 YRS/130 YRSMon - Fri 8:00 to 5:00

Strickland, Christie APRN Provider ID: 627116Gender: FemalePaducah Physiatric Partners1532 Lone Oak Rd, Ste 150Paducah, KY 42003-7940(270) 443-9352Fax: (270) 443-901300 YRS/130 YRSMon - Fri 9:00 to 5:00

Strickland, Christie APRN Provider ID: 627116Gender: FemalePaducah Physiatric Partners5150 Village Square DrPaducah, KY 42001-9060(270) 415-9575Fax: (270) 415-957600 YRS/130 YRSMon - Fri 9:00 to 5:00

Summarell, Taylor APRN

Provider ID: 1910375Gender: FemaleMercy Health Midtown Pediatrics548 Lone Oak RdPaducah, KY 42003(270) 442-6161Fax: (270) 442-629400 YRS/130 YRSMon - Wed 8:00 to 6:00 Thu - Fri 8:00 to 5:00

Taylor, Bradley APRN

Provider ID: 1545485Gender: MaleOrthopedic Institute Of W K100 Clint Hill BlvdPaducah, KY 42001-6768(270) 450-7229Fax: (270) 450-708600 YRS/130 YRSMon - Fri 8:00 to 5:00

Terry, Lisa APRN

Provider ID: 1588169Gender: FemaleJeffrey L Riney Md And Associates P225 Medical Center Dr, Ste 209bPaducah, KY 42003-7907(270) 441-4610Fax: (270) 441-460800 YRS/130 YRSMon - Thu 8:30 to 4:30 Fri 8:30 to 12:30

Theobald, Jasmaine APRN

Provider ID: 1317336Gender: FemaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 103Paducah, KY 42003(270) 415-4860Fax: (270) 415-486200 YRS/130 YRSMon - Fri 8:00 to 5:00

Thompson, Dustin APRN

Provider ID: 1268751Gender: MaleOrthopedic Institute Of W K100 Clint Hill BlvdPaducah, KY 42001-6768(270) 450-7229Fax: (270) 450-708600 YRS/130 YRSMon - Fri 8:00 to 5:00

Thornton, Cessinee APRN

Provider ID: 1860385Gender: FemalePain Management Centers Of America67 Lakeview DrPaducah, KY 42001(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 8:00 to 4:00

Tinch, Adrienne APRN

Provider ID: 2191726Gender: FemaleJourneypure Bowling Green LLC3229 Coleman RdPaducah, KY 42001-6563(270) 557-768918 YRS/110 YRSMon - Fri 9:00 to 5:00 Sat 8:00 to 6:00 Sun 1:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 140

33881963

Allied Providers

Mccracken

Nurse Practitioner - cont.

Tynes, Kristin APRN

Provider ID: 1899628Gender: FemaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 102Paducah, KY 42003(270) 575-8462Fax: (270) 443-023500 YRS/130 YRSMon - Fri 9:00 to 5:00

Vance, Phyllis APRN

Provider ID: 1845016Gender: FemaleMercy Behavioral Health Specialists1530 Lone Oak RdPaducah, KY 42003(270) 444-2250Fax: (270) 538-659600 YRS/130 YRSMon - Fri 8:00 to 4:30

Vanwaters, Jacquelyn APRN

Provider ID: 1513646Gender: FemaleCecil Clinic2670 New Holt Rd, Ste CPaducah, KY 42001(270) 575-1010Fax: (270) 575-100700 YRS/130 YRSMon - Fri 9:00 to 5:00

Vinson, Cheryl APRN

Provider ID: 2125587Gender: FemaleMercy Health - Paducah Physical & P1532 Lone Oak Rd, Ste 320Paducah, KY 42003(270) 415-3830Fax: (270) 415-383100 YRS/130 YRSMon - Fri 8:00 to 4:30

Walker, Dustton APRN

Provider ID: 1730082Gender: MaleMercy Health - Paducah Physical & P1532 Lone Oak Rd, Ste 320Paducah, KY 42003(270) 415-3830Fax: (270) 415-383100 YRS/130 YRSMon - Fri 8:00 to 4:30

Welsh, Deborah APRN Provider ID: 790521Gender: FemaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 304Paducah, KY 42003-3829(270) 415-4800Fax: (270) 415-480100 YRS/130 YRSMon - Fri 8:00 to 5:00

Wilcox, Sharon ARNP

Provider ID: 2177929Gender: FemaleNorton Childrens Neonatology Specia2501 Kentucky AvePaducah, KY 42003(502) 588-0982Fax: (502) 588-098700 YRS/130 YRSMon - Fri 9:00 to 5:00

Wildharber, Cari APRN

Provider ID: 751176Gender: FemaleMercy Primary Care Reidland6035 Kentucky Dam RdPaducah, KY 42003-9472(270) 898-2444Fax: (270) 898-475300 YRS/130 YRSMon - Fri 8:30 to 4:30

Wilkerson, Regina APRN

Provider ID: 1233371Gender: FemaleMercy Cardiology Associates1532 Lone Oak Rd, Ste 415Paducah, KY 42003-7943(270) 442-0103Fax: (270) 442-010900 YRS/130 YRSMon - Fri 8:00 to 4:30

Wilkerson, Regina APRN

Provider ID: 1233371Gender: FemaleMercy Health Physicians Kentucky Ll83 Wellness Way, 2nd FloorPaducah, KY 42003-7156(270) 442-0103Fax: (270) 442-010900 YRS/130 YRSMon - Fri 8:00 to 4:30

Willett, Angela APRN

Provider ID: 2125605Gender: FemaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 202Paducah, KY 42003(270) 415-4690Fax: (270) 415-469100 YRS/130 YRSMon - Fri 9:00 to 5:00

Williams, Karrie APRN

Provider ID: 2179036Gender: FemalePain Management Centers Of America67 Lakeview DrPaducah, KY 42001(270) 554-8373Fax: (270) 554-898700 YRS/130 YRSMon - Fri 7:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 141

33881963

Allied Providers

Mccracken

Nurse Practitioner - cont.

Williamson, Lance APRN

Provider ID: 1757761Gender: MaleKidney Specialists Of Paducah1532 Lone Oak Rd, Ste 315Paducah, KY 42003(270) 538-5880Fax: (270) 538-587018 YRS/130 YRSMon - Fri 9:00 to 5:00

Willis, Jennifer APRN

Provider ID: 700486Gender: FemaleNorton Mfm Specialists2605 Kentucky Ave, Bldg 3 Ste 102Paducah, KY 42003-3817(270) 415-8965Fax: (855) 855-458500 YRS/130 YRSMon - Fri 8:00 to 5:00

Wilson, Michelle APRN

Provider ID: 1526688Gender: FemaleBaptist Health Medical Group Inc2100 Park AvePaducah, KY 42001-3049(270) 444-5750Fax: (270) 444-577200 YRS/130 YRSMon - Fri 8:00 to 4:30

Wilson, Michelle APRN

Provider ID: 1526688Gender: FemaleBaptist Health Medical Group Inc2200 S 28th StPaducah, KY 42003-3634(270) 444-5760Fax: (270) 444-576300 YRS/130 YRSMon - Fri 8:00 to 4:30

Wilson, Michelle APRN

Provider ID: 1526688Gender: FemaleBaptist Health Medical Group Inc301 Cumberland AvePaducah, KY 42001(270) 538-4120Fax: (270) 538-420900 YRS/130 YRSMon - Fri 8:00 to 4:30

Wilson, Michelle APRN

Provider ID: 1526688Gender: FemaleBaptist Health Medical Group Inc3401 Buckner LanePaducah, KY 42001-4732(270) 444-5730Fax: (270) 444-573700 YRS/130 YRSMon - Fri 8:00 to 4:30

Wilson, Michelle APRN

Provider ID: 1526688Gender: FemaleBaptist Health Medical Group Inc342 Lone Oak RdPaducah, KY 42001-4446(270) 444-5710Fax: (270) 444-570900 YRS/130 YRSMon - Fri 8:00 to 4:30

Wilson, Christy APRN

Provider ID: 2180241Gender: FemaleLaurie K. Ballew2520 New Holt RdPaducah, KY 42001-7547(270) 558-3916Fax: (270) 415-584116 YRS/130 YRSMon - Fri 8:00 to 4:30

Wilson, Melissa APRN

Provider ID: 629513Gender: FemaleBaptist Health Medical Group2601 Kentucky Ave, Ste 102Paducah, KY 42003(270) 575-8462Fax: (270) 443-023500 YRS/130 YRSMon - Fri 8:00 to 5:00

Wilson, Melissa APRN

Provider ID: 629513Gender: FemaleBaptist Health Medical Group5130 Hinkleville RdPaducah, KY 42001-9132(270) 450-1191Fax: (270) 450-171000 YRS/130 YRSMon - Fri 8:30 to 7:30 Sat 8:30 to 6:30 Sun 11:30 to 5:30

Wilson, Melissa APRN

Provider ID: 629513Gender: FemaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 105Paducah, KY 42003-3814(270) 415-4802Fax: (270) 415-483500 YRS/130 YRSMon - Fri 8:00 to 5:00

Wright, Tiffany APRN

Provider ID: 2084912Gender: FemaleNew Age Vitality Clinic148 Stuart Nelson Park Rd, # 1Paducah, KY 42001-9678(606) 789-8531Fax: (606) 789-889318 YRS/110 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 142

33881963

Allied Providers

Mccracken

Nurse Practitioner - cont.

Wright, Tiffany APRN

Provider ID: 2084919Gender: FemaleKentucky Addiction Centers148 Stuart Nelson Park RdPaducah, KY 42001-9678(859) 739-3552Fax: (859) 878-220818 YRS/110 YRSMon - Fri 8:00 to 5:00

Yates, Christy APRN Provider ID: 619518Gender: FemaleFamily Allergy And Asthma2312 Kentucky AvePaducah, KY 42003-3244(270) 442-5151Fax: (502) 429-615700 YRS/130 YRSMon - Fri 9:00 to 5:00

Occupational Therapy

Downing, Ashton OT

Provider ID: 2251756Gender: FemaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 7:00 to 5:00

Hunt, Claire OT

Provider ID: 2027442Gender: FemaleBaptist Health Medical Group Inc115 Kiana CtPaducah, KY 42001-6787(270) 534-1200Fax: (270) 534-005200 YRS/130 YRSMon - Fri 7:00 to 4:30

Lui, Amy OT

Provider ID: 2088207Gender: FemaleAtlas Physical Therapy100 Kiana Ct, Ste APaducah, KY 42001-6767(270) 443-0681Fax: (270) 442-794800 YRS/150 YRSMon - Thu 7:30 to 6:00 Fri 8:00 to 4:00

Lui, Amy OT

Provider ID: 2088207Gender: FemaleAtlas Physical Therapy5050b Village Square DrPaducah, KY 42001-9499(270) 443-0681Fax: (270) 442-794800 YRS/150 YRSMon - Fri 8:00 to 5:00

Ward, Tyler OT

Provider ID: 2179029Gender: MaleImac Regeneration2725 James Sanders Blvd, Ste APaducah, KY 42001(270) 554-5114Fax: (270) 215-483400 YRS/130 YRSMon - Fri 8:00 to 5:00

Willis, Tori OT

Provider ID: 1579022Gender: FemaleSensory Solutions Ky LLC4645 Village Square Dr, Ste APaducah, KY 42001-7448(270) 443-571200 YRS/130 YRSMon - Thu 8:00 to 7:00 Fri 8:00 to 4:00

Physical Therapy

Baldwin, Patrick PT

Provider ID: 781370Gender: MalePremier Physical Therapy203 Kentucky AveKevil, KY 42053-8976(270) 462-8252Fax: (270) 462-825300 YRS/130 YRSMon - Fri 7:00 to 7:00 Sat 7:00 to 12:00

Barnes, Summer PT

Provider ID: 2027252Gender: FemaleBaptist Health Medical Group Inc115 Kiana CtPaducah, KY 42001-6787(270) 534-1200Fax: (270) 534-005200 YRS/130 YRSMon - Fri 7:00 to 4:30

Bohannon, Anthony PT

Provider ID: 2027259Gender: MaleBaptist Health Medical Group Inc115 Kiana CtPaducah, KY 42001-6787(270) 534-1200Fax: (270) 534-005200 YRS/130 YRSMon - Fri 7:00 to 4:30

Brewer, Jani PT

Provider ID: 1209391Gender: FemaleAtlas Physical Therapy LLC5050 B Village Square DrPaducah, KY 42001(270) 443-0681Fax: (270) 442-794800 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 143

33881963

Allied Providers

Mccracken

Physical Therapy - cont.

Caturano, Robert PT

Provider ID: 723966Gender: MaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 8:00 to 5:00

Cox, Jouan PT

Provider ID: 2178419Gender: MaleImac Regeneration2725 James Sanders Blvd, Ste APaducah, KY 42001(270) 554-5114Fax: (270) 215-483400 YRS/130 YRSMon - Thu 8:00 to 5:00 Fri 8:00 to 12:00

Dolan, Lois PT

Provider ID: 656515Gender: FemaleAtlas Physical Therapy LLC5050 B Village Square DrPaducah, KY 42001(270) 443-0681Fax: (270) 538-900700 YRS/130 YRSMon - Thu 7:30 to 6:00 Fri 7:30 to 4:00

Grizzard, Amy PT

Provider ID: 756483Gender: FemaleAtlas Physical Therapy LLC5050 B Village Square DrPaducah, KY 42001(270) 443-0681Fax: (270) 442-794800 YRS/130 YRSMon - Fri 8:00 to 5:00

Hammons, Mark PT

Provider ID: 1427099Gender: MaleAtlas Physical Therapy LLC5050 B Village Square DrPaducah, KY 42001(270) 443-0681Fax: (270) 442-794800 YRS/130 YRSMon - Fri 8:00 to 5:00

Hendon, Casie PT

Provider ID: 2008336Gender: FemaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 8:00 to 5:00

Hobson, Theresa PT

Provider ID: 1638653Gender: FemaleTony Delk Center2725 James Sanders Blvd, Ste APaducah, KY 42001(270) 554-5114Fax: (270) 215-483400 YRS/130 YRSMon - Thu 7:00 to 5:00

Jeffords, Amy PT

Provider ID: 2045244Gender: FemaleAtlas Physical Therapy100 Kiana Ct, Apt APaducah, KY 42001-6767(270) 443-0681Fax: (270) 442-794800 YRS/150 YRSMon - Wed 7:30 to 6:00 Thu 7:30 to 6:30 Fri 8:00 to 4:00

Jones, Weston PT

Provider ID: 2026273Gender: MaleBaptist Health Medical Group Inc115 Kiana CtPaducah, KY 42001-6787(270) 534-1200Fax: (270) 534-005200 YRS/130 YRSMon - Fri 7:00 to 4:30

Krueger, Bryan PT

Provider ID: 1209387Gender: MaleAtlas Physical Therapy LLC5050 B Village Square DrPaducah, KY 42001(270) 443-0681Fax: (270) 442-794800 YRS/130 YRSMon - Fri 8:00 to 5:00

Midkiff, Cory PT

Provider ID: 1694568Gender: MaleAtlas Physical Therapy LLC5050 B Village Square DrPaducah, KY 42001(270) 443-0681Fax: (270) 442-794800 YRS/130 YRSMon - Fri 7:30 to 6:00

Morgan, Lucas PT

Provider ID: 2196151Gender: MaleAtlas Physical Therapy100 Kiana Ct, Apt APaducah, KY 42001-6767(270) 443-068100 YRS/130 YRSMon 8:00 to 5:00 Tue - Thu 7:30 to 6:00 Fri 8:00 to 4:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 144

33881963

Allied Providers

Mccracken

Physical Therapy - cont.

Robinson, Krissie PT

Provider ID: 2037358Gender: FemaleBaptist Health Medical Group Inc115 Kiana CtPaducah, KY 42001-6787(270) 534-1200Fax: (270) 534-005200 YRS/130 YRSMon - Fri 7:00 to 4:30

Rodgers, Holly PT

Provider ID: 2075093Gender: FemaleBaptist Health Medical Group Inc115 Kiana CtPaducah, KY 42001-6787(270) 534-1200Fax: (270) 534-005200 YRS/130 YRSMon - Fri 7:00 to 4:30

Rorer, Kathy PT

Provider ID: 2020484Gender: FemaleBaptist Health Medical Group Inc115 Kiana CtPaducah, KY 42001-6787(270) 534-1200Fax: (270) 534-005200 YRS/130 YRSMon - Fri 7:00 to 4:30

Scott, Randall PT

Provider ID: 1717272Gender: MaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 8:00 to 5:00

Scott, Miranda PT

Provider ID: 2027634Gender: FemaleBaptist Health Medical Group Inc115 Kiana CtPaducah, KY 42001-6787(270) 534-1200Fax: (270) 534-005200 YRS/130 YRSMon - Fri 7:00 to 4:30

Sullivan, Charles PT

Provider ID: 1821183Gender: MaleSensory Solutions-Ky. LLC4645 Village Square Dr, Ste APaducah, KY 42001-7448(270) 443-571200 YRS/21 YRSMon - Fri 9:00 to 5:00

Troutman, Adrianna PT

Provider ID: 934930Gender: FemaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 8:00 to 5:00

Weitlauf, Leslie PT

Provider ID: 2087533Gender: FemaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 8:00 to 5:00

Physician Assistant

Bailey, Mikal PA

Provider ID: 2087322Gender: MaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 304Paducah, KY 42003(270) 415-4800Fax: (270) 415-480100 YRS/10 YRSMon - Fri 9:00 to 5:00

Bailey, Tiffany PA

Provider ID: 627656Gender: FemaleDr Butler Associates PLLC2603 Kentucky Ave, Ste 303Paducah, KY 42003-3829(270) 443-2900Fax: (270) 443-712200 YRS/130 YRSMon - Fri 9:00 to 5:00

Beggs, Jake PA

Provider ID: 1582402Gender: MaleOrthopedic Institute Of Western Ken4787 Alben Barkley DrPaducah, KY 42002(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 8:00 to 5:00

Brannon, Mark PA

Provider ID: 1899448Gender: MalePaducah Medical Oncology225 Medical Center Dr, Ste 301Paducah, KY 42003(270) 441-4343Fax: (270) 441-434400 YRS/130 YRSMon - Fri 8:30 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 145

33881963

Allied Providers

Mccracken

Physician Assistant - cont.

Brown, Benjamin PA

Provider ID: 934903Gender: MaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 8:00 to 5:00

Buford, Lisa PA

Provider ID: 1196870Gender: FemaleMercy Neurology1532 Lone Oak Rd, Ste 150Paducah, KY 42003(270) 538-6700Fax: (270) 538-675500 YRS/130 YRSMon - Fri 8:00 to 5:00

Burch, Frank PA

Provider ID: 601243Gender: MaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSBaptist Health PaducahMon - Fri 8:00 to 5:00

Clark, Hollis PA

Provider ID: 653061Gender: MaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 8:00 to 5:00

Crowley, Rachel PA

Provider ID: 1552870Gender: FemaleJames Kyle Turnbo Md PSC546 Lone Oak RdPaducah, KY 42003(270) 441-4777Fax: (270) 441-478000 YRS/130 YRSMon - Fri 9:00 to 5:00

Crowley, Rachel PA

Provider ID: 623118Gender: FemaleWestern Ky Cardiology Consultants2601 Kentucky Ave, Dob 1 Ste 301Paducah, KY 42003(270) 575-3113Fax: (270) 575-313500 YRS/130 YRSMon - Fri 8:00 to 5:00

Dickman, Adam PA Provider ID: 1128869Gender: MaleBaptist Health Medical Group Inc2605 Kentucky Ave, Ste 601Paducah, KY 42003(270) 408-4368Fax: (270) 408-327200 YRS/130 YRSMon - Fri 8:00 to 5:00

Dunning, April PA

Provider ID: 599531Gender: FemaleMercy Pediatrics548 Lone Oak RdPaducah, KY 42003(270) 442-6161Fax: (270) 442-629400 YRS/130 YRSMon - Fri 8:00 to 5:00

Frizzell, Jessica PA

Provider ID: 1654990Gender: FemaleJackson Purchase Medical Associ-ates225 Medical Center Dr, Ste 206Paducah, KY 42003(270) 441-4522Fax: (270) 441-482200 YRS/130 YRSMon - Fri 8:00 to 5:00

Frizzell, Jessica PA

Provider ID: 1790064Gender: FemaleRheumatology Specialists Of Paducah100 Kiana Court, Ste BPaducah, KY 42001(270) 408-6100Fax: (270) 408-611200 YRS/130 YRSMon - Fri 9:00 to 5:00

Garrett, Melinda PA

Provider ID: 611668Gender: FemalePaducah Dermatology PLLC3101 Parisa DrPaducah, KY 42003(270) 444-8477Fax: (270) 444-847900 YRS/130 YRSMon - Fri 8:00 to 4:30

Hayden, Robert PA

Provider ID: 1304873Gender: MaleMercy Neurosurgery1532 Lone Oak Rd, Ste 143Paducah, KY 42003(270) 538-6600Fax: (270) 538-663500 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 146

33881963

Allied Providers

Mccracken

Physician Assistant - cont.

Hayden, Robert PA

Provider ID: 1458769Gender: MaleMercy Internal Medicine225 Medical Center Dr, Ste 201Paducah, KY 42003-7934(270) 444-4250Fax: (270) 444-426000 YRS/130 YRSMon - Fri 8:00 to 5:00

Hodges, Christopher PA Provider ID: 1130486Gender: MaleBaptist Health Medical Group Inc2603 Kentucky Ave, Ste 304Paducah, KY 42003(270) 415-4800Fax: (270) 415-480100 YRS/130 YRSMon - Fri 8:00 to 5:00

Hughes, Matthew PA

Provider ID: 667311Gender: MaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 8:00 to 5:00

Hughes, Matthew PA Provider ID: 667311Gender: MaleSouthern Orthopedic Assoc Sc DBA Or2605 Kentucky Ave, Bldg 3 Ste 103Paducah, KY 42003(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 8:00 to 5:00

Hutchins, Bradley PA

Provider ID: 755395Gender: MaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 8:00 to 5:00

Jennings, Timothy PA

Provider ID: 1854434Gender: MaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 8:00 to 5:00

Johnson, Kelly PA

Provider ID: 758553Gender: FemaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 8:00 to 5:00

Johnston, Brian PA Provider ID: 712901Gender: MaleMercy Emergency Medicine Specialist1530 Lone Oak RdPaducah, KY 42003-7901(270) 442-9463Fax: (270) 442-224100 YRS/130 YRSMon - Fri 8:00 to 5:00

Johnston, Brian PA

Provider ID: 712901Gender: MaleMercy Urology1532 Lone Oak Rd, Ste 310Paducah, KY 42003(270) 538-6200Fax: (270) 538-622000 YRS/130 YRSMon - Fri 8:00 to 5:00

Kirchner, Benjamin PA

Provider ID: 934910Gender: MaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 8:00 to 5:00

Leach, Ronald PA

Provider ID: 1095939Gender: MaleBaptist Health Medical Group Inc2535 BroadwayPaducah, KY 42001(270) 575-3030Fax: (270) 575-041800 YRS/130 YRSMon - Fri 7:30 to 4:30

Leach, Ronald PA

Provider ID: 1095939Gender: MaleBaptist Health Medical Group Inc2535 Broadway StPaducah, KY 42001(270) 575-3001Fax: (270) 575-041800 YRS/130 YRSMon - Fri 7:00 to 5:30

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 147

33881963

Allied Providers

Mccracken

Physician Assistant - cont.

Leach, Ronald PA

Provider ID: 1095939Gender: MaleBaptist Health Medical Group Inc2535 Broadway St, Ste 201Paducah, KY 42001(270) 575-3001Fax: (270) 575-041800 YRS/130 YRSMon - Fri 7:00 to 5:30

Leach, Ronald PA

Provider ID: 1095939Gender: MaleBaptist Health Medical Group Inc2535 Broadway St, Ste EPaducah, KY 42001(270) 575-3001Fax: (270) 575-041800 YRS/130 YRSMon - Fri 7:00 to 5:30

Leach, Ronald PA

Provider ID: 1095939Gender: MaleBaptist Health Medical Group Inc2601 Kentucky Ave, Ste 103Paducah, KY 42003(270) 415-4860Fax: (270) 415-486200 YRS/130 YRSMon - Fri 7:30 to 5:00

Legereit, Penny PA Provider ID: 667168Gender: FemaleMercy Vascular Specialists1532 Lone Oak Rd, Ste 405Paducah, KY 42003(270) 441-4300Fax: (270) 441-492500 YRS/130 YRSMon - Fri 8:00 to 5:00

Lopez, Emily PA

Provider ID: 1196925Gender: FemaleMercy Inpatient Medicine Specialist1530 Lone Oak RdPaducah, KY 42003(270) 444-2394Fax: (270) 444-297200 YRS/130 YRSMon - Fri 8:00 to 5:00

Parrott, Celia PA

Provider ID: 691973Gender: FemaleMercy General Hospital1532 Lone Oak Rd, Ste 235Paducah, KY 42003(270) 442-9463Fax: (270) 442-224100 YRS/130 YRSMon - Fri 8:00 to 5:00

Parrott, Celia PA

Provider ID: 691973Gender: FemaleMercy General Surgery1532 Lone Oak Rd, Ste 230Paducah, KY 42003-7942(270) 442-9463Fax: (270) 442-224100 YRS/130 YRSMon - Fri 8:30 to 4:30

Reed, Joseph PA

Provider ID: 2005642Gender: MalePhysicians Unity2501 Kentucky Ave, Fl 5Paducah, KY 42003-3813(270) 575-259818 YRS/130 YRSMon - Fri 8:00 to 5:00

Thomas, Derick PA

Provider ID: 1499368Gender: MaleOrthopedic Institute Of W K200 Clint Hill BlvdPaducah, KY 42001-6768(270) 442-9461Fax: (270) 441-007900 YRS/130 YRSMon - Fri 9:00 to 5:00

Thurston, Timothy PA

Provider ID: 667176Gender: MaleMercy ENT225 Medical Center Dr, Ste 303Paducah, KY 42003-7934(270) 444-4222Fax: (270) 444-422300 YRS/130 YRSMon - Fri 8:00 to 4:30

Thurston, Timothy PA

Provider ID: 667176Gender: MaleMercy General Surgery1532 Lone Oak Rd, Ste 235Paducah, KY 42003(270) 442-9463Fax: (270) 442-224100 YRS/130 YRSMon - Fri 8:30 to 4:30

Turnley, Marcus PA Provider ID: 667178Gender: MaleMercy General Surgery1532 Lone Oak Rd, Ste 235Paducah, KY 42003(270) 442-9463Fax: (270) 442-224100 YRS/130 YRSMon - Fri 8:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 148

33881963

Allied Providers

Mccracken

Physician Assistant - cont.

Unger, Carly PA

Provider ID: 2105098Gender: FemalePaducah Dermatology PLLC3101 Parisa DrPaducah, KY 42003(270) 444-8477Fax: (270) 444-847900 YRS/130 YRSMon - Fri 8:00 to 4:30

Ward, Jeffrey PA

Provider ID: 649873Gender: MaleDr Butler & Associates2603 Kentucky Ave, Ste 303Paducah, KY 42003(270) 443-2900Fax: (270) 443-712200 YRS/130 YRSMon - Fri 8:00 to 5:00

Professional Counselor

Cardin, Jacqueline LPC

Provider ID: 2067406Gender: FemaleNecco. LLC - Paducah125 Eagle Nest DrPaducah, KY 42003-9435(270) 898-1293Fax: (270) 898-118700 YRS/18 YRSMon - Fri 8:00 to 8:00

Linville, Jennifer LPC

Provider ID: 1996651Gender: FemaleCompass Counseling2204 Kentucky AvePaducah, KY 42003-3242(270) 777-449000 YRS/150 YRSMon - Fri 9:00 to 5:00

Miller, Rebecca LPC

Provider ID: 2208543Gender: FemaleGrowing Minds Learning Ctr-Paducah3551 Park Plaza RdPaducah, KY 42001-5948(270) 702-4641Fax: (615) 724-472200 YRS/130 YRSMon - Fri 8:00 to 5:30

Speech & Language Pathology

Beasley, Steffin SLP

Provider ID: 2196289Gender: MaleAtlas Physical Therapy100 Kiana Ct, Ste APaducah, KY 42001-6767(270) 443-068100 YRS/130 YRSMon - Thu 7:30 to 6:00 Fri 8:00 to 4:00

Gallenbach, Rachel SLP

Provider ID: 2207382Gender: FemaleSensory Solutions4645 Village Square DrPaducah, KY 42001-7448(270) 443-571200 YRS/130 YRSMon - Thu 8:00 to 7:00 Fri 8:00 to 5:00

Rickman, Emily SLP

Provider ID: 2213687Gender: FemaleSensory Solutions4645 Village Square Dr, Ste APaducah, KY 42001-7448(270) 443-571200 YRS/150 YRS

Sanders, Olivia SLP

Provider ID: 1556207Gender: FemaleCommunity Living In Kentucky3551 Park Plaza RdPaducah, KY 42001-5948(270) 854-1482Fax: (270) 831-118200 YRS/130 YRSMon - Fri 8:00 to 5:30

Speech Therapy

Erwin, Ellen SLP

Provider ID: 1561112Gender: FemaleAtlas Physical Therapy LLC5050 B Village Square DrPaducah, KY 42001(270) 443-0681Fax: (270) 442-794800 YRS/130 YRSMon - Thu 7:30 to 6:00 Fri 8:00 to 4:00

Garrett, Karen SLP

Provider ID: 2036393Gender: FemaleBaptist Health Medical Group Inc115 Kiana CtPaducah, KY 42001-6787(270) 534-1200Fax: (270) 534-005200 YRS/130 YRSMon - Fri 7:00 to 4:30

Harris-Greene, Lori SLP

Provider ID: 1561113Gender: FemaleAtlas Physical Therapy LLC5050 B Village Square DrPaducah, KY 42001(270) 443-0681Fax: (270) 442-794800 YRS/130 YRSMon - Thu 7:30 to 6:00 Fri 8:00 to 4:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 149

33881963

Allied Providers

Mccracken

Speech Therapy - cont.

Mckinney, Miranda SLP

Provider ID: 2037214Gender: FemaleBaptist Health Medical Group Inc115 Kiana CtPaducah, KY 42001-6787(270) 534-1200Fax: (270) 534-005200 YRS/130 YRSMon - Fri 7:00 to 4:30

Mcnatt, Monica SLP

Provider ID: 1277929Gender: FemaleSensory Solutions LLC4645 Village Square Dr, Ste APaducah, KY 42001(917) 226-737700 YRS/130 YRSMon - Fri 9:00 to 5:00

Nunn, Brittany SLP

Provider ID: 2027513Gender: FemaleBaptist Health Medical Group Inc115 Kiana CtPaducah, KY 42001-6787(270) 534-1200Fax: (270) 534-005200 YRS/130 YRSMon - Fri 7:00 to 4:30

Wurth, Kristi SLP

Provider ID: 2037527Gender: FemaleBaptist Health Medical Group Inc115 Kiana CtPaducah, KY 42001-6787(270) 534-1200Fax: (270) 534-005200 YRS/130 YRSMon - Fri 7:00 to 4:30

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 150

33881963

Pharmacy

Ballard

Retail

Sutton Drugs Of LA Center 234 BroadwayLacenter, KY 42056(270) 665-5192Fax: (270) 665-929600 YRS/99 YRSMon - Fri 8:00 to 6:00 Sat 8:00 to 12:00

Wickliffe Pharmacy Inc

409 Court StreetWickliffe, KY 42087(270) 335-3172Fax: (270) 335-333900 YRS/99 YRSLanguages: SpanishMon - Fri 8:30 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 151

33881963

Pharmacy

Caldwell

Retail

CVS Pharmacy

1021 W Main StPrinceton, KY 42445(270) 365-4568Fax: (270) 365-629200 YRS/99 YRSMon - Fri 8:00 to 8:00 Sat 9:00 to 8:00 Sun 10:00 to 6:00

Princeton Drug Store

103 W Main StPrinceton, KY 42445(270) 365-5585Fax: (270) 365-055900 YRS/99 YRSMon - Fri 8:30 to 5:30 Sat 8:30 to 2:30

Walmart Pharmacy

1500 Us Highway 62 WPrinceton, KY 42445(270) 365-9122Fax: (270) 365-024100 YRS/99 YRSMon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 152

33881963

Pharmacy

Calloway

Retail

CVS Pharmacy

100 N 12th StMurray, KY 42071(270) 753-2044Fax: (270) 753-271700 YRS/99 YRSMon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

Connectcarerx

1000 S 12th St Ste AMurray, KY 42071(270) 767-6960Fax: (270) 767-696100 YRS/99 YRSMon - Fri 8:00 to 6:00 Sat 9:00 to 3:00 Sun 9:00 to 1:00

Kroger Pharmacy

808 N 12th StMurray, KY 42071(270) 759-1288Fax: (270) 759-131000 YRS/99 YRSMon - Fri 9:00 to 9:00 Sat 10:00 to 4:00 Sun 12:00 to 5:00

Medical Arts Pharmacy

300 S 8th StMurray, KY 42071(270) 753-2011Fax: (270) 753-184400 YRS/99 YRSMon - Sat 8:00 to 5:00

Murray Calloway Co Hosp Rx 803 Poplar StMurray, KY 42071(270) 762-1391Fax: (270) 752-219900 YRS/99 YRSMon - Sun 8:00 to 5:00

Pharmacy Inc

82 Spruce StMurray, KY 42071(270) 762-0602Fax: (270) 759-361400 YRS/99 YRSMon - Fri 9:00 to 5:00

Rite Aid Pharmacy Rite Aid1200 Main StMurray, KY 42071(270) 753-8304Fax: (270) 759-028300 YRS/99 YRSMon - Fri 9:00 to 5:00

Walgreens Drug Store

Walgreens1205 Main StMurray, KY 42071(270) 762-8991Fax: (270) 762-906600 YRS/99 YRSMon - Fri 7:00 to 11:00 Sat - Sun 9:00 to 9:00

Walmart Pharmacy

809 N 12th StMurray, KY 42071(270) 753-0287Fax: (270) 753-028200 YRS/99 YRSMon - Fri 8:00 to 8:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00

Walters Family Pharmacy

604 S 12th StMurray, KY 42071(270) 753-7688Fax: (270) 753-678200 YRS/99 YRSMon - Fri 8:00 to 6:00 Sat 9:00 to 3:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 153

33881963

Pharmacy

Carlisle

Retail

Bardwell Pharmacy

178 Us Highway 51 NBardwell, KY 42023(270) 628-5445Fax: (270) 628-317900 YRS/99 YRSMon - Sun 12:00 to 12:00

Medcare Pharmacy And Home

Medical

165 Walnut Hwy 51Arlington, KY 42021(270) 655-6151Fax: (270) 655-702200 YRS/99 YRSMon - Fri 8:30 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 154

33881963

Pharmacy

Crittenden

Retail

CVS Pharmacy

307 Sturgis RdMarion, KY 42064(270) 965-4114Fax: (270) 965-376400 YRS/99 YRSMon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 5:00

Glenns Apothecary

520 W Gum StreetMarion, KY 42064(270) 965-4101Fax: (270) 965-995700 YRS/99 YRSMon - Fri 8:30 to 5:30 Sat 8:30 to 1:30

Kb Pharmacy

320 S Main StMarion, KY 42064(270) 967-9007Fax: (270) 967-900800 YRS/99 YRSMon - Fri 8:30 to 5:30 Sat 8:30 to 12:30

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 155

33881963

Pharmacy

Fulton

Retail

Evans Drug Company 214 Lake StFulton, KY 42041(270) 472-2421Fax: (270) 472-010300 YRS/99 YRSLanguages: SpanishMon - Fri 9:00 to 5:00 Sat 9:00 to 1:00

Medcare Pharmacy & Home

Medical

2009 S 7th StHickman, KY 42050(270) 236-2588Fax: (270) 236-916200 YRS/99 YRSMon - Fri 8:30 to 5:00

Walmart Pharmacy

1405 Middle RdFulton, KY 42041(270) 472-9802Fax: (270) 472-981100 YRS/99 YRSMon - Fri 9:00 to 7:00 Sat 9:00 to 6:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 156

33881963

Pharmacy

Graves

Retail

CVS Pharmacy

100 S 6th StMayfield, KY 42066(270) 247-4073Fax: (270) 251-965600 YRS/99 YRSMon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

Duncan Clinic Pharmacy

1111 Medical Center CirMayfield, KY 42066(270) 247-7000Fax: (270) 247-603300 YRS/99 YRSMon - Fri 8:00 to 5:00

Duncan Prescription Center

315 W Broadway StMayfield, KY 42066(270) 247-3345Fax: (270) 247-134400 YRS/99 YRSLanguages: SpanishMon - Fri 7:30 to 5:30 Sat 7:30 to 2:00

Duncan Specialty Pharmacy 317 W BroadwayMayfield, KY 42066(270) 247-3725Fax: (270) 251-357100 YRS/99 YRSMon - Fri 8:00 to 5:00

Genoa Healthcare LLC

1525 Cuba Rd Ste PMayfield, KY 42066(270) 804-4163Fax: (270) 247-860300 YRS/99 YRSMon - Fri 8:00 to 5:00

Gibson Pharmacy

715 E Broadway StMayfield, KY 42066(270) 247-7300Fax: (270) 247-694500 YRS/99 YRSMon - Fri 8:00 to 6:00 Sat 9:00 to 1:00

Gibsons Pharmacy

1206 Paris RdMayfield, KY 42066(270) 247-1055Fax: (270) 804-744000 YRS/99 YRSMon - Fri 8:00 to 6:00 Sat 9:00 to 1:00

Stones Health Mart Phcy

414 S 9th StMayfield, KY 42066(270) 247-3232Fax: (270) 247-428500 YRS/99 YRSMon - Fri 8:00 to 6:00 Sat 8:00 to 2:00

Walgreens Drug Store

Walgreens635 S 6th StMayfield, KY 42066(270) 247-2272Fax: (270) 247-343300 YRS/99 YRSMon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

Walmart Pharmacy

1225 Paris RdMayfield, KY 42066(270) 247-2280Fax: (270) 247-255900 YRS/99 YRSMon - Fri 8:00 to 8:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 157

33881963

Pharmacy

Hickman

Retail

Byassee Drug Company 107 E Clay StClinton, KY 42031(270) 653-2151Fax: (270) 653-200400 YRS/99 YRSMon - Fri 8:00 to 5:00

Clinton Pharmacy

119 East Clay StClinton, KY 42031(270) 653-5361Fax: (270) 653-551100 YRS/99 YRSMon - Fri 8:00 to 5:30

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 158

33881963

Pharmacy

Livingston

Retail

Clinic Pharmacy

141 Hospital DrSalem, KY 42078(270) 988-3230Fax: (270) 988-423000 YRS/99 YRSMon - Thu 8:30 to 5:30 Fri 8:30 to 5:00 Sat 8:30 to 12:30

Glenns Prescription Center

119 East Main StSalem, KY 42078(270) 988-3226Fax: (270) 988-435700 YRS/99 YRSMon - Fri 8:30 to 5:30 Sat 8:30 to 1:30

Smithland Drugs

203 E Adair StSmithland, KY 42081(270) 928-2161Fax: (270) 928-229300 YRS/99 YRSMon - Fri 8:00 to 5:30 Sat 8:00 to 1:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 159

33881963

Pharmacy

Lyon

Retail

Lyon Drug Store

201 Main StEddyville, KY 42038(270) 388-2236Fax: (270) 388-090000 YRS/99 YRSMon - Fri 8:30 to 5:30 Sat 8:30 to 12:30

Mcconnell Health Mart Phcy

86 Cedar StKuttawa, KY 42055(270) 388-7371Fax: (270) 388-567500 YRS/99 YRSMon, Fri 9:00 to 6:00 Tue - Thu 9:00 to 5:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 160

33881963

Pharmacy

Marshall

Retail

Benton Discount Pharmacy 2606 Main StBenton, KY 42025(270) 527-1409Fax: (270) 527-280100 YRS/99 YRSMon - Fri 9:00 to 6:00 Sat 9:00 to 3:00

CVS Pharmacy

405 Main StBenton, KY 42025(270) 527-8636Fax: (270) 527-863700 YRS/99 YRSMon - Fri 9:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

Calvert City Pharmacy 906 E 5th AveCalvert City, KY 42029(270) 395-4350Fax: (270) 395-512800 YRS/99 YRSMon - Fri 8:30 to 5:30 Sat 8:30 to 12:30

Draffenville Pharmacy

153 Us Highway 68 EBenton, KY 42025(270) 527-1404Fax: (270) 527-192500 YRS/99 YRSMon - Fri 9:00 to 6:00 Sat 9:00 to 3:00

J & R Pharmacy

817 Main StBenton, KY 42025(270) 527-9374Fax: (270) 527-315200 YRS/99 YRSMon - Fri 8:00 to 6:00 Sat 8:00 to 3:00 Sun 9:00 to 10:00

J&r Pharmacy Of Draffenville

34 Us Highway 68 E Unit ABenton, KY 42025(270) 527-9374Fax: (270) 527-315200 YRS/99 YRSMon - Fri 8:00 to 6:00 Sat 8:00 to 3:00

Walmart Pharmacy

310 W 5th StBenton, KY 42025(270) 527-3597Fax: (270) 527-912500 YRS/99 YRSMon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 161

33881963

Pharmacy

Mccracken

Retail

Baptist Hlth Paducah Pcy &

Wellness 2601 Ky Ave Med Prk 1 Ste 101Paducah, KY 42003(270) 575-5870Fax: (270) 575-587300 YRS/99 YRSMon - Fri 7:00 to 5:00

CVS Pharmacy

3001 Lone Oak RdPaducah, KY 42003(270) 554-0480Fax: (270) 554-215300 YRS/99 YRSMon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy

3275 Irvin Cobb DrPaducah, KY 42003(270) 443-4885Fax: (270) 443-038900 YRS/99 YRSMon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00

CVS Pharmacy

538 Lone Oak RdPaducah, KY 42003(270) 443-8855Fax: (270) 443-442700 YRS/99 YRSMon - Sun 12:00 to 12:00

Davis Drugs

250 Lone Oak RdPaducah, KY 42001(270) 443-1442Fax: (270) 444-061000 YRS/99 YRSMon - Fri 8:30 to 6:00 Sat 8:30 to 5:00

Davis Drugs Lone Oak

2855 Lone Oak RdPaducah, KY 42003(270) 554-5099Fax: (270) 554-508900 YRS/99 YRSMon - Fri 8:30 to 6:00 Sat 9:00 to 1:00

Four Rivers Pharmacy 415 Broadway StPaducah, KY 42001(270) 538-0772Fax: (270) 538-077300 YRS/99 YRSMon - Fri 8:00 to 5:00

G & O Pharmacy 2338 Broadway StPaducah, KY 42001(270) 442-3571Fax: (270) 442-319700 YRS/99 YRSMon - Fri 8:30 to 6:00 Sat 8:30 to 2:00

Genoa Healthcare LLC

425 Broadway Street Suite PPaducah, KY 42001(270) 366-7530Fax: (270) 443-381200 YRS/99 YRSMon - Fri 8:00 to 5:00

Kentuckycare Pharmacy 62 125 South 20th StPaducah, KY 42001(270) 408-1584Fax: (270) 408-158500 YRS/99 YRSLanguages: SpanishMon - Fri 8:00 to 5:00 Sat 8:00 to 12:00

Kroger Pharmacy

3141 Park AvePaducah, KY 42001(270) 443-9459Fax: (270) 443-946500 YRS/99 YRSMon - Fri 9:00 to 9:00 Sat 10:00 to 4:00 Sun 12:00 to 5:00

Lone Oak Pharmacy

3535 Lone Oak RdPaducah, KY 42001(270) 554-7944Fax: (270) 554-400600 YRS/99 YRSMon - Fri 9:00 to 6:00 Sat 9:00 to 12:00

Lourdes Pharmacy

1530 Lone Oak RdPaducah, KY 42003(270) 444-2233Fax: (270) 444-238800 YRS/99 YRSMon - Fri 7:00 to 5:00

Nps Pharmacy

1903 Broadway StPaducah, KY 42001(270) 933-1960Fax: (270) 933-196300 YRS/99 YRSLanguages: SpanishMon - Thu 8:00 to 5:00 Fri 8:00 to 12:00

Paducah Pharmacy

225 Medical Center Dr Ste 100Paducah, KY 42003(270) 441-4390Fax: (270) 441-439300 YRS/99 YRSMon - Fri 8:30 to 5:30 Sat 9:00 to 12:00

Reidland Pharmacy. Inc

5433 Reidland RdPaducah, KY 42003(270) 898-7313Fax: (270) 898-199900 YRS/99 YRSMon - Fri 8:00 to 6:00 Sat 8:00 to 1:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 162

33881963

Pharmacy

Mccracken

Retail - cont.

Ricks Pharmacy Inc 3001 Schneidman RdPaducah, KY 42003(270) 443-7200Fax: (270) 443-853700 YRS/99 YRSLanguages: SpanishMon - Fri 9:00 to 6:00 Sat 9:00 to 3:00

Sams Club Pharmacy

3550 James Sanders BlvdPaducah, KY 42001(270) 444-6992Fax: (270) 444-699700 YRS/99 YRSMon - Fri 9:00 to 7:00 Sat 9:00 to 6:00

Strawberry Hills Pharmacy

2670 New Holt Rd Ste DPaducah, KY 42001(270) 444-7070Fax: (270) 444-797000 YRS/99 YRSMon - Fri 8:00 to 6:00 Sat 9:00 to 3:00

Strawberry Hills Phcy Southsid

3837 Clarks River RdPaducah, KY 42003(270) 408-3784Fax: (270) 408-378500 YRS/99 YRSMon - Fri 8:30 to 6:00 Sat 9:00 to 1:00

Walgreens Drug Store

Walgreens3360 Irvin Cobb DrPaducah, KY 42003(270) 444-8011Fax: (270) 444-674500 YRS/99 YRSMon - Fri 8:00 to 9:30 Sat 9:00 to 6:00 Sun 10:00 to 6:00

Walgreens Drug Store

Walgreens521 Lone Oak RdPaducah, KY 42003(270) 442-6659Fax: (270) 442-898200 YRS/99 YRSMon - Fri 7:00 to 11:00 Sat - Sun 9:00 to 9:00

Walmart Pharmacy

3220 Irvin Cobb DrPaducah, KY 42003(270) 442-6404Fax: (270) 442-074300 YRS/99 YRSMon - Fri 8:00 to 8:00 Sat 8:00 to 6:00 Sun 10:00 to 6:00

Walmart Pharmacy

5130 Hinkleville RdPaducah, KY 42001(270) 444-0046Fax: (270) 443-840900 YRS/99 YRSMon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00

West Towne Pharmacy

2755 W Park DrPaducah, KY 42001(270) 443-0909Fax: (270) 443-554400 YRS/99 YRSMon - Fri 8:00 to 6:00 Sat 9:00 to 1:00

This directory is updated as of 8/8/2020.

www.wellcare.com/Kentucky | 163

33881963

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.

Indice de idiomas alternativos: En este índice, usted puede encontrar un proveedor que hable

otro idioma. Primero busque el idioma que necesita, y luego verifique la especialidad y el nombre

del proveedor.

Chinese

French

German

Persian - Farsi

Portuguese

Punjabi

Spanish

Swahili

Tagalog

Urdu

Maternal Fetal Medicine

How, Helen MD ............................. 46

Medical Oncology

Chua, Winston MD ....................... 29

Nurse Practitioner

Bilak, Paul APRN ............................128

Obstetrics/Gynecology

Deeter, Dawn MD ......................... 20

Nurse Practitioner

Bilak, Paul APRN ............................128

Pediatrics

Hussain, Abid MD .............................8

Hematology & Oncology

Claudino, Wederson MD ........... 45

Nephrology

Ali, Shaukat MD .............................. 47

Chiropractic

Schipp, Heath DC .......................... 42

General Dentistry

Bolin, Roy DMD .............................. 36

Cude, Andrew DMD .................... 36

Cude, Timothy DMD ................... 36

Hall, Dustin DMD ........................... 44

Rigdon, Nancy DMD .....................37

Strange Spraggs, Samantha DMD ............................................................... 29

Licensed Clinical Social Worker

Wenz Sherrill, Kimberly LCSW 73

Nephrology

Ali, Shaukat MD .............................. 47

Nurse Practitioner

Curry, Donna APRN .................... 130

Freeman, Sherry APRN ..............108

Lovett, Jessica APRN ................... 124

Obstetrics/Gynecology

Deeter, Dawn MD ......................... 20

Optometry

Hobbs, Timothy OD .................... 30

Johnson, Chelsey OD .................. 30

Orthopaedic Surgery

Patel, Shiraz MD .............................60

Pediatrics

Hussain, Abid MD .............................8

Physical Therapy

Jeffords, Amy PT .......................... 144

Retail

Duncan Prescription Center ... 157

Evans Drug Company ................. 156

Kentuckycare Pharmacy 62 ..... 162

Nps Pharmacy ................................ 162

Ricks Pharmacy Inc ...................... 163

Wickliffe Pharmacy Inc .............. 151

Thoracic & Cardiovascular Surgery

Lopez, Nicholas MD .................... 65

Nurse Practitioner

Bilak, Paul APRN ............................128

Medical Oncology

Chua, Winston MD ....................... 29

Nephrology

Ali, Shaukat MD .............................. 47

Pediatrics

Hussain, Abid MD .............................8

Pulmonary Disease

Yazdani, Aijaz MD ..........................23

www.wellcare.com/Kentucky | 164

33881963

Specialty Providers 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.

Un vistazo a los proveedores especializados: En este índice, usted puede encontrar un tipo

específico de proveedor. Primero busque el tipo de cuidado que necesita, y luego verifique el

condado y el número de página. Consulte esa página para obtener la información del proveedor.

A

B

C

D

E

F

Addiction Psychiatry

Mccracken ......................................... 81

Advanced Practice Registered Nurse

Livingston ........................................120

Mccracken ....................................... 127

Allergy & Immunology

Mccracken ......................................... 41

Ambulatory Surgery Center

Mccracken .......................................100

Audiology

Mccracken ....................................... 127

Behavioral Health Counseling

Graves ................................................ 75

Mccracken ......................................... 81

Cardiology

Caldwell .............................................. 16

Calloway ............................................. 18

Crittenden ........................................ 25

Graves ................................................ 28

Mccracken ........................................ 42

Cardiovascular Surgery

Mccracken ........................................ 42

Certified Nurse Anesthetist

Caldwell ............................................104

Children With Special Health Care Needs

Mccracken ....................................... 127

Chiropractic

Calloway ............................................. 18

Graves ................................................ 28

Lyon ......................................................35

Marshall ............................................. 36

Mccracken ........................................ 42

Clinic

Mccracken .......................................100

Community Health Center

Ballard .................................................89

Crittenden ........................................ 93

Community Mental Health Center

Calloway ............................................ 74

Graves ................................................ 75

Mccracken ......................................... 81

Critical Access Hospital

Caldwell ............................................. 67

Marshall ...............................................71

Dermatology

Marshall ............................................. 36

Mccracken ........................................ 43

Dialysis

Calloway ............................................. 91

Graves ................................................ 95

Lyon .....................................................98

Mccracken .......................................100

Distinct Part Unit Psych

Mccracken ......................................... 81

Durable Medical Equipment

Calloway ............................................. 91

Crittenden ........................................ 93

Fulton .................................................. 94

Graves ................................................ 95

Livingston ......................................... 97

Marshall .............................................99

Mccracken ........................................101

Ear. Nose & Throat

Calloway ............................................. 18

Crittenden ........................................ 25

Graves ................................................ 28

Mccracken ........................................ 43

Epsdt Special Services

Fulton .................................................. 94

Mccracken ........................................101

Family Planning

Calloway ............................................. 91

Carlisle ................................................ 92

Crittenden ........................................ 93

Fulton .................................................. 94

Graves ................................................ 95

Hickman .............................................96

Livingston ......................................... 97

Lyon .....................................................98

Marshall .............................................99

www.wellcare.com/Kentucky | 165

33881963

Specialty Providers At-A-Glance

F - cont.

G

H

I

L

M

Mccracken ........................................101

Family Practice

Ballard ................................................ 103

Caldwell ................................................2

Calloway ...........................................107

Carlisle ................................................ 112

Crittenden ...........................................6

Fulton .....................................................7

Graves ................................................ 115

Livingston ............................................9

Lyon ...................................................... 10

Marshall ................................................11

Mccracken ....................................... 127

Federally Qualified Health Center

Ballard ..................................................... 1

Caldwell .............................................90

Mccracken ........................................101

Gastroenterology

Calloway ............................................. 18

Graves ................................................ 28

Mccracken ........................................ 44

General Dentistry

Caldwell .............................................. 16

Calloway ............................................. 19

Carlisle ................................................ 24

Graves ................................................ 29

Hickman ..............................................33

Marshall ..............................................37

Mccracken ........................................ 44

General Practice

Calloway ...............................................3

Crittenden ...........................................6

Fulton .....................................................7

Livingston ............................................9

Lyon ...................................................... 10

Marshall ................................................11

Mccracken ..........................................12

General Surgery

Caldwell .............................................. 16

Calloway ............................................. 19

Crittenden ........................................ 25

Graves ................................................ 29

Livingston ......................................... 34

Marshall ..............................................37

Mccracken ........................................ 45

Geriatric Medicine

Fulton .................................................. 27

Hematology & Oncology

Marshall ..............................................37

Mccracken ........................................ 46

Home Health Care

Caldwell .............................................90

Calloway ............................................. 91

Crittenden ........................................ 93

Fulton .................................................. 94

Graves ................................................ 95

Marshall .............................................99

Mccracken ........................................101

Hospice

Mccracken .......................................102

Hospital

Calloway ............................................68

Crittenden ........................................69

Graves ................................................ 70

Mccracken ........................................ 72

Hyperbaric Medicine

Mccracken ........................................ 46

Infectious Disease

Mccracken ........................................ 46

Infusion Therapy

Mccracken .......................................102

Internal Medicine

Ballard ..................................................... 1

Caldwell ................................................2

Calloway ...............................................4

Crittenden ...........................................6

Livingston ............................................9

Lyon ...................................................... 10

Marshall ................................................11

Mccracken ......................................... 14

Interventional Cardiology

Mccracken ........................................ 46

Laboratory Pathology Testing

All ..........................................................88

Caldwell .............................................90

Mccracken .......................................102

Licensed Clinical Social Worker

Caldwell ..............................................73

Calloway ............................................ 74

Graves ................................................ 76

Livingston ......................................... 78

Marshall .............................................80

Mccracken ........................................ 84

Licensed Marriage And Family Therapist

Calloway ............................................ 74

Mccracken ........................................ 84

Licensed Professional Counselor

Caldwell ..............................................73

Graves ................................................ 77

Livingston ......................................... 78

Marshall .............................................80

Mccracken ........................................86

Marriage & Family Therapy

Calloway ...........................................107

Mccracken ....................................... 127

Maternal Fetal Medicine

Calloway ............................................. 19

www.wellcare.com/Kentucky | 166

33881963

Specialty Providers At-A-Glance

M - cont.

N

O

PMccracken ........................................ 47

Medical Oncology

Caldwell .............................................. 16

Graves ................................................ 29

Neonatal Perinatal Medicine

Mccracken ........................................ 47

Nephrology

Calloway ............................................ 20

Graves ................................................ 29

Mccracken ........................................ 47

Neurology

Calloway ............................................ 20

Mccracken ........................................ 48

Neurosurgery

Mccracken ........................................ 48

Nurse Midwife

Calloway ...........................................107

Graves ................................................ 115

Mccracken ....................................... 127

Nurse Practitioner

Ballard ................................................ 103

Caldwell ............................................105

Calloway ............................................110

Carlisle ................................................ 112

Crittenden ........................................ 113

Fulton .................................................. 114

Graves ................................................ 116

Hickman ............................................. 119

Livingston ......................................... 121

Lyon .................................................... 122

Marshall ............................................ 125

Mccracken ....................................... 143

Obstetrics

Mccracken ........................................ 49

Obstetrics/Gynecology

Calloway ............................................ 20

Graves ................................................ 29

Marshall ..............................................37

Mccracken ........................................ 49

Occupational Therapy

Caldwell ............................................106

Marshall ............................................ 125

Mccracken ....................................... 143

Ophthalmology

Calloway ............................................ 20

Crittenden ........................................ 25

Graves ................................................ 29

Mccracken ......................................... 51

Optician

Mccracken ......................................... 51

Optometry

Caldwell .............................................. 16

Calloway ............................................ 22

Crittenden ........................................ 26

Graves ..................................................31

Marshall ............................................. 40

Mccracken ........................................ 59

Oral & Maxillofacial Surgery

Calloway ............................................ 22

Mccracken ........................................60

Orthodontics

Graves ..................................................31

Mccracken ........................................60

Orthopaedic Surgery

Caldwell ...............................................17

Calloway ............................................ 22

Fulton .................................................. 27

Graves ..................................................31

Marshall ............................................. 40

Mccracken ......................................... 61

Orthotics & Prosthetics

Mccracken .......................................102

Pain Management

Calloway ............................................ 22

Livingston ......................................... 34

Mccracken ........................................ 62

Pediatric Cardiology

Calloway .............................................23

Mccracken ........................................ 62

Pediatric Dentistry

Mccracken .......................................102

Pediatric Urology

Graves ..................................................31

Pediatrics

Calloway .............................................23

Graves ...................................................8

Mccracken ........................................ 62

Physical Medicine & Rehabilita-tion

Calloway .............................................23

Mccracken ........................................ 63

Physical Therapy

Caldwell ............................................106

Calloway ............................................110

Graves ................................................ 117

Marshall ............................................ 125

Mccracken ....................................... 145

Physician Assistant

Ballard ................................................ 103

Caldwell ............................................106

Calloway ............................................. 111

Crittenden ........................................ 113

Graves ................................................ 118

Livingston ......................................... 121

Marshall ............................................ 126

Mccracken .......................................149

Plastic & Reconstructive Surgery

Mccracken ........................................ 63

www.wellcare.com/Kentucky | 167

33881963

Specialty Providers At-A-Glance

P - cont.

R

S

T

U

V

Podiatry

Crittenden ........................................ 26

Graves ..................................................31

Professional Counselor

Calloway ............................................. 111

Graves ................................................ 118

Mccracken .......................................149

Psychiatric Residential Treat-ment Facilities

Marshall .............................................80

Psychiatry

Calloway ............................................ 74

Mccracken ........................................ 87

Psychology

Calloway ............................................ 74

Lyon ..................................................... 79

Mccracken ........................................ 87

Pulmonary Disease

Calloway .............................................23

Graves ..................................................31

Marshall ............................................. 40

Mccracken ........................................ 64

Radiation Oncology

Mccracken ........................................ 64

Radiology - Interventional & Vascular

Graves .................................................32

Retail

Ballard ................................................. 151

Caldwell ............................................ 152

Calloway ........................................... 153

Carlisle ............................................... 154

Crittenden ....................................... 155

Fulton ................................................. 156

Graves ............................................... 157

Hickman ............................................158

Livingston ........................................ 159

Lyon ....................................................160

Marshall ............................................. 161

Mccracken ....................................... 163

Rheumatology

Crittenden ........................................ 26

Marshall ............................................. 40

Mccracken ........................................ 64

Rural Health Center

Caldwell .............................................90

Crittenden ........................................ 93

Graves ................................................ 95

Marshall .............................................99

Skilled Nursing Facility

Caldwell .............................................90

Hickman .............................................96

Speech & Language Pathology

Mccracken .......................................149

Speech Therapy

Mccracken .......................................150

Sports Medicine

Caldwell ...............................................17

Graves .................................................32

Thoracic & Cardiovascular Surgery

Mccracken ........................................ 65

Urology

Calloway .............................................23

Graves .................................................32

Mccracken ........................................ 65

Vascular Surgery

Mccracken ........................................66

www.wellcare.com/Kentucky | 168

33881963

Indexes

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.

Indice de horarios extendidos: En este índice, usted puede encontrar un proveedor con horario

más prolongado de atención en el consultorio. Primero busque el nombre del proveedor, y

luego verifique el condado y el número de página. Consulte esa página para obtener el horario

de atención del proveedor.

Ballard

Caldwell

Calloway

Retail

Sutton Drugs Of LA Center ....... 151

Licensed Clinical Social Worker

Tichenor, Kathy CSW ....................73

Nurse Practitioner

Duncan, Kelsea APRN ..................104

Farless, Chelsey APRN .................104

Optometry

Parker, Sarah OD .............................. 16

Retail

CVS Pharmacy ................................. 152

Princeton Drug Store ................... 152

Walmart Pharmacy ....................... 152

Skilled Nursing Facility

Princeton Nursing And Rehabilitation ...................................90

Chiropractic

Etherton, Virgil DC .......................... 18

Heskett, Adam DC .......................... 18

Durable Medical Equipment

Medical Arts Home Medical ...... 91

Pharmacy Inc ..................................... 91

Family Practice

Adams, Thomas MD .........................3

Butler, Daniel MD ..............................3

Crouch, Richard MD .........................3

Ford, Alison MD ..................................3

Gupton, Emily DO .............................3

Hughes, Robert MD ..........................3

Hospital

Murray Calloway County Hospital ..................................................................68

Internal Medicine

Blalock, Richard MD .........................3

Clark, Hollis MD ..................................3

Kelly, Patrick MD ................................4

Nurse Practitioner

Alexander, Dana APRN ................107

Anderson, Bobbi APRN ...............107

Bazzell, Andrea APRN ..................107

Bazzell, Erica APRN .......................107

Crittendon, Sherry APRN ...........108

French, Janna APRN ......................108

Hagan, Allison APRN ....................108

Long, Kathy APRN .........................109

Majors, Angela APRN ...................109

Oetjen, Lisa APRN .........................109

Owens, Gina APRN .......................109

Patterson, Kelly APRN .................109

Riley, Kristen APRN .......................109

Ryan, Martha APRN ......................109

Sanderson, Misty APRN ...............110

Sprunger, Maria APRN ..................110

Thornton, Cessinee APRN ..........110

Wiggins, Ashley APRN ..................110

Williams, Karrie APRN ...................110

Obstetrics/Gynecology

Price, Matthew MD ....................... 20

Turley, Karla MD .............................. 20

Optometry

Brewer, Landon OD .........................21

Ellis, Joe OD .........................................21

Hall, Benjamin OD ............................21

Harris, Mallory OD ...........................21

Jaco, James OD ..................................21

Jarvis, Reed OD ..................................21

Leonard, Ben OD ..............................21

Morris, Laurel OD .............................21

Owens, Mark OD ..............................21

Sheridan, Donise OD ......................21

Tucker, David OD ........................... 22

Williams, Jesse OD ......................... 22

Pain Management

Malla, Yogesh MD .......................... 22

Manchikanti, Laxmaiah MD ........ 22

Pediatrics

Hughes, Joyce MD .............................4

www.wellcare.com/Kentucky | 169

33881963

Extended Hours Index

Calloway - cont.

Carlisle

Crittenden

Fulton

Graves

Hickman

Physical Medicine & Rehabilita-tion

Kosanovic, Radomir MD ...............23

Murala, Samuel MD ........................23

Physical Therapy

Swartz, Mary PT ..............................110

Physician Assistant

Adams, Marsha PA .......................... 111

Dunn, Elizabeth PA .......................... 111

Williams, Angela PA ........................ 111

Professional Counselor

Coffelt, Katrina LPC ........................ 111

Retail

CVS Pharmacy ................................. 153

Connectcarerx ................................ 153

Kroger Pharmacy ........................... 153

Medical Arts Pharmacy ............... 153

Murray Calloway Co Hosp Rx . 153

Walgreens Drug Store ................. 153

Walmart Pharmacy ....................... 153

Walters Family Pharmacy .......... 153

Retail

Bardwell Pharmacy ....................... 154

Durable Medical Equipment

Glenns Apothecary ....................... 93

Ear. Nose & Throat

Hawkins, James MD ........................ 25

Family Practice

James, Gary MD ..................................6

Maddux, Howard MD ......................6

Retail

CVS Pharmacy ................................. 155

Glenns Apothecary ...................... 155

Kb Pharmacy .................................... 155

General Practice

Malik, Indu MD ....................................7

Retail

Evans Drug Company .................. 156

Walmart Pharmacy ....................... 156

Dialysis

Rcg Mayfield ..................................... 95

Durable Medical Equipment

Duncan Prescription Center ...... 95

Gibsons Pharmacy Homecare .. 95

Stones Drugs Inc ............................. 95

Family Practice

Braxton, Thomas MD .......................8

General Surgery

Whiteley, James MD ...................... 29

Hospital

Jackson Purchase Medical Ctr .. 70

Licensed Clinical Social Worker

Peek-Fisk, Rolanda LCSW ........... 76

Licensed Professional Counselor

Ogg, Janet LPC ................................. 76

Nurse Practitioner

Dunn, Amanda APRN .................... 115

Graham, Mary APRN ..................... 116

Hendley, Kayla APRN .................... 116

Wilson, Jamie MD ..............................8

Optometry

Brewer, Landon OD ....................... 29

Bugg, Kelly OD ................................. 30

Case, Michael OD ........................... 30

Jaco, James OD ................................ 30

Johnson, Chelsey OD .................... 30

Morris, Laurel OD ........................... 30

Owens, Mark OD ............................ 30

Smith, Tony OD ................................31

Tucker, David OD .............................31

Pediatrics

Hussain, Abid MD ..............................8

Physician Assistant

Dunn, Elizabeth PA ......................... 117

Professional Counselor

Sanford, Lisa Robin LPC ............... 118

Retail

CVS Pharmacy ................................. 157

Duncan Prescription Center ..... 157

Gibson Pharmacy .......................... 157

Gibsons Pharmacy ........................ 157

Stones Health Mart Phcy ........... 157

Walgreens Drug Store ................. 157

Walmart Pharmacy ....................... 157

Sports Medicine

Braxton, Thomas MD .....................32

Nurse Practitioner

Goodrum, Stephannie APRN .... 119

www.wellcare.com/Kentucky | 170

33881963

Extended Hours Index

Hickman - cont.

Livingston

Lyon

Marshall

Graham, Mary APRN ..................... 119

Skilled Nursing Facility

Clinton Place .....................................96

Advanced Practice Registered Nurse

Phillips, Allison APRN ...................120

Durable Medical Equipment

Clinic Pharmacy Of Ky ................. 97

Glenns Prescription Center ....... 97

Smithland Pharmacy Inc .............. 97

General Practice

Barnes, William MD ..........................9

General Surgery

Patton, Demetrius MD ................. 34

Internal Medicine

Yazigi, Ghassan MD ..........................9

Licensed Clinical Social Worker

Prowell, Zoe LCSW ........................ 78

Licensed Professional Counselor

Branson, Joanne LPC ..................... 78

Nurse Practitioner

Martin, Sara APRN .........................120

Morrison, Mary APRN ..................120

Phillips, Kara APRN ......................... 121

Pain Management

Wilson, Kristal MD .......................... 34

Physician Assistant

Lewis, Justin PA ................................ 121

Retail

Clinic Pharmacy .............................. 159

Glenns Prescription Center ...... 159

Smithland Drugs ............................. 159

Dialysis

Rcg Kuttawa ......................................98

Family Practice

French, David MD ............................ 10

Retail

Lyon Drug Store .............................160

Mcconnell Health Mart Phcy ...160

Chiropractic

Barrett, James DC ........................... 36

Clapp, Joshua DC ............................ 36

Tack, Bradley DC ............................. 36

Travis, Michael DC ......................... 36

Critical Access Hospital

Marshall County Hospital .............71

Durable Medical Equipment

Western Kentucky Home Medical Equipment ..........................................99

Family Practice

Beck, Austin MD .................................11

Hematology & Oncology

Concepcion, Luis MD ....................37

Licensed Clinical Social Worker

Smith, Carol LCSW ........................80

Licensed Professional Counselor

Cain, Jeannie LPC ............................80

Nurse Practitioner

Dunn, Amanda APRN ................... 123

Kolenich, Diane APRN ................. 124

Lovett, Jessica APRN .................... 124

Offutt, Adrienne APRN .............. 124

Staples, Susan APRN .................... 125

Swensen, Robin APRN ................. 125

Wilson, Jamie ARNP ...................... 125

Occupational Therapy

Schultz, Megan OT ....................... 125

Optometry

Brewer, Landon OD ........................37

Case, Michael OD ........................... 38

Ellis, Joe OD ....................................... 38

Hayes, Michael OD ........................ 38

Jaco, James OD ................................ 38

Johnson, Chelsey OD .................... 38

Leonard, Ben OD ............................ 39

Owens, Mark OD ............................ 39

Sheridan, Donise OD .................... 39

Tucker, David OD ........................... 39

Physical Therapy

Midkiff, Cory PT ............................. 125

Psychiatric Residential Treat-ment Facilities

Swis Purchasing LLC DBA Purchase Youth V ..........................80

Retail

Benton Discount Pharmacy ....... 161

CVS Pharmacy .................................. 161

Calvert City Pharmacy ................. 161

www.wellcare.com/Kentucky | 171

33881963

Extended Hours Index

Marshall - cont.

Mccracken

Draffenville Pharmacy .................. 161

J & R Pharmacy ................................. 161

J&r Pharmacy Of Draffenville ... 161

Walmart Pharmacy ........................ 161

Behavioral Health Counseling

Necco Inc ............................................ 81

Chiropractic

Schipp, Heath DC ........................... 42

Community Mental Health Center

Four Rivers Behavioral Health ... 81

Durable Medical Equipment

Hanger Clinic ...................................100

Hanger Prosthetics & Orthotics Inc .........................................................100

Medcare Medical Supply ............101

Pennyrile Home Medical .............101

Ricks Pharmacy Inc .........................101

Family Practice

Beck, Austin MD ................................12

General Dentistry

Bolin, Roy DMD ............................... 44

Hospital

Baptist Health Paducah ............... 72

Lourdes Hospital Inc ..................... 72

Internal Medicine

Wilson, Richard MD ........................ 14

Licensed Clinical Social Worker

Davis, Mary LCSW .......................... 82

Licensed Professional Counselor

Crisp, Hollie LPC .............................. 84

Evans, Kerry LPC .............................. 85

Frazier, April LPC ............................. 85

Hunt, Ashley LPC ............................ 85

Hunt, Stephanie LPC ..................... 85

Jones, Lashunda LPC ...................... 85

Jordan, Beth LPC ............................. 85

Long, Scott LPC ............................... 85

Smith, April LPC ...............................86

Tittle, Amanda LPC ........................86

Marriage & Family Therapy

Lewis, Justin LMFT ......................... 127

Nurse Practitioner

Anderson, Hannah APRN ........... 127

Bossuah, Kwaghdoo APRN ........128

Bushong, Anna APRN ................... 129

Crumble, Tara APRN .................... 130

Daugherty, Hannah APRN ......... 130

Finney, Barbara APRN ................... 131

Gottman, Erin APRN .................... 132

Higdon, Julianne APRN ................ 133

Holmes, Sheryl APRN .................. 133

Logan, Nancy APRN ..................... 135

Martin, Patricia APRN .................. 136

Mercer, Amy APRN ....................... 136

Miller, Ginny APRN ....................... 137

Rawls, Courtney APRN ................ 138

Rosenberger, Cindy APRN ......... 139

Smith, Karen APRN ....................... 139

Stacy, Brandi APRN ....................... 139

Summarell, Taylor APRN ............140

Tinch, Adrienne APRN .................140

Wilson, Melissa APRN .................. 142

Occupational Therapy

Lui, Amy OT ..................................... 143

Willis, Tori OT ................................. 143

Optician

Seilheimer, August LDO ............... 51

Optometry

Ahmad, Bilal OD ............................... 51

Badiwala, Hiral OD .......................... 51

Beauchamp, Johnathan OD ....... 52

Borders, Britt OD ............................ 52

Borders, Sara OD ............................ 52

Bowling, Aja OD .............................. 52

Brewer, Landon OD ....................... 52

Brumit, Michael OD ....................... 52

Buckner, James OD ........................ 52

Bui, Hai OD ........................................ 52

Burt, Kevin OD ................................. 52

Busey, Lannie OD ........................... 52

Case, Michael OD ............................53

Chatham, Kaley OD ........................53

Cheng, Judy OD ................................53

Coleman, Justin OD ........................53

Crockett, Jason OD ........................53

Davis, Jordan OD ..............................53

Eger, Michael OD .............................53

Ellis, Joe OD ........................................53

Ficarra, Anthony OD ......................53

Gamblin, Steven OD ..................... 54

Gersh, Richard OD ......................... 54

Gibson, Jennifer OD ...................... 54

Grady, Susan OD ............................ 54

Gray, Keith OD ................................ 54

Green, Rebecca OD ...................... 54

Henderson, Richard OD .............. 54

Jaco, James OD ................................ 54

Johnson, Chelsey OD .................... 55

Johnson, Douglas OD .................... 55

Kailey, Manavjeet OD ................... 55

Klutts, Fred OD ................................ 55

Lawrence, Stephen OD ............... 55

Leonard, Ben OD ............................ 55

Love, Marcus OD ............................ 55

Luckett, James OD ......................... 55

Lynn, Mark OD ................................. 55

Mansfield, Levi OD ........................ 55

Martin, William OD ........................ 56

www.wellcare.com/Kentucky | 172

33881963

Extended Hours Index

Mccracken - cont.Montalvo, Noemi OD .................. 56

Morris, Laurel OD ........................... 56

Nagatoshi, Raymond OD ............ 56

Novotny, Patrick OD .................... 56

Oliver, Crystal OD .......................... 56

Oliver, Heather OD ....................... 56

Omar, Rashid OD ............................ 57

Owens, Mark OD ............................ 57

Parnell, Jeffrey OD ......................... 57

Parnell, Robin OD ........................... 57

Partain, Jeffrey OD ......................... 57

Price, Martin OD ............................. 57

Pulliam, Mark OD ............................ 57

Robertson, Paul OD ....................... 58

Rose, Laura OD ................................ 58

Rubesh, Grant OD .......................... 58

Ruzicka, Amy OD ............................ 58

Salee, Sarah OD ............................... 58

Sanchez-Juan, Ada OD ................. 58

Sheridan, Donise OD .................... 58

Smith, Stephen OD ........................ 58

Snead, Kevin OD ............................. 58

Souleyrette, Dale OD ................... 58

Spear, Steven OD ........................... 59

Stanis, Carl OD ................................. 59

Tabassi, Bita OD .............................. 59

Travis, Justin OD .............................. 59

Tucker, David OD ........................... 59

Wolf, Nicholas OD ........................ 59

Orthotics & Prosthetics

Center For Orthotic Prosthetic Care ......................................................102

Hanger Clinic ...................................102

Pediatrics

Lowdenback, Rachel DO .............. 14

Mason, Kayla MD ............................. 14

Mudd, Jeffrey MD ........................... 15

Schell, David MD .............................. 15

Physical Therapy

Baldwin, Patrick PT ........................ 143

Dolan, Lois PT .................................. 144

Jeffords, Amy PT ............................ 144

Midkiff, Cory PT ............................. 144

Morgan, Lucas PT .......................... 144

Professional Counselor

Cardin, Jacqueline LPC ................149

Pulmonary Disease

Jain, Subin MD .................................. 63

Retail

CVS Pharmacy ................................. 162

Davis Drugs Lone Oak ................. 162

Davis Drugs ....................................... 162

G & O Pharmacy ............................ 162

Kentuckycare Pharmacy 62 ...... 162

Kroger Pharmacy ........................... 162

Lone Oak Pharmacy ..................... 162

Paducah Pharmacy ........................ 162

Reidland Pharmacy. Inc ............... 162

Ricks Pharmacy Inc ........................ 163

Sams Club Pharmacy .................... 163

Strawberry Hills Pharmacy ........ 163

Strawberry Hills Phcy Southsid 163

Walgreens Drug Store ................. 163

Walmart Pharmacy ....................... 163

West Towne Pharmacy .............. 163

Speech & Language Pathology

Beasley, Steffin SLP ......................149

Gallenbach, Rachel SLP ...............149

Speech Therapy

Erwin, Ellen SLP ...............................149

Harris-Greene, Lori SLP ...............149

www.wellcare.com/Kentucky | 173

33881963

Provider Index

A

B

C

Abell, Francis DMD ..........................36

Adams, Denise APRN ................... 122

Adams, Marsha PA ...........................111

Adams, Thomas MD ......................... 3

Ahmad, Bilal OD ................................51

Albertson, Byron DO ....................... 11

Alexander, Dana APRN ......... 107,123

Alexander-Lusk, Allie ARNP ....... 114

Ali, Shaukat MD .....................19,20,47

Alton, Kristian LPC ................... 76,84

Ambulatory Surgery Center ..... 100

Anaya, Ervin MD ...............................63

Anderson, Bobbi APRN ............... 107

Anderson, Hannah APRN ........... 127

Anderson, John DDS ....................... 33

Apperson, Bethanie APRN ..........115

Arcare ....................................................... 1

Ashburn, Joseph MD ......................47

At Home Medical ........................... 99

Atnip, Mark DC .................................42

Badiwala, Hiral OD ...........................51

Baer, Shelly LCSW ............................81

Bailey, Blair APRN .......................... 127

Bailey, Mikal PA ............................... 145

Bailey, Tiffany PA ........................... 145

Baker, Amy APRN ................... 127,128

Baker, Carl MD ............................25,50

Baker, Kimberly APRN ................. 127

Baker-Ross, Anita CNM .............. 107

Baldwin, Melisha MD ......................29

Baldwin, Patrick PT ........................ 143

Ballard County Health Center .. 89

Ballert, John MD ...............................43

Ballew, Laurie DO ............................87

Balliet, Shelly APRN ...................... 128

Banister, Jason MD ..........................46

Baptist Health Paducah ................72

Baptist Hlth Paducah Pcy & Wellness ............................................. 162

Barber, Melanie APRN ................. 107

Bardwell Pharmacy ....................... 154

Barnes, Summer PT ....................... 143

Barnes, William MD ...........6,9,25,34

Barrett, James DC ............................36

Barrix, Donna LPC ............................76

Basu, Patrick MD ..............................43

Bazzell, Andrea APRN ...........107,128

Bazzell, Erica APRN ....................... 107

Beale, Robert MD ............................37

Bealle, David MD .......................... 16,17

Beasley, Steffin SLP ...................... 149

Beauchamp, Johnathan OD ........52

Beck, Austin MD ............................ 11,12

Becker, Joseph APRN ............107,128

Beggs, Jake PA .................................. 145

Bell, Shakira APRN ......................... 128

Benefiel, Dawn APRN .................. 128

Benigno, Daisy MD ...................... 7,27

Benton Discount Pharmacy ....... 161

Bharadia, Mohamed OD ...............52

Bicking, Griffin DO ....................44,65

Bilak, Paul APRN .............................. 128

Billingsley, John MD ........................50

Blakeley, Tisha LCSW .....................73

Blalock, Richard MD ....................3,22

Bobo, Michael DDS .........................22

Bodnarchuk, Brian MD ............25,50

Bodnarchuk, Gary MD ...................43

Bohannon, Anthony PT .............. 143

Bolin, Roy DMD ..........................36,44

Boone, Lee APRN ............................113

Boone, Terry PA ........................ 113,121

Borders, Britt OD .............................52

Borders, Sara OD .............................52

Bose, Sanjay MD ..................... 16,25,41

Boshell, Bill MD .................................32

Bossuah, Kwaghdoo APRN ........ 128

Bourne, Jennie APRN .................... 107

Bowers, Barbara MD .......................50

Bowles, Thomas DMD ...................59

Bowling, Aja OD ...............................52

Bowman-Stroud, Cynthia MD 12,14

Boyd, John DDS ................................24

Boyd, Zane LPC ................................73

Boze, Ashley LCSW ........................73

Bradley, Kimberly APRN ..............123

Brame, Jason DC ..........................18,42

Brannon, Mark PA .......................... 145

Bransford, Leslye APRN .............. 128

Branson, Joanne LPC ......................78

Braun Hashemi, Clare MD ........... 48

Braxton, Thomas MD ................. 8,32

Bray, Deborah APRN .................... 128

Brazzell, John MD .............................. 12

Brewer, Jani PT ................... 116,125,143

Brewer, Landon OD ....... 21,29,37,52

Brockman, Blair APRN .................. 128

Brown, Aaron DMD ........................ 33

Brown, Benjamin PA ..................... 146

Brown, Jennifer APRN ....................113

Brown, Roschnell LCSW ..........75,81

Bruce, William MD ...........................14

Brumit, Michael OD ........................52

Bryan, Douglas PA ...........................117

Bryson, David MD ............................20

Buckhalter, Brandy APRN ........... 129

Buckner, James OD .........................52

Buford, Lisa PA ................................ 146

Bugg, Kelly OD ..................................30

Bui, Hai OD .........................................52

Burch, Frank PA ............................... 146

Burt, Kevin OD ..................................52

Busey, Lannie OD ............................52

Bushong, Anna APRN ................... 129

Butler, Daniel MD .............................. 3

Butler, Danny MD ...........................1,13

Byassee Drug Company ............. 158

CVS Pharmacy .............................. 152,153,155,157,161,162

Cain, Jeannie LPC ............................ 80

Caldwell County Hospital Home Health Age ......................................... 90

Caldwell County Hospital Inc DBA Caldwel .................................................67

Caldwell Medical Associates ..... 90

Caldwell Medical Center .............67

Calloway County Health Dept ...91

Calvert City Pharmacy ................. 161

www.wellcare.com/Kentucky | 174

33881963

Provider Index

C - cont.

D

E

Carbonell-Smith, Michele APRN ................................................................. 129

Cardenas, Jorge MD .........................14

Cardin, Jacqueline LPC ................ 149

Carlisle Co Health Department 92

Carr, Tammy APRN ....................... 129

Carrico, Jennifer APRN .......... 115,123

Carter, James LCSW ..................75,81

Carter, Kristen APRN .................... 129

Carter, Russell DO ...........................43

Case, Michael OD .... 30,37,38,52,53

Cates, Heath MD ............................... 4

Cates, Tiffany APRN ..................... 129

Caturano, Robert PT .................... 144

Cecil, Caitlyn MD ..............................14

Center For Orthotic Prosthetic Care ...................................................... 102

Chandrashekar, Lingaiah MD ......43

Chang, Timothy MD ........................16

Charette, Raymond MD ...............22

Chase, Mary DC ................................42

Chatham, Kaley OD ........................53

Cheng, Judy OD ................................53

Chua, Winston MD ....................16,29

Ciampa, Peter DMD ....................... 60

Clapp, Joshua DC .......................28,36

Clark, Alicia APRN .......................... 120

Clark, Hollis MD .................................. 3

Clark, Hollis PA ................................ 146

Clark, Laura DDS ................................18

Clark, Valerie APRN ...................... 129

Clarke, Jeffrey MD ...........................63

Claudino, Wederson MD .............45

Clifton, Theresa LCSW ..................81

Clinic Pharmacy Of Ky ..................97

Clinic Pharmacy .............................. 159

Clinton Pharmacy .......................... 158

Clinton Place ..................................... 96

Coffelt, Katrina LPC .........................111

Cohen, Irwin MD ...............................81

Cole, Chelsea APRN ..................... 129

Cole, Lela APRN ...............................115

Coleman, Courtney APRN .. 115,129

Coleman, Justin OD ........................53

Colgan, John DMD ......................... 102

Colgan, Justin DMD ....................... 102

Colley, Thomas APRN ................. 130

Compton, Stephen MD ................22

Concepcion, Luis MD ....................37

Conley, Christopher LCSW .........81

Connectcarerx .................................153

Cooper, Felicia APRN ................... 130

Couch, Jimmy DO ........................... 48

Couch, Jonathan DO ..................... 48

Cox, Jouan PT .................................. 144

Cox, Wesley OD ..............................53

Craft, John DMD ..............................44

Craig, Danielle APRN .................... 108

Cravens, Matthew PT .................. 106

Crisp, Hollie LPC .............................. 84

Crit Co Elementary Star Clinic ..93

Crittenden Co Health Center ....93

Crittenden Co Middle High-Rocket .......................................93

Crittenden Community Hospital .................................................................. 69

Crittendon, Sherry APRN ........... 108

Crockett, Jason OD ........................53

Crouch, Richard MD ......................... 3

Crouch, Simon LPC ........................ 84

Crowley, Rachel PA ...................... 146

Crumble, Tara APRN .................... 130

Cuadrado, Ruben MD ....................28

Cude, Andrew DMD .......................36

Cude, Timothy DMD ......................36

Cumbers, Jason MD ....................... 66

Curry, Donna APRN ............... 123,130

Cuthrell, William MD .....................49

Dabbs, Joseph CSW .........................81

Daniel, Joshua OD ............................53

Daniels, Tyrone MD ........................28

Darling, Sara LMFT .......................... 84

Darnell, Rhonda APRN ..................123

Darnell, Sarah APRN .......................115

Daugherty, Hannah APRN ......... 130

Daugherty, Michelle OT ............. 106

Davies, Heidi APRN ....................... 130

Davis Drugs Lone Oak ................. 162

Davis Drugs ....................................... 162

Davis Drugs-Dme ........................... 100

Davis, Anthony MD ........................44

Davis, Jordan OD ..............................53

Davis, Mary LCSW ...........................82

Deeter, Dawn MD ...........................20

Derington, Kelly APRN ...113,120,130

Dickman, Adam PA ....................... 146

Dillard, Mary APRN ....................... 104

Dineen, Timothy MD ......................31

Ding, Dale MD .................................. 48

Dolan, Lois PT .....................116,125,144

Donner, Leslie CP ............................87

Doom, Jeanie APRN ...................... 120

Dos Remedios, Roberto MD .31,40

Dowdy, James MD ............................19

Dowell, David DPM .........................26

Downing, Ashton OT ................... 143

Draffenville Pharmacy .................. 161

Drawdy, Joseph APRN ................. 104

Driver, Rita APRN .............................115

Dunaway, Tammy APRN ............ 104

Duncan Clinic Pharmacy ............ 157

Duncan Prescription Center 95,157

Duncan Specialty Pharmacy ..... 157

Duncan, Kelsea APRN .................. 104

Dunn, Amanda APRN ............. 115,123

Dunn, Elizabeth PA .................... 111,117

Dunning, April PA ........................... 146

Dyer, Sarah APRN .......................... 130

Dykgraaf, Alyssa DMD ................... 33

Easter Seals West Kentucky 101,102

Easterwood, Lauren APRN ........ 108

Eger, Michael OD .............................53

Elkins, Michelle APRN ....................115

Ellington, Marcie APRN .................113

Ellis, Joe OD ....................... 21,30,38,53

Ellison, Patrick MD ...........................65

England, Gary MD ............................49

Ervin, Judith LCSW ..........................82

www.wellcare.com/Kentucky | 175

33881963

Provider Index

E - cont.

FG

H

Erwin, Ellen SLP ............................... 149

Etheridge, Meredith APRN ..........131

Etherton, Bambi DC .........................18

Etherton, Virgil DC ...........................18

Evans Drug Company .................. 156

Evans Total Care LLC .....................94

Evans, Kerry LPC ...............................85

Evans, Kim APRN .............................123

Evans, Lee MD ...................................65

Eye Surgery Center Of Paducah ................................................................. 100

Ezewuiro, Obiageli MD .................45

Family Practice Clinic PSC ...........93

Famina, Svetlana MD ......................87

Farless, Chelsey APRN ................. 104

Farrell, Brian MD .............................. 48

Faulkner, Kelly APRN ......................131

Fennel, Krista CNP ...........................131

Ficarra, Anthony OD ......................53

Fielder, David APRN ..................... 108

Fiessinger, Willard APRN .......123,131

Finch, Monte DO ..............................18

Finizio, Joseph MD .......................... 48

Finney, Barbara APRN ....................131

Firwana, Belal MD ............................46

Fleenor Ford, Anita MD ................46

Fleenor-Ford, Anita MD ................46

Fleming, Elizabeth LCSW .......75,82

Fletcher, Wynetta APRN ..............131

Flowers, Emily APRN .....................123

Fondaw, Leah LCSW ................75,82

Fontana, Umberto MD ..................46

Ford, Alison MD .................................. 3

Ford, Halden MD ........................36,42

Ford, James MD .................................41

Four Rivers Behavioral Health ........................................................74,75,81

Four Rivers Pharmacy .................. 162

Fox, Kelli LCSW .................................73

Frazier, April LPC ..............................85

Freeman, Bryan DMD .....................28

Freeman, Sherry APRN ................ 108

French, Ashley LPC .........................85

French, David MD .............................10

French, Janna APRN ...................... 108

Frensley, Joseph APRN ..................131

Frey, Donald DMD ........................... 33

Fridy, Kristen PA ................................111

Friedrich, Kristie APRN ... 123,131,132

Frizzell, Jessica PA .......................... 146

Fulbright, Bennie MD ...............27,40

Fulton Co Health Ctr - Fulton ...94

Fulton Co Health Ctr - Hickman ...................................................................94

G & O Pharmacy ............................ 162

Gaffney, Kristin DO ........................43

Gallenbach, Rachel SLP ............... 149

Gamblin, Steven OD ......................54

Gargus, Jessica ARNP ............108,132

Garrett, Elizabeth APRN ..............132

Garrett, Karen SLP ......................... 149

Garrett, Melinda PA .............. 125,146

Garth, Katy APRN .......................... 108

Gavin, Michael MD ....................... 6,9

Genoa Healthcare LLC ......... 157,162

Gersh, Richard OD ..........................54

Gibbens, Noreen AUD ................ 127

Gibson Pharmacy .......................... 157

Gibson, Jennifer OD .......................54

Gibson, Jonathan CRNA ............. 104

Gibson, Wendy OD ........................38

Gibsons Pharmacy Homecare ...95

Gibsons Pharmacy ........................ 157

Gillespie, Mark MD ..............25,29,50

Giltner, Kimberlee LCSW .............82

Gipson, Jonathan APRN ...............132

Glenns Apothecary ................ 93,155

Glenns Prescription Center 97,159

Goins-Harmon, Tanya APRN ......115

Goodrum, Stephannie APRN .... 119

Gordon, Kristin PT ......................... 106

Gossom, Jessica APRN ..................132

Gottman, Erin APRN .....................132

Grace, Bonnie APRN .....................132

Grady, Susan OD .............................54

Graham, Mary APRN ............... 116,119

Graham, Scott MD ............................ 2

Graves County Health Center ..95

Gray, Keith OD .................................54

Green, Pamela APRN ....................132

Green, Rebecca OD .......................54

Greene, Ginger APRN .................. 108

Greene, Richard PA ..........................111

Greene, Susanne APRN .................115

Grizzard, Amy PT .............. 117,125,144

Grubbs, John MD ............................ 48

Gruber, Thomas MD ..................... 48

Guin, Jason MD ..................................41

Gupton, Emily DO ............................. 3

Hack, Kristie APRN .........................132

Hagan, Allison APRN .............108,132

Hall, Benjamin OD ............................21

Hall, David MD ...................................41

Hall, Dustin DMD .......................28,44

Hambrick, Candice LCSW .....74,82

Hammonds, Cara MD ............. 26,40

Hammons, Mark PT ......... 117,125,144

Hanger Clinic ........................... 100,102

Hanger Prosthetics & Orthotics Inc ......................................................... 100

Harris, Christy LPC ...........................76

Harris, Jessica APRN ...................... 120

Harris, Kristin DMD .......................... 33

Harris, Mallory OD ...........................21

Harris, Robbie DDS ........................ 60

Harris-Greene, Lori SLP ............... 149

Hart, Christy APRN ........................132

Hawkins, James MD .........................25

Hayden, Robert PA ................ 146,147

Hayes, Michael OD .........................38

Health First Chc ............................... 90

Hebert, Kiandra PHD ......................87

Heeb, Julie APRN .............................133

Heine, Brian DMD ........................... 60

Heine, Robert DMD ....................... 60

Heisner, Monty DC .........................42

Henderson, Richard OD ...............54

www.wellcare.com/Kentucky | 176

33881963

Provider Index

H - cont. I

J

K

Hendley, Kayla APRN ............. 116,133

Hendon, Casie PT .......................... 144

Henley, Kristen APRN ...................133

Heskett, Adam DC ...........................18

Hickman Co Health Center ....... 96

Hickman, Barbara APRN ............. 104

Higdon Wilham, Alice DO ...........45

Higdon, Julianne APRN .................133

Hiland, Steve MD ..............................10

Hobbs, Timothy OD .................30,54

Hobson, Theresa PT ..................... 144

Hodges, Christopher PA ............. 147

Hodges, Sharon APRN ................. 120

Hogancamp, Charles MD ..............41

Hogancamp, David MD .................. 13

Hogancamp, William MD ............ 48

Holland Medical Services ............93

Holmes, Sheryl APRN ...................133

Holt, Paul APRN ...............................133

Homayuni, Ali MD ............................18

Home Health Plus Inc .....................91

Hope Unlimited Care Center And Medical C ............................................49

Hopwood, Christy LCSW ............82

Horn, Frances DO .............................. 11

House, Camille LPC .........................76

Houser, Kelly APRN .......................133

Houston, Damond LCSW ......75,83

Houston, Joshua OD ......................54

How, Helen MD ................................46

Hughes, Joyce MD ............................. 4

Hughes, Matthew PA ................... 147

Hughes, Robert MD .......................... 3

Hunley, Ashton DDS .......................18

Hunt, Ashley LPC .............................85

Hunt, Claire OT .............................. 143

Hunt, Philip MD .................................31

Hunt, Stephanie LPC ......................85

Hunter, Brittany APRN .................133

Hussain, Abid MD ..............................8

Hutchins, Bradley PA .................... 147

Inglish, Monica CNM .................... 127

Innovative Eye Surgery Center 100

Intrepid USA Healthcare Services ..............................................................91,95

Irvan, Suzanne APRN .................... 104

Irvin, Myra MD .................................... 3

Ivanukoff, Victoria DO ................. 66

J & R Pharmacy ................................. 161

J&r Pharmacy Of Draffenville ... 161

Jackson Purchase Medical Ctr ...70

Jackson Purchase Primary Care Mayfield C ..........................................95

Jackson, April MD ............................45

Jackson, Darrye APRN .............................................107,112,127,133

Jackson, Kimberly APRN ............. 105

Jackson, Stephen MD .................... 60

Jaco, James OD ................21,30,38,54

Jain, Subin MD ...................................63

Jambeih, Rami MD ...........................63

James, Gary MD .................................. 6

James, J Thomas PT ....................... 106

Jarvis, Reed OD ..................................21

Jeffords, Amy PT ...................... 117,144

Jenkins, Thomas MD .......................46

Jenks, Ashley APRN ....................... 134

Jennings, Timothy PA ................... 147

Jessee, Ali DO ...................................... 11

Jessup, Ashley MD ............................. 11

Johnson, Carl MD .......................42,65

Johnson, Chelsey OD .........30,38,55

Johnson, Douglas OD .....................55

Johnson, Kelly PA ........................... 147

Johnson, Lauren OD .......................55

Johnson, Marquetta LPC ..............76

Johnson, Melissa APRN ............... 108

Johnson, Rebecca APRN ............. 134

Johnston, Brian PA ......................... 147

Jones, Catherine APRN .................123

Jones, Emily APRN ................... 107,112

Jones, Lashunda LPC .......................85

Jones, Ross MD .................................44

Jones, Shawn MD .............................43

Jones, Sondra LCSW .................75,83

Jones, Weston PT .......................... 144

Jordan, Beth LPC ..............................85

Jungblom, Rita PSYD ......................79

Kadner, Millicent APRN .............. 134

Kahre, Travis DC ...............................42

Kailey, Manavjeet OD ....................55

Karraker, Sabrina APRN ............... 108

Kb Pharmacy .................................... 155

Keene, Craig LCSW ...................75,83

Kehrer, Leon APRN ....................... 134

Keller, Bradley MD .....................22,62

Kellie, Scott MD ...............................64

Kelly, Keith MD .................................64

Kelly, Patrick MD ................................ 4

Kelso, Laura APRN ..................109,134

Kentuckycare 43 .............................. 101

Kentuckycare Pharmacy 62 ...... 162

Kim, James MD ............................. 25,51

Kimbler, Amanda APRN ............... 116

King, Demetrius LPC .......................73

King, Lisa PSYD ..................................74

Kingston, Gregory APRN ..... 107,134

Kirchner, Benjamin PA ................. 147

Kirk, Shay APRN .............................. 134

Klutts, Fred OD .................................55

Knees, Amy APRN ......................... 134

Knight, Kimberley APRN ..............135

Koch, Jeffrey PA ...............................117

Koelsch, David MD ...........................19

Koenigsmark, Kyli APRN ..............135

Koepp, Jacquelyn APRN ..............135

Kolenich, Diane APRN ................. 124

Kommer, Dena APRN ....................135

Korson, Rachel MD .........................20

Kosanovic, Radomir MD ...............23

Krick, James DO ................................65

Kroger Pharmacy .................... 153,162

Krueger, Bryan PT .................... 117,144

Kruger, Janine MD ............................29

www.wellcare.com/Kentucky | 177

33881963

Provider Index

L

M

Labcorp ........................................88,102

Lafever, Christopher LPC .............85

Lasser, Michael LPC ........................73

Lau, Kelvin MD ............................23,62

Lawrence, Stephen OD ................55

Lea, Brian MD .................................18,41

Leach, Ronald PA ....................147,148

Learch, Robert DO ........................... 13

Leath, Heather APRN ................... 124

Lebuhn, Carl MD ..............................46

Lee, Meghan APRN ........................135

Lee, Susan LPC ............................76,85

Legacy Oxygen And Home Care Equipme ................................................91

Legacy Oxygen And Home Care Equipment .................................. 100,101

Legacy Oxygen Home Care Equipment .................................. 100,101

Legereit, Penny PA ................ 106,148

Leonard, Ben OD ......21,30,38,39,55

Leslie, Darrell MD .............................. 12

Leslie, Shanna MD ............................ 12

Leugers, Ryan PA ..............................117

Levinson, Howard DDS .................37

Lewis, Justin LMFT ......................... 127

Lewis, Justin PA .......................... 113,121

Lhcg Xxiii LLC ................................... 99

Lifeline Of Jackson Purchase Home Health .....................................95

Lincare Inc ......................................... 100

Linville, Jennifer LPC ..................... 149

Lipinski, Lori APRN ........................ 124

Little, Jessica DPM ............................31

Livingston Co Health Center .....97

Lock, Eva APRN ................................135

Locken III, Peter MD .......................64

Logan, Nancy APRN ......................135

Lombardi, Salvatore MD .........19,20

Lone Oak Pharmacy ..................... 162

Long Jr, James MD ............................ 13

Long, Kathy APRN ..................109,135

Long, Scott LPC ................................85

Lopez, Emily PA .............................. 148

Lopez, Nicholas MD .......................65

Lorenz, Frederick MD .....................18

Lourdes Hospital Inc ......................72

Lourdes Hospital Inpatient Psych Distinc ....................................................81

Lourdes Pharmacy ......................... 162

Love, Marcus OD .............................55

Love, Riley MD ...................................61

Lovett, Jessica APRN .................... 124

Lowdenback, Rachel DO .........14,62

Luckett, James OD ..........................55

Lui, Amy OT .............................. 125,143

Lund, Lindsey MD ............................45

Lyell, Heather APRN ...................... 116

Lykins, Tara APRN ...........................135

Lyles, Aaron OD ...............................39

Lyles, Julia MD ..................................... 11

Lyles, Natasha OD ...........................39

Lynn, Mark OD ..................................55

Lyon Co Health Center ............... 98

Lyon Drug Store ............................. 160

Maddux, Howard MD ...................... 6

Maddux, Jonathan MD .................... 6

Majors, Angela APRN ............109,136

Malik, Indu MD .................................... 7

Malla, Yogesh MD ......................22,61

Manchikanti, Kavita MD ....61,62,63

Manchikanti, Laxmaiah MD ........................................................22,61,62

Mangold, Melissa MD ...................... 4

Mani, Anil MD ....................................46

Mansfield, Levi OD ...................55,56

Marion Home Health Agency ....93

Marshall County Health Dept .. 99

Marshall County Hospital .............71

Marshall County Surgical And Medical Gro ...................................... 99

Martin, Aribbe MD ........................... 12

Martin, Lindsay APRN .................. 136

Martin, Patricia APRN .................. 136

Martin, Sara APRN ......................... 120

Martin, William OD .........................56

Martin-Lane, Jennifer OD .............16

Mason, Kayla MD ........................14,62

Matejcek, Ann APRN .................... 124

Mattingly, Jordan DMD ................. 33

Mauterer, David MD ......................45

Mayor-Lynn, Kathleen MD .....19,20

Mcclain, Lauren APRN ................. 136

Mcclanahan, Allison APRN ......... 114

Mccluggage, Natalie CP ................87

Mccombs, Ricky MD ......................44

Mcconnell Health Mart Phcy ... 160

Mcdermott, Timothy MD ............46

Mcelroy, Bradley MD ......................41

Mcfadden, Donald OD .................56

Mcghee, Michael MD .....................74

Mckeel, Lacy APRN ....................... 109

Mckinney, Miranda SLP ............... 150

Mcnatt, Monica SLP ..................... 150

Mcpherson, Deanna APRN ........ 136

Medcare Home Medical ............. 101

Medcare Medical Supply ............ 101

Medcare Pharmacy & Home Medical ............................................... 156

Medcare Pharmacy And Home Medical ............................................... 154

Medical Arts Home Medical .......91

Medical Arts Pharmacy ................153

Medvetz, Lisa MD ............................45

Meeks, Landon MD .................... 25,51

Meeks, Van MD ............................ 13,15

Mehrotra, Sunny MD ...................... 12

Mercer, Amy APRN ....................... 136

Mercy Health Homecare Paducah .................................................................. 101

Mercy Health Hospice Paducah ................................................................. 102

Merriss, Autumn CSW ...................83

Metzger, William OD .....................30

Meyer, David MD ............................87

Midkiff, Cory PT ................ 117,125,144

Miller, Ginny APRN ........................137

Miller, Rebecca LPC ................. 111,149

Milliner, Matthew DMD .................31

Milo, Jackie MD ................................... 4

Mitchell, Crystal APRN .................137

www.wellcare.com/Kentucky | 178

33881963

Provider Index

M - cont.

N

O

P

Q

R

Mittendorf, Isaac MD ..................... 12

Molloy, Gerald MD ........................ 48

Montalvo, Noemi OD ...................56

Moody, Chelcia APRN ................. 105

Moreau, Eric OD ..............................56

Morgan, Derek MD .........................22

Morgan, Lucas PT .......................... 144

Morgan, Teresa APRN ..................137

Morris, Laurel OD ...........21,30,39,56

Morrison, Mary APRN .................. 120

Morrow, Kelli LPC ......................76,85

Moryl, Maegan APRN .................. 124

Moss, Teresa APRN ........................137

Mudd, Jeffrey MD ............................ 15

Mueller, Adam OD ..........................56

Mueller, Susan MD ..........................49

Mundy, Stephanie APRN ...... 113,120

Murala, Samuel MD ........................23

Murphy, Kasey APRN ....................137

Murphy, Patricia MD ......................43

Murray Calloway Co Hosp Rx ..153

Murray Calloway County Hospital .................................................................. 68

Musser, David MD .......................... 66

Nagatoshi, Raymond OD .............56

Naghtin, Ellery APRN ................... 105

Nallu, Ramchandra MD ...................8

Neal, Sunny APRN .................. 105,137

Necco Inc .............................................81

Nechtman, Carl MD .......................43

Neidlinger, Velda APRN .............. 122

Nelson, Troy DO ............................... 13

Nesbitt II, John MD .........................65

New, Darrell APRN ......................... 116

Newberry, Daniel OD ....................56

Newman, Ashley APRN ...............137

Nichols, Kelly APRN .......................137

Nidadavolu, Vinay MD ..................64

Norsworthy, Margaret APRN ... 109

Novotny, Patrick OD .....................56

Nps Pharmacy ................................. 162

Nunn, Brittany SLP ........................ 150

O'connor, Denise LPC .................. 86

O'dell, Nicholas MD .......................... 4

O'rourke, James MD .......................65

Oetjen, Lisa APRN ......................... 109

Office For Children With Special Health ...........................................100,127

Offutt, Adrienne APRN .............. 124

Ogg, Janet LPC ..................................76

Oliver, Crystal OD ...........................56

Oliver, Heather OD ........................56

Olson, Kathy APRN ................ 124,137

Omar, Rashid OD .............................57

Option Care Inc .......................101,102

Orr Medical LLC .............................. 101

Ortt, Amanda LPC ...........................73

Osbron, Donna APRN ...................137

Overstreet, Christy APRN ......... 138

Owen, Pamela LCSW ...............75,83

Owens, Gina APRN ....................... 109

Owens, Joshua MD ..........................31

Owens, Mark OD ............ 21,30,39,57

Owsley, Eugene MD .......................87

Paducah Mccracken County Health Center ................................... 101

Paducah Pharmacy ........................ 162

Paducah Prosthetics ...................... 101

Parker, Kenneth PA ....................... 106

Parker, Sarah OD .........................16,26

Parnell, Jeffrey OD ..........................57

Parnell, Robin OD ............................57

Parrott, Celia PA ............................. 148

Partain, Jeffrey OD ..........................57

Pasco, William DMD .................. 19,37

Patel, Shiraz MD .............................. 60

Patel, Tania OD .................................57

Patterson, Kelly APRN ..........109,138

Patton, Demetrius MD ............25,34

Payne, Douglas OD ..........................21

Payne, Holly MD ............................... 15

Peek-Fisk, Rolanda LCSW ............76

Pennyrile Home Medical ............. 101

Pennyroyal Healthcare Services Inc .......................................................... 90

Perez-Lopez, Edwin MD ................. 11

Perryman, Lorie APRN ...................113

Petty, Sarah APRN ......................... 138

Petty, Sue MD ....................................16

Peyton, Russell APRN .................. 105

Pfister, Gregory MD .......................64

Pharmacy Inc ...............................91,153

Phelps, Brittany PT ........................ 106

Phillips, Allison APRN ................... 120

Phillips, Christopher MD ..............64

Phillips, Kara APRN .................. 120,121

Phillips, Shanna PT ......................... 106

Pitaras, Elias MD ..........................29,47

Porter, Adria OD ..............................26

Porter, Andrew MD .......................... 11

Powell, Terri CSW ...........................83

Powers, David DO ...........................44

Price, Erica APRN ....................103,109

Price, Martin OD ..............................57

Price, Matthew MD ........................20

Princeton Drug Store ................... 152

Princeton Nursing And Rehabilitation ................................... 90

Prowell, Zoe LCSW .........................78

Pulliam, Mark OD .............................57

Purvis, Melissa MD ........................... 13

Quest Diagnostics ...................88,102

Rains, Martin MD ...............................41

Rankin, Bradley MD ..........................41

Ransler, Charles MD ........................65

Ranval, Timothy MD ...................... 66

Rasheed, Muhammed DMD ....... 33

Rawls, Courtney APRN ................ 138

Ray, Kelly LCSW ...............................83

Rcg Kuttawa ...................................... 98

Rcg Mayfield ......................................95

Rcg Murray ..........................................91

Rcg Paducah ..................................... 100

Reed, Joseph PA ............................. 148

www.wellcare.com/Kentucky | 179

33881963

Provider Index

R - cont. SReed, Samantha APRN .........105,138

Reed, Tiffany OD .............................57

Reeve, Charles OD ..........................57

Regional Home Care Pkwy ..........94

Reidland Pharmacy. Inc ............... 162

Reimnitz, Catherine APRN ........ 138

Resser, John MD ...............................43

Rhodes, Jaime APRN ............... 116,124

Rice, Michael DMD ........................ 60

Richert, Judith OD ...........................57

Rickman, Emily SLP ........................ 149

Ricks Pharmacy Inc .................. 101,163

Riehl, Candace CNM ......................115

Rigdon, Nancy DMD ......................37

Riley, Kristen APRN ....................... 109

Rite Aid Pharmacy ..........................153

Roach, John MD ................................. 15

Robbe III, Frederick MD ................. 17

Robbe, Frederick MD ...................... 17

Roberts, John OD ............................58

Roberts, Keith OD ...........................58

Robertson, Charles DMD ..............19

Robertson, Paul OD ........................58

Robinson, Krissie PT ...................... 145

Robinson, Regina APRN .............. 138

Robison, Regina APRN .......... 122,138

Rodgers, Holly PT .......................... 145

Romine, Spencer MD ......................61

Rommelman, Monte MD .......23,63

Rooks, Erin LPC ................................ 86

Rorer, Kathy PT ............................... 145

Rorex, Megan CSW ...................74,84

Rose, Laura OD .................................58

Rosenberger, Cindy APRN ......... 139

Rosenblum, Frederick MD ...........64

Rotech .............................................91,93

Rubesh, Grant OD ...........................58

Russell, Joshua PA ............................117

Rust, Jason APRN ........................... 139

Ruxer, John DO .................................62

Ruzicka, Amy OD .............................58

Ryan, Martha APRN ...................... 109

Saad, Lebnan MD .............................64

Salee, Sarah OD ................................58

Salim, Mazhar MD ...........................87

Sallee, John MD ................................74

Sams Club Pharmacy .................... 163

Sanchez-Juan, Ada OD ..................58

Sanders, Deidra APRN ................. 139

Sanders, Olivia SLP ........................ 149

Sanders, Scott MD ......................... 66

Sanderson, Misty APRN ............... 110

Sanford, Lisa Robin LPC ............... 118

Sasseen, Alison APRN ............ 116,139

Savells, Amber MD ..........................49

Sayied, Tausif MD ............................64

Scales, Shanna APRN ..................... 110

Scearce, Joshua MD .......................... 3

Scheidler, Elizabeth APRN ......... 105

Schell, David MD ............................... 15

Schipp, Heath DC ............................42

Schofield, Janice LMFT ................. 84

Schoonover, Kent DC ...................35

Schultz, Megan OT ....................... 125

Scott, Miranda PT .......................... 145

Scott, Randall PT ............................ 145

Scowcroft, Charles MD ................44

Sears, Robert MD .............................87

Seilheimer, August LDO ................51

Sensarma, Sugata MD ....................64

Settle, Lathan MD ............................. 2

Sexton, Samantha PA ....................117

Shah, Pankajkumar MD .................... 2

Sheridan, Donise OD ..... 21,31,39,58

Shiben, Timothy MD ......................44

Shimer, Kimberly MD .....................47

Shoulders, Kristee APRN ............ 105

Sitton, Lora DMD ..............................16

Skinner, Elizabeth APRN ............. 122

Skinner, William MD .......................46

Slatter Hall, Miriam MD ................49

Slentz, Kevin MD ...............................16

Sloan, Matthew LPC ...................... 86

Slomiany, Beatrix MD ....................45

Smith, April LPC ............................... 86

Smith, Carol LCSW ........................ 80

Smith, David MD ............................... 12

Smith, Karen APRN ....................... 139

Smith, Linda PA ..................................111

Smith, Mike PA ..................................117

Smith, Mina LCSW ..........................76

Smith, Sarah LPC ............................. 86

Smith, Stephen OD .........................58

Smith, Tony OD ................................31

Smithland Drugs ............................. 159

Smithland Pharmacy Inc ...............97

Snead, Kevin OD ..............................58

Sneed, Larry APRN ......................... 110

Snow, Shelby APRN ...................... 139

Sofinowski, Troy MD .....................65

Souleyrette, Dale OD ....................58

Speach Jr, Albert MD .....................43

Spear, Steven OD ............................59

Spicer, Donald MD ..........................65

Spillman, Lisa CNM ....................... 139

Sprunger, Maria APRN .................. 110

Stacy, Brandi APRN ....................... 139

Stanczyk, Christopher DO ..........23

Stanger, Sarah APRN .................... 139

Stanis, Carl OD ..................................59

Staples, Susan APRN .................... 125

Starkey, Anthony MD ...................... 11

Steele, Harry OD ..............................59

Stewart, Anna APRN ...... 110,139,140

Stewart-Jaynes, Marissa MD ........10

Stigall, Kevin MD ..............................45

Stone, Richard DO ............................8

Stones Drugs Inc ..............................95

Stones Health Mart Phcy ........... 157

Stovall, Deborah APRN ............... 105

Strange Spraggs, Samantha DMD ...................................................... 28,29,44

Strawberry Hills Pharmacy ........ 163

Strawberry Hills Phcy Southsid 163

Strenge, Kenneth MD .....................61

Strickland, Christie APRN ........... 140

Stringer, Sandy APRN ................... 116

Sublette, Matthew MD .................49

www.wellcare.com/Kentucky | 180

33881963

Provider Index

S - cont.

T

U

V

W

Sullivan, Charles PT ....................... 145

Sullivan, Gabriel DDS ......................19

Summarell, Taylor APRN ............ 140

Sunberg, Stephanie LCSW ......... 84

Sutton Drugs Of LA Center ........151

Swain, Brian MD ................................19

Swartz, Mary PT .............................. 110

Swensen, Robin APRN ................. 125

Swis Purchasing LLC DBA Purchase Youth V .......................... 80

Sydnor, Carl OD ...............................59

Tabassi, Bita OD ...............................59

Tack, Bradley DC ..............................36

Tack, Lisa DC ......................................36

Talley, Daniel OD ..............................16

Talley, Joel MD ..................................42

Taylor, Alysha PA ..............................111

Taylor, Bradley APRN ................... 140

Taylor, Jeffery MD ...................... 25,51

Telle, Terri MD ................................... 13

Terhune, Jillian LPC ........................ 86

Terry, Lisa APRN ............................. 140

Teves Mani, Milagros MD ............. 13

Theobald, Jasmaine APRN ......... 140

Thomas, Derick PA ........................ 148

Thompson, Dustin APRN ........... 140

Thornton, Cessinee APRN ...110,140

Thrifty Home Medical ...................93

Thurston, Timothy PA ................. 148

Tichenor, Kathy CSW ....................73

Tidwell, William MD .................42,43

Tinch, Adrienne APRN ................. 140

Tittle, Amanda LPC ........................ 86

Tolar, Stewart MD .....................37,49

Torok, Anita MD ..............................28

Travis, Justin OD ...............................59

Travis, Michael DC ....................28,36

Tri-Rivers Healthcare PLLC .........93

Triana, Rudolph MD ........................28

Troutman, Adrianna PT ............... 145

Trover, Sarah LPC ................76,77,86

Truong, Khai MD ...........................9,10

Tucker, David OD .....22,31,39,40,59

Turbyville, Joseph MD ....................41

Turley, Karla MD ...............................20

Turnbo, James MD ........................... 12

Turner, Amy APRN ......................... 119

Turner, Dawn LPC ........................... 86

Turnley, Marcus PA ....................... 148

Turnquest Wells, Mureena MD .47

Tveite, John MD ................................. 3

Tynes, Kristin APRN ....................... 141

Unger, Carly PA .......................126,149

Valentini, George MD ....................63

Van Savage, John MD ................ 31,32

Vance, Phyllis APRN ....................... 141

Vanhoose, Anna PA ....................... 118

Vanwaters, Jacquelyn APRN ...... 141

Vega, Francisco LMFT ..............74,84

Vinson, Cheryl APRN .................... 141

Wagner, Amanda MD ....................49

Walgreens Drug Store ... 153,157,163

Walker, Dustton APRN ................ 141

Wallis, Matthew DC ..................18,42

Walmart Pharmacy .............................. 152,153,156,157,161,163

Walters Family Pharmacy ...........153

Ward, Jeffrey PA .....................103,149

Ward, Peter MD ...............................63

Ward, Tyler OT ............................... 143

Ward, William OD ...........................59

Waters, Jennifer APRN ................ 125

Watson, Michael DO ...................... 12

Webb, Jennifer LCSW .................. 84

Weitlauf, Leslie PT ........................ 145

Welsh, Deborah APRN ................. 141

Wenz Sherrill, Kimberly LCSW ..73

Wenzsherrill, Kimberly LCSW ... 84

West Towne Pharmacy .............. 163

West, Jackie DMD .............................19

Western Kentucky Home Medical Equipment .......................................... 99

Wheeler, Jennifer LMFT ....... 107,127

White, Keith DMD ...........................37

Whitehead, Jaime APRN ............. 103

Whiteley, James MD .......................29

Wickliffe Pharmacy Inc .................151

Wiggins, Ashley APRN .................. 110

Wilcox, Sharon ARNP ................... 141

Wilder, Debra MD ........................ 2,10

Wildharber, Cari APRN ................ 141

Wilkerson, Jennifer APRN ........... 116

Wilkerson, Jonathan MD ........20,47

Wilkerson, Regina APRN ....... 121,141

Wilkinson, Robert APRN ..............121

Willett, Angela APRN .................... 141

Williams Barnhart, Sierra APRN 110

Williams, Angela PA .........................111

Williams, Jesse OD ..........................22

Williams, Johnny MD ......................29

Williams, Joseph LCSW .................76

Williams, Karrie APRN ............. 110,141

Williams, Patricia MD .......................8

Williams, Wayne MD .......................8

Williamson, Katherine DO ...........49

Williamson, Lance APRN ...... 110,142

Willis, Jennifer APRN .................... 142

Willis, Tori OT ................................. 143

Wilson, Christy APRN .................. 142

Wilson, Jamie ARNP ...................... 125

Wilson, Jamie MD ..............................8

Wilson, Kristal MD ...........................34

Wilson, Melissa APRN .................. 142

Wilson, Michelle APRN ............... 142

Wilson, Richard MD .................... 13,14

Wilson, Ronald MD .......................... 13

Wilson, Sarah APRN ...................... 116

Wolf, Nicholas OD .........................59

Wood, Wyetha APRN ................. 122

Woods, James DMD ...................... 60

Woods, Mckenzie DMD .............. 60

Wright, Alex MD ............................... 12

Wright, Lucinda MD .................23,62

Wright, Tiffany APRN ........... 142,143

www.wellcare.com/Kentucky | 181

33881963

Provider Index

W - cont.

Y

Z

Wurth, Kristi SLP ............................ 150

Wynstra, Jonathan MD ..................29

Yates, Christy APRN ..................... 143

Yazdani, Aijaz MD ...........................23

Yazigi, Ghassan MD ...................... 6,9

Youssef, Jacques MD ...............20,47

Zetter, David MD ............................... 5

www.wellcare.com/Kentucky | 182

33881963

Discrimination Is Against the Law

WellCare of Kentucky complies with applicable Federal civil rights laws and does not discriminate on the basis

of race, color, national origin, age, disability, or sex. WellCare of Kentucky does not exclude people or treat

them differently because of race, color, national origin, age, disability, or sex.

WellCare of Kentucky provides free aids and services to people with disabilities to communicate effectively

with us, such as:

• Qualified sign language interpreters

• Written information in other formats (large print, audio, accessible electronic formats, other formats)

WellCare of Kentucky also provides free language services to people whose primary language is not English,

such as:

• Qualified interpreters

• Information written in other languages

If you need these services, call us toll-free at 1-877-389-9457 (TTY: 711). We’re here for your Monday–Friday from

7 a.m. to 7 p.m.

If you believe that WellCare of Kentucky has failed to provide these services or discriminated in another way

on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

EEO/Civil Rights Compliance Branch

Cabinet for Health and Family Services

Office of Human Resource Management

275 E. Main St, Mail Stop 5C-D

Frankfort, KY 40621

Telephone: 1-502-564-7770

Fax: 1-502-564-3129

Email/Web: https://chfs.ky.gov/Pages/civil-rights.aspx

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the EEO/Civil

Rights Compliance Branch is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for

Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services

200 Independence Avenue

SW Room 509F

HHH Building

Washington, D.C. 20201

Telephone: 1-800-368-1019, 1-800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

CAD_47460E State Approved 11062019

©WellCare 2019 KY9CADINS47460E_1800

33881963

ATTENTION: If you speak English, language assistance services, free of

charge, are available to you. Call 1-877-389-9457 (TTY: 711).

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de

asistencia lingüística. Llame al 1-877-389-9457 (TTY: 711).

注意:如果您使用繁體中文,您可以免費獲得語言援助服務。

請致電 1-877-389-9457 (TTY: 711)。

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos

sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer:

1-877-389-9457 (TTY: 711).

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-877-389-9457 (TTY: 711).

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم

.(711 :TTY) 1-877-389-9457

ATTENTION : Si vous parlez français, des services d’aide linguistique vous

sont proposés gratuitement. Appelez le 1-877-389-9457 (TTY: 711).

주의: 한국어를 사용하시는 경우 , 언어 지원 서비스를 무료로 이용하실 수

있습니다. 1-877-389-9457 (TTY: 711)번으로 전화해 주십시오 .

Opmierksamkeet: Wann du [Deitsch (Pennsylvania German/Dutch)]

schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die

englisch Schprooch. Ruf selli Nummer uff 1-877-389-9457 (TTY: 711).

ध्यान दिनुहोस्: तपार्इंले नेपाली बोल्नुहुन्छ भने तपार्इंको निम्ति भाषा सहायता सेवाहरू निःशुल्क रूपमा उपलब्ध छ । फोन गर्नुहोस् 1-877-389-9457

(TTY: 711)।

XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii,

kanfaltiidhaan ala, ni argama. Bilbilaa 1-877-389-9457 (TTY: 711).

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны

бесплатные услуги перевода. Звоните 1-877-389-9457 (TTY: 711).

33881963

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga

serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-877-389-9457

(TTY: 711).

ICITONDERWA: Nimba uvuga Ikirundi, uzohabwa serivisi zo gufasha mu

ndimi, ku buntu. Woterefona 1-877-389-9457 (TTY: 711).

OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke

pomoći dostupne su vam besplatno. Nazovite 1-877-389-9457

(TTY: 711).

注意事項:日本語を話される場合、無料の言語支援をご利用いた

だけます。1-877-389-9457 (TTY: 711) まで、お電話にてご連絡くだ

さい。

33881963

33881963

1-877-389-9457 (TTY 711)

www.wellcare.com/Kentucky